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Lower back pain is often caused by a biomechanical imbalance. In our day-to-day lives, at least half of our core muscles remain unused, while the other half are stiff from overexertion. No treatment can guarantee permanent results. Spinal surgeries, cortisone shots, chiropractic adjustments, acupuncture, or physical therapy all must be followed by regular exercises to prolong the effectiveness of the treatment. There is no other way.