Kidney Pain or Back Pain: Location, Symptoms, Treatment

How we reviewed this article: · Healthline

Key takeaways

You typically feel kidney pain in the flank area, between the ribs and hips, and it can be sharp or a dull ache. Back pain can occur anywhere on the back, but is most commonly located in the lower back or buttocks.

Kidney pain is typically constant and doesn’t change with movement, while back pain may worsen with movement or prolonged sitting or standing, and may improve with changes in position or activity.

Kidney pain can be accompanied by symptoms like fever, chills, nausea, vomiting, or changes in urine, while back pain may include swelling, muscle spasms, stiffness, or numbness in the legs.

Your exact symptoms can help you figure out which area is the source of your pain. Read on to learn to identify if the pain is coming from your back or your kidneys.

Kidney pain

is most often caused by a

kidney infection

or a stone in the tubes coming out of your kidney. It can also have a variety of other causes.

Where the pain is located

Kidney pain

is often felt

in your flank, the area on either side of your spine between the bottom of your rib cage and your hips. It may also occur in your side, abdomen, or lower back.

The pain usually occurs on one side of your body, but it can occur on both sides.

Type of pain

Kidney pain is usually sharp if you have a kidney stone and a dull ache if you have an infection. Most often, it will be constant.

If you’re passing a kidney stone, your pain

may fluctuate

as the stone moves. With other conditions, such as polycystic kidney disease, you

may have

periods of severe pain.

If kidney cancer is causing your pain, it

may feel

like a persistent dull ache that extends from the middle of your back to the bottom of your ribs.

Radiation of the pain

Sometimes the pain radiates or spreads, to your inner thigh or lower abdomen.

Severity of the pain

Kidney pain is classified according to how bad it is — severe or mild. A kidney stone or

cyst

can cause severe pain, while the pain from an infection is usually mild.

Things that make it better or worse

Typically, nothing improves kidney pain until the problem is corrected, such as passing the stone, using medications to resolve an infection, or getting other treatment.

Unlike back pain, kidney pain usually won’t change with movement.

Accompanying symptoms

If you have a kidney condition, there are several common symptoms:

fever

and

chills

nausea and vomiting

cloudy

or

dark

urine

an urgent need to urinate

pain when you urinate

a recent infection in your bladder

blood in your urine

small stones

that look like gravel in your urine (if you have a kidney stone)

With kidney cancer, you may also feel tired or have a lump on your lower back or side. Symptoms

may not appear

until later

stages

.

Polycystic kidney disease (PKD)

may also cause

no symptoms until the cysts it causes have become larger. The condition may lead to:

pain in your stomach or lower back

high blood pressure

kidney stones

kidney failure

Back pain is more common than kidney pain and is usually caused by a problem in the muscles, bones, or nerves in your back.

Where the pain is located

Pain can occur anywhere on your back, but it’s most commonly located in your

lower back

or buttocks.

Type of pain

Muscle pain

feels like

a throbbing ache. If a nerve has been injured or irritated, the pain is a sharp burning sensation that may travel down your buttock to your lower leg or even your foot.

Muscle pain may affect one or both sides, but nerve pain usually only affects one side.

With osteoarthritis (OA), the pain

will likely

worsen as your condition develops. Your back may feel more stiff and painful in the mornings.

Traveling pain

Pain from herniated discs and nerve problems may spread to your lower leg. Muscle pain usually stays in your back.

Severity of the pain

Back pain is described as acute or chronic based on how long you’ve had it.

Acute pain, the most common, lasts a few days to a few weeks and typically improves by itself. Subacute pain lasts between 4 weeks and 6 months. Chronic pain lasts longer than 3 months.

Things that make it better or worse

Back pain may worsen with movement or if you sit or stand for a long time. It may get better if you change positions, walk around, or switch to activities that reduce stress on your back.

With certain conditions, such as

sciatica

(a nerve problem), your pain

may worsen

if you bend over or cough.

Accompanying symptoms

Other symptoms you may experience with back pain include:

the painful spot looking swollen and feeling tender to the touch

a

muscle spasm

in the painful area

stiffness

in your back

numbness or weakness in one or both of your legs (if the pain is due to a nerve issue such as sciatica)

a grinding feeling when you move (if the pain is due to OA)

If you have back pain and can’t hold your urine or bowel movements, something is pressing on your spinal nerves, and you should get medical care immediately.

This condition, called

cauda equina syndrome

, can cause severe long-term damage to your spinal nerves if not treated right away.

Kidney and back pain may sometimes feel similar, but the conditions that cause them are usually very different.

It’s important to understand the cause of your pain so you can treat it appropriately.

Kidney pain causes

A variety of conditions

may cause

one or both of your kidneys to hurt, including:

Hydronephrosis

: Urine can build up in one or both of your kidneys due to a blockage, causing kidney swelling.

Kidney cancer

: Cancer can start in your kidneys and affect one or both.

Pyelonephritis

: This is when a

urinary tract infection (UTI)

moves up into one or both of your kidneys.

Kidney stones

: These can form in one or both of your kidneys from minerals. They vary in size and may cause pain as they pass through your urinary tract.

Polycystic kidney disease

: This is a genetic condition in which cysts grow in both of your kidneys and may eventually cause kidney failure.

Back pain causes

There are many potential causes of back pain. They

range

from genetic issues to injuries to degenerative or nerve problems. A few of these include:

Spine irregularities: An abnormal curve to your spine from conditions such as

scoliosis

can result in back pain.

Injury or strain: Falling, being in an accident, or picking up something heavy can damage your muscles, the tendons or the connective tissues between the muscles and bones, or your spine.

OA

: This is when the cartilage between your joints breaks down, leading to stiffness and pain as your bones rub against each other.

Sciatica

: This involves

pressure on your sciatic nerve

, which runs from your lower back down your legs. This can cause pain in your back and your leg.

Herniated disc

(slipped disc): If the discs that provide cushioning between your vertebrae are compressed, they can be pushed outward. This can affect your nerves or

spinal cord

, resulting in pain.

The treatment for either kidney or back pain will depend on the cause of your pain. Medications and natural treatments can help many types of kidney and back pain. Surgery can be another option in some cases.

Kidney pain

Some kidney conditions

can be treated

with medications such as:

antibiotics

if you have a kidney infection

blood pressure medications

, which may be needed for high blood pressure caused by polycystic kidney disease

immunotherapy

drugs for kidney cancer

Other drugs for kidney cancer

include

targeted drugs such as sorafenib (Nexavar) or pazopanib (Votrient).

Conditions such as polycystic kidney disease, hydronephrosis, or cancer may damage your kidney enough that you may need surgery to remove it. You can live a healthy life with one kidney, or you may have a

kidney transplant

.

Other types of surgery for kidney cancer

may remove

just the section of your kidney where the cancer is located.

Unless you have kidney failure, it’s important to drink plenty of water to help treat and prevent kidney stones and infections. Eating a

healthy diet

and maintaining a moderate weight may help prevent kidney cancer and kidney stones.

Back pain

Surgery may be beneficial in some cases, such as to fuse spine sections together for stabilization for OA or to correct a spinal curve from scoliosis. Surgery can also remove the pressure from a herniated disc on a nerve.

You can often also

improve

back pain through natural and lifestyle remedies, including:

physical therapy and exercises that strengthen your core

acupuncture

massage

hot or cold packs

sticking to activities that limit stress on your back

losing weight, if needed

Especially if you think your pain is coming from your kidney, consider seeing a doctor or healthcare professional for an evaluation and treatment.

A doctor

may use

one of the following to help determine the cause of your pain:

a

urine test

to look for minerals, blood, or an infection

a

blood test

to check for normal kidney function

a

CT scan

or

ultrasound

It’s important to get medical care if the pain is centered on your kidney or if you have a kidney infection or kidney stone.

You may be able to treat short-term back pain on your own, but if it doesn’t get better, is more than mild pain, or spreads, it’s best to see a doctor.