The fat that is stored in the abdomen, behind the muscle wall, is not treatable by Zeltiq's CoolSculpting, nor liposuction. If fat has accumulated in a generalized distribution around the waist, stomach, flanks, arms, thighs, etc, and there are no focal areas that can be isolated, then Zeltiq would not work well and it would be extremely costly to treat such a surface area. It is unfortunate with many patients who are afflicted with chronic pain and disabilities, that they are no longer able to exercise as they used to. If swimming is possible, it may help provide some exericse while making the body buoyant and there is less pressure on certain body parts. Regardless of exercise, if you're obese, then you should see a nutritionist to help you severely cut your calories each day that you consume, but ensure that you are eating the right types of calories and nutrition. The weight you lose may help lessen the back pain too. Best Wishes.