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Does Low Testosterone Cause Lower Back Pain?

Low T and Back Pain

Does low testosterone cause back pain? The answer is not necessary, but it certainly can. One of the most common symptoms of testosterone deficiency is muscle and joint pain. Often times this pain can radiate into other areas of the body, including the upper and lower back.

Muscular aches in the general back, lower back and upper back can be awful symptoms of low testosterone. In addition, along with joint pain, pain radiating down one or both legs, pain in one or both arms or general overall body pain can be debilitating.

Those who are experiencing low testosterone and back pain may also suffer from a lower quality of life. Those who have had problems with muscle spasms or general pain in their back, understand how this phenomenon can be devastating and life-changing.

Back pain caused by low testosterone can stop a person from living their life with much quality. It can limit many physical activities. It can take away from a person’s social life and personal relationships, including sexual activity.

This can be so overwhelming and distressing to both men and women that it can lead to depression. Testosterone replacement therapy (TRT) has been proven to help with low testosterone symptoms including back pain.

Can testosterone help with back pain?

Since research has proven that low testosterone can cause back pain, testosterone therapy can add back the hormone needed to diminish or eliminate the problem.

A simple blood test can give a doctor the information he or she needs to diagnose low T as the cause of general pain in the body or more specifically, for pain in the upper and lower back.

Low testosterone levels and back pain have been directly correlated to one another. Back pain due to low T has been considered to be one of the more common side effects of testosterone deficiency.

Whether the problem is low testosterone and upper back pain or lower back pain is the problem, increasing and balancing the levels of this vital hormone can change a person’s life for the better.

The Journal of Pain Research published an article that discussed combination therapy for low testosterone and back pain. Subjects were given a combination of recombinant HGH and testosterone injections along with manual therapy and exercise.

These treatments were geared toward the painful areas in those who were dealing with chronic lower back pain. The manual therapies and exercises were done to help with strength, pain, endurance, muscle movement and motor control.

The conclusion of the study proved that a majority of the participants receiving the combination treatment self-reported a highly significant decrease in their back pain.

Can low testosterone treatment cause back pain?

Low Testosterone Treatment

There have been instances where patients of testosterone replacement therapy complained of back pain after beginning TRT with injectable medications. There has been no proof that the testosterone medication has caused their pain. Back pain due to low testosterone treatment is not a common occurrence.

If back pain does occur after beginning testosterone replacement therapy, the correct course of action is for the patient to call his or her clinical advisor immediately.

A physical examination would be appropriate to find out whether testosterone has been causing the issue or if it is due to another underlying factor. A TRT doctor can always adjust dosages of testosterone medication to stop back pain if it is due to the testosterone injections.

Another way to avoid problems (including possible back pain) when taking testosterone injections is to make sure that patients are only working with reputable clinics.

These clinics will solely prescribe and ship authentic medications to their patients. So often men who use testosterone injections did not get diagnosed with low T and do not use trustworthy TRT clinics for their therapy. This can be highly risky and dangerous.

Buying testosterone injections from unknown sources online or from the black market or overseas can often cause terrible problems due to tainted medications. Medications bought from poor sources can often contain bacterial residue or other ingredients that can be the cause of back pain and other problems.

This does not mean that low testosterone causes back pain, but using tainted medications and then experiencing problems will give a false impression of legitimate testosterone replacement therapy.

Medically reviewed by   Reviewers National HRT Staff - Updated on March 20, 2023

Please note that the information provided in this article is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.


  1. MedicalNewsToday
  2. PPM