Lower back pain when coughing

Picture of Dr. Pasquale X. Montesano
Dr. Pasquale X. Montesano

Principal Orthopedic Spine surgeon at Montesano Spine & Sport.

lower back pain when coughing

Herniated Disc

  • A common cause, especially in the lumbar spine.
  • Coughing increases pressure on spinal discs, potentially pushing against nearby nerves.
  • Pain may worsen with sitting, bending, or sneezing.

Muscle Strain

  • Frequent or forceful coughing can strain or tear lower back muscles.
  • Pain is often sharp or dull and localized to one side.
  • May be tender to touch and worsens with movement.

Spinal Stenosis

  • Narrowing of the spinal canal that compresses nerves.
  • Coughing or straining may intensify nerve pressure and symptoms.

Spondylolisthesis or Spinal Instability

  • Slippage of a vertebra can be aggravated by increased intra-spinal pressure during a cough.

Compression Fracture

  • Typically occurs in older adults with osteoporosis.
  • Sudden, severe pain with a cough or sneeze may indicate a vertebral fracture.

Kidney Issues

  • If pain is more lateral or in the flank area, especially with fever, hematuria, or nausea, consider kidney stones or infection.