Does prolapse cause lower back pain?
Some women with pelvic organ prolapse experience lower back pain or a dull ache, usually in conjunction with other prolapse symptoms. The pain is often due to the strain on supporting tissues and may worsen with standing, lifting, or physical activity.
Detailed Medical Explanation
Lower back pain from prolapse is thought to result from downward pressure on the pelvic floor muscles and ligaments, which can transmit discomfort to the lumbar spine. This symptom is more likely when the prolapse is moderate or severe and often resolves with rest. However, lower back pain is common and may have other causes, so assessment by a healthcare professional is recommended. (NHS: Prolapse symptoms)
Clinical Context
Not all lower back pain is due to prolapse. A full evaluation helps rule out other conditions, such as musculoskeletal or spinal problems, which may need different management.
Evidence-Based Approaches
NICE and RCOG guidelines recommend a holistic assessment for pelvic symptoms. If back pain persists or is severe, further investigation is important. (NICE NG123)