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"It puts pressure on the joints and your discs and your back poor core strength. So if you have weakened abdominal muscles, they can't support your spine, which can lead to back strains and sprains. Your overall health. People who smoke, drink excess alcohol or have limited physical activity are a higher risk of back pain. Occupation and hobbies, jobs and activities that require heavy lifting or frequent bending can increase your risk of back injury. Mental health conditions."