An Unusual Cause of Low Back Pain: Uterine Conditions

The etiology of low back pain is often thought to include musculoskeletal disorders, such as lomber disc herniation or strain.Less commonly, low back pain is thought to refer from viscera.Sources of pain referred to the low back in females include uterine conditions.We aimed to investigate the female population of a rheumatology clinic to define the rate of uterine conditions that a rheumatologist can meet, and explore the possible association between uterine conditions and low back pain. Clinical data and imaging findings of 320 female patients who admitted to rheumatology clinic with the complaint of low back painwere retrospectively reviewed. Uterine myoma was detected in 20 patients (6,25%), and uterus retroversion was detected in only 3 patients (0,93%). Any reason of low back pain, except uterine myoma could be found in 4 of 20 patients.Patients did not meet the criterias for any of the inflammatory or mechanical causes of low back pain including fibromyalgia syndrome, and their sedimentation and CRP rates were normal, too.Low back pain which was explained by uterine anomaly rate was 2,18%.All 7 patients with uterine anomaly were complaining of low back pain with mechanical characteristics. Uterine myoma and uterus retroversion should be kept in mind by the physicians who meet with female patients at premenopausal ages suffering from low back pain after excluding the common causes of this condition.