How to Know if my back pain is serious?
Causes of Back Pain - When to Seek Help
Back pain is one of the most common health complaints and can affect people of all ages. In many cases, the cause is mechanical, such as:
Strained muscles
Irritated joints
Inflamed discs
The severity of pain can vary widely – from mild and manageable to severe and debilitating. Importantly, the level of pain alone doesn’t always indicate how serious the problem is. That’s why it’s crucial to look at other signs and symptoms.
Back pain often restricts movement, limits daily activities, and impacts sport or work. While most cases are not dangerous, fewer than 1% of back pain cases are linked to serious medical conditions. Recognising the warning signs is essential.
Red Flag Symptoms to Watch Out For
If you experience any of the following, it may point to a more serious underlying issue that requires urgent medical attention:
Persistent fevers
Unexplained weight loss
Blood in your stool or urine
Progressive numbness or weakness in the legs
Inability to urinate or have a bowel movement
Loss of bladder or bowel control
Night-time pain that wakes you from sleep
Sexual dysfunction
Balance or coordination problems
Pain that does not improve, or worsens, despite rest or position changes
Recent trauma or injury
Recent IV drug use
Pain that continues to worsen day by day
⚠️ If you notice any of these symptoms, seek immediate medical care.
Why Early Evaluation Matters
Some of the symptoms above may appear suddenly, while others develop gradually. Getting assessed early can prevent complications and ensure you receive the right treatment.
If you’re unsure whether your back pain is routine or something more serious, don’t ignore it. Contact your healthcare provider for advice.
At Epoch Health, we provide evidence-based assessment and treatment for back pain. If you have concerns or would like more information, please reach out to our team.

