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Low back pain or pain in the lumbar region can be due to conditions affecting the spine in the lumbar region, problems with the intervertebral discs, sprain or strain of the ligament around the spine and discs, pulled muscles, problems with the spinal cord or nerves, conditions affecting the organs in the pelvic region, etc. Low back pain is usually treated with medications like painkillers and muscle relaxants. Other remedies that you can try are applying heat compressions, massage, and performing strengthening exercises. If nerve irritation or compression is not the cause, then spinal manipulation is helpful.