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That is a hard answer to give without an examination, & may require other studies like an x-ray or an MRI. You should seek the advice of your physician or chiropractor. Mild causes could be a spastic or tight muscle, a trigger-point, or a lipoma. Other serious causes could be a bony growth from your spine that might be seen on an x-ray. Again this is something you should seek a professional for advice on.

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Q: What would cause lower back pain with a lump?
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