Hello, You are experiencing painful twinge in the back leading to extreme pain. Your symptoms may be indicative of arthritis, osteoporosis, muscle and ligament strain, sciatica, bulging or ruptured disk, etc. You are suggested to maintain correct posture when you are standing, sitting or sleeping. Maintain healthy weight. Get connected to a physical therapist and do exercises to built muscle strength and flexibility. Avoid using the back for bending, you can bend your knees for bending or lifting anything. People who are prone to depression and anxiety appear to have a greater risk of back pain. Stress can cause muscle tension, which can contribute to back pain. Being overweight or lack of exercises triggers back pain. Some medical conditions like arthritis and cancer may be indicative of back pain. Get clinically examined by a GP, get all required blood tests, imaging tests and investigations done so that treatment can be started at the earliest. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician