Neck and back pain are among the most common problems affecting Americans with roughly 80% of the population reporting an episode of severe low back pain in their life. Episodes of severe back pain have traditionally been attributed to the spine which resulted in diagnoses such as degenerative disc disease, spinal arthritis, or facet arthritis. Modern studies have shown that the health and size of one’s low back muscles is critical for preventing pain. It also suggests that the muscles of the neck and low back are a significantly more common source of pain than the spine itself. Modern rehabilitation techniques allow us to treat muscular sources of neck and low back pain with higher rates of success than the surgical techniques that were previously recommended for low back pain.