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What is Lumbago?

IVSAT 2024

The term lumbago refers to lower back pain. Health professionals consider it to be an outdated term referring to nothing more than lower back pain, which can have a number of causes. The lumbago pain may be mild or severe, acute or chronic, confined to the lower back or extending to the buttocks and upper legs. A weak or strained back muscle ruptured ligaments, a herniated disc, compression of the sciatic nerve (sciatica), degenerative vertebral disease (spondylosis), the curvature of the spine (scoliosis), or loss of bone mass can all contribute to this condition. 

Bed rest, heat, massage, anti-inflammatory drugs, and strength-building exercises can all help with mild lower back pain. Lumbago with sciatica icd-10 is one of the important terms of this medical topic. Let us discuss more about Lumbago.

Common Lumbago Symptoms

Lumbago pain can be easily identified by recognizing the basic signs.

  • A primary symptom is lumbar region pain. An aching lower back and muscle tension are common symptoms of this pain. Mobility may be limited in the worst cases.

  • Localized pain occurs only in a limited area in lumbago symptoms.

  • When you try to bend over or lean backward, you may experience the restricted movement of your spine.

  • In addition to the other lumbago symptoms, lumbago can cause pain in the lower back that may radiate to the buttocks, groins, or back of the thighs.

  • Sciatica refers to numbness in the buttocks, the back, or the leg, combined with a tingling sensation that radiates down the leg to the foot.

  • Back or leg swelling or inflammation are warning signs.

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Causes of Lumbago

  • Spending a Lot of Time Bent Forward

Your pelvis and spine become imbalanced if you frequently sit and bend forward. This is due to the fact that sitting causes the muscles and fascia in the front of the body to become stiffer and less supple over time. In other words, they appear to be "shortening". Your pelvis and lower back are pulled strongly by the muscles that allow your abdomen and hip to bend. The muscles in the back and buttocks strive to counteract this. If the imbalance is severe enough that the body can no longer compensate, muscle guarding, which is common in lumbago, occurs. This is really a good thing: your body's natural warning system informs you of the uneven tension and protects your spine from irreversible harm.

  • Muscular Weakness as a Source of Restricted Mobility

Additionally, if your deep, stabilizing core muscles are too weak, it's extremely difficult to rebuild your myofascial balance between the front and rear of your body, as described above. Your back muscles will contract up as a reflex to protect your spine if you make a jerky movement, such as lifting a weight.

Treatment for Lumbago

Lumbago treatment differs depending on a number of factors, including the patient's age, weight, degree of exercise, and so on. Treatment options include the following.

  • transient pain alleviation with anti-inflammatories

  • compresses (hot or cold)

  • mild stretches and exercise

  • yoga

  • acupuncture

  • spinal manipulation & chiropractic therapy

  • surgery

Acute Lumbago

When the function of your back muscles is reduced, commonly in the lumbar spine region, you have acute lumbago. Lifting, bending, and rising from a seated posture are some examples of everyday activities that cause this problem. Lumbago is a reflex response in which your lower back muscles stiffen up as a way of protecting yourself. Acute lumbago prevents harm to the spine and nerve fibers. The increased tension not only causes the usual symptoms of restricted movement and lumbar region pain but also makes the lumbar spine more sensitive to pressure. It's important to realize that lumbago does not harm your spine. Changes in "passive" tissues like vertebral discs, and ligaments will not be detected by your doctors. 

As a result, lumbago is frequently classified as non-specific back pain. It accounts for around 80% of all acute back pain. The term "non-specific" refers to the fact that the origin of the discomfort is uncertain, as muscular tension, fascial adhesions, and myofascial abnormalities are often missed by traditional diagnostic techniques.

Did You Know? 

  • According to the Global Burden of Disease report from 2010, low back pain is the leading cause of disability worldwide.

  • You may experience the agony, numbness, or tingling sensation of low back pain whether you are in your early 30s or late 50s. According to studies, 80 percent of the population will suffer from back discomfort at some point in their lives.

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FAQs on Lumbago

1. What do you mean by Lumbago with sciatica icd-10?

When lumbar region pain from the back travels down the leg, it is known as sciatica. The discomfort could radiate down the back, outside, or front of the leg. Symptoms normally only affect one side of the body at a time. Certain factors, on the other hand, may produce lumbago pain on both sides. Lower back pain can be present, however, it is not always the case. Various areas of the leg and foot may experience weakness or numbness.

Codes for the ICD-10:

A few ICD-10 codes have been selected to show how the clinical aspects of this disease fit with the ICD-10 reporting standards.

  • M54.31 Sciatica, right side
  • M54.32 Sciatica left side
  • M54.41 Lumbago with sciatica, right side
  • M54.42 Lumbago with sciatica left side
  • M54.5 Low back pain

2. What is the long-term prognosis for back pain?

The majority of persons with back pain have a good prognosis and will heal in a few weeks. It depends, however, on the origin of the back pain and how it is treated. Acute strain injuries usually heal with little therapy, but a slipped disc causing sciatic nerve irritation may require surgery. As the symptoms of long-term back problems are more likely to remain, it's best to seek treatment for back pain as soon as possible. For example, seeing a physiotherapist as soon as possible can help you recover faster and prevent the condition from recurring.

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