The image is a hand-drawn illustration of a back pain injury. It is divided into three sections. 

The first section is titled "Back Pain Injury" and it shows a diagram of a muscle tissue engineering process. The diagram shows the different stages of the process, from the initial application of the muscle tissue to the treatment of the injury. The first section explains that the muscle is not muscle, it's not muscle cell, and the second section explains how it is affected by the back pain.

In the third section, there is a list of steps involved in the process:

- Muscle tissue engineering:
- Stem cell: This is our backbones
- Tissue regeneration: This helps to reduce the pain and improve the overall health of the body.
- Treatment for injuries: This means that the body is experiencing back pain and that it can cause pain and discomfort. The image also includes a brief description of the procedure, which states that it is a specialized cell that helps to treat back pain in the back. The text on the right side of the image reads "This is our Backbones" and "Odue to aging physical exercise".

Overall, the image conveys the idea that back pain can be caused by a variety of factors, such as inflammation, pain, and inflammation.