Can be caused from the lifestyle habits such: seated work, lack of movement, overweight.

The causes of persistent back pain are:

• high muscle tone
• muscle spasms e. cramp
• osteoarthritis
• piriformis syndrome
• osteoporosis or bone loss
• disc prolapse
• back trauma
• nephrolithiasis
• pyelonephritis

What to do to relieve back pain?

• Primary home remedies are analgesics (paracetamol, ibuprofen), both tablets and local preparates (ointments, creams). These relives the pain, the muscles relaxing and the tension decreases.
• When pain relives, one must start with exercises immediately. The exercises should be performed regularly (throughout life) to get a good result.

The family doctor/family nurse should contact when:

• pain occurs after traumatic event
• for home remedial recommendations
• despite treating at home, back pain persists for over 6 weeks
• pain is accompanied by fever
• pain is accompanied with urinary problems
• there is a disturbance in the sensation of the extremities (can not move the arm or leg)