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Lower Back Pain Left Side. Lower back pain on the left side can be caused by many things. However, there are some causes that are more common than others. While there are more severe possible causes, lower back pain on the left side can be caused by common health related issues, such as pregnancy, kidney infection, and muscle spasms. Pain during breathing can indicate severe and less severe problems.
For example, the following potentially serious conditions may include lower right back pain as one of the symptoms: 1  Appendicitis. This condition occurs when the appendix, located in the lower right hand side of the abdomen, becomes inflammation and/or ruptures. 2  Cauda equina syndrome.