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My ex-gf had back pain for years. Spent loads of money on therapies, then bought a new mattress, and got off a futon. Way improved, quickly.

Do you do any pushups or presses? Rubber band on fingers for extensor exercises? I should say I don't have pain without hard work. I feel a bit of arthritis in one ankle some of the time, particularly after manual dragging and forestry work.

I'm intending to stretch more, and drink more water.

I have some knots in my back that I'm working on, having worked on. Maintenance is required. Otherwise, I'm mostly pain-free, since getting a mini-loader, and not carrying a young child around any more. I'm injury-averse, and try not to over-do it at work or play. Maintenance helps.