It is estimated that 80% of the population at least once had to deal with such complaints, while 25% of patients with chronic low back pain is the cause. Treatment of pain in the spine lumbar-sacral deal with doctors of various specialties. Analyzing the proposed treatment regimens for acute and chronic low back pain can be assumed that in both cases, the principles of diagnosis and treatment are very similar. In case of acute back pain medical history, physical examination and differential diagnosis are very important at every stage of treatment, and at the lead to chronic pain. The paper summarizes the European Guidelines 2006, the guidelines developed by a group Manchikanti and guidelines developed in 2010. It highlighted the consistent and contentious points mentioned studies. It is difficult to avoid the burden of belonging to a medical societies, or groups in particular often use some form of therapy. These factors make it despite the best intentions and aspirations to objectivity of the authors, Any development of the available literature should be treated with great caution.