Introduction: Low back pain (LBP) is of common occurrence at all ages due to various causes ranging from congenital abnormalities, sports injuries, work related injuries, osteoporosis and other old age disorders, and rarely cancer. Acute LBP is defined as of less than 4 weeks duration, sub-acute up to12 weeks and chronic after 3 months. Though, a majority of nonspecific mechanical type of LBPs recovers mostly within 4-6 weeks, they too involve costs. In general, there are many more established concerns. Recommendations of some Government agencies and national professional associations are preferred in this document. Next, systematic reviews find place; some RCTs are included to present research and to get an all-round picture. This author’s comments are interjected as necessary.

LBP is a musculoskeletal disorder affecting 80% of people at some point in their lives. In the United States it is the most common cause of job-related disability, a leading contributor to missed work, and the second most common neurological ailment, only headache is more common. 

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