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All discussions of motive for Luigi Mangione have to start with his back pain. Anyone who has lived with it can tell you how debilitating it can be. There’s no relief. You feel it constantly, such that your back starts to numb to ease the pain. You’re prevented from not just enjoying your favorite activities, but living life in the moment. You’re always waiting for it to hit again, and that’s if it ever lets up at all. It can seriously impact your sleep as well. All my friends that had back surgeries say it never helped, but it’s the most common prescription. This is a young fit man who loved to hike and surf. That likely was taken from him and he sought relief any way he could. Everyone I know from the gym has looked into Dr. Stuart McGill and his “Big 3.”