How Do I Know If My Back Pain Is Muscle Or Spine?

Signs of Muscle-Related Back Pain
Muscle pain usually results from overuse, poor posture, or sudden strain (like lifting something too heavy). It often affects the soft tissues like muscles, tendons, or ligaments.
Common signs of muscle pain
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Aching or stiffness in the lower back
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Tenderness to the touch
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Pain that improves with rest
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Soreness after physical activity
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Pain that feels better with heat or gentle stretching
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Limited movement, but no shooting pain down the legs
Muscle pain is often dull, localized, and improves within a few days to weeks with rest, stretching, and basic care.
Signs of Spine-Related Back Pain
Spinal pain may come from disc problems, arthritis, nerve compression, or joint issues. It’s usually deeper, more intense, and may affect more than just the back.
Common signs of spine-related pain
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Pain that radiates to the legs or buttocks (sciatica)
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Numbness, tingling, or weakness in the legs
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Sharp or electric-like pain
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Pain worsens with prolonged sitting or standing
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No relief with typical muscle treatments (like massage or heat)
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Pain that wakes you at night or doesn’t improve with rest
Spinal problems often need evaluation by a doctor or physical therapist, especially if symptoms persist or interfere with daily life.
When to See a Professional
See a healthcare provider if your back pain
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Lasts more than 2 weeks
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Includes numbness or tingling
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Involves weakness in the legs
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Gets worse with activity or rest
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Began after trauma (like a fall or accident)
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Comes with fever, weight loss, or bowel/bladder changes
These could be signs of a more serious spinal issue that needs medical attention.
If your pain is sore, tender, and improves with rest, it’s likely muscle-related. If it’s sharp, radiating, or accompanied by numbness or weakness, the spine may be involved.
Either way, a proper assessment from a physical therapist or doctor can help you get to the root of the problem and create a safe recovery plan.