Can an Inguinal Hernia Causes Lower Back Pain?

inguinal hernia cause lower back pain

There is some belief that an inguinal hernia causes lower back pain. A myth, or scientifically proven?

Surprisingly, 1 out of 10 people in the world, have an abdominal hernia in their life. In this case, the problem regarding an inguinal hernia causes lower back pain is still arising.

Correspondingly, people who complain about their lower back pain with inguinal hernia disease, sometimes asked if their hernia is linked with their back pain.

As we know, an abdominal hernia is a condition when the organs inside the body presses and penetrate out through the crack of the weakened abdominal muscle.

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According to Dr. Bothwell in, men are more common to develop a hernia. And yes, one of the most well-known types of hernia is an inguinal hernia.

Simply based on their anatomy, it’s more common for men to develop hernias.
“As the testicles develop in the abdomen, it creates a small area of weakness that 20 percent of men don’t feel,” Dr. Bothwell said.

Can an inguinal hernia makes your back hurt?

Although this may be true, we can jump into the answer that an inguinal hernia is not the direct cause of lower back pain. But there is a relation to it based on the information below.


What is an Inguinal Hernia?

Simply put, an inguinal hernia occurs when part of the abdominal organs penetrate out of the cavity through the abdominal wall muscle under the direction around the genitals. This makes the appearance of the scrotum swelling and bulging, which can cause pain or burning.

In addition, inguinal hernia patients are mostly men. They are ranging from children to the elderly. Most patients will experience pain in the abdomen, especially if there is an infection that occurs in it.

Are hernias linked to back pain?

An abdominal hernia can occur by work or activity such as lifting heavyweight. So people who are likely to experience lower back pain along with an inguinal hernia have the same probability.

In people with an inguinal hernia, the bulge in the scrotum often appear when lifting something with their back muscle, and it will disappear when they are in lying down position.

People who are actively working by lifting heavyweight tend to suffer from an acquired hernia (a hernia which is obtained).

If someone does not have a congenital hernia disease (since their birth), most likely experiencing other health problems such as lower back pain due to lifting heavy loads during their work or activity.

But as we mentioned before, the answer to this question is negative.

This is because of the complications caused by this type of a hernia is just in the surrounding of the abdominal organs, bowel, and scrotum.

Moreover, it is impossible to conclude without examining the patient thoroughly that back pain is a consequence of an inguinal hernia.

However, based on the article written by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), there are a few things regarding prevention of an inguinal hernia in order not to aggravate the pre-existed lower back pain.

  • Avoid lifting heavy objects.
  • When you have to lift some items, make sure to use the legs and not the back.

Other case reports.

Although the direct cause is negative, there is another type of hernia that reported as the causes of lower back pain.

Inferior Lumbar Triangle Hernia

According to a medical journal published in NCBI, there are few cases reports about the lower back pain that coincide with the Lumbar Triangle Hernia.

Furthermore, as written in the journal, there are 4 case reports that all of which are accompanied by symptoms such as lower back pain.

However, same as the Inguinal Hernia, it can not be inferred that the Lumbar Triangle Hernia is the foremost cause of lower back pain.

It is mainly due to the lack of clinical awareness about this rare type of hernia. The lumbar triangle hernia may occur through defects in the inferior or superior triangles of the posterior abdominal wall. In the end, a more accurate diagnosis is needed, but it may be a challenge.


Based on the cases above, there have been no reports in medical journals about an inguinal hernia causes lower back pain.

Instead, people with acquired hernias have the same probability of having lower back pain according to their activity.

Additionally, see your doctor immediately when the inguinal hernia complications accompanied by severe pain, nausea, vomiting, and swelling.



  • NCBI: Inferior lumbar triangle hernia as a rarely reported cause of low back pain.
  • NIDDK: Inguinal Hernia.
  • Abington – Jefferson Health: 6 Facts About Hernias