What cause back pain?

Several options. Back pain is usually related to arthritic changes to the spine. Sometime back pain can be related to infections, cancer, fractures, or even other organs such as the kidney, bladder, etc. If your pain lasts greater than 2 weeks i would see your physician.
Low back pain (LBP) Pain localized to the low back (lumbar spine) can be quite debilitating. Although the etiology of the pain can be multifactorial, the most common cause of lbp is a simple strain/sprain of the ligaments and/or tendons that support the spine. If the source is from an internal derangement of the disc (e.g., herniation), however, a formal evaluation from a spine specialist may be required.

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