What are the causes of lower back pain and groin pain in women? (2023)

In women, lower back pain and groin pain that radiates to the front of the pelvis can have several causes. The pain can feel dull, sharp or burning. Lower back pain can also radiate to the front of the pelvis in women.

Although these may sound like two different types of pain -- lower back pain and groin pain -- health care providers group them together. If you have pain in one area, chances are you have pain in another area as well.

The main causes of lower back pain and groin pain in women can be divided into two categories.

  • musculoskeletal and nervous system: Related causes of pain that affect the movement of your muscles, nerves, ligaments, joints and bones. Examples include sciatica, arthritis and injuries.
  • Based on other instruments: The cause can be from the kidneys (such as stones), the reproductive system (such as the ovaries) or the gastrointestinal system (such as an inguinal hernia or appendicitis). Causes can also be related to acute/chronic conditions or infections.

This article explores the possible causes of lower back pain and groin pain in women. It also details the diagnostic process, treatment options, and how to prevent low back and pelvic pain.

What are the causes of lower back pain and groin pain in women? (1)

Musculoskeletal and neurological causes

Musculoskeletal and neurological causes of lower back/groin pain in women may be obvious to you (e.g. a fall) or less obvious (e.g. poor posture).

Injuries and overwork injuries

Frequent use and repetitive movement patterns can causeoveruse injuryIn muscles, ligaments and joints. These may include:

  • Sports and physical activities that require repeated turns and bends in the same direction, such as tennis or golf.
  • Frequent lifting of heavy objects or any movement that is repeated regularly.

Trauma can also cause pain in the lower back and groin. Trauma can be the result of a car accident, a fall or a sports accident. This trauma can lead to acute and chronic physical injuries, such as muscle strains or broken bones. Depending on the type of wound, the healing time and treatment required may vary.

Overuse and injuries to the lower back or groin can cause weakness, tingling, numbness, pain, stiffness, or tingling in the legs.

I can't move

Over time, reduced range of motion and mobility of muscles and joints can lead to discomfort and pain. Reasons include:

  • stay in the same place for a long time
  • sedentary

This type of pain is often dull, aching and stiff. It can also cause muscle spasms, which are characterized by short bursts of sharp, severe pain.

What causes groin pain when walking?


The way you sit, stand and walk affects your range of motion. It can also affect the nerves and blood flow to the back and groin area.

Prolonged periods of poor posture can lead to lower back pain and muscle strain. Postural discomfort can be painful and stiff and cause short episodes of more intense pain.

Sciatica and pinched nerves

sciaticaipinched nervesThe most common cause is a herniated or herniated disc. thesePain that feels like a sharp, burning, or radiating painalong neural pathways.


arthritisis an inflammation that causes swelling, stiffness, pain and deterioration of the cartilage that protects the joint. Hip arthritis can cause groin pain and, occasionally, back pain when you stand or walk for long periods of time.

Arthritis in the thoracic or lumbar spine or degenerative disc disease are other common causes of back pain.

sacroiliac joint dysfunction

The sacroiliac joint connects your lower spine to your pelvis. When these joints move too much or too little, it can causepain in the sacroiliac joint, causing a burning sensation in the lower back and groin.

Renal/urinary causes

kidney stones

kidney stonesThey are formed from metal and salt deposits that form a hard rock-like ball in your kidney. Pain is often felt when a kidney stone begins to move from the kidney to the bladder. It causes severe pain in the back and flanks and radiating pain in the groin, as well as symptoms such as changes in the color of urine, painful urination, nausea and vomiting.

kidney infection and urinary tract infection

urinary tract infections andkidney inflammationother causes of pain in the lower back and groin in women. They can cause fever, frequent urination and painful urination.

Gynecological reasons

Pelvic inflammatory disease

infection of the female genital organs, known asPelvic inflammatory disease, usually occurs when sexually transmitted bacteria are transmitted through the vagina, uterus, fallopian tubes, or ovaries.

Symptoms include:

  • pain in the lower abdomen or groin
  • fever
  • pain during sex
  • menstrual bleeding
  • vaginal discharge

ovarian cyst

oneovarian cystA solid or fluid-filled sac on or inside the ovary. Small ovarian cysts are less likely to cause pain.

Large ovarian cysts or ruptured ovarian cysts can cause pain ranging from mild discomfort to severe pain. This pain may occur during the menstrual cycle or during intercourse, or be severe in the back, pelvis or lower abdomen.

Pain in the back and groin during pregnancy

Back pain and groin discomfort are common during pregnancy. As your body adjusts to pregnancy, the bones and round ligaments in your pelvis move and stretch, which can be uncomfortable.

Although these symptoms are usually normal, it is important to mention them to your doctor during your check-up. Pain in the lower back and groin during pregnancy can be a sign of miscarriage or labor, including premature labor.

Contact your doctor immediately if your pain is severe or does not go away, or if it is accompanied by bleeding, cramping or vaginal discharge.

sexually transmitted infection

certain sexually transmitted infections, such asChlamydiathis onegonorrhea, can cause pain in the back and groin area. Other symptoms may include painful urination, increased vaginal discharge, painful sex, and bleeding between periods.

fungal infection

onefungal infectionis an overgrowth of fungiCandidiasis.This is a common vaginal infection whose symptoms include itching, swelling, irritation and pelvic pain.

Sexual positions that cause back pain and what to do about it

other reasons


Appendicitis occursWhen your appendix gets blocked and infected. For most people, the main symptom is pain that starts near the navel. But for some people, it can start in the lower back and spread to the right side of the pelvic area.

associated with painappendicitisIt can get worse over time or when you cough, move, or breathe deeply.

aliSymptoms of appendicitisThese include stomach upset, nausea or vomiting, loss of appetite, fever or chills, or unusual bowel movements (including constipation and/or diarrhea).

Is my pain caused by an ovarian cyst or appendicitis?

ingvinalna every

inguinal hernia is calledingvinalna every.Involves soft tissue, usually part of the intestine, that passes through the weakened muscles of the groin. It can cause pain in the abdomen, lower back or pelvis, especially when bending or lifting heavy objects.


pancreatitishas inflammation of the pancreas. One of its symptoms is abdominal pain that spreads to the back. It can be caused by gallstones, alcohol or infection.

Pancreatitis pain is worse during and after eating. Other symptoms of pancreatitis include nausea, vomiting, and fever.

swollen lymph nodes

havelymph nodesIt is located in the internal and external area of ​​the iliac arteries of the pelvis. They can become enlarged for a number of reasons, including infection, injury, and, in rare cases, cancer. Symptoms of swollen lymph nodes include pain, swelling, redness and irritation of the skin, and fever.


this onespleenis a small organ located behind the left side of the chest cavity. It filters the blood and helps create new blood cells. As with lymph nodes, infection and disease can cause the spleen to become enlarged.

Pain associated with an enlarged spleen (the so-calledsplenomegaly) usually on the upper left part of the abdomen, sometimes on the left shoulder and upper back. However, some people with an enlarged spleen have abdominal symptoms, such as the inability to eat large meals without discomfort.

When to see a health care provider

If your pain is caused by a muscle pull, minor sprain, or overuse, the pain should begin to subside with rest and improve without medical attention.

If you experience chronic or unusual pain in your lower back and groin, your doctor or physicianobstetricianHe can help determine the cause of your pain or refer you to a specialist. Pain in the lower back and groin in women is a symptom that can have many causes, so it is important to consult your doctor for a proper diagnosis.

Seek immediate medical attention at the emergency room or urgent care center if your pain is severe and sudden, or if you have any of the following symptoms:

  • Dizziness
  • fever
  • nausea and vomiting
  • difficulty breathing or rapid heartbeat
  • weakness


Depending on the cause of your pain, your doctor can diagnose it by doing a physical exam and asking questions about your condition. Other tests may be needed to find the cause, especially blood tests and imaging tests (X-raysthis oneMagnetic resonance).

to heal

Treatment of pain depends on its cause. After the diagnosis, your treatment plan will be created. An effective treatment plan may include a combination of the following strategies:

lifestyle management

For injuries caused by muscle strains, sprains, overuse, and minor injuries, the pain usually begins to ease with rest, ice, and over-the-counter pain relievers such as acetaminophen or ibuprofen. Braces or compression bands can help your body and reduce pain during the healing process.

Postural exercises, careful lifting, and stretching can help relieve pain.


This medicine can be used in several ways to help lower back and groin pain. If your pain is caused by an infection, your doctor will prescribe medication to eliminate the infection and manage your symptoms. That includes:

  • antibiotics
  • Antifungal agents
  • antiviral substance

Your doctor may also prescribe pain relievers. This may include:

  • Medicines for nerve pain
  • muscle relaxant
  • analgesic
  • Steroid

physical therapy

Working with a physiotherapist can help with the following problems:

  • inconvenient
  • posture
  • force
  • walking gait

Depending on your situation, physical therapy can reduce or resolve your pain by helping to resolve the problem or improve your condition. A physical therapist will provide you with exercises to help you build and maintain strength, range of motion, and flexibility.

pelvic floor treatment

pelvic floor treatmentis a form of physical therapy that focuses on the muscles, ligaments and connective tissue of the pelvis. It helps relieve pain, weakness and dysfunction in the pelvic floor area.

A physical therapist will determine a treatment plan for treating your pelvic floor to help you increase the strength and range of motion of your pelvic muscles.

chiropractic care

Chiropractors provide spinal and hip adjustments to realign the joints in the spine. Adjustments made by a trained chiropractor have been shown to help reduce back and hip pain.


Some cases are more serious and may require surgery. Ovarian cysts, hernias, and other infections sometimes require emergency surgery to remove infected or unhealthy tissue (such as a rupturedovarian cystthis oneappendicitis).

In addition, health care providers sometimes recommend basic non-emergency procedures, such as:

  • hernia repair
  • Hip replacement for arthritis pain
  • Cholecystectomy to prevent recurrence of pancreatitis


Not all conditions and diseases that cause lower back pain and groin pain in women can be prevented. However, for some conditions, the risk of pain can be reduced by lifestyle changes. To prevent lower back and groin pain, consider the following:

  • Use proper bending and lifting techniques
  • eat healthy food
  • Engage in some form of physical activity every day, such as walking, swimming, yoga, cycling, or strength training (in an appropriate form)
  • maintain a healthy weight
  • stay hydrated

If you have any questions about the symptoms you are experiencing, contact your doctor. Early resolution is always the best way to deal with pain.


Lower back pain and groin pain in women can have different causes. Like your doctor, you may want to group together potential causes, which may include musculoskeletal or neurological problems, kidney/urinary system problems, gynecological effects, and some conditions you might call "other" causes.

Determining the cause is the first step in developing a treatment plan, which may include lifestyle changes, medications, physical therapy, or chiropractic care.

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