If there is no trauma or no
intervertebral disc space reduction seen which exerts pressure on local nerves, other reason may be osteophytes, sometimes not caught radiologically when in cartilagenous stage.
If that also not the reason, there is vitiation of 'Apaan Vayu' - that stays in Coccygial region to lumbar region - going by Ayurveda principles. Basic thing is the same. Theories are explained differently.
To my own patients who are sincere to follow, I would recommend
Yoga postures to follow those are simple and free of cost. Some deep breathing also helps.
Pain killers is no remedy. Rather Ayurveda's Rumalya forte tablets and Rumalya liniment's gentle
massage over the region after hot fomentation, have given stable results to many of my patients. These are not pain killers but safe herbal products which strengthen muscles and joints of the area that helps maintain proper gap in IVD spaces and also strengthen nerves. This is holistic approach of Ayurveda. Totally safe. But slow to act because these are not synthesised drugs.
So Yoga and herbals are choicest for you if you like to get permanent relief. Some Ayurveda doctor may guide you more on what to eat, what not to eat and other precautions for rapid effect. You may also revert to us through HCM once you decide to start it.
Hope it helps you.