Although on the one hand it is a shock to consider that back pain costs billions across America in lose of work time, lower productively and increased health care bills when one considers that eighty percent of all Americans will suffer back pain at some time in their lives it seems to make perfect sense. Studies conducted by researchers who specialize in lower back injuries and the related pain show that there are two types of costs based on the consequences of lower back pain. One will be the direct cost of the pain; these include visits to the sufferer's health care provider, hospital stays, medications and physiotherapy. There are also indirect costs, which take into consideration diminished productivity and income loss.