The main goal of this review is management of back pain. The problem with back pain is debilitating symptoms that affect many people and reduces the quality of life and their overall daily productivity. While many causes of back pain are manageable, it would still be an unfortunate experience to many patients as they tackle the pain to get back to a nearly normal lifestyle. In this article, we aim to review the diagnosis and management of patients with back pain in the primary health care setting. The data of this article were collected from randomized control trials, relevant articles, and observational studies from the electronic database PubMed with the keyword in the mesh: “back pain"[Mesh] and “management"[Mesh] within the title of documents or abstract. The diagnosis of back pain is the first step to appropriate management, which in turn relies more on patient acceptance of limitations of medical care and looking to the options offered by non-medical care.