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Right Side Back Pain Causes

Right side back pain causes are very similar to left side back pain causes and people often ask why they have pain on one side or another, especially if they have several pains and they are all on one side. This may be coincidence or a consequence of how that are using their body, perhaps by being very one handed or footed in activities, putting greater stresses through the one side.

If someone has right sided back pain there are a number of suspects for back pain causes. Most of the spinal structures can refer back pain to one side, as can the kidney and the sacroiliac joint. While lower right back pain causes are likely to be similar to lower left back pain causes, upper back pain causes and middle back pain causes are slightly different to those in the lumbar and cervical spine.

Further information is in the form of a nice symptom checker at and wide coverage of back pain at

Sacroiliac Joint Pain

The sacroiliac joints are major weight transmitting joints which allow the transfer of weight down from the spine and out towards the hips. They consists of two relatively flat but highly irregular surfaces, one on each side of the sacrum (the triangular base the spine) and one on each inner side of the major pelvic bone or ilium.

The sacroiliac joint is a very stable joint which moves very little under load and bodily movement and has very powerful short ligaments to hold it in place. However it can be a source of lower back pain in a number of patients and sacroiliac pain usually presents over the area of the joint itself, referring in some cases down the buttock and round to the groin.

Disc Pain

The intervertebral discs are a major potential source of pain with the outer covering or annulus have a good nerve supply in its outer layers.

The most vulnerable areas of the disc annulus are those at the corners at back, the posterolateral areas. This is where many changes occur in the annulus such as an annular tear, which can have nerves grow into the area and cause a painful problem.

Annular tears or disc prolapses on the right back and corner area will refer pain to the right, either into the back, buttock or right down the leg in the case of a nerve root compression.


Facet Joint Pain

The facet joints are small, flat joints between the individual vertebral bodies which allow and control spinal movement and take some of the forces that activities generate. Each spinal level (level of each disc) has a set of facet joints at each side.

Facet joints have a surrounding ligament like capsule which is well supplied with nerve endings and the joint surfaces themselves can also suffer arthritic changes with excessive forces acting on them.

If the right sided facet joint is affected by a strain or sprain it can generate acute right sided back pain, which can refer down the buttock and back of the thigh.

Back pain symptoms vary widely between individuals but mostly in sudden onset cases there is a severe sharp initial pain which transfixes the person, followed by a strong pain and an underlying ache which is constant.

Low back pain can then remain an ache with sudden severe pains on stressing of the injured structures by unwise movement. Eventually this will settle down and the symptoms resolve in most cases.

Back pain treatment is a wide field and physios provide assessment and treatments for many kinds of back problems. Pain relief for back pain can be useful in allowing more movement and function to occur which speeds up the journey back to normal.

Treatments include mobilisation techniques, manipulation, ultrasound, cold and heat, advice, core stability and exercise for back pain, all of which may provide back pain relief in some cases, although not typically a back pain cure.

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