Lower back pain is sometimes referred to as lumbago and this condition affects millions of people each year, sometimes through acute back trauma or strain and sometimes due to chronic wear and tear. The majority of lower back pain (lumbago) resolves itself over six weeks or so, but for an unfortunate number of patients it can become a chronic and debilitating problem.

The presence of continued lower back pain does not immediately implicate degenerative tissues as some physical degeneration, such as a herniated disc, can remain asymptomatic for many years whereas acute muscle strain may cause intense pain and suffering. Where a continuous problem is experienced it is important to rule out any persistent exacerbation, such as poor posture, muscle strain through overuse, or even problems with a draughty workplace or uneven shoes.