Back pain is a leading cause of disability that can strike at any age. The spine is made up of 24 bones, or vertebrae, separated by discs of rubber-like tissue which act as shock-absorbers and allow it to bend. The whole structure is help together by ligaments, with tendons connecting the back muscles to the vertebrae.

As well as providing support, your backbone also protects the spinal cord - the central nerve that runs down from the brain. Most back pain is caused by a slight injury to the ligaments or muscles through lifting a heavy object, slouching in chairs, driving in a hunched position or standing or bending for too long.

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Any slight shift in position of the vertebrae or spinal discs can put pressure on one of the major nerves as they leave the spine. This happens most commonly in the lower back, affecting the sciatic nerve that runs across each buttock, then down the outer legs to the toes. It can also occur in the neck, causing pain in the nerves that supply arms and hands. This can be accompanied by pins and needles, numbness and weakness.

In older people, back pain can be due to arthritis or osteoporosis, and as discs tend to become less flexible, this can cause stiffness and pain, especially in the morning.

In the past, people with back pain were often told to rest. But now the advice is to keep as active as possible and ease discomfort with anti-inflammatories and paracetamol. Prompt treatment, such as physiotherapy, can help relieve spasms.

You can do a lot to help: lose weight if necessary;avoid sudden movements and lifting heavy items, keep muscles strong and supple with stretching exercises. Also watch your posture, wear flat shoes with cushioned soles, and try to reduce stress levels.

Some Q&A Tips for Back Pain Treatments

Q: I spend several hours a day working at a computer, and my back always aches byt the end of day. How can i prevent this happening? 

A: Your back should be upright at your desk and the screen at eye level, so you don’t hunch over. Your hips and kness should be level and your feet flat on the floor. Using a footstool may help, as may a cushion supporting the small of your back. Change your position slightly every few minutes, to prevent stiffness in your muscles.

Q: My teenage son often complains that his back aches. He carries a heavy bag to school every day and i’m sure this is part of the problem. Any suggestion?

A: Buy him a rucksack, with broad straps, and ideally, a waist strap as well, as that ensures the weight is spread more evenly. Don’t let his back become an excuse for being a couch potato. Encourage him to take lots of exercise, especially cycling and swimming - backstroke in particular is good for backs, no matter what your age.

Mike Saros back pain exercise video

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He know what it is like to suffer with excruciating back pain. Years ago he mentioned that his back pain was so intense it caused him to walk with a limp for several months. Today, after years of trying different ways to treat his OWN back pain, he simply know how to defeat back pain and he is about to show you how to defeat YOUR back pain once and for all.

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