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Discover the Truth about Severe Lower Back Pain Most people are accustomed to dealing with the occasional aches and pains that spring up in our lower backs from time to time. These minor pains can be caused from a wide variety of things: overdoing it at the gym, not picking up a box properly, sleeping in an odd position, even sitting for an extended length of time. Most of the time, these minor aches and pains can be treated with a heat wrap, some aspirin, and a little TLC. Sometimes, the problem isn't as easily solved. Sometimes, you can have severe lower back pain.