A member of our customer service team recently received feedback from a customer who had been experiencing such severe constipation that it was segwaying into lower back pain. This isn’t the first time I’ve heard a report like this. Soreness and lower back pain can definitely be related to constipation and not only severe constipation, even minor cases of constipation can lead to back pain.
Can Constipation Cause Back Pain?
Constipation occurs from obstructions in your system or from slow transit time through the colon. When back pain is a factor, obstructive constipation is usually to blame. Obstructive constipation is fairly self descriptive; defecation is painful or halted due to a blockage. Although defecation stops, the traffic in the intestines does not. Just like a real life traffic jam, it gets worse before it gets better. When blockage becomes significantly backed up, pressure on the lower back can increase and pain can result. Since the body will continue to produce waste, the pain can increase if the impaction is not eliminated.
Sometimes attempting to alleviate the problem can be a catch 22. By straining and trying to force your body to do something it’s already having a problem with, you can create more pressure and cause additional pain.
Can Back Pain Cause Constipation?
If you’ve ever experienced a pulled back muscle or chronic back pain, you know it can be extremely debilitating. Your back is central to your core, most of your movement originates in that area. When its very existence is constantly hampered by sharp pain, every movement hurts and most movements are slow and avoided. It can really be a tragic problem that even prevents some people from making it out of bed. If it takes 20 minutes to make it up the stairs, isn’t it probable that straining during bowel movements could also be a source of misery?
It’s also not uncommon to see constipation in folks who have sustained back injuries from strenuous activities or lifting. In some cases, it’s simple- the lower back muscles spasm and interfere with the autonomic nerves responsible for the intestinal action that cause bowel movements.
A Secondary Influence
The cause and effect in other back pain / constipation combinations may be scenarios that have absorbed other contributing factors- medications. Chronic lower back pain is a common clinical problem, one of the most common in the nation. Meaning that a lot of people who go to the clinic are going because their back hurts. Medications in the form of pain relief drugs, prescription and not, and even antidepressants are commonly used to treat back pain.  Many medications, especially opioids (painkillers), can cause constipation. 
7 Things You Can Do
Eliminating the unpleasant experience of back pain and constipation is a journey of many routes. Many people can find relief by adopting simple lifestyle adjustments.
- Develop a water addiction. Dehydration can exacerbate constipation.
- Consume extra fiber and enzymes from fresh fruits and vegetables.
- Get up and move. Sedentary habits make things settle and motion keeps things moving.
- Get a chiropractic adjustment.
- Try colon irrigation, acupuncture, or massage therapy.
- Avoid laxatives, use a gentle oxygen based colon cleanser when extra help is needed.
- Perform a body cleanse. If your system is clogged up with junk and toxins, it’s not going to operate very well and chronic constipation might result. Checkout my all new body cleansing diet for help.
- Dr. Edward F. Group III, DC, ND, DACBN, DCBCN, DABFM
- Egbunike IG, Chaffee BJ. Antidepressants in the management of chronic pain syndromes. Pharmacotherapy. 1990;10(4):262-70. Review.
- Ohtori S, Inoue G, Orita S, Eguchi Y, Ochiai N, Kishida S, Takaso M, Aoki Y, Kuniyoshi K, Nakamura J, Ishikawa T, Arai G, Miyagi M, Kamoda H, Suzuki M, Toyone T, Takahashi K. Transdermal fentanyl for chronic low back pain. Yonsei Med J. 2012 Jul 1;53(4):788-93. doi: 10.3349/ymj.2012.53.4.788.