Can lower back pain cause a shoulder strain?

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Last updated: April 1, 2025View editorial policy

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From the Guidelines

Lumbar pain typically does not directly cause shoulder strain, but compensatory movements due to lower back pain might indirectly contribute to shoulder problems. These are generally separate issues affecting different regions of the body. Lumbar pain involves the lower back area, while shoulder strain affects the shoulder joint and surrounding muscles. However, when experiencing back pain, people often adjust their posture or movement patterns to avoid discomfort, which can place unusual stress on the shoulders. For example, someone with lumbar pain might hunch forward or use their arms more when standing up, potentially overworking shoulder muscles.

If you're experiencing both lumbar pain and shoulder strain, it's essential to address each condition appropriately. For lumbar pain, treatments may include rest, gentle stretching, over-the-counter pain relievers like ibuprofen (400-600mg every 6-8 hours) or acetaminophen (500-1000mg every 6 hours), and proper ergonomics, as recommended by the American College of Physicians and the American Pain Society 1. For shoulder strain, RICE therapy (Rest, Ice, Compression, Elevation) and similar pain medications can help. Consulting a healthcare provider is recommended if either condition persists or worsens, as they can provide a proper diagnosis and tailored treatment plan.

Some key points to consider:

  • Lumbar pain and shoulder strain are separate issues, but related through compensatory movements.
  • Treatment for lumbar pain may include rest, gentle stretching, and over-the-counter pain relievers.
  • Treatment for shoulder strain may include RICE therapy and similar pain medications.
  • Consulting a healthcare provider is essential for proper diagnosis and treatment.

It's also important to note that the American College of Physicians and the American Pain Society provide guidelines for the diagnosis and treatment of low back pain, which can be helpful in managing lumbar pain and related conditions 1.

From the Research

Relationship Between Lower Back Pain and Shoulder Strain

  • There is no direct evidence in the provided studies that suggests lower back pain can cause a shoulder strain 2, 3, 4, 5, 6.
  • However, it is possible that poor posture or muscle imbalances caused by lower back pain could lead to strain on other parts of the body, including the shoulders 3.
  • The studies primarily focus on the treatment and diagnosis of lower back pain, rather than its potential effects on other areas of the body 2, 4, 5, 6.
  • One study discusses the use of muscle relaxants, such as cyclobenzaprine, in the treatment of acute low back pain and muscle spasm, which could potentially have an indirect effect on shoulder strain 4.
  • Another study mentions the importance of exercise and alternative treatments, such as yoga and acupuncture, in managing low back pain, which could also have an impact on overall muscle health and potentially reduce the risk of shoulder strain 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

The role of exercise and alternative treatments for low back pain.

Physical medicine and rehabilitation clinics of North America, 2010

Research

Pharmacologic Therapy for Acute Pain.

American family physician, 2021

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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