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'Lumbago is considered by health professionals to be an antiquated term that designates nothing more than lower back pain caused by any of a number of underlying conditions. The pain may be mild or severe, acute or chronic, confined to the lower back or radiating into the buttocks and upper thighs'
SO IT'S PRETTY MUCH BULLSH**
Don't know for sure what's going on and how to fix it? Treat symptoms as shown for sake of improving quality of life. It's a thing they do even now when they either can't treat or can't find the source of the issue.
Put bluntly, Uncle may or may not actually have lumbago, and given the drastic differences in what can cause it and severity, he could sit anywhere on the spectrum from 'perfectly healthy, just lazy' to 'if he tries to bend over, his spine lights aflame'.