“Can lower back pain lead to paralysis?”

Low back pain is unlikely to cause paralysis, but you should should have an mri to evaluate

Lower back pain by itself does not lead to paralysis. The root cause of the pain should be determined through competent history taking, examination and imaging, etc. The low back pain can be cured once the source is known.

It is rare, but not impossible for a lower back problem that initially presents with pain to result in paralysis. You should definitely have it evaluated if it has failed to improve with therapy. Radiating pain or numbness or weakness in one or both legs would definitely be a sign of worsening and should prompt immediate attention.

Please address this question to your treatment team. Pain does not cause paralysis but does affect your ability to participate in therapeutic exercises. If the pain is mechanical, that is increases in certain positions, discuss alternatives with your therapist to avoid worsening the pain and the problem in your back. Being sedentary, that is spending a lot of time sitting, can be a cause of pain as well.

Depends on the cause, if it's a large disc, or tumor, or degenerative process and whether any spinal instability associated with this, so I really can't answer the question adequately without knowing the exact diagnosis and MRI and CT findings.

No, paralysis does not happen in the lower back. However, sometimes what’s called a cauda equina syndrome may develop from a herniated disc for example which is a surgical emergency

Back pain is a symptom, not a disease. The cause of the pain needs to be determined, pain alone does not lead to paralysis. If the pain is not responding to treatment, you need to have imaging done to help explain why the pain is present and if a different treatment may help.

I have never seen a case of just back pain causing paralysis. You should have a neurosurgical evaluation to find the etiology of the pain.

Chronic back pain is a very common problem. In the vast majority of cases, it does not lead to neurologic problems such as paralysis, sensory loss or loss of control of bowel/bladder functions. However, there are cases where back pain is a symptom of a problem which can lead to neurologic problems. While rare, they do happen. Often in cases of persistent back pain doctors pay special attention to so called "red flag" symptoms. These include things like fever, weight loss, numbness, weakness, trouble controlling bowel/bladder or changes in reflexes. When these symptoms are present, often an MR scan is done to be sure that there is not a problem which could lead to paralysis.
So short answer: unlikely that back pain alone causes paralysis, but things which cause back pain (like tumors/infections of the spine) can lead to neurologic problems. In terms of percentages, the vast majority of chronic back pain does not lead to paralysis, but on rare occasions neurologic damage can occur.