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Really, anything. It could be something wrong with your brain, a pinched nerve in your spine, a tumor, a sprain, or something even more trivial. One symptom alone is not enough to say anything with any degree of certainty.

If it is ongoing, odds are it is a pinched nerve and it does happen. This can be caused by a herniated disc any many other things. I would look up herniated discs on Google to see if that is what you are feeling (you can herniate a disc in your sleep, so you might not remember any trauma)

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Q: What could be wrong when you have a sharp pain in your lower back?
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