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Back pain can be caused by so many things that it is often very difficult to identify what is causing it. Be sure to talk to a doctor and have him walk you through your routine, including sleeping positions. Hopefully he will be able to find some potential causes.
If you like to wear high heels but experience back pain, the answer is simple; take the heels off and go with regular shoes. Standing on your toes is a very unnatural posture for your spine. Over time, this can cause damage to not only your muscles but also the discs in your back. Save the high heels for very special occasions.