Medical treatment of Lower back pain


Your doctor will examine your back and assess your ability to sit, stand, walk and lift your legs. Your doctor might also ask you to rate your pain on a scale of zero to 10 and talk to you about how well you're functioning with your pain.

Medications

Depending on the type of back pain you have, your doctor might recommend the following:

Over-the-counter (OTC) pain relievers. 

Take these medications only as directed by your doctor. Overuse can cause serious side effects. If OTC pain relievers don't relieve your pain, your doctor might suggest prescription NSAIDs.

Muscle relaxants. 

If mild to moderate back pain doesn't improve with OTC pain relievers, your doctor might also prescribe a muscle relaxant.

Topical pain relievers. 

These are creams, salves or ointments you rub into your skin at the site of your pain.

Narcotics. 

Drugs containing opioids, such as oxycodone or hydrocodone, may be used for a short time with close supervision by your doctor.

Antidepressants. 

Low doses of certain types of antidepressants — particularly tricyclic antidepressants, such as amitriptyline — have been shown to relieve some types of chronic back pain independent of their effect on depression.

Injections. 

A cortisone injection helps decrease inflammation around the nerve roots, but the pain relief usually lasts less than a few months.


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