Nocturnal Back Pain: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Nocturnal Back Pain

Ankylosing Spondylitis

back pain and total back pain; average of # questions on the Bath Ankylosing Spondylitis Functional Index (BASFI hu És taIán engedjük be ide a pórnépet? [hu.glosbe.com]

The Bath ankylosing spondylitis disease activity index (BASDAI), nocturnal back pain (NBP), total back pain (TBP), patient global disease activity (PGDA), the Bath ankylosing [ncbi.nlm.nih.gov]

Back pain—often nocturnal and of varying intensity—eventually becomes recurrent. Morning stiffness, typically relieved by activity, and paraspinal muscle spasm develop. [msdmanuals.com]

Axial Spondyloarthritis

Although initially the back pain is intermittent, over time it becomes more persistent. [resident360.nejm.org]

The most common and presenting symptom is chronic inflammatory back pain (IBP), which is usually a nocturnal pain that wakes the patient early in the morning in severe pain [content.sciendo.com]

Nocturnal exacerbation of pain is common, particularly during the second half of the night, forcing the patient to rise and move around. [resident360.nejm.org]

Spinal Metastasis

Back pain is generally the earliest sign of metastatic tumor and most often is nocturnal or early morning pain. [theoncologist.onlinelibrary.wiley.com]

Two distinct types of back pain are encountered in patients with spinal tumors: tumor‐related and mechanical. [theoncologist.onlinelibrary.wiley.com]

Osteoporosis

History Keep in mind that osteoporosis occurs in many people who have few or no risk factors for this condition. Often, patients who have not sustained a fracture do not report symptoms that would alert the clinician to suspect a diagnosis of osteoporosis; thus, this disease is a "silent thief" that generally[…] [emedicine.medscape.com]

Spondylitic Aortitis

back pain; back stiffness; accentuated kyphosis; constitutional symptoms; aortitis; cardiac conduction abnormalities; and anterior uveitis. [msdmanuals.com]

pain Insidious onset before 40yrs for longer than 3months Associated with early morning stiffness and improves with exercise May have nocturnal pain Degenerative versus ankylosing [brainscape.com]

Pain in Pregnancy Definition - 1st trimester: Sacroiliac pain while walking - 3rd trimester: Sway back (hyperlordosis) while standing - 3rd trimester: IVC pressure nocturnally [flashcardmachine.com]

Spondylitis

Back pain—often nocturnal and of varying intensity—eventually becomes recurrent. Morning stiffness, typically relieved by activity, and paraspinal muscle spasm develop. [msdmanuals.com]

back pain and kyphosis, diminished chest expansion, Achilles or patellar tendinitis, or unexplained anterior uveitis. [msdmanuals.com]

back pain; back stiffness; accentuated kyphosis; constitutional symptoms; aortitis; cardiac conduction abnormalities; and anterior uveitis. [msdmanuals.com]

Astragali Complanati

pain, nocturnal emission and premature ejaculation in deficiency syndromes of the kidney; turbid discharge with urination, excessive leukorrhea; dribbling of urine after [herbaltcm.sn.polyu.edu.hk]

[Clinical application] Semen Astragali Complanati is used for the treatment of low back pain, nocturnal emission, premature ejaculation, whitish turbidity, urinary leakage [liesiherbs.com]

pain, impotence nocturnal emission, enuresis urinary frequency, leucorrhea too much. (2) liver and kidney deficiency of the eyes are not clear, dizzy. [yan-anpharm.com]

Spinal Neoplasm

The following symptoms and signs may suggest spinal tumors: Progressive, unexplained, or nocturnal back or radicular pain Segmental neurologic deficits Unexplained neurologic [msdmanuals.com]

Cauda Equina Syndrome

He had a 1-year history of low back pain diagnosed as disk herniation and managed conservatively but had experienced recent onset of a similar pain and new onset of nocturnal [ncbi.nlm.nih.gov]

back pain causing sleep disturbance. [ncbi.nlm.nih.gov]

Enthesitis-Related Arthritis

The number of tender enthesis sites and total scores for back pain, nocturnal pain, Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis Functional [ncbi.nlm.nih.gov]

In accordance with that finding, overall back-pain VAS scores and nocturnal back-pain VAS scores were low in both groups (Table 1). [journals.plos.org]

In accordance with that finding, overall back-pain VAS scores and nocturnal back-pain VAS scores were low in both groups ( Table 1 ). [journals.plos.org]

Complement Deficiency Syndrome

[…] and back pain, skin infections, edema or swelling of the face and red bumps on the skin. [doctor-clinic.org]

If an autoimmune disease develops, like lupus, the person may lose weight, suffer from a rash, and have joint pain. [doctor-clinic.org]

Other symptoms of complement deficiency diseases (like hereditary angioedema, paroxysmal nocturnal hemoglobinuria, or leukocyte adhesion deficiency syndrome) include abdominal [doctor-clinic.org]

Glutaric Aciduria Type 2

He had dystonia-related nocturnal back pain that disrupted sleep and severe posturing of arms and hands that precluded their use. [movementdisorders.org]

Pediatric Ulcerative Colitis

back pain and total back pain; average of # questions on the Bath Ankylosing Spondylitis Functional Index (BASFI en For ankylosing spondylitis, Humira and placebo as an add-on [sk.glosbe.com]

[…] average of duration and intensity of morning stiffness plus VAS scores of # for at least # of the following # parameters: patient global assessment; average of VAS values for nocturnal [sk.glosbe.com]

Bilateral Leg Weakness

Pain Abdominal pulsating mass Atherosclerotic vascular disease Pain at rest or nocturnal pain Age greater than 60 years Reference : Williams CW et al. [thesgem.com]

Efficacy of paracetamol for acute low-back pain: a double-blind, randomized controlled trial. [thesgem.com]

70 years History of Osteoporosis Mild trauma over age 50 years (or with Osteoporosis) Recent significant trauma at any age 6) Abdominal Aortic Aneurysm Red Flags with Low Back [thesgem.com]

Complement 3 Deficiency

[…] and back pain, skin infections, edema or swelling of the face and red bumps on the skin. [medical-dictionary.thefreedictionary.com]

If an autoimmune disease develops, like lupus, the person may lose weight, suffer from a rash, and have joint pain. [medical-dictionary.thefreedictionary.com]

Other symptoms of complement deficiency diseases (like hereditary angioedema, paroxysmal nocturnal hemoglobinuria, or leukocyte adhesion deficiency syndrome) include abdominal [medical-dictionary.thefreedictionary.com]

Chordoma

Our patient was complaining only for low back pain for last one year. Nocturnal back pain, that not responding to the bed rest, is typical 9. [scielo.isciii.es]

Juvenile Ankylosing Spondylitis

Effectiveness of ETN was also evaluated with the following variables: tender entheseal score, back pain, and nocturnal back pain. [ped-rheum.biomedcentral.com]

Seronegative Arthritis

The patient’s back symptoms are classic for inflammatory back pain (IBP). [rheumatology.org]

[…] with rest; 5) nocturnal pain, especially the second half of the night. [rheumatology.org]

Chronic Recurrent Multifocal Osteomyelitis

pain, lethargy, morning stiffness and nocturnal back discomfort. [casereports.bmj.com]

Geoffrey R Wong, geoffrey.wong{at}adelaide.edu.au Statistics from Altmetric.com Description A previously healthy girl aged 15 years presented with a 3-month history of low back [casereports.bmj.com]

Relapsing Polychondritis

Nausea Abdominal upset and/or pain Loss of appetite Anorexia Backache Hypotonia (floppy baby syndrome) Leg pain Nocturnal pain in back and legs Swollen and/or painful knee [sites.google.com]

pain in back and legs Loud opening sound of the mitral valve Lumbar rigidity Thickened mitral valve with mild regurgitation Aseptic meningitis Stroke Myocardial muscle involvement [sites.google.com]

Behavioral changes Difficulty thinking or expressing thoughts Poor working memory Panic attacks Depersonalization Outbursts- some violent Mood swings Meningomyeloradiculitis Nocturnal [sites.google.com]

Sciatica

The patient gave a short history of back pain and right-sided sciatica, which was progressive and nocturnal in nature. [ncbi.nlm.nih.gov]

Table 4 Red flags in patients with low back pain • Acute onset in elderly people • Constant or progressive pain • Nocturnal pain • Fever, night sweats, weight loss • Morning [ncbi.nlm.nih.gov]

Bruxism

Bruxism Symptoms and Fibromyalgia Approximately 75% of people with fibromyalgia are also affected by TMJD, which causes muscle pain in the face, neck, shoulders and back, [fibromyalgia-symptoms.org]

Nocturnal bruxism refers to teeth grinding that takes place at night, while an individual is asleep. [fibromyalgia-symptoms.org]

Multiple Endocrine Neoplasia Type 1

The patient presented with complaints of nocturnal pain in the lower back, accompanied by numbness around the anus and intermittent claudication for approximately 1 year. [ncbi.nlm.nih.gov]

Duodenal Ulcer

FREE subscriptions for doctors and students... click here You have 8 open access pages. pain - epigastric; radiates to the back; often worse at night onset 2 to 3 hours after [gpnotebook.com]

[…] eating relieved by eating and drinking milk precipitating factors include missing a meal, anxiety or stress nocturnal pain is a feature of duodenal ulceration The pain may [gpnotebook.com]

Stage IV Prostate Carcinoma

Symptoms Common symptoms of prostate cancer include bloody semen; difficulty initiating or stopping urination; frequency of urination (especially nocturnal); hematuria; pain [fortherecordmag.com]

[…] or burning during urination; pain in the lower back, hips, or upper thighs; and a stuttering or weak urine flow. [fortherecordmag.com]

Entrapment Neuropathy

[…] radiates to *back of the leg -Pain so severe that the pt stops walking, removes shoe, & * massages the foot which alleviates the pain -*No nocturnal pain ( in contrast to [quizlet.com]

[…] out into the toes - Pain aggravated by activity and tight fitting shoes bc ur squeezing it -Pain radiates into toes and may radiate transversely across metatarsal heads -Pain [quizlet.com]

Chronic Obstructive Pulmonary Disease

[…] asthma Headache, pharyngitis, URTI $$$$ Brovana (arformoterol) 0.0075 15 μg every 12 hrs COPD, bronchitis, emphysema (≥5%) Chest pain, back pain, headache, diarrhea, sinusitis [ncbi.nlm.nih.gov]

[…] bronchitis; asthma exacerbation (age 5–12) $$$$ Perforomist (formoterol) 0.01 20 μg bid (am & pm) $$$$ Serevent Diskus (salmeterol) 50 DPI 50 μg every 12 hrs Asthma, COPD, EIA, nocturnal [ncbi.nlm.nih.gov]

Sarcoma of the Lung

[…] thoracic low-back pain Neck pain Pinet 65 1 0/1 50 Parietal pleura CHT (carboplatin +etoposide) Peritoneum Not stated (complete remission 18 months after CHT) Right pleural [ncbi.nlm.nih.gov]

[…] transplantation Infraioid neck Not stated Blood count alteration Aquilina 64 2 2/0 38.5 C2-4, D10 Surgery Radiation CHT (ifosfamide+carboplatin+etoposide+vincristine) None Not stated Nocturnal [ncbi.nlm.nih.gov]

Osteoblastoma

The main signs and symptoms that were observed in this study were as follows: 1) Pain: All patients complained of various intensities of posterior neck pain or back pain, [journals.plos.org]

[…] and some also suffered nocturnal pain. [journals.plos.org]

Nocturnal Leg Cramp

Do you ever have severe headaches, back pain, or joint or hip pain? If so, claim your FREE copy, right now, of our special guide on proven, effective pain relief. [universityhealthnews.com]

Conventional Treatments for Nocturnal Leg Cramps When you tell your healthcare practitioner about leg cramps, it’s important that he or she takes a thorough history and physical [universityhealthnews.com]