Back pain is the most common locomotor system disease that occurs population aged 60y or over. The annual prevalence varies between 13-50 %. The most common is the lumbar spine, followed by the cervical spine and the lowest prevalence is for the thoracic spine. Pain is divided into two groups such a specific, structural one and non-specific, functional illness. The specific pain, structural one, including degenerative diseases, fractures and typical for older patients osteoporotic fractures, cancer, inflammatory infectious and systemic disease. The second group is non-structural, functional illness. In diagnosis, it is important to think of serious illnesses that have specific red flag flags. The problem in the aging population may be therapy, due to the often associated illness, past medical history, limited use of pharmacotherapy and also patient mobility in the use of comprehensive rehabilitation. Often, in the long term of backpain and/or nerve root pain, motivation, self-care, falls, falls in psychological state and fall into apathy. It is necessary to intervene in time, complex, preferably multidisciplinary, cooperative and correct conservative, and even operational therapy, including psychological support and motivation. Treatment of these patients should be supportive, the goal being to improve pain and function.