Lower back disorders are a civilised and global problem that affects the vast majority of the population at least once in their life, regardless of sex or age. Differences in the appearance of the problem are visible, especially in the group of professionally active people, and may be related to a sedentary lifestyle or lack of physical activity in daily life. A review of studies that included 33 separate cohorts and involved more than 11,000 participants showed that patients with acute or persistent low back pain improved in 4 to 6 weeks, but afterward the process slowed. It should also be mentioned that the study participants continued to report pain one year after the incident and the rate was much higher in the group of people with persistent pain [
12]. When it comes to the presence of pain in patients with multiple sclerosis, research studies and clinical reports often show an inconsistent picture. Pain is often neuropathic in nature and the problem can affect more than 80% of patients, especially in the form of pain in the upper and/or lower extremities, neuralgia, spinal pain syndromes (especially cervical or lumbar) or head pain [
13]. A review of the scientific literature shows that patients have back pain problems, and the incidence ranges from several percent to even 50%. During the literature analysis, a major problem was the lack of a clear indication of the location of the pain segment, which may significantly alter the test results obtained [
14]. The research by Marck and coauthors [
15] was carried out in a large number of respondents, and the main research tool was an online survey questionnaire. In the above work, the average age of the respondents was 45.5 years and more than 78% of the group were women, similar to our own research (75.56%). During the analysis of the results obtained, it was determined that 36.2% of the people reported pain problems in the spine, but the above analysis did not take into account the location of the pain in the spine, so it is difficult to compare the results obtained with our own results, which focused only on the analysis of lumbar spine pain. A different research technique was used in the study of patients in Lithuania, where the analysis was based on the characteristics of spine pain and its relationship with the quality of life of patients with multiple sclerosis. In the study, the control and study groups each consisted of 120 people, and the average age of people with multiple sclerosis was 44.0 years. This study revealed that lumbar spine pain was more common in people in the control group (40.0%) than in the study group (21.7%) [
16]. Our own research was not supplemented with a control group, which may make it difficult to compare the results obtained and to perform a reliable analysis of the results obtained from the research. However, it is worth mentioning several publications that refer to the discussed topic. The same research results were carried out by other researchers, including Łabuz-Roszak and co-authors [
17]. A group of 144 patients participated in the study, the vast majority of whom were women, which is a significant analogy to our own research, and the average age was 41 years (35.4 in our own research). Studies have shown that 50% of patients with multiple sclerosis struggle with spine pain and pain is most often moderate or severe (average value 5.6). Other studies carried out outside of Poland show the results collected in a group of 61 patients (44 women, 17 men) where 52% of people were observed to have lower back pain and the mean level of pain was 6.75 [
18]. The authors of the above studies obtained similar research results, where the intensity of pain was assessed in a similar way (using The Visual Analog Scale). Lumbar spine pain was reported by 68.89% of the respondents, and the average intensity of pain was estimated at 4.7. Furthermore, the test results obtained were subjected to statistical analysis, which revealed a statistically significant relationship between multiple sclerosis and the intensity of pain. The team led by Kahraman adopted a different research technique, where the study was carried out in a group of 223 people, 67.23% of whom were women. The Nordic Musculoskeletal Questionnaire was used and lumbar spine pain was recorded in 52.4% of patients with multiple sclerosis; Additionally, people with lower spine musculoskeletal pain had a lower EDSS score than people diagnosed with pain. neuropathic [
19]. In our own research, the EDSS scale was used, which averaged 3.2 ± 1.2 in women and 3.7 ± 1.8 in men. Importantly, the incidence of low back pain was higher in patients with secondary progressive form (p<0.001) and a longer duration of the disease duration (p=0.023). In this part of the work, it is also worth mentioning the research conducted in 2016, which presents the results of the research carried out in a group of 190 people (138 women, 52 men). The severity of lower back pain was assessed using the Numeric Rating Scale. Analysis of the test results obtained showed that more than 40% of the respondents reported problems in the lumbar-sacral part of the spine and much less in the thoracic (2.1%) or cervical (3.2%) part, which may indicate a much greater problem in its lower part [
20]. When collecting information on lower back pain in people with multiple sclerosis, you can find information on the use of The Nordic Musculoskeletal Questionnaire supplemented with an original survey questionnaire and the Numeric Rating Scale. The same study involved 115 patients (88 women, 27 men) with multiple sclerosis with an average age of 30.4, where 38.3% of the respondents reported pain in the last year, of which 30.4% had pain in the last 7 days. Furthermore, the researchers noticed that women reported problems in the upper part of the spine much more frequently, while problems in the lower part were reported more frequently in men [
21]. The results of the authors of the above article are in opposition to the above research, because in the group of women, lower back pain was reported in 82.35% of the group of women and only 27.27% of the group of men. However, older scientific articles confirm that lower back pain was more common in women and affected more than 15% of those who participated in the study [
22]. Differences within groups may be due to different conditions identified in the research by Bento et al. Lower back pain was associated with older age, low education level, hypertension, and smoking in men. However, occupational and ergonomic factors were a more common cause of pain in women [
6]. The authors and researchers of the research most often used numerous scales, questionnaires, and original survey questionnaires to assess lumbar spine pain in people with multiple sclerosis. The following were used, among others: a numerical pain scale (The Visual Analogue Scale), just like the authors of the above studies [
17,
18,
22]. Furthermore, the research was expanded to include the EDSS scale [
16,
17,
18,
20,
22], the Nordic Musculosceletal Questionnaire [
19,
21], the painDETECT [
19], and the numerical rating scale [
16,
20,
21]. A thorough analysis of the available scientific literature allowed us to find information on physiotherapeutic methods to treat lower back pain in people with multiple sclerosis. Al.-Smaidi's research involved 15 people who were divided into 3 groups and underwent appropriate therapy using TENS currents. The first group consisted of people who received low-frequency TENS currents (4 Hz, 200 µs), the second group, people who received high-frequency TENS currents (110 Hz, 200 µs) and the third group (control) where no electrotherapy stimuli were used. The patients were subjected to therapy for a maximum of 10 weeks, the frequency of treatments was established twice a week for 45 minutes. The test results obtained were measured using the Roland Morris Disability Questionnaire, the Short Form-36, the McGill Questionnaire, and the Visual Analogue Scale. Researchers concluded that TENS currents were more effective than the control group, particularly in reducing VAS scores. Despite the innovative approach, the results of the research obtained were statistically insignificant [
23]. The above research model was recreated after 3 years by the same team (with minor personnel changes). To obtain reliable research results, the size of each group was increased to 30 people in each of them and the parameters used during TENS therapy did not change. Outcomes were measured using the Visual Analogue Scale, the McGill Questionnaire Visual, the Roland Morris Disability Questionnaire, the Barthel Index, and the Rivermead Mobility Index. As in previous work, the team again did not obtain statistically significant results [
24]. However, it should be mentioned that physiotherapy, especially kinesitherapy, is important in the treatment of patients with multiple sclerosis and those with lumbar spine pain. Properly selected exercises and spontaneous physical activity are important in improving the patient's condition, most often in the form of aerobic exercises, resistance exercises, stretching exercises, or balance exercises. Exercises are one of the safest forms of rehabilitation and scientific evidence confirms their effectiveness in improving fitness, efficiency, and quality of life [
25]. However, there are scientific studies that confirm the theory that a progressive type of multiple sclerosis and vision disorders can increase the risk of spinal pain. The results of these studies may be a breakthrough in the treatment of lower back pain and draw attention to the importance of preventing visual disorders in people with multiple sclerosis [
26,
27].