Lower back pain can occur for many reasons, one of which is problems involving the spine. Lower back pain related to the spine is generally associated with disorders of the bony structures, intervertebral discs, and nerves in the lower spinal region. This condition can cause mild to severe pain, accompanied by stiffness, tingling sensations, or pain that radiates to the buttocks and legs, significantly interfering with daily activities.
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Causes of Lower Back Pain Related to the Spine
Below are several common causes of lower back pain related to spinal conditions:
1. Lumbar Disc Herniation
One of the most common causes of lower back pain is a herniated disc. Intervertebral discs function as cushions between the vertebrae. When the outer layer of a disc weakens or tears, the inner gel-like material can protrude and compress nearby nerves. This pressure may cause localized pain, tingling, or numbness in the lower back, buttocks, and legs, a condition known as sciatica.
2. Degenerative Disc Disease
Degenerative disc disease is another frequent cause of lower back pain. This condition occurs when the discs between the vertebrae gradually wear down due to aging or injury. As the discs lose flexibility and cushioning ability, chronic, dull lower back pain may develop, often worsening with movement or prolonged sitting.
3. Spinal Stenosis
Spinal stenosis is a narrowing of the spinal canal that can lead to lower back pain. This narrowing puts pressure on the spinal nerves or spinal cord, causing discomfort, weakness, or numbness in the lower back, buttocks, and legs. Symptoms typically worsen when standing or walking—known as neurogenic claudication—and may improve when sitting or bending forward.
4. Spondylolisthesis
Spondylolisthesis is a condition in which one vertebra slips out of its normal position and moves over the vertebra below it, most commonly in the lower spine. This slippage can compress nerves and result in lower back pain, muscle stiffness, and pain that radiates down the legs. In severe cases, it may affect nerve function and impair mobility.
5. Ankylosing Spondylitis
Ankylosing spondylitis is a chronic inflammatory disease that primarily affects the spine, causing pain and stiffness in the lower back and buttocks. Over time, the vertebrae may fuse together, reducing spinal flexibility and leading to a stooped posture. This condition usually begins in early adulthood and can have a significant impact on daily activities.
Spine Specialist for Lower Back Pain at Mandaya Royal Hospital Puri

If you are looking for an orthopedic spine consultant to treat various spinal conditions, including spinal fractures, dr. Mohammad Fachry Lubis, Sp.OT-(K) is one of the recommended specialists. He practices at Mandaya Royal Hospital Puri and has extensive experience in managing a wide range of spinal disorders using a comprehensive medical approach.
dr. Fachry completed his medical degree at the University of Sumatera Utara and went on to pursue specialist training in orthopedics, followed by subspecialty training as a spine consultant at the University of Indonesia. To continuously enhance his expertise and stay updated with medical advancements, he actively participates in national and international courses and training programs, including:
- AO Spine Asia Pacific Cadaveric, Sydney (2017)
- AO Trauma Chengdu (2016)
- Paris Shoulder Course (2017)
- North America Spine Society, Bali (2017)
- AO Spine Advance, Jakarta (2017)
With this educational and training background, dr. Fachry is experienced in treating various spinal conditions, such as:
- Pinched nerves
- Scoliosis
- Spinal instability or slippage
- Tumors affecting spinal nerves
- Spinal fractures
- Sports-related spinal injuries
- Pain and tingling radiating from the lower back to the legs
- Pain radiating from the neck to the head
- Buttock pain
- Back and lower back pain
dr. Fachry’s Practice Schedule at Mandaya Royal Hospital Puri
dr. Mohammad Fachry Lubis, Sp.OT-(K) is available at Mandaya Royal Hospital Puri on:
- Tuesday: 5:00 PM – 8:00 PM (WIB)
- Thursday: 11:00 AM – 3:00 PM (WIB)
- Friday: 2:00 PM – 4:00 PM (WIB)
- Saturday: 2:00 PM – 4:00 PM (WIB)
Patient Testimonials and Treatment Experiences
At Mandaya Royal Hospital Puri, dr. Fachry has treated many patients with various spinal conditions. Below are some patient testimonials:
To make your visit to Mandaya Royal Hospital Puri easier, you can use the WhatsApp Chat feature, Book Appointment, or the Care Dokter application, available for download on Google Play and the App Store. These services help simplify appointment booking, queue monitoring, and access to complete medical information.

