There are many possible causes of lower back pain above the buttocks, but before you know the cause, you should know that there are types of back pain in order to clear the picture:

Local pain:

It is the most common type and occurs in a specific area of ​​the lower back, usually due to injury, muscle strain such as strains and sprains, arthritis, or small disc injuries. This pain may be either continuous and disturbing, or intermittent and sharp, and it may be sudden – especially if the cause is an injury – and the pain may worsen when touched, and subside when changing position.

Diffused pain:

It is a pain that spreads from the lower back to the legs, and it may be a dull pain, or it may be sharp and strong, or a tingling feeling, and this type includes the side or back of the leg, and it may spread to the knee or the foot.

Diffused pain indicates pressure on the nerve root caused by problems such as herniated disc, sciatica, osteoporosis, and spinal stenosis. The pain is exacerbated by coughing, sneezing, bending over while keeping the legs straight, or stress, and in some rare cases causes loss of control of the muscles of the bladder or anus.

The sources indicate that there are many reasons for feeling lower back pain, including the following:

• Muscle strain caused by strenuous exercise, heavy lifting, or repetitive twisting.
• Sciatica.
• Posture, such as sitting for long periods of time, especially in an uncomfortable chair.
• Slipped disc.
• Osteoarthritis.
• Dysfunction of sacroiliac joints.
• Spinal stenosis.
• Ankylosing spondylitis.

Lower back pain above the buttocks may indicate tailbone pain, which may result from falls, repeated coccyx injuries, excessive obesity that causes pressure, or excessive thinness as, with insufficient fat, it rubs against muscles, tendons, and ligaments, causing inflammation.

There are many treatment methods according to the reasons mentioned, as there are home remedies and some exercises to relieve pain, and avoid activities that cause exacerbation of pain, and non-prescribed analgesics can also be used.

In addition to the above, there are other medical treatments such as physical therapy, prescription medications, and surgery. A doctor should be consulted if the pain continues for several days to diagnose its cause and then get the appropriate treatment.