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Back pain occurs and is perpetuates through a neurological process:

Specific nerve fibers know as Ad and C, or "capsaicin sensitive" or "pain nerves" are activated.

Their activation of these nerves causes pain, inflammation, and muscle contracture.

A vicious circle is initiated because inflammation and muscle contracture maintain the activation of the pain nerves.

Research studies reveal that if activation of Ad-C fibers persists over a period of time, other biochemical processes are initiated that could perpetuate their activation indefinitely. In this occurs, pain will persist even though its initial cause has disappeared.