I Am 65 Years Old. My Lower Back Hurts, Should I Be Worried? Yes, 5 to 10% of lower back pain in senior citizens older than 65 years can be a serious problem. Lower back pain can be acute or chronic in nature.Acute pain lasts less than 3 months and chronic may last for more than 3 to 6 months. Lumbar pain among senior citizens lasting more than week should be investigated and should not be neglected.
What Are The Causes Of Low Back Pain in Elderly People?
-Discogenic – Bulge disk, herniated disk, degenerative disk disease.
-Inflammatory – Discitis, facet joint arthritis, osteomyelitis.
-Injuries – Whiplash injury after automobile or work accident or fall may cause i) Fracture of vertebrae, facet joint, lamina, transverse process or spinous process ii) Tear and sprain of ligaments. iii) Tear and sprain of muscles. iv) Dislocation of facet joint or vertebrae.
-Osteoporosis – Fracture of body of vertebra (compression fracture), facet joint, spinous process and transverse process.
-Cancer And Metastasis – Primary cancer: breast, lung, prostate.
-Failed Back Syndrome – Pain may persist after back surgery secondary to – i) recurrent disk herniation, ii) surgical injuries to facet joint, iii) facet joint- hypermobility, joint instability, iv) muscular deconditioning and iv) fibrotic scar tissue of surrounding nerve, ligaments, muscles and joint.
Mechanical or Musculoskeletal Problems: i) Sprain: ligament and muscles, ii) Tear: ligament, synovial membrane iii) Spasm – muscle iv) Disk abnormalities – herniation, degenerative disk disease, fracture of disk v) Facet joint – dislocation, fracture, wearing down of the facet joints.
-Bone Disease – Osteoporosis, scoliosis, spondylolisthesis, rheumatoid arthritis, osteoarthritis, ankylosis spondylitis, spinal stenosis.
-Systemic Disease – Endometriosis, kidney disease, fibromyalgia, chronic fatigue syndrome and muscle pain.