My Mom's back pains all started with her lower back. Her back issues ultimately caused her death 20+ years later. My Dad had lower back pain that he THOUGHT was back pain. Then he thought it might be Prostate issues. Turns out that it was cancer on his lower spine. But in both of their cases, their pain was much more profound, especially my Dad, at the onset. Mine is a dull ache only when I sit and lean back a tad. AND..My Chiro said he could feel the Sacrum out of whack and where the compensation was up my back a bit. I swear....I have become so gun shy with age when I need to get USED to aches I have never had.