That did not cause the beginning of back trouble but I am quite sure it contributed to it during the 42 year dental carrier. Dad and Mom both had terrible lumbar spines and I guess I was luckily enough to inherit a genetic tendency to this malady. By the way, back problems are endemic in the dental community but the majority have cervical disc problems. My (16 year) younger brother developed significant cervical spine problems which ultimately led to arm and hand dysfunction. He was forced to go on 100% disability at the age of 53 and now helps train Dental Hygienists at the Mississippi School of Dental Hygiene. I lasted until I was 68 when I was forced to retire, not due to back problems but due to arthritic thumbs and chronic hand cramping.