Female lower back pain may be due to the following causes: 1. There may be misalignment of the small joints of the thoracic spine, often seen in some thin, and infrequent exercise female patients. This type of patients due to poor posture leads to misalignment of the small joints of the thoracic spine, followed by pain in the lower back, and may be accompanied by a feeling of pressure or stiffness in the back. The pain may increase when they breathe deeply.2. There may be muscle spasms in the lower back, often seen in women who work in a sedentary position for long periods of time. This is often seen in women who work in a sedentary position for long periods of time. 3. This type of patients before and after menopause. Due to changes in hormone levels in the body, it is often complicated by severe osteoporosis. Once this occurs, there will be soreness in the lower back as well as in the lower limbs.