The lumbar region can produce intense pain, which results in a patient struggling to sit, move, or stand up straight. Chronic back pain may be caused by bulging or ruptured discs, sciatica, muscle strain, arthritis, osteoporosis, and even poor posture. Risk factors include age, excess weight, improper lifting, lack of exercise, smoking, and diseases such as cancer. Recovery Without Walls has developed a sophisticated program for the treatment of low back and spine pain.