Can Fibroids Cause Lower Back Pain?

Lower back pain is a common concern that affects millions of individuals worldwide, often attributed to various factors like poor posture, muscle strain, or spinal issues. 

However, there’s growing awareness of another potential culprit: uterine fibroids. These are non-cancerous or benign growths that form in the uterus. 

In this blog, we delve into the intriguing link between fibroids and lower back pain, uncovering the complexities of this relationship and shedding light on its impact on women’s health. 

What are Uterine Fibroids?

Uterine fibroids are the most common gynecologic tumors in reproductive-aged women with a prevalence of up to 80%.  

These growths vary in size, number, and location within the uterine wall, leading to symptoms such as heavy menstrual bleeding, pelvic pain or pressure, frequent urination, and, in some cases, lower back pain. 

Can Fibroids Cause Lower Back Pain?

The link between fibroids and lower back pain primarily stems from the size, location, and pressure exerted by the fibroids on surrounding structures.  

Additionally, fibroids can cause pelvic pain and pressure, which may radiate to the lower back, hip and leg.  

There are many nerves passing through the lower lumbar spine in the mid-pelvis. In some women, fibroids occupy whole of the pelvic cavity and in others, large fibroid that located near the back of the uterus, press against the spine and/or pelvic nerves (lumbosacral plexus), causing back pain and tingling, numbness and radiating pain in thigh, hip and leg (sciatic pain).  

What Fibroids Cause Lower Back Pain?

  • Subserosal fibroids arise on the outer portion of the uterus, protruding outward. They can grow quite large, potentially compressing nearby organs or resting on them, leading to pelvic pain that radiates to the lower back, hips, and legs. 
  • Intramural fibroids develop within the uterine walls, protruding inward. They can increase in either number or size sufficiently to enlarge the uterus, leading it to exert pressure on neighboring organs. This pressure often results in sensations of pain, pressure, and discomfort. 

When large or multiple fibroids grow on the back of the uterus, they can produce pain like sciatica, which radiates down the leg to the foot. This pain can mimic symptoms of lumbar radiculopathy, where the sciatic nerve is compressed.  

Consequently, fibroids pressing on the lower spine might be misdiagnosed due to the similarity in symptoms. These women frequently visit Neurological clinic and Orthopedic spine surgeon, who mis-diagnosed them as lumbar radiculopathy or lower extremity neuropathy. MRI lumbar spine would be unremarkable except that it might disclose large pelvic mass (uterine fibroids) in pelvic sections of MRI.  

Women diagnosed with fibroids experiencing back pain or leg and hip pain should seek medical advice to ascertain if their symptoms are related to the fibroids. These symptoms would resolve following fibroid treatment. 

How Can I Stop My Fibroid Lower Back Pain?

Many women seek relief from their uterine fibroid symptoms, such as fibroid-related back pain, but not all may find surgery, such as a hysterectomy, to be the best option.  

A hysterectomy involves removing part or all of a woman’s uterus and sometimes the fallopian tubes and ovaries as well. However, this procedure may not be suitable for every woman, so alternative treatments or interventions might be considered. 

Dr. Sandeep Burathoki specializes in Uterine Fibroid Embolization (UFE), offering non-surgical treatment for women with fibroid symptoms. This procedure effectively addresses fibroid symptoms regardless of their location, eliminating the need for surgery and reducing recovery time.  

During UFE, tiny particles are delivered through a catheter at groin using image-guided interventional radiology. These particles obstruct blood flow to the fibroids, causing them to shrink and allowing patients to return to their normal activities swiftly.  

By performing an embolization procedure, the size of fibroids is significantly decreased, thereby reducing nerve compression, alleviating back pain. Most women experience significant symptom relief after UFE. 

With UFE, patients experience a quicker recovery, providing relief from fibroid symptoms and improving their quality of life. 

Let Dr. Sandeep Burathoki Help With Your Fibroid Lower Back Pain

Fibroids can indeed cause lower back pain due to various factors such as their size, location, and pressure on surrounding structures. It’s essential for women experiencing lower back pain or related symptoms to consult with a healthcare professional for proper diagnosis and management.  

With advancements in medical technology, treatments like Uterine Fibroid Embolization (UFE) offered by experts like Dr. Sandeep Burathoki provide a non-surgical alternative for addressing fibroid-related lower back pain.  

If you’re struggling with fibroid symptoms affecting your quality of life, seek assistance from Dr. Sandeep Burathoki to explore personalized treatment options and regain comfort and well-being.  


Yes, fibroids can cause lower back pain due to factors such as their size, location, and pressure on surrounding structures, leading to discomfort and radiating symptoms. 

Yes, treating fibroids can help alleviate associated back pain. Options such as Uterine Fibroid Embolization (UFE) may provide relief by reducing fibroid size and symptoms. 

Consulting with a healthcare professional experienced in fibroid treatment, such as Dr. Sandeep Burathoki, can help explore personalized treatment options to alleviate fibroid-related lower back pain. 

Consult with Dr. Sandeep