First of all look for possible sources for low back pain. Rule out any serious causes by subjective and objective examination. Don't forget the myofascial pain syndromes. Do the trigger point screening of the following muscles Logissimus thoracis, Iliocostalis lumborum, Iliocostalis thoracis, Multifidus. rectus abdominis.

Positional factors indicate the mechanical nature of the musculoskeletal pain syndromes. Pain is made worse or better by adopting the particular positions or postures that either stretch or compress the structure that is giving rise to pain. Various body or limb positions place different structures on stretch or compression and the resultant deformation produces an increase in severity of pain.