Mechanical Low Backache: Review of Anatomical Basis of Low Back Pain and Significance of Muscle Strengthening Exercises

Mechanical low back pain (MLBP) is a significant health problem in the community. It affects all strata of the population. Various investigation modalities have been helpful in successfully diagnosing the underlying aetiology of LBP, and patients with such definite aetiology can be offered specific medical or surgical treatment to cure it. However, almost 70% of the cases fall in the Mechanical Low Back Pain criteria. Despite technological advances, treatment of MLBP remains restricted to conservative with supportive measures like analgesics and physiotherapy. However, the response to the treatment still needs to be satisfactory. It is necessary to understand the anatomical basis of MLBP. The lumbosacral spine and surrounding soft tissue as a complex undergo several degenerative changes over a while.