What ayurveda says

According to ayurveda most of the back pains are related to vata,one of the tridoshas,

so the treatment would be internal medicine combined with panchakama .

internal medicine should be decided by the doctor after consultation ,who should take into consideration the prakriti other illeness like diabetes and hypertension which can cause inteference in treatment .
when we come to panchakarma vasti is the main treatment which should be under the supervision of a experienced physician ,then regular massage and bundle massage would be of great help. ,
it will take time to show effects,but once benifits start trickling it ,it is sure to allieviate ,the sufferings ,sheera vasti is very effective in chronic cases ,vasti is a continuous process and it should be beared in mind it should be done without break.The effect will be slow but sure ,and one should not expect immediate result like allopathic medicine.because our people are used to the allopathic system.