Often, there is a trigger point in the serratus anterior located under your arm that may cause frequent middle back pain. This pain may be felt at the tip of the shoulder blades. This condition is so subtle that even an expert on trigger points may overlook the symptoms. There are also trigger points at the rectus abdominus or the stomach that may cause the excruciating middle back pain. Weak abdominal muscle is pointed to be one reason why the lower back aches. While your core is weak, you are most likely to practice improper postures and your muscles may get used in the positions that cause irritation and pain. For this, the best lower back pain exercise may be an activity/ies that promote strength and flexibility on parts such as stomach, highs, hips and especially the back. For the mildest of cases and those that only require relief from discomfort and inflammation, pain reliever may be more than sufficient. The goals of these basic treatments are to: 1) restore the strength and to reinstate the proper function of the back bone and 2) to prevent the condition for recurring. Symptoms may indicate either chronic (or attacks that usually last for more than three months) and acute (that lasts or several weeks to less than three months). Studies point out that back pain during pregnancy is most likely to occur during the fifth or the seventh month of pregnancy. As it may be observed, this is the period when the womb bulges, enough to create additional heavy load to the woman. Having back doesn't mean that there is an ongoing damage or degeneration on the lower back. Unlike with acute pain where the level of pain may be associated with the degree of damage on the affected part, chronic back pain doesn't normally correlate with the level of damage. There are other myths and beliefs that may be associated with back pain. Acute Back Neck Pain The most common causes of acute neck pain are muscle strain, neck strain and strain experienced by other softer tissues such as ligaments and tendons. Neck strain is due to stiff neck caused by wrong bed position and partly due to carrying too many loads. A sudden jolt and pressure on the other hand may cause muscle strain.