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Skydiving, once, in my 20s. Not sure if the chute was on wrong, being slightly over the weight limit was a factor, or if it was just genetics, but when the chute opened, the jerk caused a loud enough pop that my instructor asked if I was okay.
I lied of course, the adrenaline kept me from knowing the deal, anyway.
The first time I threw my back out, after, it was from picking up a piece of paper. These days, when I have the least pain I can still tell my back muscles are as tight as a garage spring.
I had never known a moment of back pain before that day, and I don't know what it's like to walk a mile without back pain now.
I'll second physical therapy. Problem is finding a good one. Red light therapy (the pain treatment ones, not skin care) can also help, especially with inflammation. PEMF is another possible option.
My back pain actually originated in my hip.