Why does my back hurt worse when I stand up?

Answered by Robert Dupre

When you experience back pain that worsens when you stand up, it could be due to several factors. One possible reason is the natural curvature of your spine when you are in a standing position. The spine is not completely straight, but rather has a slight curvature to it. This curvature can increase the contact between the facet joints in your spine.

The facet joints are small joints located at the back of the spine, connecting the vertebrae to one another. These joints help to stabilize the spine and allow for movement. However, when these joints become inflamed, standing for long periods of time can exacerbate the inflammation and lead to increased pain.

Inflammation in the facet joints can occur for various reasons, such as injury, overuse, or degenerative changes associated with aging. When the joints are inflamed, they can become swollen, tender, and painful. The increased pressure and contact between the facet joints while standing can further irritate the already inflamed tissues, resulting in heightened pain.

Additionally, standing for extended periods can also put increased pressure on the discs between the vertebrae in your spine. These discs act as cushions, absorbing shock and providing flexibility to the spine. However, when excessive pressure is placed on these discs, such as during prolonged standing, it can lead to disc degeneration or herniation. This, in turn, can cause compression of nearby nerves, resulting in radiating pain that may be felt in the lower back.

Furthermore, standing for long durations can also lead to muscle fatigue and strain. The muscles in your back play an important role in supporting the spine and maintaining proper posture. However, when these muscles become fatigued from prolonged standing, they may not be able to provide adequate support, leading to increased stress on the joints and tissues of the lower back. This can contribute to heightened pain and discomfort.

Personal experiences and situations can vary, but it is not uncommon for individuals with back pain to find that their symptoms worsen when standing for extended periods. It is important to listen to your body and practice good posture while standing. Taking regular breaks to sit or perform gentle stretching exercises can help alleviate some of the stress on your back. If the pain persists or becomes severe, it is advisable to seek medical attention to determine the underlying cause and receive appropriate treatment.