Home » Can Allergies Cause Back Pain? 20 Causes and Symptoms (2023)

Can Allergies Cause Back Pain? 20 Causes and Symptoms (2023)

Can allergies cause back pain?

Well, let’s just start off by saying that back pain is never fun.

It always seems to creep up right when you need to get something done around the house, or when you need to go to a trip. It’s never convenient, and it makes sleeping downright impossible.

Normally, back pain has an obvious cause. For example, physical strain, receiving an injury, or simply aging. 

​If you stumbled upon this article, it’s because you’re wondering: can allergies cause back pain?

Surprisingly, yes, allergies can cause back pain. Allergies, typically associated with symptoms like sneezing, itching, and nasal congestion, can sometimes manifest in unexpected ways, including back pain. Understanding the potential link between allergies and back pain is crucial in order to identify the root cause of discomfort and pursue appropriate treatment options. In this article, we will explore 20 possible causes and symptoms that connect allergies and back pain, ranging from less serious to more serious.

Less Serious Conditions Associated With Allergies That Cause Back Pain

Inflammatory Response

The inflammatory response triggered by allergies can play a significant role in causing back pain. When an allergic reaction occurs, the immune system releases a cascade of inflammatory chemicals, such as histamine, prostaglandins, and cytokines, as a defense mechanism against perceived threats. This immune response leads to increased blood flow to the affected area and the recruitment of immune cells, resulting in localized inflammation. This inflammatory response from allergies can irritate the back’s nerves, muscles, and tissues surrounding the spine, leading to back pain.

Coughing

Coughing, a common symptom of allergies, can contribute to back pain. During an allergic reaction, the body’s respiratory system can become irritated, leading to bouts of persistent coughing. The forceful and repetitive nature of coughing can strain the muscles in the chest, abdomen, and back. The intense contractions involved in coughing can cause muscle tension and spasms, leading to discomfort and pain in the back region. 

Additionally, the repeated coughing motion can place stress on the intercostal muscles, which are responsible for stabilizing the ribcage. This strain can radiate to the back, exacerbating existing back pain or triggering new symptoms. Therefore, it is essential to recognize the impact of coughing as an allergic response on the musculoskeletal system, and address both the underlying allergies and the resultant back pain for comprehensive management and relief.

Muscle Tension

Allergies have the potential to induce muscle tension, which in turn can lead to back pain. When the body encounters allergens, it initiates an immune response that can trigger the release of stress hormones (such as cortisol). These hormones, along with the inflammatory chemicals released during an allergic reaction, can cause muscle tension and stiffness throughout the body. Muscles in the back, particularly those surrounding the spine, can become tense and tight, resulting in discomfort and pain. The prolonged contraction of these muscles can lead to postural imbalances, further exacerbating back pain. 

Postural Changes

Allergies can contribute to postural changes, which in turn can lead to back pain. When allergies are present, individuals may experience symptoms such as nasal congestion, sinus pressure, or difficulty breathing. These symptoms can result in altered breathing patterns, where individuals may unconsciously adopt a hunched or forward-leaning posture to improve airflow. Prolonged periods of poor posture can strain the muscles and ligaments supporting the spine, leading to muscle imbalances and increased stress on the back. Over time, these postural changes can result in chronic back pain. 

Sinus Pressure and Headaches

Sinus pressure, a common symptom of allergies, can surprisingly contribute to back pain. When allergies trigger nasal congestion and sinus inflammation, it can create pressure and discomfort in the sinus cavities. This pressure can radiate and refer pain to other areas of the body, including the back. The interconnectedness of the cranial and spinal nerves can lead to referred pain in the upper back region. 

Musculoskeletal Health

Allergic rhinitis, a common form of nasal allergy, can have a detrimental impact on musculoskeletal health, potentially leading to back pain. When allergies are present, the body’s immune response can result in chronic inflammation. This persistent inflammation can affect the musculoskeletal system, causing joint stiffness, muscle imbalances, and reduced flexibility. Over time, these factors can lead to poor musculoskeletal health, including weakened core muscles and compromised spinal stability. The weakened support structures surrounding the spine can increase the risk of spinal misalignments, herniated discs, and other conditions that can cause back pain. 

Autoimmune Disorders

Autoimmune disorders linked with allergies can be a potential cause of back pain. Conditions such as rheumatoid arthritis, systemic lupus erythematosus, and ankylosing spondylitis, among others, involve an overactive immune response that mistakenly attacks the body’s own tissues. In these disorders, the immune system can target not only joints but also the spine and surrounding structures. This immune-mediated inflammation can lead to chronic back pain and stiffness. 

In rheumatoid arthritis, for example, the immune system targets the synovial lining of joints, including those in the spine, causing inflammation, joint erosion, and eventual damage. Ankylosing spondylitis, on the other hand, primarily affects the spine, causing inflammation in the sacroiliac joints and spinal vertebrae, leading to pain, stiffness, and limited mobility. Managing the underlying autoimmune disorder through appropriate medical treatment, lifestyle modifications, and physical therapy can help alleviate back pain associated with these conditions.

Allergy Medication Side Effects

It is worth noting that certain allergy medications, although helpful in managing allergic symptoms, can have back pain as a potential side effect. Nonsteroidal anti-inflammatory drugs (NSAIDs), commonly used to alleviate allergy-related inflammation, may cause back pain as a rare side effect. Additionally, some antihistamines, particularly older generation ones, can induce muscle stiffness and drowsiness, which can contribute to back discomfort. Corticosteroids, often prescribed for severe allergy symptoms, can also cause muscle weakness or osteoporosis in the long term, potentially leading to back pain. It is important to understand that not all individuals will experience these side effects, and they are generally outweighed by the benefits of allergy medications. 

Sleep Disturbances 

Sleep disturbances caused by allergies can be a significant contributing factor to the development or exacerbation of back pain. Allergies can make it really hard to sleep, especially when you’re nursing a sore throat, cough, runny nose, or any of the other unpleasant symptoms allergies are associated with regularly. The lack of sleep can lead to muscle tension and stiffness, especially in the back and neck areas, due to prolonged periods of immobility or uncomfortable sleeping positions. These factors can further contribute to back pain and discomfort.

Psychological Impact

Living with chronic allergies can be emotionally and mentally challenging. The stress, anxiety, or frustration associated with allergies can lead to muscle tension and contribute to back pain. The body’s natural stress response triggers the release of stress hormones like cortisol, which can result in muscle tightness and stiffness, particularly in the back and neck regions. Prolonged periods of muscle tension can strain the supporting structures of the spine, leading to discomfort and pain. Managing anxiety and stress through stress reduction techniques, relaxation exercises, therapy, and adopting healthy coping mechanisms can help alleviate back pain associated with these psychological factors, promoting both physical and emotional well-being.

More Serious Conditions That Cause Back Pain

Not all back pain is caused by allergies. Here are some more serious medical and health conditions that can cause back pain that are not related to allergies. If you have any of the below signs and symptoms, it’s crucial to consult with a healthcare professional immediately:

Spinal Infections

Back pain can sometimes indicate a spinal infection, which should be taken seriously due to its potential dangers. A spinal infection, also known as spinal osteomyelitis or discitis, occurs when bacteria or fungi enter the spinal column and infect the bones, discs, or surrounding tissues. The infection can cause localized inflammation, leading to severe pain, stiffness, and restricted mobility in the back. 

If left untreated, a spinal infection can spread to adjacent tissues, nerves, and even the bloodstream, resulting in more serious complications. These complications may include epidural abscess, spinal cord compression, or sepsis, which can be life-threatening. Timely diagnosis and appropriate medical intervention by a trusted healthcare provider, such as antibiotics or surgical drainage, are crucial in effectively treating spinal infections and preventing the potential long-term consequences and complications associated with these infections.

Spinal Tumors

Back pain can serve as an indicator of a spinal tumor, and the presence of such a tumor warrants serious attention due to its potential dangers. A spinal tumor refers to an abnormal growth of cells within the spinal column. As the tumor grows, it can exert pressure on the spinal cord, nerve roots, or surrounding tissues, leading to back pain. The pain may be persistent, progressive, and unresponsive to conservative treatments. Furthermore, a spinal tumor can cause neurological symptoms such as numbness, weakness, or difficulty with coordination. The danger lies in the potential for the tumor to impair spinal function, leading to paralysis or loss of sensation below the affected area. 

If the tumor is cancerous (malignant), it can metastasize to other parts of the body, including vital organs, further increasing the severity of the condition. Prompt diagnosis, proper staging, and appropriate treatment options such as surgery, radiation therapy, or chemotherapy are vital in managing spinal tumors and minimizing the associated risks and complications.

Spinal Compression Fractures

Back pain can be a significant indication of a spinal compression fracture, which should not be underestimated due to its potential dangers. A spinal compression fracture occurs when one or more vertebrae in the spine collapse or become compressed, often as a result of osteoporosis, trauma, or certain medical conditions. The fracture can cause localized pain in the back that may worsen with movement or weight-bearing activities. It can also lead to a loss of height and a stooped posture. The danger lies in the potential for the fractured vertebra to impinge on the spinal cord or nerve roots, leading to neurological complications such as weakness, numbness, or difficulty with bowel and bladder control. 

Multiple compression fractures can significantly impact spinal stability, increasing the risk of further fractures and potentially causing spinal deformities. Prompt diagnosis, pain management strategies, and appropriate treatment, such as bracing, physical therapy, or in severe cases, surgical intervention, are crucial in managing spinal compression fractures and mitigating the associated risks and complications.

Spinal Cord Injuries

Back pain can serve as a potential indicator of a spinal cord injury, which should be regarded as a highly dangerous condition. A spinal cord injury occurs when there is damage to the spinal cord, typically due to a traumatic event such as a fall, car accident, or sports injury. Back pain, particularly in the area of the injury, can be a prominent symptom. However, other signs such as paralysis, loss of sensation, or difficulty with movement and coordination may also be present. The danger associated with spinal cord injuries lies in the potential for permanent loss of sensory and motor function below the level of injury. 

Depending on the severity and location of the injury, individuals may experience significant impairments, such as paraplegia or quadriplegia. Spinal cord injuries can also lead to complications such as respiratory problems, bladder and bowel dysfunction, and increased susceptibility to infections. Immediate medical attention and specialized care are essential to stabilize the individual, prevent further damage, and maximize the chances of functional recovery and rehabilitation.

Kidney Infections or Stones

Back pain can be an important indicator of a kidney infection or kidney stones, both of which can pose significant dangers. Kidney infections, also known as pyelonephritis, occur when bacteria enter and infect the kidneys. In addition to lower urinary tract symptoms, back pain is a common symptom of kidney infections. The pain may be felt in the lower back or on the sides, and it can be severe and accompanied by other symptoms such as fever, chills, and frequent urination. If left untreated, kidney infections can lead to complications such as kidney damage, sepsis, or even life-threatening conditions.

Similarly, kidney stones are hard mineral and salt deposits that form within the kidneys. When kidney stones move or pass through the urinary tract, they can cause intense back pain, often described as colicky or cramp-like. The pain may radiate from the back to the lower abdomen or groin. Along with the pain, kidney stone symptoms can include blood in urine, frequent urination, and nausea. The danger associated with kidney stones lies in the potential for blockage of the urinary tract, leading to severe pain, urinary tract infections, or kidney damage if left untreated.

Prompt medical attention is crucial for both kidney infections and kidney stones to prevent complications and mitigate the associated dangers. Treatment options may include antibiotics for infections, pain management, fluid intake, and in some cases, surgical intervention to remove kidney stones.

Aortic Aneurysm

Back pain can serve as a potential indicator of an aortic aneurysm, a serious and potentially life-threatening condition. An aortic aneurysm occurs when the walls of the aorta, the body’s largest artery, weaken and bulge outwards. While an aortic aneurysm may not always cause noticeable symptoms, back pain is a common manifestation, particularly in the area of the aneurysm. The pain can be sudden, severe, and described as a tearing or ripping sensation. Other symptoms may include abdominal pain, chest pain, and lightheadedness. 

An aortic aneurysm is dangerous due to the risk of rupture, which can lead to massive internal bleeding and is often fatal. Therefore, timely diagnosis and intervention are crucial to prevent rupture and address the underlying condition. Treatment options may include close monitoring, lifestyle modifications, medication, or surgical repair, depending on the size and location of the aneurysm. If back pain is accompanied by other concerning symptoms, seeking immediate medical attention is essential to evaluate the possibility of an aortic aneurysm and initiate appropriate interventions.

Cauda Equina Syndrome

Back pain can be a potential indication of cauda equina syndrome (CES), a rare but extremely serious condition affecting the nerves at the lower end of the spinal cord. CES occurs when the nerves of the cauda equina, a bundle of nerve roots located in the lower back, become compressed. Back pain is often a prominent symptom, accompanied by other alarming signs such as numbness or weakness in the legs, difficulty with bowel or bladder control, and sexual dysfunction. 

CES is considered dangerous due to its potential to cause permanent nerve damage and significant loss of function if not promptly treated. Without timely intervention, CES can result in paralysis, loss of sensation, loss of bowel and bladder control, and even sexual dysfunction. Urgent medical attention and surgical intervention are required to decompress the nerves and prevent further deterioration. Recognizing the signs and symptoms of CES is vital to ensure early diagnosis and intervention, reducing the risk of long-term complications and preserving the patient’s quality of life.

Osteomyelitis

Back pain can indicate the presence of osteomyelitis, a serious and potentially dangerous condition characterized by an infection in the bones. Osteomyelitis can occur when bacteria or fungi invade the bones, often through an open wound or bloodstream infection. Back pain associated with osteomyelitis is typically localized and can be severe, persistent, and worsen with movement. Other symptoms may include fever, chills, swelling, and tenderness in the affected area. Osteomyelitis is considered dangerous due to the potential for complications such as bone destruction, abscess formation, or the spread of infection to surrounding tissues. 

If left untreated, osteomyelitis can lead to chronic infection, bone deformities, or even life-threatening conditions such as sepsis. Timely diagnosis, proper antibiotic treatment, and in some cases, surgical intervention are essential in managing osteomyelitis and preventing further complications. If back pain is accompanied by signs of infection, it is crucial to seek medical attention promptly to evaluate the possibility of osteomyelitis and initiate appropriate treatment.

Ankylosing Spondylitis

Back pain can be a significant indicator of ankylosing spondylitis (AS), a chronic inflammatory condition primarily affecting the spine. AS is characterized by inflammation and stiffness in the joints of the spine, which can lead to back pain and limited mobility. The pain associated with AS is often worse in the morning or after periods of inactivity. As the disease progresses, the inflammation can cause the vertebrae to fuse together, resulting in a rigid and immobile spine. This can lead to complications such as kyphosis (excessive forward curvature of the upper spine) and decreased lung capacity. 

Furthermore, AS can affect other parts of the body, including the hips, shoulders, and eyes. The dangerous aspect of AS lies in its potential to cause chronic pain, loss of mobility, and functional impairment. Early diagnosis, appropriate medical management, regular exercise, and physiotherapy are crucial in managing AS and minimizing its impact on daily life. Regular monitoring and treatment can help prevent or manage potential complications and enhance the overall quality of life for individuals with AS.

Multiple Myeloma

Back pain can serve as an indicator of multiple myeloma, a type of cancer that affects plasma cells in the bone marrow. Back pain associated with multiple myeloma is often localized and can be severe, persistent, and worsen over time. This is because multiple myeloma can cause the weakening of bones, leading to fractures, compression of spinal nerves, and the collapse of vertebrae. In addition to back pain, individuals with multiple myeloma may experience other symptoms such as fatigue, weight loss, anemia, and recurrent infections. 

Multiple myeloma is considered dangerous due to its potential complications and impact on overall health. It can lead to bone damage, organ dysfunction, compromised immune function, and increased risk of infections. Additionally, multiple myeloma can progress rapidly if left untreated, affecting various systems of the body. Early diagnosis, proper medical intervention, and ongoing treatment are crucial in managing multiple myeloma, minimizing complications, and improving overall outcomes for individuals with this condition.

Wrapping Up

In conclusion, while allergies are commonly associated with respiratory and skin symptoms, it is important to recognize that they can also contribute to back pain. The intricate relationship between allergies and back pain warrants further research and investigation to better understand the mechanisms at play. If you are experiencing chronic or recurring back pain accompanied by allergy symptoms, it is advisable to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan. By addressing both the allergic reactions and their potential impact on the musculoskeletal system, individuals can find relief from their discomfort and improve their overall well-being. 

As seen above, many other conditions besides allergies can cause back pain. If you experience severe or persistent back pain or any concerning symptoms, it is crucial to seek medical attention for proper evaluation and diagnosis. It is important to note that back pain can have various causes, and while allergies may contribute to back pain in some cases, it may not be the sole factor. If you are experiencing persistent or severe back pain, it is recommended to consult with a healthcare professional for a proper evaluation and guidance.

Next Steps

In the event that your doctor finds nothing wrong, here are some simple measures you can take for relief when your allergies cause back pain:

  • Allergy Shots: If you have hay fever or chronic allergies, it might be a good idea to go through a course of allergy shots to help desensitize you to various allergic conditions and inflammatory responses.
  • Use a Nasal Spray: using a nasal spray is great for allergy sufferers, because it helps remove airborne allergens from their nasal passages, and will provide you with pain relief. Nasal irrigation has long been known as a way to help ease the uncomfortable symptoms associated with allergies.
  • Keep a Food Diary to Identify Trigger Foods and Food Allergies: some people have severe allergic reactions when they eat certain foods. For food-allergic patients, we highly recommend keeping a food diary to identify trigger foods and food allergies. This will help you know what foods exacerbate your allergies, and could go a long way towards helping you resolve your allergy-related back pain.
  • Take Over The Counter Pain Medication: allergies cause all sorts of symptoms that aren’t fun, including back pain. You could always try taking an over the counter pain medication to help you with your back pain. On the plus side, taking an OTC painkiller will also help you with other not-so-fun allergy symptoms, such as: sore throat, allergy headache, body aches, neck pain, and pain associated with a sinus infection.
  • Take Allergy Medication: we all know that allergy medication can help with itchy eyes, watery eyes, and a stuffy nose. But it may also be able to help your allergy-related back pain! Whether by reducing the inflammation, or getting you focused on a more upright posture, it’s worth a shot.
  • See a Physical Therapist: if your allergies are giving you muscle spasms in your back, upper or low back pain, you may want to see a physical therapist who can help you.
  • Make Lifestyle Changes: specific allergens (such as animal dander, dust mites, mold spores or other airborne allergens) are worse at certain times of the year. This is often due to various factors such as pollen counts, the weather, temperature changes, and allergy season running in the United States.

What If I’m Still Worried About Back Pain?

If you have met with your doctor and/or other medical professional, and they’ve ruled out anything serious, you may be struggling with hypochondria. Hypochondria is defined as abnormal anxiety about one’s health, especially with an unwarranted fear that they have a serious medical condition. If you think you may be a hypochondriac, we recommend that you check out some of our below articles to help you on your journey:

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