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Are Fibroids Causing My Back Pain? TheFibroidDoc - LamorindaGyn - Dr. Cheruba Prabakar

Hi, it's Dr.Prabakar from TheFibroidDoc, and today we're going to talk about this question that I get asked often. Are fibroids causing my back pain? So a lot of times women will have back pain. They go to their doctor at some point in their workup. They may get a scan, either a CT scan or an ultrasound, and someone sees a fibroid. And then they come to my officesaying, oh, I have a fibroid.It's causing my back pain. And then when I review the scans, I actually find out that it's a tiny fibroid or it's in front of the uterus, not in the back. And then I have to tell the patient, hey,the fibroid is actually not causing your back pain. So let's talk about that. When do fibroids actually cause back pain? Now, fibroids can certainly cause back pain if they are extremely large. So I'm talking like 910 centimeters. That's like the size of a grapefruit. Or if they're sitting right behind, right by the sacrum,which is a triangular bone in the lower back. So if it's sitting right there and putting pressure on your back, it can certainly cause back pain. Or if you're a very petite person and you even have a small fibroid, maybe 7, it's sitting right behind the uterus, right by your lower back. Sure, it can cause back pain, but many times our fibroids are not that big, and they're not sitting right there by the sacrum or the lower back. They're sitting inside the wall of the uterus. They're sitting on top. They may be sitting by the bladder, or they're just small. They're one or 2 CM in size, which is tiny. So that is not causing your back pain. So before you chalk up your back pain fibroids, make sure you're talking to your doctor about other causes of back pain. The number one cause of back pain in women, actually, in all comers, is muscle sprains and strains, especially in women in your thirties and forties, you're in awkward positions. You may have kids. You're carrying them in weird contorted positions. You're feeding them, you're running around doing a ton of work. Your body takes a toll, as does your lower back. So that's actually the number one cause of back pain. And there can certainly be other causes of back pain. But make sure that you first rule all those out before just thinking that, oh, you know what? I have a fibroid. I have back pain.The fibroid must be causing my back pain because that is actually the exception rather than the rule. So definitely talk to your gynecologist about it. If you have fibroids and you're concerned and you're wondering if it's causing your back pain, your gynecologist can go over the size, the location, and go through the pros and the cons of removing it and stuff like that. But I just wanted to throw that out there because this is a very common topic that comes up. Now, if you're in California, you have fibroids, and you want to talk to an expert about what to do about it, maybe your fibroids and back pain. And you're wondering, hey, I just want to know,is this really causing my back pain or not? Feel free to call my office 925-74-7473. Happy to consult with you, and we can talk about it. All right? Have a great day. Bye.