Only focusing on the most common and most dangerous etiologies of back pain, are missing a significant portion of cases. Provocative disorders, malignancy, pregnancy, trauma, osteoporosis, degenerative disc disease, disc herniation, spinal stenosis, sacroiliac joint dysfunction, facet joint injury, ankylosing spondylitis and inflammation are all part of the body. Discriminate the signs and symptoms of mechanical pain from neuropathic pain (radiculopathy) is an crucial steps first step in the diagnosis of back pain. Unique tests can be used to help differentiate the origin of the patient’s back pain.