Lumbago is a clinical entity characterized by pain and functional deficit in the lumbar spine. It is a major health and socioeconomic problem, as most people experience at least one episode of lumbago during their lifetime. It is usually more prone to those whose occupations require a significant load on the muscular system, physical overload, lifting heavy objects by bending forward, pulling, pushing, the rotator cuff muscles movement, and the like. In the elderly population, it is almost always about degenerative changes in the vertebral column structures. Patients are faced with extreme pain, fatigue and functional deficit, and are therefore most often subjected to non-pharmacological treatment. Because of that, before and after the therapy, patients are exposed to physical examination, which includes assessment of sagittal flexibility, pain and fatigue assessment, and assessment of functional abilities and quality of life. Posture and gait are also monitored, neurological testing and manual muscle testing are performed. It is necessary to evaluate the process of rehabilitation and according to that set goals for the treatment itself. Symptomatic treatment is most often given, and its aim is to suppress pain and increase functional abilities through activities of everyday life. There are differences between therapeutic approaches in the acute and chronic stages of the disease. The most important aspects of the rehabilitation process are kinesiotherapy exercises followed by some physical or thermal procedure. There is individual (mobilization and manipulation, functional and friction massage, PIR, connective tissue massage, McKenzie method and Kaltenborn-Evjenth concept), and group approach (Regan's and Bruck's method). Emphasis should be put on education, or to be more specific, on the acquaintance of patients with all the risk factors that cause the onset of lumbago in order to prevent the development of the disease. They need to be acquainted with the nature of the disease, its prognosis and rehabilitation. In order to maintain, or improve their condition, patients need to carry out recommended home exercises on a daily basis. After an initial assessment, and after the rehabilitation procedure under the supervision of an expert is completed, as well as a final assessment, only then we conclude that combined physical therapy is effective in reducing pain and increasing functional abilities in lumbago patients.