Hi, @Gayla - I’m sorry you’re going through this. Back pain can be complicated, depending on the cause. Have you had a proper evaluation (including an MRI) by a well-recommended neurosurgeon? I wouldn’t usually expect bowel incontinence from abdominal muscle issues, but spinal cord or nerve compression can cause some serious issues. When my back problem affected muscle strength in my leg I knew it was time to do something. I was fortunate that although my spinal cord compression was severe I was able to have spinal disk surgery without needing a spinal fusion. In my case the surgery was straightforward and the recovery was complete.