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While patients may only be able to articulate that their lower back hurts and roughly how long its bothered them, clinicians know that there are three different types of back pain, as laid out by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): Acute low back pain Subacute low back pain Chronic low back pain NIAMS also outlines that chronic low back pain can be caused by several factors, such as: Mechanical or structural problems, like strains, sprains, or degenerated or ruptured discs, Inflammatory conditions like ankylosing spondylitis, or Other conditions like osteoporosis, infections, and back pain in pregnancy

Then finally I get my first trial, and its a rear-end car accident in Queens, with a 55-year-old plaintiff who is a teacher and missing days from school