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Lower Back Pain 2 Years After Hysterectomy

Still experiencing lower back pain two years after a hysterectomy? Learn possible causes, symptoms to watch for, and expert-recommended tips to relieve chronic discomfort.

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Written by Dr.Sonia Bhatt

Last updated on 9th Jul, 2025

Introduction

If you’ve had a hysterectomy (surgery to remove the uterus) and are experiencing persistent lower back pain even two years later, you’re not alone. Many women face this issue, and while it can be frustrating, understanding the possible causes and solutions can help you manage the discomfort effectively.

Why Does Lower Back Pain Occur After a Hysterectomy?

A hysterectomy is a major surgery that can affect your pelvic and abdominal muscles, ligaments, and nerves. While some discomfort is normal in the initial recovery phase, ongoing pain after two years may be due to:

1. Muscle Weakness & Poor Posture – The surgery can weaken core and pelvic muscles, leading to strain on the lower back.

2. Scar Tissue Formation – Internal scar tissue (adhesions) can pull on surrounding structures, causing pain.

3. Nerve Damage – Rarely, nerves may be affected during surgery, leading to chronic pain.

4. Spinal or Joint Issues – Pre-existing conditions like arthritis or disc problems may worsen after surgery.

5. Pelvic Floor Dysfunction – Weak or tight pelvic muscles can contribute to back pain.

6. Hormonal Changes – If ovaries were removed, lower estrogen levels may affect bone and joint health.

Consult Top Specialists for Post-Hysterectomy Health Advice

Dr. Shailaja L, Obstetrician and Gynaecologist

Dr. Shailaja L

Obstetrician and Gynaecologist

16 Years • MBBS, MS

Bangalore

Apollo 24|7 Clinic - Karnataka, Bangalore

649

64 Cashback

Dr. Alapati Jyotsna, Obstetrician and Gynaecologist

Dr. Alapati Jyotsna

Obstetrician and Gynaecologist

4 Years • MBBS MS Obstetrics and Gynaecology

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

499

44 Cashback

Dr Swatika Kumari, Obstetrician and Gynaecologist

Dr Swatika Kumari

Obstetrician and Gynaecologist

19 Years • MBBS, DGO, DNB Obstetrics & Gynaecology

Nashik

Apollo 24|7 Clinic - Maharashtra, Nashik

649

64 Cashback

Dr Homeira Nishat, Obstetrician and Gynaecologist

Dr Homeira Nishat

Obstetrician and Gynaecologist

34 Years • MBBS, Diploma in Obstetrics & Gynaecology

Bengaluru

Cure Hospital and Clinic, Bengaluru

938

750

Symptoms to Watch For

Watch for signs such as:

  • Dull, aching pain in the lower back

  • Stiffness, especially after sitting or standing for long periods

  • Pain that worsens with movement or lifting

  • Radiating pain into the hips or legs, could indicate nerve involvement

How to Manage and Relieve Lower Back Pain

Here are a few simple steps that may help reduce persistent back pain and improve your comfort over time.

1. Strengthen Your Core & Pelvic Muscles

Weak muscles can put extra strain on your back. Gentle exercises like:

  • Pelvic tilts

  • Kegel exercises for pelvic floor strength

  • Yoga or Pilates focusing on low-impact stretches

  • Walking improves circulation and posture

2. Improve Posture & Ergonomics

  • Avoid slouching when sitting; use a lumbar support cushion.

  • Stand up and stretch every 30 minutes if you have a desk job.

  • Sleep on a medium-firm mattress with a pillow under your knees.

3. Heat & Cold Therapy

  • Heat pads relax tight muscles.

  • Ice packs reduce inflammation if pain is sharp.

4. Pain Relief Options

  • Over-the-counter pain relievers but consult your doctor first.

  • Physical therapy, a specialist can guide you on safe exercises.

  • Massage or acupuncture may help with muscle tension.

5. Hormone Replacement Therapy (HRT) if Needed

If your ovaries were removed, discuss HRT with your doctor to support bone health.

6. When to See a Doctor

If your pain:

  • Is severe or worsening

  • Spreads to legs (possible nerve compression)

  • Comes with numbness, tingling, or bladder/bowel issues

Can This Pain Be Prevented?

While some post-surgery changes are unavoidable, maintaining a healthy weight, staying active, and doing pelvic floor exercises can help reduce long-term discomfort.

If back pain persists, consider booking a consultation with a gynaecologist, physiotherapist, or pain specialist through Apollo 24|7. Early intervention can prevent further complications.

Final Thoughts

Lower back pain after a hysterectomy can feel discouraging, but with the right care and supportive strategies, it can often be managed well. Listen to your body, remain active within your comfort level, and seek medical advice when needed. You deserve to live comfortably and free from unnecessary pain.

Consult Top Gynaecologists

Dr. Shailaja L, Obstetrician and Gynaecologist

Dr. Shailaja L

Obstetrician and Gynaecologist

16 Years • MBBS, MS

Bangalore

Apollo 24|7 Clinic - Karnataka, Bangalore

649

64 Cashback

Dr. Alapati Jyotsna, Obstetrician and Gynaecologist

Dr. Alapati Jyotsna

Obstetrician and Gynaecologist

4 Years • MBBS MS Obstetrics and Gynaecology

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

499

44 Cashback

Dr Swatika Kumari, Obstetrician and Gynaecologist

Dr Swatika Kumari

Obstetrician and Gynaecologist

19 Years • MBBS, DGO, DNB Obstetrics & Gynaecology

Nashik

Apollo 24|7 Clinic - Maharashtra, Nashik

649

64 Cashback

Dr Homeira Nishat, Obstetrician and Gynaecologist

Dr Homeira Nishat

Obstetrician and Gynaecologist

34 Years • MBBS, Diploma in Obstetrics & Gynaecology

Bengaluru

Cure Hospital and Clinic, Bengaluru

938

750

Consult Top Specialists for Post-Hysterectomy Health Advice

Dr. Shailaja L, Obstetrician and Gynaecologist

Dr. Shailaja L

Obstetrician and Gynaecologist

16 Years • MBBS, MS

Bangalore

Apollo 24|7 Clinic - Karnataka, Bangalore

649

64 Cashback

Dr. Alapati Jyotsna, Obstetrician and Gynaecologist

Dr. Alapati Jyotsna

Obstetrician and Gynaecologist

4 Years • MBBS MS Obstetrics and Gynaecology

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

499

44 Cashback

Dr Swatika Kumari, Obstetrician and Gynaecologist

Dr Swatika Kumari

Obstetrician and Gynaecologist

19 Years • MBBS, DGO, DNB Obstetrics & Gynaecology

Nashik

Apollo 24|7 Clinic - Maharashtra, Nashik

649

64 Cashback

Dr Homeira Nishat, Obstetrician and Gynaecologist

Dr Homeira Nishat

Obstetrician and Gynaecologist

34 Years • MBBS, Diploma in Obstetrics & Gynaecology

Bengaluru

Cure Hospital and Clinic, Bengaluru

938

750

Dr. Tanvi Gaba, Obstetrician and Gynaecologist

Dr. Tanvi Gaba

Obstetrician and Gynaecologist

9 Years • MBBS, DGO

New Delhi

AAKASH MEDSQUARE, New Delhi

1000

800

Consult Top Gynaecologists

Dr. Shailaja L, Obstetrician and Gynaecologist

Dr. Shailaja L

Obstetrician and Gynaecologist

16 Years • MBBS, MS

Bangalore

Apollo 24|7 Clinic - Karnataka, Bangalore

649

64 Cashback

Dr. Alapati Jyotsna, Obstetrician and Gynaecologist

Dr. Alapati Jyotsna

Obstetrician and Gynaecologist

4 Years • MBBS MS Obstetrics and Gynaecology

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

499

44 Cashback

Dr Swatika Kumari, Obstetrician and Gynaecologist

Dr Swatika Kumari

Obstetrician and Gynaecologist

19 Years • MBBS, DGO, DNB Obstetrics & Gynaecology

Nashik

Apollo 24|7 Clinic - Maharashtra, Nashik

649

64 Cashback

Dr Homeira Nishat, Obstetrician and Gynaecologist

Dr Homeira Nishat

Obstetrician and Gynaecologist

34 Years • MBBS, Diploma in Obstetrics & Gynaecology

Bengaluru

Cure Hospital and Clinic, Bengaluru

938

750

Dr. Tanvi Gaba, Obstetrician and Gynaecologist

Dr. Tanvi Gaba

Obstetrician and Gynaecologist

9 Years • MBBS, DGO

New Delhi

AAKASH MEDSQUARE, New Delhi

1000

800

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