I’ve talked about all of these back pain causes in different posts, but am going to combine them in an overview here for easier reference.  I’ll briefly review middle back pain causes, lower back pain causes, and upper back pain causes, as well as some basic tips, easy to do treatments and back pain exercises to help reduce your back pain.  General back pain is caused by very common things like over-use, abuse, lifting heavy items, awkward angles, poor posture, poor shoes, poor sitting position, desk and computer height, or a fall or trauma.  Sometimes it may only take resting it some, ice and/or heat, or mild pain pills to begin healing.  But, it can also be chronic back pain (long-term), which can cause much more serious damage, requiring more serious treatment.

Upper Back Pain Causes, Middle Back Pain Causes and Lower Back Pain Causes

Upper Back Pain Causes can be back strain or poor posture sitting at a desk or in a car for long periods, or it could be caused by an injury or trauma.  Many times, upper back pain is accompanied by neck and/or shoulder pain.  Most cases are caused by one or both muscular irritation (shoulder muscles attached to shoulder blade and back of rib cage) or joint dysfunction.  Upper back pain causes can be from a lack of back strength or de-conditioning, as well as over-use, muscle strain, injuries, accidents, etc.  The majority of upper back pain can be treated by passive or active exercise, massage therapy, acupuncture, or chiropractic/osteopathic manipulation.  Many physical rehabilitation programs include a lot of stretching and back strengthening exercises.  If there is a certain area that’s tender, the upper back pain cause may be a ‘trigger point’, which are usually in a skeletal muscle, and can be worked on by massage therapy, acupuncture or trigger point injections.  Non-steroidal anti-inflammatory pain medications (NSAIDs) can also be helpful.  Muscular irritation is usually a sign of inflammation, so anti-inflammatories like Ibuprophen or COX-2 inhibitors can help reduce inflammation.

Joint dysfunction in the joints that connect the ribs to the vertebrae (thoracic) on either side of the spine can also cause upper back pain.  Treatment for this usually includes manual manipulation by a physical therapist, chiropractor, or osteopathic physician to help mobilize and reduce pain.  Long-term relief usually requires a home exercise treatment program to stretch and strengthen your back muscles which are supported by your stomach muscles.  Aerobic conditioning is important to maintain upper back pain relief.  Anti-inflammatories also help this.

Middle Back Pain Causes are usually injury or trauma, but your middle back also compensates for lower back pain, neck pain or pelvic pain.  It may feel like a ‘stabbing’ pain, and can radiate to the ribs.  Your blood sugar control system can actually cause middle back pain.  You might reduce sugar / carbohydrates, as they can ‘overload’ the system, and actually irritate it or cause it to go out of place.  There are twelve (12) different pairs of spinal nerves at the middle back, and some even go to the shoulders and arm.  Middle back pain usually responds well to chiropractic treatment.  The sooner you get treatment, the better, as it can cause joint, spinal, disc or nerve degeneration, as any chronic back pain can.

You might try nutritional supplements for any back condition, as nutrition is KEY in healing, repair and pain reduction.  However, talk to your doctor.

Lower Back Pain Causes may include a pinched nerve, possible bulging or disc herniation.  It could be Sciatica (nerves) or Spinal Stenosis.  Joint disease could be involved.  Musculoskeletal pain syndromes like Fibromyalgia or Myofascial Pain Syndrome could be involved.  Other skeletal lower back pain causes could be Sacroiliitis, Osteomyelitis, or even tumors.

Back pain is a Symptom, many times originating from other organs (referred back pain).  Things like appendicitis, pelvic or bladder infection, ovarian disorders, kidney disease and aneurysms can cause referred back pain.  Always go to your doctor to be evaluated, tested and diagnosed.

Other articles around the web related to back pain causes:

Causes of Upper Back Pain
Upper back pain can occur as a result of trauma or sudden injury, or it can occur through strain or poor posture over time…
http://www.spine-health.com/conditions/upper-back-pain/causes-upper-back-pain

Causes of Back Pain
It is important to understand that back pain is a symptom of a medical condition, not a diagnosis itself…
http://www.webmd.com/back-pain/guide/causes-of-back-pain

Back Pain:  Causes of Back Pain
Your backbone (vertebral column) is actually a stack of more than 30 bones called vertebrae. Together they create a bony canal that surrounds…
http://www.mayoclinic.com/health/back-pain/DS00536

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Upper back pain causes can be trauma or sudden injury or impact.  They can also happen from back strain or poor posture.  Upper back pain can be caused by working at a computer most of the time.  A lot of times, upper back pain occurs with shoulder pain and/or neck pain.  Most upper back pain causes are from one or both of:

• Muscle irritation (myofascial pain)
• Joint dysfunction

Upper Back Pain Causes from Muscular Irritation

Upper back pain caused by muscular irritation affects the large upper back muscles, which are attached to the shoulder ‘girdle’ and scapula (shoulder blade).  They can develop irritation (myofascial pain), which can be painful and difficult to treat.  Like most back pain, upper back pain is due to a lack of conditioning (exercise, stretching, strengthening, strong stomach muscles which support your spine), or overusing the muscles, like repetitive motion (RMI-repetitive motion injury).  If you strain a muscle, have an injury including sports, car accident or other trauma or sudden impact, or improper posture all cause or contribute to this.

Upper Back Pain Causes From Joint Dysfunction

Your ribs connect to the vertebrae in the ‘thoracic spine’ by two joints that connect on each side of the spine.  Dysfunction of these joints can cause upper back pain.  Treatment for this also usually includes manual manipulation as above to help loosen and mobilize the joint and reduce your discomfort.  To get long-term relief, you usually have to have a home exercise program to stretch the spine and shoulders, as well as back strengthening exercises.  Aerobic conditioning is also very helpful in maintaining long-term upper back pain relief. Back pain medicines can also help this, as above, because joint dysfunction can cause inflammation.  Injections like an epidural steroid injection are usually not necessary for this unless they’re local trigger point injections. Some less common upper back pain causes are degenerative disc disease, herniated disc, spinal stenosis, etc.

How to Get Upper Back Pain Relief

Some of the best ways to get upper back pain relief are manual treatments like:

• Back stretching exercises, back strengthening exercises, active and passive physical therapy
• Chiropractic back pain treatment or osteopathic manipulation
• Massage therapy or
• Acupuncture for back pain

Since the upper back pain relates to large muscles in your shoulder area, most rehab programs include a lot of stretching and strengthening exercises.  A conservative (non-surgical) back pain specialist like an osteopathic doctor/rehab/physical medicine physician or chiropractor would be good to see for upper back pain treatment. If you have a specific area that is tender, the source might be what’s called an “active trigger point”.  Trigger points are usually in a skeletal muscle, and can be worked on by one or more of these treatments:

• Massage therapy
• Acupuncture
• Trigger point injections with a local anesthetic like Lidocaine

Back pain medication can also help, since muscle irritation usually includes some type of inflammation.  Anti-inflammatory medicine like Ibuprofen can help reduce the inflammation. *ALWAYS consult with your physician to determine your back pain cause and treatment plan so you don’t cause more damage.

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Your back is comprised of over 30 muscles, many ligaments, joints, discs and 33 vertebrae.  So , you can see how easy it is to cause back pain.  I’ve talked about many back pain causes, but will give a brief overview of the most common back pain causes, then will review some other issues that back pain can cause.  Some of the most common back pain causes include:

• Muscular strain, lumbar muscle strain or muscle spasm caused by a sudden or awkward movement, fall or other impact, over-straining your back, lifting bulky or heavy items, awkward angles, pushing, pulling, lifting, twisting, or trauma.  This causes inflammation or injury including possible tearing.  Ligament sprains are common when the back is stretched beyond its capacity.  These commonly occur with muscle strains.

• Herniated discs are caused by compression of the spinal nerves.  They result from repetitive motion like machine operators or truck drivers, or unaccustomed heavy loading on the back.  Proper lifting is Very Important.  Sciatica is a common form of a herniated disc or “radicular” back pain, along the nerve(s).

• Osteoporosis is a common cause of back pain, particularly in women and when you’re older.  It affects the spinal joints. It’s referred to as a “degenerative joint disease”.  It can get worse the longer it goes when bearing weight or walking.  Surgery is sometimes needed for this.

• Spinal Stenosis is another back pain cause, also more common in people over 50.  It’s a narrowing of the spinal canal and includes thickening of ligaments, bone spurs, and enlarged joints (cartilate) from arthritis-type changes.  It also gets worse with longer periods of bearing weight or walking, and may need surgery.

• Fibromyalgia is another common cause of chronic back pain and chronic lower back pain.  It’s rheumatic which includes soft tissue pain, sleep interruptions, and widespread, evenly-distributed tenderness.

• Other common causes of back pain are: #1 Poor Posture, standing, sitting or hunching, bending too long, constipation, gas, stress, kidney stones or infections, dehydration, smoking or even eating the wrong foods (sugar, processed foods).  Eat more raw, organic types of foods.

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The main cause of lower right back pain right side only is usually sacroiliac pain, a very common form of lower back pain.  This joint is used a lot, so it more likely to be injured.  There is a muscle that runs from the bottom of your ribs to the top of your pelvis which can develop “trigger points”.  These can refer pain to the lower right back and right side only.  Lower back pain right side only can be sciatica, which has symptoms of possible sharp pain, tingling, numbness or weakness and leg pain that travels through the buttocks down the sciatic nerve in the back of your leg.  Usually it will get better within a few weeks or months with proper treatment, pain management and regular back strengthening exercises and back stretching exercises.

If it’s more severe, you may need physical therapy and exercise or surgery, but exhaust all other methods before resorting to that.  Middle back pain right side causes could a muscle strain or muscle spam, slipped disc, pinched nerves or even gas.  Another possibility could be gallstones or inflamed gallbladder.  It could also mean lower back pain kidney problems or infection.  Symptoms can include lower back pain on one or both sides that may radiate to the groin area, feeling ill, fever, bloody or cloudy urine, and you may have to urinate more frequently.    Lower right back pain is usually more localized and may have been sudden.  It can vary with different positions or movements, it doesn’t cause a fever or illness, and taking back pain medication can help.

Treatment for Lower Back Pain Right Side Only and Middle Back Pain Right Side

Lower back pain exercises are one of the best treatments for lower lower back pain right side and middle back pain right side issues.  Go here for some of the best lower back strengthening exercises and back stretching exercises.

Other traditional treatments for lower right back pain are anti-inflammatories (NSAIDs), pain relievers, some rest, heat and ice, massage therapy, electronic stimulation like the TENS unit for back pain, cortisone injections, and ultrasound.  Other treatments can be acupuncture for back pain, osteopathic treatment and physiotherapy.  The most common cause of back pain is muscle imbalance or spinal imbalance or misalignment.  The traditional treatments won’t alleviate the causes.

Balancing your muscles or spine addresses the pain and root cause of most back pain, including lower back pain right side only.  You have to assess the cause and symptoms, then learn how to re-balance your muscles.  You can do this in just two minutes with two muscles, and you’ll know what and where to target it to stop the pain.  Stretching alone doesn’t stop it.  There are just 3 simple steps you can take to be pain free in Days, and they’re “proven” to get you pain free.  This is the only proven way to end the pain without medication or surgery, and you can do it in just a few minutes each day.  To learn more about muscle imbalance, how to assess your specific causes and symptoms, and what you can do to eliminate the causes of lower right back pain, right side only or middle back pain right side causes, read more here: Lower Right Back Pain Relief in Three Days

If you have severe or chronic back pain (long-term), please see your doctor to make sure there’s nothing more serious going on.

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I’ve talked a lot about lower back pain causes, but will go into things in a little more detail.  I’ll also review some lower back pain treatment options and lower back pain exercises to help start to relieve your back pain right away.  Some of the most common lower back pain causes are:

• Injury or overusing your muscles, ligaments, sacroiliac joints (junctions between your spine and each side of your pelvis) and facet joints (bony protrusions on the back of your vertebrae)
• Pressure on the nerve roots in your spinal canal, which can be caused by:
  • Herniated disc (often caused by a repeated motion or vibration, lifting incorrectly, or sudden strain or pressure to the lower back)
  • Osteoarthritis (joint degeneration), usually with age
  • Spondylolisthesis or Spondylolysis, vertebra defects where the vertebrae can slide over each other
  • Spinal Stenosis (narrowing of the spinal canal), usually with age
  • Vertebrae fractures caused by a lot of force, like a car accident, blow to your spine, or spinal compression falling
  • Spinal deformities, which can include spinal curvature problems
• Compression fractures, more common with post-menopausal women with osteoporosis, or long-term corticosteroid use.  Compression fractures happen very easily with those with osteoporosis with little force like a sneeze

Helpful Lower Back Pain Treatment Options

There are many lower back pain treatment options available to you, from temporary treatment including over the counter back pain medications and creams, to lower back pain exercises to stretch and strengthen your back, alternative back pain treatment options, and surgery.   Some of the things to keep in mind for lower back pain treatment are:

• If you’ve just developed lower back pain, STAY ACTIVE and try some back pain medicines like Acetaminophen (i.e., Tylenol) or non-steroidal anti-inflammatory drugs (NSAIDS) like Ibuprophen (Advil or Motrin), or Naproxen (Aleve or Naprosyn).  Laying down or being immobile for too long can actually make your lower back pain worse and lead to other problems like muscle weakness and stiff joints.
• Make sure you’ve discussed your lower back pain causes with your doctor about your back pain causes, back pain symptoms, how to manage it, or activities you can or shouldn’t do.
• If your lower back pain has lasted more than three (3) months, you may need more intensive lower back pain treatment.  There are back pain therapy programs that include back strengthening exercises, education, and physical activities to help increase function and manage pain.
• Once you’ve had lower back pain, it’s likely to return.  So, to avoid further issues you need to keep your back and stomach muscles strong, use good posture, the safest ways to lift heavy objects, turn, bending, etc., and how to manage stress.
• Surgery’s rarely needed for lower back pain, even with a herniated disc or nerve damage, so keep that in mind.

Acute Lower Back Pain Treatment

Acute lower back pain is back pain that’s lasted less than 3 months, and it can get better within a few weeks.  Some acute lower back pain treatments can include:

• Resting the first day or two in a comfortable position.  Try laying on your side with a pillow between your knees, or on your back on the floor with a pillow under your knees.  *Don’t stay in one position for too long.  Take a short (10-20 minute) walk every 2-3 hours and find a comfortable position to rest in again.
• Take back pain medicine if you need to.  Sometimes it works better if you take them on a regular schedule, but don’t take more than is indicated.
• Try a heating pad on low or medium for 15-20 minutes every 2-3 hours, or a warm shower in place of one heating pad session.  You can also use “single-use” heat wraps that can last up to 8 hours.  You can also use an ice pack 10-15 minutes every 2-3 hours.  See whether heat or ice helps more.  Sometimes alternating is best.
• Get back to normal activities as soon as possible, because movement helps your muscles stay strong.

Helpful Lower Back Pain Exercises

Lower back pain exercises are not hard to do, aren’t complicated, and you can do them at home without any special equipment.  Don’t let your fear of pain keep you from trying some gentle activity.  You need to do lower back pain exercises and stretching to help strengthen and stabilize your back.  Some helpful lower back pain exercises are:

• Back stretching exercises to help keep your muscles and supporting tissues flexible and less prone to injury
• Back strengthening exercises, focusing on your stomach, back and leg muscles
• Aerobic exercises to condition your heart and other muscles, speed recovery, and maintain your health

Lower Back Pain Exercises to Avoid

Some lower back pain exercises can make it worse, so if you have lower back pain, avoid:

• Straight let sit-ups
• Bent leg sit ups or partial sit ups (curls) if you have acute back pain
• Lifting both legs when you’re laying on your back
• Lifting heavy weights above your waist
• Toe touches when you’re standing

Go to the “Back Strengthening Exercises” page to learn more about lower back pain exercises.

First, you need to diagnose your lower back pain causes to determine your lower back pain treatment.  But, to really improve it, you need to do consistent lower back pain exercises.  Please let me know if you have any questions.  Thanks

Other articles around the web related to lower back pain causes:

National Institute of Neurological Disorders and Stroke
If you have lower back pain, you are not alone. Nearly everyone at some point has back pain that interferes with work..
http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm

WebMD, Low Back Pain Cause:  Most low back pain is triggered by some combination of overuse, muscle strain, and injury to the muscles, ligaments… 
http://www.webmd.com/back-pain/tc/low-back-pain-cause

EMedicineHealth, Low Back Pain Causes:  Pain in the lower back or low back pain is a common concern, affecting up to 90% of Americans at some…  http://www.emedicinehealth.com/back_pain/article_em.htm

MedicineNet, Lower Back Pain: The first step to understanding the various causes of low back pain is…
http://www.medicinenet.com/low_back_pain/article.htm

Back pain during pregnancy is very common.  You’re obviously carrying more weight and putting more strain on your back, particularly your lower back.  A lot of us have more water weight when we’re pregnant.  You walk differently, and your hormones relax your ligaments and tendons.  But, there are plenty of back pain pregnancy treatment options, including things you can do to relieve back pain during pregnancy.

Some back pain pregnancy treatment options are:

• Good Posture.  Keep your buttocks under you, your shoulders back and down, and stand up tall and straight.
• Be Conscientious Sitting and Standing.  You should sit with your feet elevated some.  Use furniture that supports your back or put a small pillow behind your lower back.  Change positions fairly often, and don’t stand for long periods, or rest one foot at a time on something like a foot support or low stool.

• Lift Properly.  If you have to life something, anything, squat down and use your legs to lift.  Don’t lift with your back or bend at your waist, and don’t overdo it.  If you need help, ask for it!

• Lay On Your Side.   Lying or sleeping on your side instead of your back helps take the load off.  Keep one or both of your knees bent or put a pillow between your knees and/or under your stomach.  Full length body pillows are great for this.
• Wear Proper Clothing, Footwear and Support Wear.  Always wear low heeled shoes with good arch support and wider heels.  Wear maternity pants with a low waistband that’s supportive, and think about using a maternity support belt.

• Exercise Regularly.  Regular exercise helps keep you strong overall, and keeps your back strong, relieving back pain.  If your OB-GYN approves, swimming is a great, low resistance exercise, riding a stationary bike or walking. 
  • Pelvic Tilt Exercises are great back strengthening exercises

• Massage, Heat and Cold Therapy.  Soak in warm tub, use a heating pad or apply heat to your back.  Some like to alternate heat and cold.  Have someone massage your back or get a massager.
• Over-The-Counter Back Pain Medications like Acetaminophen, Tylenol, etc. are suppose to be safe to use during pregnancy, but others are not.  Check with your doctor before you take anything to treat your back pain during pregnancy.

More back pain pregnancy and lower back pain during pregnancy treatment options are below.

Back Pain and Pregnancy: Back Pain Early Pregnancy Treatment Options

Back pain and pregnancy go hand in hand.  If you don’t have back pain during pregnancy, you’re one out of a million!  Back pain early pregnancy symptoms including back pain and muscle pain or cramps, as well as lower back pain are Very common.  Progesterone softens discs and ligaments that support your upper body during pregnancy.  Urinary tract infections can also cause back pain during early pregnancy.

Exercise is the best treatment for back pain and pregnancy, including pelvic exercises, rocking, walking, etc.  Posture is very important in relieving back pain during early pregnancy, and more important as the pregnancy continues.  Sitting, standing, laying and walking properly all make a huge difference with back pain and pregnancy.  Rest is also very important in taking the strain off of your back.

Lower back pain in early pregnancy tends to go away around the 20th week, but if you have chronic (long-term) or severe back pain, you need to talk to your doctor right away.

I hope these back pain pregnancy and back pain early pregnancy treatment options are helpful.  Unfortunately, you can’t get away with no back pain and pregnancy or lower back pain during pregnancy due to the changes in your system and body.  Please let me know if you have any questions.

Other related articles around the web regarding back pain pregnancy symptoms and treatment:

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Upper back pain causes are much like lower back pain causes in that they can result from an injury like a trauma such as a fall, or poor posture or strain over a period of time.  In recent years, upper back muscle pain has been a common complaint, because so many of us work at desks and computers most of the day, don’t have proper posture, and don’t move around or stretch.  A lot of times, you’ll also have neck pain and/or shoulder pain with it.

Two of the main upper back pain causes that contribute to the majority of upper back pain are:

• Irritation or inflammation of the muscles
• Dysfunction of the joints or “myofascial pain”

A lot of the time upper back pain and muscular irritation is caused by a lack of fitness or muscle strength, or injuries from over-using the muscles, like Repetitive Motion Injury (RMI) or Carpal Tunnel Syndrome.  Muscular strain and irritation occurs from accidents, injuries, sports activities, etc.

How to Get Upper Back Pain Relief from Upper Back Muscle Pain

For this type of upper back muscle pain, these are some manual types of treatments you can do to help get upper back pain relief:

• Exercise, Activity and passive physical therapy
• Massage therapy
• Osteopathic or chiropractic manipulation
• Acupuncture

Since upper back muscle pain relates to the large muscles in the shoulder areas, a lot of rehab programs include a lot of stretching and back strengthening exercises.

If you have a tender area, the source of the upper back muscle pain could be a “trigger point” for the pain.  Some upper back pain relief treatments for this are:

• Massage therapy
• Acupuncture or
• Injections into the trigger point with a local anesthetic

Back pain medications are also helpful for temporary relief, and since upper back muscle pain commonly includes inflammation, anti-inflammatories like Ibuprophen, etc. can help reduce it.

I’ll be writing more about this, but hopefully this helps give you an idea of what the upper back pain causes are so you can treat upper back muscle pain yourself.  There are other more uncommon upper back pain causes, and I would suggest seeing your doctor if it continues more than a month or so, so you can be properly diagnosed and treated to get some upper back pain relief.

Other articles related to upper back pain causes:

Upper Back Pain – Causes, treatments and exercises for upper back pain

Common causes of upper back pain are incorrect sleeping and sitting postures, stress and injury. Emp …

Chiropractor in Austin TX | How to Save Money in Back Pain …

When we cruise total similar to these with during the behind of suffering being the second most usua …

What Are the Causes of Lower Back Pain? (Part II) | Back Pain …

What Are the Causes of Lower Back Pain? (Part II) To follow up with the part I article on the common …

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There are many possible causes of lower back pain, and I’ll review the most common causes and symptoms here, as well as some good lower back pain exercises and lower back pain treatment that helps.  Lower back pain causes usually include over-using or over-straining the back, bad posture or positioning, lifting heavy objects or awkward movement, accidents, falls or other injuries or traumas to the back or spinal column, etc.

Lower back pain causes usually include muscle strain that can lead to overall imbalance of the muscles and spinal column.  This can lead to constant tension on muscles, tendons, ligaments, bones and discs, which makes your back more prone to injury.  Many times these are cumulative, or add on to each other, because you’ll move differently to avoid the pain, or use muscles that aren’t sore.  This can cause you to overcompensate, straining these muscles in addition to the ones you’ve already strained or injured.

The most common causes of chronic lower back pain include what I indicated above:

• Over-use, strain or injury to muscles, ligaments and joints including the sacroiliac joint.
• Pressure on the nerves in the spinal column including the sciatic nerve, which can be caused by a herniated disc
• Fractures to the vertebrae caused by an accident, fall or other trauma to the spine, compressing it
• Osteoarthritis, which is a degeneration of the joints including the hips, usually when we get older
• Vertebra defects that cause vertebrae to slide over each other (Spondylolysis and Spondylolisthesis)
• Narrowing of the spinal canal which can also develop with age (Spinal Stenosis)
• Spinal deformities that cause a curvature of the spine like Kyphosis or severe Scoliosis
• Compression fractures most commonly found in post-menopausal women with Osteoporosis, which even a sneeze can cause a compression fracture, or after extended use of a “corticosteroid”.
• Kidney or ovary problems, tumors and pregnancy and other less common issues can all contribute to lower back pain

Lower Back Pain Exercises

Lower back pain exercise is VERY helpful in alleviating most types of back pain, including chronic lower back pain and acute back pain.  Lower back pain exercises include stretching and strengthening the muscles of your stomach (abdomen) and back (spine), which help reduce and prevent back problems.  This will also help improve your posture, which is Key, and keep your spine in the correct position.

You should warm your muscle up with a light activity like walking before doing stretching or strengthening exercises.  Wear loose clothes and DON’T do any low back pain exercises that hurt unless you’ve talked with your doctor.  They can also help you develop an exercise program.  NOTE:  If you have a herniated disk or other disk problem, you should also check with them First.

Some good lower back pain exercises can be found at my Back Strengthening Exercises page and here: Lower Back Pain Exercises

Lower Back Pain Treatment

Other lower back pain treatment can include ice and heat, back pain massage therapy, back pain medicine including anti-inflammatories and muscle relaxers or injections depending on the lower back pain cause, spinal decompression therapy, physical therapy or alternative back pain therapy like accupuncture for back pain, and other back pain therapies.  Electric muscle stimulators like a TENS unit (transcutaneous electrical nerve stimulation) is Great.  I still use mine when I need to.  Muscle strains including lower back muscle strains usually heal with Time (couple days to few weeks).  Resting for a couple of days helps, but no more than that.

Lower Back Pain Massage Therapy

Lower back pain massage therapy like the Homedics back massager, Jeannie Rub massager (hand held massager), a back massage chair, or car back massager are all great back pain massage options, and some include deep tissue massage therapy.

Back Pain Massage Therapy

Other articles around the web related to lower back pain causes:

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