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I understand asking for insights, but there are a lot of different types of back pains.
It like asking for advice on why your car doesn't start and somebody offers that they replaced alternator and that solved all the problems. Yup, that might fix it.
So I have knocked my spine out of alignment several times. Having a chiropractor pop it back into place works. I didn't have to go two times a week for years. One visit, popped it back in.
I have had the lower back sprain of the type that you get from bending over and picking up a heavy object. That mostly just takes time. If the muscles are all tight, heat pads, alcohol (I'm not being snarky), massages, and anti-inflammatories like Naproxen, or prescription muscle relaxants can help. Good posture and strengthening the core muscles can help. And get somebody else to pick up heavy objects and if you can't do that, bend your ****ing knees like you are supposed to.
I have had a pinched nerve. For the shooting pains, sciatic nerve condition. You go see a specialist. They take various imaging tests. They scratch their butts and say, yeah, things look a little messed up but that is true of everybody your age. Why don't you give it six months and see if it gets better. We can try surgery but it has as much chance of making it worse as it does of making it better.
For degenerative conditions, see shooting pains above.
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