What would cause a case of chronic back pain?

What would cause a case of chronic back pain?
My fiance’ has a pain in her lower back almost everyday. When i massage it i notice that her muscles are almost rock hard/knotted until i massage them. Her doctor has prescribed her with meloxicam which is an arthritis medicine, the medicine does not help at all any other suggestions, besides icy hot, or ibuprofen/pain meds or some sort of diagnosis?
Best answer:
Answer by pressy
Does she have a desk job or is she a nurse. Those two occupations produce a lot of low back injuries.
Have her ask her Dr for a referral to a Physical Therapist. At least she will get an actual diagnosis.
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