Low back pain is a accustomed symptom amoung the up to date civilised people.It affects mainly the middle aged and young adults of both sexes.Natives who work on the chair with out work out and those who carry serious loads habitually are flat to dig up this grumble.We can hardly find a person who has not suffered from back pain atleast once in days.The causes of  low backpain ranges from undemanding reasons like brawny damage to cancer of spine and for this reason backache should not be unobserved.The pain is felt in lumbar and sacral county and may emit to nearby sites.

The subsequent are some causes for backache.

1) Backache due to diseases in the back.

2) Backache due to gynaecological problems.

3) Backache due to problems in other parts of the remains.

1) Backache due to diseases in the back:–

a) Injuries :-

1) Compression crack of the vertebral discourse.
2) Crack of intervertebral discs.
3) Injuries to ligaments and muscles of back.
4) Lumbosacral strain.
5) Intervertebral mutual injuries. 
6) Rupture of processes of vertebra.

b) Functional backache due to imbalance:-

1) For the period of pregnancy.
2) Pot belly.
3) Diseases of the hip joint.
4) Curvature in the spine due to congenital defect.
5) Short leg in one side.

c) Backache due to inflammatory conditions:-

1) Illness of the bone due to bacteria.
2) Tuberculosis of the spine.
3) Arthritis.
4) Brucellosis.
5) Lumbago or fibrositis.
6) Inflamation of the muscle.
7) Anchylosing spondylitis.

d) Backache due to degenerative diseases in the back.

1) Osteoarthritis.
2) Osteoporosis in old community.
3) Degenaration of the intervertebral disc.

e) Tumour in the spine:–

1) Primory tumour of the bones in the vertebrae.
2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.

2) Sciatica due to gynaecological problems:-

a) After childbirth.
b) After gynaecological operations.
c) Prolapse of the uterus.
d) Pelvic inciting diseases.
e) Cancerous lesions of the pelvic organs.
f) Endometriosis.

3) Backache due to problems in other parts of the stiff.

a) Renal sand.
b) Ureteric marble.
c) Disease of prostate.
d) Pancreatitis.
e) Biliary stones.
f) Peptic ulcer.
g) Inflammations of pelvic organs.
h) Occlusion of vein and illiac arteries.

Investigation of a case of backache:-

1) Full blood count up.

2) Routine urine exam.

3) Ultrasonography of the belly and pelvis.

4) X-ray of the lumbar and sacral region.

5) MRI of the spine.

5) CT scan of abdomen and pelvic region.

6) Exam of rectum,prostate,genito urinary organs.

Treatment of back ache:-

1) Removing the cause for backache.

2) Symptomatic treatement.

2) Back movements.

3) Toehold.

3) Yoga.

5) Surgical treatment.

7) Homoeopathy.