Manage Back Pain

Lower Right Back Pain.


"With lower right back pain - the cause is typically due to overuse of your stonger right side, or weakness when your right cannot support your stronger left side."
Why do you have back pain in your lower right side? The causes of lower right back pain are many. However, similar to lower left side back pain - the main causes can be pinned down to specific groups of reasons. The following the the two groups of reasons (mostly down to overuse of a particular movement and resulting wear and tear) that I come across with my clients at my own physiotherapy clinic:

  • Overuse and tightness.
    If you favour the right side of your body for hours every day, then a pattern evolves is that your right side can become overused and tight. When I see clients with lower right back pain, their overuse is typically caused by one of the following:

    • Posture - where you naturally favour the right side due to your natural postural alignment. Over time this will place excess strain on the right side of your lower back potentially resulting in damage to joints, ligaments, muscles, discs and nerves - thereby causing overuse, strain and tightness and eventually resulting in pain. The main reasons for natural poor posture are flat feet, scoliosis and leg length differences.

    • Manual Work - Overuse and tightness of the right side of your lower back may also result from manual work performed repetitively over time. This may be heavy labour such as brick laying, painting etc (especially where a poor lifting technique is used), or result from a poor sitting posture at your desk which favours your right side for mouse and keyboard use. This will potentially result in overuse and tightness causing eventual breakdown and pain. The reasons for overuse are usually due to lack of awareness of a good sitting posture and poor working equipment and stations. Ergonomics and computer posture are very important at work as you spend up to nine hours a day at this repetitive activity.




  • Underuse and weakness.
    In my clinic I see a lot of this cause of lower right back pain. If you underuse the right side of your body, weakness to the muscles over your right side may result. Over time this will result in excess pressure over the right lower back causing pain from muscles, ligaments, discs, joints and nerves. This is a result of excess pressure and compression on these structures, which will eventually scream for help!!




Management of right-sided lower back pain relies on a good diagnosis and elimination of the cause from the outset through postural analysis and back strengthening exercises. When you receive a diagnosis from your physiotherapist, make sure that you also receive postural advice that addresses your own active posture as well as the layout and setup of the place in which you work.



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The information on this web site does not replace specific medical advice. It should only be used to complement advice from your doctor. Always seek in-person advice from a doctor or other qualified health provider for your particular condition.

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