Medically Reviewed by Minesh Khatri, MD on April 24, 2022



You might expect a sore back to keep you up at night. But sleep problems can also lead to back pain or make it worse. One study found you’re 1½ times more likely to get back pain if you have insomnia. (That means it's hard to get to sleep, or stay asleep.) Researchers aren't sure exactly why. But insomnia can make you more sensitive to pain. Stress might play a part, too. Try:

  • Better sleep habits
  • Relaxation techniques
  • Therapy
The Way You Walk

The Way You Walk


If you're like most Americans, you take 3,000-4,000 steps a day. Foot pain, flat feet, or other problems can throw off your stride. That can lead to strain on other parts of your body. Does your backache kick in when you stand up or start to walk? If so, check with a foot specialist to see if your tootsies might be to blame.

Video Gaming

Video Gaming


Gamers tend to spend lots of time seated, with their heads tilted forward and their shoulders slumped. Poor posture and hours of sitting can lead to muscle strain and stiffness. One easy fix: Set a timer for 20- or 30-minute breaks to remind yourself to stand up and move around. And instead of slouching on the sofa, sit on a therapy ball.

Scarred Nerves

Scarred Nerves


After you have an injury or surgery around the nerves in your back, scar tissue grows. This thick, tough stuff helps the nerve heal. But when you move, the scar can tug on the sensitive area. Scarring also can also block blood supply to the nerve. Both can set off back pain. Your doctor may treat scarred nerves with electric pulse therapy, which diverts pain signals. Or you might need surgery.

Having a C-Section

Having a C-Section


One study found that women who gave birth by cesarean section with epidural anesthesia were more likely to have lower back pain later. Labor can put your body into strained positions. An epidural cancels pain, so you could lie for a long time in an awkward pose you can’t feel. This can damage your back and lead to pain. Also, you must limit activity for a while after a C-section. That can weaken your abs -- another cause of back pain.




Smokers are almost 3 times more likely to get lower back pain. Tobacco slows the flow of blood to your tissues and bones. This can lead to a painful breakdown in the disks of your spine. Since smoking also slows healing, the ache may linger. Researchers also think nicotine makes pain feel worse. Ask your doctor about ways to quit smoking.

Your Height

Your Height


Studies have found a link between height and back problems. One found that women at least 5 feet, 7 inches tall were 20% more likely to have lower back pain than shorter women. The risk also rose for tall men, especially those over 6-foot-1, but less sharply. Hormones, or the way a taller body moves, could be to blame. So could posture problems that happen when you often stoop to get into a car or lean over to talk to shorter folks.

Too-Tight Pants

Too-Tight Pants


They might be trendy, but tight pants can cramp your style -- and hurt your back. A study of men who first wore slacks that fit, then switched to smaller sizes, found the snug pants changed their movements and posture. Tight clothing leads to awkward moves in your lower spine and pelvis. It can make you slump when you sit, too. This weakens the muscles that keep your spine in line.

Urinary Tract Infections

Urinary Tract Infections


Urinary tract infections (UTIs) happen when bacteria from your rectum or skin get into your urinary tract and infect it. Most are bladder infections. Kidney infections are more rare, but also more serious. They can cause lower back pain along with:

  • Fever
  • Chills
  • Nausea

Doctors use antibiotics to clear up UTIs, which are most common in women and girls.

A Bulky Wallet

A Bulky Wallet


It’s a thing. Fat wallet syndrome made its debut in the mid-1960s, when men began to stuff credit cards into their wallets -- then sit on them. When you perch on a pocket bulging with cash, cards, and papers, muscles in your buttocks get strained. So do your sciatic nerves. This can trigger lower back pain. A slim, uncluttered wallet in your front pocket can solve the problem.

Flimsy Flip-Flops

Flimsy Flip-Flops


Flip-flops -- who doesn’t love them? Your back, for one. As you shuffle along, your feet strike the ground flat, with little cushioning to absorb the impact. This not only changes your natural stride but can hurt your feet. The stress and pain can move up into your legs, hips, and lower back. Even casual summer sandals should protect and support your feet.

Show Sources


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PLoS One: "Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults."

Podiatry Today: "When Lower Extremity Dysfunction Contributes To Back Pain."

American College of Foot and Ankle Surgeons: "That Pain in Your Back Could be Linked to Your Feet."

Mayo Clinic: "10,000 steps a day: Too low? Too high?" "Good posture tips."

Cleveland Clinic: "Kids Complaining of Back Pain? Here’s Why You Should Limit Their Screen Time," "How to Beat Insomnia When You Have Chronic Pain," "Why Smoking Will Worsen Your Chronic Pain."

University of Michigan Comprehensive Musculoskeletal Center: "Scarred Nerves."

Medicine (Baltimore): "Risk of Chronic Low Back Pain Among Parturients Who Undergo Cesarean Delivery With Neuraxial Anesthesia."

Cedars-Sinai: "Overcoming postpartum pain."

Cureus Journal of Medical Science: "Association Between Smoking and Back Pain in a Cross-Section of Adult Americans."

BMJ Open: "Association between body height and chronic low back pain: a follow-up in the Nord-Trøndelag Health Study."

American Journal of Epidemiology: "Associations of Body Mass Index and Body Height With Low Back Pain in 829,791 Adolescents."

Journal of Physical Therapy Science: "Effect of wearing tight pants on the trunk flexion and pelvic tilting angles in the stand-to-sit movement and a seated posture."

CDC: "Urinary Tract Infection."

International Journal of Medical Research & Health Sciences: "Fat Wallet Syndrome: An Epidemic among Men."

Journal of the American Podiatric Medical Association: "Comparative Analysis of Human Gait While Wearing Thong-Style Flip-Flops Versus Sneakers."

American Chiropractic Association: "Healthy Summer Footwear."

American Academy of Orthopaedic Surgeons: "Shoes: Finding the Right Fit."