Are you overweight?
A cause of lower back pain
, especially in america, is being overweight
because the large belly pulls in the opposite direction.
Even mds are often hesitant to openly discuss this with patients who don't want to hear or accept the truth. If this is true, the loss of at least 10 - 20 pounds, combined with a focus on strengthening the "core" muscles with better posture, etc, may help more than meds.