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Between 2 and 6 million Americans suffer serious back pain every year. At some point in their lives, 4 out of 5 adults will suffer a pain severe enough to warrant medical care. In one study of Ironman triathletes, 91% had suffered at least one soft-tissue overuse injury during the previous year's training. Spine injuries were most common, with 72% of the triathletes reporting lower back pain.