Most back pain improves with time, gentle movement, and self-care. But certain symptoms—known as red flags—may signal a more serious condition that requires immediate attention.
Red Flags You Should Never Ignore
- Loss of Bladder or Bowel Control: This may indicate cauda equina syndrome, a medical emergency caused by severe nerve compression.
- Severe Weakness in the Legs: Sudden or progressive weakness can signal nerve damage or spinal cord compression.
- Numbness in the “Saddle” Area: Numbness around the inner thighs, buttocks, or groin requires urgent evaluation.
- History of Cancer: If you have unexplained back pain and a history of cancer, it’s important to rule out metastatic disease.
- Unexplained Weight Loss or Fever: These may be signs of infection, inflammation, or other systemic issues.
- Trauma or a Serious Accident: A fall, car accident, or sports injury could cause fractures or ligament injuries.
- Pain That Worsens at Night or While Resting: Persistent nighttime pain can be a sign of structural or inflammatory spinal issues.
What to Do If You Have These Symptoms
Seek immediate evaluation from a spine specialist or emergency department. Early treatment can prevent long-term complications and improve outcomes.
