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Osteon Orthopedic Hospital is the Best Back Pain Treatment Hospital in Pimple Saudagar, Rahatani, Kalewadi, Pimpri Chinchwad and Pune. Back pain can happen when mechanical or structural problems develop in the spine, discs, muscles, ligaments, or tendons in the back. Sprain: an injury to the ligaments that support the spine, often occurring from twisting or lifting improperly. Strain: an injury to a muscle or tendon. What are the main causes of back pain? -Age. Back pain is more common with age, starting around age 30 or 40. -Lack of exercise. Weak, unused muscles in the back and abdomen might lead to back pain. -Excess weight. Excess body weight puts extra stress on the back. -Diseases. ... -Improper lifting. ... -Psychological conditions. ... -Smoking.