Pain when sitting or standing – Causes, Diagnosis & Treatment

Causes:

• Muscle Strains/Sprains: Injuries to muscles or ligaments in the back, hips, or legs can cause pain when sitting or standing.
• Disc Problems: Herniated or bulging discs in the spine can press on nerves, leading to pain that worsens with these positions.
• Arthritis: Osteoarthritis or other forms of arthritis in the spine, hips, or knees can cause pain and stiffness.
• Sciatica: Inflammation or compression of the sciatic nerve can cause pain radiating from the lower back down the leg, often aggravated by sitting or standing.
• Spinal Stenosis: Narrowing of the spinal canal can put pressure on nerves, causing pain that worsens with prolonged standing.
• Posture: Poor posture can strain muscles and contribute to pain when sitting or standing.
• Other Medical Conditions: Less common causes include certain diseases or infections.

Diagnosis:

• Physical Exam: Assessing range of motion, posture, and tenderness.
• Patient History: Gathering information about the onset, duration, nature of the pain, and any related activities or injuries.
• Imaging: X-rays, MRI, or CT scans to visualize bones, discs, and other tissues.

Treatment:

• Rest: Avoiding activities that aggravate the pain.
• Pain Relief: Over-the-counter or prescription pain medication.
• Ice/Heat: Applying ice or heat to the affected area.
• Physical Therapy: Exercises to improve strength, flexibility, and posture.
• Injections: Corticosteroid injections for inflammation.
• Lifestyle Modifications: Improving posture, ergonomics, and weight management.
• Surgery: May be necessary in some cases, such as severe disc problems or spinal stenosis.

Important Considerations:

• Consult a healthcare professional for persistent or severe pain.
• Early diagnosis and treatment are important.