Backaches in women are so common and so far-reaching in their effects that a thorough understanding of them is of the greatest importance to members of the medical profession, to say nothing of their patients. A much too large number of women are its victims. Much of the hysteria and neurasthenia from which they suffer appears to be caused by the nervous leak due to the constant backache, much in the same way that eyestrain gives rise to headaches and other nervous disorders. Yet, if we turn to our text-books, we find practically nothing on the subject.
First, we must determine the cause of the backache. The causes of backache below the dorsal region are numerous, and it is essential for success in its treatment that its origin be accurately diagnosed. The causes are rheumatism, strains, neuralgia, sacroiliac disease, caries of spine, fracture of spine (especially of the coccyx),
GARRIGUES LF. THE CAUSES AND THE TREATMENT OF BACKACHE IN WOMEN. JAMA. 1909;LII(1):11-13. doi:10.1001/jama.1909.25420270011001c