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Real causes of back pain revealed, Mayo Clinic neurosurgeon says it’s not heavy lifting or bad bed

Back pain has long been shrouded in misconceptions, from fears of lifting heavy objects to ideas about posture, mattresses, and surgery. Dr. Meghan Murphy, a neurosurgeon at the Mayo Clinic Health System in Mankato, has dissected eight persistent myths, revealing that everyday habits, gentle activity, and preventative strategies often do far more for spinal health than people realise.

December 16, 2025 / 11:46 IST
Causes of back pain: Poor lifting technique can aggravate the back, but inactivity, poor posture, obesity, and genetics usually carry far more blame (Image: Pexels)

Back pain is a discomfort that can impact everyone; from office workers, athletes, and those who’s ever tried to bend without wincing. It is both common and confounding, yet many deal with it self-treatment and quick fixes.

With clinical experience, and a touch of old‑fashioned common sense, Dr Meghan Murphy of the Mayo Clinic, shares eight widespread beliefs about back pain with research. While many assume the spine is fragile and easily injured, the research shows that inactivity, poor posture, excess weight, and genetic factors often play a far larger role than one-off heavy lifting.

Similarly, habits like spending hours on a rigid mattress or sitting with a bulky wallet in your pocket rarely cause back pain directly, though they may provoke nerve discomfort or postural strain. In short, the myths crumble under scrutiny, while the keys to relief lie in movement, awareness, and prevention.

Also read | Painkillers and rest can make back pain worse, spine surgery expert reveals why

8 back pain myths busted

Myth #1: Heavy lifting is the main culprit

Fact: Poor lifting techniquecan aggravate the back, but inactivity, poor posture, obesity, and genetics usually carry far more blame.

Myth #2: Bed rest heals the back

Fact: Short-term rest can ease muscle strains, but prolonged inactivity may stiffen muscles and worsen pain. Gentle movement like walking or swimming helps recovery.

Myth #3: Wallets cause back pain

Fact: A thick wallet may tilt the pelvis and pinch the sciatic nerve, causing leg or hip numbness, but rarely harms the back itself. Removing the wallet and moving regularly is the simple solution.

Myth #4: Serious conditions lurk behind every ache

Fact: Most back pain stems from muscle strains or sprains. Disc problems and vertebrae issues are far less common.

Also read | Why your back hurts: Common causes, risk factors and how to prevent it

Myth #5:  Exercise worsens back pain

Fact: On the contrary, strengthening core muscles, improving flexibility, and maintaining a healthy weight prevent and relieve discomfort. Listen to your body, but don’t fear gentle activity.

Myth #6: Surgery is the only fix

Fact: Non-surgical approaches, physical therapy, lifestyle changes, medications, often succeed. Surgery is reserved for pain that intensifies, radiates, or causes numbness or loss of control.

Myth #7: Firm mattresses cure back pain

Fact: No universal solution exists; comfort and support tailored to the individual matter most. Medium, soft, or firm, the best mattress is the one that fits you.

Myth #8: Posture is not important

Fact: Hours slouched over computers or phones strain muscles and joints over time. Good posture and ergonomic setups are simple yet effective preventive measures.

How to take care of your back

For long-term spine health, Dr Murphy advises maintaining a healthy weight, strengthening core muscles and staying active. Even small, consistent habits count. A a short walk, stretching breaks, or mindful lifting can help. The best medicine for a sore back is more about movement than fear.

FAQs on Causes of Back Pain

1. What are the main causes of back pain?

Inactivity, poor posture, excess weight, and genetic factors are common causes of back pain. Heavy lifting with poor technique can aggravate it but is not the primary culprit.

2. Does bed rest help heal back pain?

Short-term bed rest may ease muscle strains, but prolonged inactivity can stiffen muscles and worsen pain. Gentle activities like walking or swimming aid recovery.

3. Can my wallet cause back pain?

A thick wallet in your back pocket can tilt the pelvis and pinch the sciatic nerve, causing leg or hip numbness. Removing it can alleviate discomfort but rarely harms the back directly.

4. Are serious conditions behind most back pain?

Most back pain results from muscle strains or sprains. Disc problems and vertebrae issues are less common and usually not the primary cause.

5. Does exercise worsen back pain?

Exercise, especially strengthening core muscles, improving flexibility, and maintaining a healthy weight, prevents and relieves back pain. Gentle activity is beneficial; listen to your body’s signals.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis.

Namita S Kalla is a senior journalist who writes about different aspects of modern life that include lifestyle, health, fashion, beauty, and entertainment.
first published: Dec 16, 2025 11:46 am

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