Frequent urge to urinate and back pain: What link?

There are several causes explaining the frequent urge to urinate. Did you know that back pain could be a potential cause?

How exactly? Is that bad ? What can you do to treat his back pain, and at the same time reduce his incessant urges to go to the bathroom? We talk about it in this article.

Frequent urge to urinate, what causes?

Frequent urination, also known as pollakiuria, can be caused by a variety of factors. Here are some of the common causes of this feeling:

  • Urinary tract infection: A urinary tract infection, such as cystitis, can cause frequent urination with burning and pain during urination.
  • Overactive bladder: Overactive bladder is a disorder characterized by involuntary and frequent contraction of the bladder, which leads to the frequent urge to urinate, even when the bladder is not full.
  • Diabetes: People with diabetes may experience increased urine output due to high blood sugar, which leads to the frequent urge to urinate.
  • Excess fluid intake: Excessive fluid intake, especially diuretic beverages such as coffee or tea, can lead to increased urine production and therefore frequent urination.
  • Prostate problems: In men, conditions such as an enlarged prostate or prostatitis can lead to compression of the urethra, causing frequent urination.
  • Bladder irritation: Bladder irritation due to factors such as eating spicy foods, using irritating chemicals, or kidney stones can lead to frequent urination.
  • cauda equina syndrome : Damage to the ponytail (for example by a herniated disc posterior) can cause frequent urination, even leading to urinary incontinence.

Frequent urge to urinate and back pain, what is the link?

Here are some reasons why back pain could be related to pollakiuria:

  • Urinary tract infection: A urinary tract infection can cause lower back and abdominal pain, which explains back pain.
  • Kidney infection: A kidney infection often causes severe lower back pain. To this table is added a high fever, chills, or vomiting.
  • Pelvic problems: Conditions such as pelvic pain Chronic conditions or pelvic floor muscle disorders can cause both lower back pain and increased urinary frequency.
  • Cauda equina syndrome: The frequent urge to urinate is a characteristic symptom of cauda equina syndrome. Indeed, apart from the sensory-motor disorders mentioned above, this syndrome also causes disorders of the urinary and anal sphincter. These sphincters are circular muscles responsible for urinary and fecal continence. Their dysfunctions can lead to the frequent urge to urinate, even going as far as urinary or fecal incontinence.
  • Pregnancy : During pregnancy, pressure from the expanding uterus can compress the bladder and lower back structures, which can lead to both frequent urination and lower back pain.
  • Kidney stones : Kidney stones, solid deposits that form in the kidneys, can cause severe pain in the lower back region. This pain can also be associated with a frequent urge to urinate or a burning sensation during urination.
  • Side effect of certain medications: Certain medications, such as diuretics, can increase urine production and therefore cause frequent urination. Sometimes these drugs can also be associated with muscle pain affecting the lower back.


The management of back pain, especially when associated with frequent urges to urinate, will depend on the underlying cause.

In any case, it is best to consult a doctor without delay. This will carry out clinical examinations andmedical imaging to clarify the diagnosis and guide treatment.

In the case of a UTI, antibiotics are usually prescribed to clear up the infection.

If there is an overactive bladder, specific medications, such as anticholinergics or serotonin reuptake inhibitors, may be prescribed to reduce involuntary bladder contractions.

For men suffering from problems of the prostate, drugs aimed at reducing the size of the prostate or relaxing the muscles of the urethra may be prescribed. In some cases, surgery may be necessary.

In the case of a ponytail problem, treatment must be urgent, and sometimes involves surgery.

In short, depending on the underlying cause, appropriate treatments will be recommended, such as the management of the disease responsible for the symptoms (diabetes, kidney stones, neurological problems, etc.).

Conservative strategies for the urge to urinate 

If the doctor has ruled out the possibility of a serious problem, you can apply some conservative strategies to control the frequent urge to urinate:

 1- Pelvic floor exercises

Pelvic floor exercises or Kegel are forms of perineal rehabilitation that can correct, or at least improve, the frequent urge to urinate.

they can be done alone or guided by a physiotherapist (physiotherapist). But according to statistics, perineal rehabilitations that have been assisted are more effective.

Briefly, the exercises go as follows:

Exercises 1: slow contraction

  • Lying down and knees bent, contract the pelvic muscle for 5 seconds then rest for 10 seconds.
  • Repeat this ten times
  • Pause for 60 seconds, then do two more sets of 10 contractions each.

Exercise 2: rapid contraction

  • Same procedure as the first exercise, but this time contract the pelvic muscle quickly on the exhale.
  • Release quickly and inhale.

Exercise 3: Perineal lock

This last exercise is done daily, before any effort that may cause urinary leakage (cough, sneeze): tighten the pelvic muscles before coughing or sneezing.

2- Kinesitherapy (Physiotherapy)

The frequent urge to urinate can also be controlled with physical therapy (Physiotherapy).

Several techniques can be used by the physiotherapist (physiotherapist) specialized in perineal rehabilitation:

  • Manual method: consisting in evaluating the contractions of the perineum.
  • Toning the muscles: thanks to electrostimulation of the muscles via two electrodes. The patient must at the same time perform contractions.
  • Biofeedback: Allows you to visualize the contractions of the perineal muscle on screen.
  • Behavioral management, which is rather a kind of educational session to guide the patient to better manage his urges to urinate.


Anticholinergic drugs reduce bladder tenderness and overactivity. Combined with a therapy session, the results can only be beneficial.

4-Avoid bladder irritants

Minimize the intake of foods that irritate the bladder such as: coffee, tea, soft drinks, alcohol, chocolate, acid fruits and spices. You should also wear loose clothing!

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