In this presentation, we will identify conditions that attribute to chronic back pain for the elderly population and how to assess and identify best methods for treatment of chronic back pain. Evidence suggests that the prevalence of severe and chronic lower back pain increases as people age. This population is more susceptible to developing certain lower back pain conditions (eg, tumors, lumbar spinal stenosis, and vertebral fractures caused by osteoporosis), as well as be adversely affected by age-related changes (such as those that are physical, psychological, or mental in origin). Additionally, we will examine barriers and challenges faced by healthcare professionals in treating elderly patients suffering from chronic back pain. We will discuss evidence based treatment algorithms for managing chronic pain in elderly patients and overcoming challenges associated with comorbid conditions.