The development and sanogenesis of pain syndromes in cases of degenerative rachiopathy is presented in the monograph. The innovative method of treatment of back pain caused by degenerative damage of spine is also reviewed. The method of minimally invasive surgery or active therapy - the epidural steroid injection, is suggested to be broadly introduced. The study is based on the author's extensive experience and analysis of world achievements in the treatment of chronic back pain and radicular syndrome caused by degenerative rachiopathy. The monograph is useful to researchers and practitioners of different specialties, who offer treatment to the patients with back pain.