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Pain does not usually come from the fat in the lower back unless you have a discrete fatty lump which is called a lipoma (again even these are usually painless). What is more likely is that your pain is radiating from the "spine". This can be from a disc causing pressure on a nerve, a narrowing of the spinal canal (stenosis), joint pain between each vertebra (facet joint degeneration) or rarer conditions e.g. infection and tumours.

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Q: Why is there Pain in the fat in your lower back?
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