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What causes Severe back pain?

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That is a difficult question to answer as the pain may not even be coming from the back but from the foot or ankle - radiating throughout the body and making the back appear to be sore.

It could be a nerve, a muscle, a disc which could have ruptured, bulged or herniated.

You need to see a specialist if the pain is increasing and have tests done to eliminiate the pain.

A good book to read is Pain Free by Peter Ecogscue - explains the muscoskeletal system and how we can help our bodies perform correctly, eliminating pain.
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