Treatment includes identification of the pain generator first with simple clinical examinations. Pain due to lumbar spine will be radiating to leg and foot. Pain due to facet joint arthropathy will be more on bending forward and on movemnets associated with tenderness on sides of the spine. Pain arising from sacroiliac joint will be more on getting up from a sitting position along with the tenderness on dimples at the back. Muscle pain will be associated with pain on activity of that particularmuscle.vertebral fractures ae mostly seen in old people or in those with history of trauma. If any doubt persist then further investigations in form of X-rays, MRI scanning , CT- scan , PET SCAN in cancer patients s advised. Various treatments in form of pain killers and other antineuropathic medicines, small needle injections , radiofrequency ablations, neurolysis, TENS therapy. Needle injections followed by physiotherapy and medications will provide long term benefit. Different treatment will respond differently in patients.