Strains (injuries to a muscle or tendon) and sprains (injuries to a ligament) are the most common causes of back pain. Sudden movements and twisting or lifting of heavy objects can cause microscopic tears in the muscles, tendons or ligaments in your back. Depending on the severity of the tear, this can cause mild to severe pain that comes on immediately or soon after an activity such as heavy lifting. The lower back area can be sore to the touch and achy, while muscle spasms can also occur.

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