Acute Lumbar Sprain: Like any sprain, back muscles are often involved in sudden jerky movements like lifting weight , bending forward, travel or sleep in wrong posture. This can lead to one of the most severe pain in back and tilted posture(LIST). This pain is usually localised to your back.Changes in posture can increase the intensity of pain and we try to remain still. If pain is not traveling to your thigh or legs usually rules out any Disc prolapse. The diagnosis is mostly clinical and MRI scans or X rays are only indicated if problem is persisting for long. Treatment: One shouldn't panic despite the intensity of pain is horrifying.This is a temporary problem and will wane with time. Rest Muscle relaxant medications Physiotherapy Ice packs hot packs One should avoid exercises in the acute pain. The problem usually resolves in 4 to 5 days. Dr Abhishek Kumar Senior consultant Orthopedics and Joint replacement