Back pain is the second most frequent chronic pain problem and sometimes troublesome. Anesthesiologist have been practicing pain medicine for decades, with specific nerve blocks as a highly valued contribution to patient care. Pain associated with radiculopathy is the principal indication for epidural steroid injections. Facet joint blocks are useful tool in diagnosis and treatment of facet syndrome. Radiofrequency techniques are also available. Other nerve blocks; Root block, transforaminal epidural block, lumbar sympathetic ganglion block, etc are also useful for back pain. Important determinant factor of successful treatment in all spinal disorder requires accurate diagnosis, strict patient selection, and skillful technique Korean Journal of Headache 2(2):123-127, 2001