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Back pain and fever: Should I be worried?

Understanding Back Pain and Fever

Prolonged back pain is a sign of a weak immune system. Back pain and fever make the body vulnerable to infections in the brain, spinal cord, arms, lower back, and more. Further, back pain can increase discomfort and stress levels, which raises body temperature, contributing to a low-grade fever.

6 Possible Causes of Back Pain With Fever

Spinal Epidural Abscess

Accumulating pus in the epidural space can compress the spinal cord leading to this condition. The underlying cause of a spinal epidural abscess is a bacterial infection. If left untreated, the disease can damage the nervous system and lead to death.

Vertebral Osteomyelitis

Osteomyelitis refers to a painful bone infection caused by bacteria or fungi. Vertebral osteomyelitis (Spinal osteomyelitis) is a rare spinal infection and can result from an injury to the spine or develop after surgery. The condition can also start in other body regions and reach the spine through the bloodstream.


Inflammation of the fluid and membranes (meninges) around the brain and spinal cord results in meningitis. The swelling can lead to headaches, fever, seizures, and more. This condition can develop because of bacteria, fungi, tuberculosis, parasites, cancer, and chemical/drug reactions.

Spinal Cord Abscess

Like the conditions mentioned above, spinal cord abscess involves permanent damage to the spine. The white blood cells target the infection around the spine, which leads to the build-up of pus. Eventually, the individual may lose control of their bladder and experience paralysis/numbness.

Kidney Infection

This urinary tract infection can begin in the urethra or the bladder and move to one or both kidneys. Kidney infections are also referred to as pyelonephritis. Bacterial infections from other body regions can travel through the bloodstream leading to this condition.


The damage to muscle tissues can release muscle fiber contents into the bloodstream leading to rhabdomyolysis. Myoglobin (protein) is removed from injury to muscle fibers. When the kidney filters this protein, it breaks down into substances that damage the organ’s cells. This condition can also be caused by injury or illnesses that harm the skeletal muscles.

Can Normal Back Pain Cause Fever?

As discussed earlier, lower back pain and fever could signify a weak immune system. Usually, lower back pain and fever may subside after a couple of days and are usually not accompanied by fever. However, if it is lower back pain with fever and chills, it could be a sign of something more serious.

When to See a Doctor

If you notice any of these signs, reach out to a professional immediately:

  • Recurring and increasing lower back pain and fever that doesn’t reduce with medications
  • Tingling or numbness (waist down)
  • Weakness in the legs
  • Loss of bowel movement or bladder control
  • Radiating pain in the legs

Get to the Root Cause of Your Back Pain & Fever With Physiotattva

Back pain and fever of this kind may develop into a severe condition. Seeking treatment for the same is the first step to recovery. At Physiotattva, we provide quality services and care to help overcome various illnesses. Our experts aim to reduce such infections associated with back pain and fever through consultations and home visits.

Frequently Asked Questions

What are the red flag signs for back pain with fever?

It is essential to be aware of the following red flag signs for back pain with fever-

  • Weakness in the legs
  • Numbness and tingling
  • Loss of appetite
  • Radiating and frequent back pains that do not reduce with pain medications
  • Loss of bladder control
  • Frequent fevers

What should I do if I have a fever and back pain?

If you experience back pain and fever, you must immediately consult an expert for treatment and physiotherapy. You can overcome disorders that may damage your nervous system (brain and spine) with effective treatment.

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