Attributing PMS-related back pain to a single cause is difficult. pain can be caused by any one of a number of factors or by For example, like joint and muscle pain, a PMS backache could be caused by the drop in the level of estrogen, which prompts lower levels of endorphins and a sensation of greater depending on when during the premenstrual phase the pain (for example, one or two days before a period), backache related to menstrual cramping. Stress and tension, both of which big roles in PMS, may also prompt backache, and for some bloating exacerbates an aching back. So the issue becomes manage back pain. In general, over-the-counter medications, warming the area, exercise, massage, and stretching will help mild back pain. If backache is caused by inflammation, a dose of ibuprofen may be the answer, and heat or ice packs will For more severe pain, a doctor may prescribe muscle relaxants.

If you are sedentary, exercise will help relieve pain by making you more limber, strengthening your muscles, and helping relieve the stress and tension that often cause backache. Pilates, an exercise technique that improves strength and flexibility, may be especially helpful for backache because it focuses on working the core muscles, such as the abdominals, to support the spine and improve posture. Yoga can also provide relief.

Massage is a great way to relieve tension. For women with chronic back issues whose pain is worsened during PMS, chiropractic manipulation of the spine or acupressure may be very helpful.

Here are a few strategies to manage back pain:

• Over-the-counter pain relievers

• Prescription muscle relaxants

• Chiropractic manipulation

• Exercise therapy, especially stretching

• Massage

• Acupuncture

• Yoga

• Pilates