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Why When I Cough My Back Hurts

What could be causing lower back pain when you cough?

There are several potential causes of lower back pain when coughing. They include:

Strain or injury to the muscles, ligaments, or tendons in your back

The lower back is particularly vulnerable to stress because it supports part of the upper body’s weight. Coughing can put excess pressure on the muscles and other tissues in your lower back, causing them to become inflamed and painful. A sudden, hard cough such as a hacking spell can strain the muscles and ligaments of your back.

A spinal disc herniation

A spinal disc herniation is a condition in which one of the discs between the vertebrae of your spine becomes compressed and starts to bulge out. This can cause inflammation and pain in the surrounding tissues, and it may also cause numbness, tingling, and muscle weakness. The pain from a herniated disc may worsen whenever you cough.

Acute infectious rhinitis

Acute infectious rhinitis is inflammation inside your nose caused by allergies. It causes cold-like symptoms and may result in lower back pain and discomfort. When you have an infection like a cold, your body triggers mucus production and a coughing reflex. If you strain your back when coughing, the resulting inflammation and pain could add to your cold symptoms.

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Pregnancy-related lower back pain

Pregnancy can cause several aches and pains, including lower back pain. This is because your body stores most of its extra weight in front in the weeks and months leading up to labor, which can cause the muscles and ligaments in your lower back to stretch and weaken. Hormones to prepare your body for labor can also cause instability in the lower back and pelvis, resulting in pain. Coughing can add to this strain, making your back pain worse.

Spinal stenosis

Spinal stenosis is a condition that results from the narrowing of the spinal canal. This can cause pressure and discomfort in the spinal cord and surrounding tissues. Coughing can add to this pressure, leading to pain in your back.

Intercostal neuralgia

Intercostal neuralgia is nerve pain that affects the muscles between the ribs. The condition can occur when a rib slips out of place and presses against a spinal nerve. Coughing may intensify this pressure, worsening your back pain.

Sacroiliac joint irritation

The sacroiliac joint is a small, weight-bearing joint located at the bottom of the spine. It helps connect the pelvic bone and the spine. If it becomes irritated, often from strenuous or repetitive activities, it can cause pain in the lower back. Coughing can worsen the inflammation and increase your discomfort.

Costochondritis

Costochondritis is an inflammation of the cartilage that joins your ribs to your sternum (breastbone). The inflammation usually comes after a strenuous activity such as exercise and causes pain in the chest wall and rib cage and tenderness upon pressing on the affected area. Coughing can aggravate the pain associated with costochondritis.

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