It seems the most common pain most people have is lower back pain. Every case is different and just because you have a pain in the back, does not mean you need pain medicine or a medical procedure. Open back surgery is one way to help some folks out, with severe cases of back pain. Usually before patients reach the surgery level, they have did other things for back pain relief first. I know the shots in the back is a common procedure, which most back doctors will try first. An epidural shot can offer short to long term relief for many back pain sufferers. In some cases, your back doctor may want to “burn” the nerve endings in the back, to reduce the pain levels. This procedure can be effective, but it is not a permanent solution. The nerves will eventually grow back. However, if it takes 1 to 5 years for the nerves to grow back, most patients could live with that, as long as they had some period of back pain relief. I do know our backs are not designed for a 50, 60, or 70+ year lifestyle or life span. So in most cases, having a lower pain in the back, is a natural and expected problem we all face.