Quick Answer
The most common causes of back pain (kamar dard ki wajuhat) are muscle or ligament strain, poor posture and prolonged sitting, disc problems, incorrect lifting, and weak core muscles. Most causes are mechanical and improve with physiotherapy. A detailed assessment identifies the exact cause so treatment can target it directly.
Back pain rarely has a single cause. Understanding what is driving your pain allows physiotherapy to be precise and effective. Below are the most common causes we see and how each is treated.
Muscle and ligament strain
Lifting something heavy, an awkward twist, or a sudden movement can strain the muscles and ligaments of the back. This is the single most common cause of acute back pain and usually settles with movement, manual therapy and a graded return to activity.
Poor posture and prolonged sitting
Hours of sitting with a rounded back places sustained load on the spine and weakens supporting muscles. Correcting posture and building endurance in the core and back muscles is central to lasting relief.
Disc problems
Discs can bulge or herniate and irritate nearby nerves, sometimes causing pain that travels into the leg (sciatica). Most disc-related pain improves with physiotherapy rather than surgery.
Weak core and deconditioning
When the deep stabilising muscles of the trunk are weak, the spine is less protected during daily tasks. A progressive strengthening programme restores this support and reduces recurrence.
Key Takeaways
- Most back pain is mechanical, not sinister.
- Muscle strain and posture are the leading causes.
- Disc pain usually improves without surgery.
- Strengthening the core prevents recurrence.
Frequently Asked Questions
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Medical disclaimer: This article is for general education and is not a substitute for personalized medical advice, diagnosis or treatment. Always consult a qualified physiotherapist or healthcare professional about your specific condition.

