Causes of Back PainBack pain can be caused by many different factors, which may all be present at the same time and interact to result in chronic low back pain. These could include mechanical or structural problems with the spine, inflammatory conditions, and other medical conditions. It is also possible that no specific cause can be identified for the start of back pain.Mechanical/Structural ProblemsBack pain can happen when mechanical or structural problems develop in the spine, discs, muscles, ligaments, or tendons in the back, or compress a nerve.: an injury to the ligaments that support thes pine (which connect the different bones together), often occurring from twisting or lifting improperly.: an injury to a muscle or tendon.Degenerative disc disease: aging causes the discs between the vertebrae of the spine to break down. It is associated with other degenerative changes in the spine, such as arthritis or spinal stenosis.Herniated or ruptured discs: an event causing a disc to compress and irritate nearby nerves. This often occurs at the lumbar level but can be present in the cervical spine as well.Spondylolisthesis: a vertebra in the spine slips out of place or gradually moves out of alignment.: a narrowing of the spinal canal that puts pressure on the spinal cord and nerves.Fractured vertebrae. or other congenital changes to the spine.Myofascial pain: tightness and pain of the muscles supporting the spine due to damage to the muscles or a result of the nerve input to the muscles coming from the spine.Inflammatory Conditions, a specific type of arthritis of the spine.Other types of inflammatory arthritis of the spine.Other Medical Conditions, which can lead to painful fractures of the vertebrae., a condition of widespread muscle pain and fatigue.Kidney stones or infections.Endometriosis, which is the buildup of uterine tissue in places outside the uterus.Infections that involve the bones of the spine or the discs between these bones, which can cause back pain.Tumors, in rare cases, that develop on the spine or other areas of the back.Pregnancy., In some cases, inflammatory arthritis disorders or other medical conditions cause back pain. Treatment varies depending on the cause and symptoms, and often there are several contributing factors. However, there are steps you can take to improve your health and lower your chance of developing chronic or long-lasting back pain., Who Treats Back Pain? Different types of health care providers treat back pain, depending on the cause: Pain specialists, who are physicians including anesthesiologists with specialized training in evaluation, diagnosis, and treatment of all different types of pain. Family or primary care doctors. Orthopaedists, who treat and perform surgery for bone and joint diseases. Neurologists, who treat .