Lower Back Pain Right Side Above The Buttocks: Causes, Symptoms, Treatment

Most adults have lower back pain at some point in their lives. The type and location of the discomfort can give clues about its cause. Still, it’s often difficult for people to figure out what is wrong without professional help because there are so many possible causes.

Your lower back is a busy place. It consists of five vertebrae, cushioned by discs between them and held in place with ligaments that attach to the spinal column on one side or another so it can’t shift around too much. Thirty-one different nerves running through this area also help keep you safe from pain caused by kidney stones (which may need immediate medical attention). But, more importantly, allow us some flexibility when moving our bodies every day.

Lower back pain right side above the buttocks can be caused by many different things. This article explores some possible causes and covers when you should see a doctor get appropriately diagnosed.

Lower Back Pain Right Side Above The Buttocks—Causes

When you feel pain in your back, it’s always best to see a doctor. Your symptoms might be due specifically or not just localized around one area of the spine and could indicate an issue with any number of other structures throughout our bodies. Here are some common causes;

Strain & Sprain

Lower Back Pain Right Side Above The Buttocks By Sprain Or Strain

When you lift something heavy or twist, it is common for your back muscles to get stretched. This can cause swelling and difficulty moving in the affected area of muscle tissue because there’s been some tearing/stretching involved with this type of injury – thus creating an old term known as “back spasms.”

There are many ways to avoid strain;

  • When lifting heavy objects and improper technique can lead you into trouble fast.
  • Don’t twist, jerk, or awkward bend the body position as this will increase your risk for muscle strain.
  • Before each workout session begins, make light weightlifting movements such as squatting low bar squatting with an empty barbell on the floor.

The best way to treat a mild sprain or strain is with rest, ice packs, and OTC pain relievers.

This problem can also be treated with gentle massage, physical therapy, stretching exercise, electrical muscle stimulation, and surgery.

For more severe injuries, it may be necessary for you to visit your doctor, who will prescribe muscle relaxants if needed.


The second cause of lower back pain right side above the buttocks can be Appendicitis. Appendicitis occurs when the inflammation damages these tight membranes so they cannot filter out anything anymore – leading ultimately up to something blocking or infection within your Appendix itself.

Appendicitis is a medical condition that requires immediate treatment in the form of removal. People who think they may have the disease should go to an emergency room and get treated with surgical removal of their Appendix, which we call “appendectomies.”

Kidney Infection & Stones

The kidneys are critical for eliminating waste and regulating acid-base balance. When infection damages them, it can lead to severe complications such as chronic kidney disease or sepsis that could eventually cost you your life. So the kidney infection can also cause back pain in the lower back.

Kidney stones can be painful and lead to kidney damage if they aren’t treated quickly. In addition, a serious blockage could cause you to be dependent on a wheelchair, even though the pain is usually only located on one side of your back.

The doctor may prescribe pain relievers to help ease a person’s symptoms, but drinking plenty of water is essential for preventing dehydration. Sometimes, treatment includes antibiotics that work by killing off the bacteria in your body that has infected kidney cells with its toxins over time (or at worst). Your doctor can perform various procedures for removing kidney stones, such as cystoscopy, shock wave lithotripsy, and percutaneous nephrolithotomy.


Sciatica is an uncomfortable pain caused by compression of the spine’s nerve root. The most common cause of this condition is herniated discs, bone spurs, or stenosis in some cases, which can compress part(s) concerning sending signals up to your leg towards the feet– commonly known as “sciatica.” So if you have sciatica, you may feel a throbbing pain in the lower back of your left or right side.

Ulcerative Colitis

Ulcerative colitis is a chronic condition that causes the lining of your large intestine to become inflamed. This usually leads to ongoing diarrhea, which may contain blood or pus, sometimes both! It can also cause abdominal discomfort and cramping that radiate down one side at a time for people who have this disease, too – though typically only on one left side when you’re sitting up straight (like if someone has their bed facing backward).

There is no cure for ulcerative colitis. The goal of treatment is to achieve remission, which means that a person has few or no symptoms during this period and can live their life normally as though they weren’t suffering from severe illnesses like inflammatory bowel disease (IBD). There are many different medications available to alleviate the pain associated with Ulcerative colitis; however, some people may require surgical removal if more extreme measures aren’t effective enough – but nothing should be overlooked.


Another reason for the lower back pain right side above the buttock can be Osteoarthritis — a condition that causes the cartilage between your vertebrae to break down. It can occur at any spot in the back, but lower-back pain and stiffness are common sites of Osteoarthritis; however, previous injuries may make this problem worse for some people.

The use of medications like Acetaminophen (Tylenol,) Ibuprofen, etc., have been shown to help some people with mild-to-moderate pain from this kind of arthritis. Still, there are many other treatments available as well! Supplements like Relief Factor, Osteo bi flex and Arthrozene also promise to reduce inflammation and pain associated with arthritis. Exercise is one meaningful way to combat your discomfort by strengthening muscles around the joints, which helps support them and provide cushioning during movement.

Lower Back Pain Right/Left Side Above Buttocks In Female

Women’s specific pain can be caused by endometriosis, uterine fibroid, or Pelvic inflammatory disease. We will discuss these conditions one at a time in this section of the article.


Endometriosis is a common cause of Lower back pain in women of all ages. Endometriosis is a condition in which the endometrial tissue grows on other parts of the body, such as inside the ovaries, vagina, cervix, and fallopian tubes.

There are many symptoms of endometriosis, all of which can be difficult to live with. For example, painful cramps during menstruation might get worse over time, or pain after vaginal intercourse may last for hours at a stretch; other common issues include bloating and nausea, among others.

It would help if you took care of your physical health and mental well-being since it has been shown to ease some discomfort in those who suffer from what feels like a chronic illness.

Your doctor may prescribe some over-the-counter medicines like common pain killers, birth control hormones, and surgery. For reducing lower back pain associated with endometriosis, you can take Paracetamol and Ibuprofen. 

Uterine Fibroid

Uterine fibroid is another common cause of lower back pain above the buttocks region. It is a condition in which non-cancerous growths develop inside the uterus. People who have them don’t increase their risk of developing cancer, but it can still be scary and uncomfortable to know that there’s something wrong with you. 

Some of the cause symptoms of Uterine fibroid are lower back pain, leg pain, pain or pressure in the pelvic region, frequent urination, constipation, pain, or heavy bleeding during periods and unusually long menstruation.

Apart from the above female-specific lower back, there are certain other conditions in which women can have lower back pain in the buttocks region: pelvic pain during pregnancy pelvic inflammatory disease, among others.

All of these pains are most treated using some common pain killers, applying ice, heat pack that help reduce the onset of pain. 

Some male-specific lower back pain right side above the buttocks is Testicular torsion— a condition in which the testicle rotates inside its scrotum; it can cause a twist in blood flow. If no repairing is done on time, then irreversible damage will occur to one or both balls.

Bottom Line

While many lower back pain conditions can be healed with time and self-care, some require medical attention. If you have chronic pain that doesn’t get better after several weeks or any other concerning symptoms like numbness/tingling in your legs; issues controlling bowel movements, trouble urinating, severe discomfort, especially if it’s sudden fever, unexplained weight loss over 5 lbs., then seeing a doctor would likely help. 

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