Lower Back Pain When Walking: Causes and Treatments

Experiencing lower back pain while walking can be a disheartening condition that affects your ability to perform daily activities and enjoy life. This type of pain can vary from mild discomfort to severe pain that hinders mobility. Understanding the causes and exploring effective treatments is essential for managing and potentially alleviating this pain. This blog post will delve into the common causes of lower back pain when walking and discuss both traditional and advanced treatment options available, particularly highlighting approaches used by Texas Spine & Pain.

Common Causes of Lower Back Pain When Walking

1. Muscle Strain

Muscle strain is perhaps the most common cause of lower back pain when walking. It can occur due to overuse, improper posture, or walking for extended periods, especially on uneven surfaces.

2. Lumbar Herniated Disc

The discs in the spine can herniate and press on the nerves, causing pain that can be exacerbated when walking or standing. This condition is often accompanied by leg pain and numbness, known as sciatica.

3. Degenerative Disc Disease

As people age, intervertebral discs lose their cushioning ability. This degeneration can cause the vertebrae to rub against one another, leading to pain during movement.

4. Spinal Stenosis

This condition involves the narrowing of the spinal canal, which can compress the spinal cord and nerves. Walking often worsens the pain in individuals with spinal stenosis, and leaning forward or sitting may relieve it.

5. Facet Joint Osteoarthritis

The facet joints help stabilize the spine and facilitate motion. Osteoarthritis in these joints can cause significant back pain during walking as the joints become inflamed and stiff.

Treatment Options for Lower Back Pain When Walking

1. Physical Therapy

Physical therapists can design personalized exercise programs that strengthen the muscles supporting the spine and teach proper posture and body mechanics. These exercises often include stretching, strengthening, and aerobic conditioning.

2. Medication

For immediate pain relief, non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen may be recommended. In more severe cases, stronger pain relievers or muscle relaxants may be prescribed under careful supervision.

3. Epidural Steroid Injections

These injections can be particularly effective for inflammatory conditions like herniated discs or spinal stenosis. They involve the delivery of steroids directly into the epidural space around the spinal cord, helping to reduce inflammation and alleviate pain.

4. Weight Management

Maintaining a healthy weight can significantly reduce the burden on the lower back during activities such as walking. Dietary changes and a suitable exercise regimen might be recommended to help manage weight.

5. Supportive Footwear

Wearing shoes that provide good support and cushioning can reduce the impact on the lower back while walking, especially on hard surfaces.

6. Surgery

In cases where conservative treatments fail and severe conditions such as spinal stenosis or herniated discs are present, surgical options like laminectomy or microdiscectomy might be considered.

Prevention Tips

Preventing lower back pain when walking involves maintaining a healthy lifestyle and incorporating back-friendly practices into your daily routine:

  • Regular Exercise: Keeping the back muscles strong is essential for supporting the spine.
  • Proper Lifting Techniques: Always lift objects from a squatting position, using your legs and hips instead of your back.
  • Ergonomic Adjustments: Ensure your workspace supports your back, especially if you spend long hours sitting.


Lower back pain when walking is a common ailment that can significantly affect your quality of life. At Texas Spine & Pain, we are committed to diagnosing the underlying cause of your pain and providing tailored treatments that enable you to walk and move without discomfort. If you’re struggling with lower back pain, reach out for a comprehensive evaluation and personalized treatment plan.


The information provided in this blog is for educational purposes only and does not substitute for professional medical advice. For specialized services, contact Texas Spine & Pain or other related doctors.

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