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Back trouble is the largest single cause of lost working days and up to 75% of the population will suffer from back problems at some time in their life. Most people suffering from back pain will recover completely within four weeks but one in every five hundred back sufferers becomes severely disabled. < ?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

There are, essentially, three conditions which are most common though there are many more problems which are classified under the general heading of backache. The first is backache caused by problems with the spongy tissue situated between the vertebrae of the spinal column. These are the discs and they cushion the effects of sudden movement and enable the vertebrae to move without grating against one another.

If one of these discs moves out of its position within the vertebral column, the nerves can be compacted and that is where the pain comes from. This pain can be felt throughout the lower back, buttocks and even in the legs if the sciatic nerve is the one affected. Disc problems can be sured but may almost certainly require physiotherapy and, as many as 10 per cent of sufferers will need some kind of surgery.

Osteoarthritis is the second major cause of back pain and, whereas the