Back pain after 60: common causes, red flags, and smart next steps
Topic: Bones, Joints & Pain
Reading time: 2 min
Back pain is extremely common—and most episodes improve with time and gentle movement. Still, there are a few situations where you should get checked sooner.
Common, usually non-urgent patterns
- Stiffness that improves after moving
- Soreness after lifting, gardening, or travel
- Muscle “tightness” without leg weakness
Helpful first steps (for many people)
- Keep moving gently (short walks, light stretching).
- Use heat or ice if it helps.
- Modify activities for a few days instead of total bed rest.
Red flags: seek prompt medical advice if you have fever, unexplained weight loss, new bowel/bladder issues, significant leg weakness, numbness in the groin/saddle area, or severe pain after a fall.
What to ask your clinician
- “Do my symptoms suggest nerve irritation (sciatica)?”
- “Would physical therapy help me learn safer movement?”
- “Do I need evaluation for osteoporosis or compression fracture risk?”
Prevention habits that help
- Regular walking and strength training
- Hip and core strength (glutes matter)
- Learning better lifting mechanics for daily tasks
Related: Strength plan and home safety.
Ask your clinician (starter questions)
- “What’s the most likely explanation in my case?”
- “What serious causes are we ruling out?”
- “Could any medications or supplements contribute?”
- “What’s the simplest next step?”
- “What should make me call you sooner or seek urgent care?”
If you want to prepare for a visit, try the Doctor Visit Checklist. For general support, browse Topics.