How Serious Is Back Pain? The seriousness of back pain depends on the cause. Tumor, infection, and fractures are serious problems but are rare. Caudal equine syndrome, in which the nerves in the lower part of the spinal canal are compressed for any reason (such as by a herniated disc or because of spinal stenosis may result in permanent incontinence (inability to control urination) if the compression is not immediately relieved by surgery. In general, when first seeing a patient with back pain, physicians consider that the cause of the pain may be serious if:

It wakes a person from sleep.

It occurs in children (although many cases of back pain in children prove not to be serious).

It occurs along with an inability to control urine or stools.

It is accompanied by unexplained fever or weight loss

It occurs in someone with a history of cancer

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