The song is about the back pain that Pantera's vocalist Phil Anselmo felt. Phil Anselmo said "This is right when I started feeling the pain in my lower back, and it felt scary," says Anselmo. "I think this is one of the first times in my life, man, that I had this thing called 'vulnerability' kick in, and that was a very uncomfortable feeling." Anselmo adds, "I think that was really my first glimpse into kind of screaming to the world, 'Fucking... I am broken! Somebody fucking help me here!'"