Lower back pain
Lower back pain is a feeling of pain in the lower back. In fact, low back pain is very common, especially in adults between the ages of 30-50 years. It may be accompanied by stiffness of the back, low back mobility, It should be noted that back pain varies in the duration of the injury may be acute or chronic, and may continue to acute from a few days to a few weeks, while chronic ones will last longer.
Treatment of lower back pain
In fact, the treatment of low back pain depends on the cause of this condition, and the following is a statement of the most important treatment methods used to treat this type of pain
Self-care at home
Experts recommend discontinuing stretching exercises and activities that cause additional back strain. It is also recommended to resume normal activities as soon as possible. The following are the main methods of home care that contribute to relieving low back pain:
- Put a pillow between the knees, taking care to sleep on one side, as advised lying on the back and put a pillow under the knees.
- Exercise especially when suffering from chronic low back pain.
- Take non-prescription drugs to relieve pain, such as ibuprofen and paracetamol
Pharmacological treatments
In fact, the choice of medical treatment depends on the precise diagnosis of low back pain. The doctor depends on the medical history, sensitivity and other medications that the patient takes when choosing the best treatment for him. The following is a list of the most important medicines used in this case:
- Non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen are the mainstays of back pain relief. In fact, medical studies have not recommended one of these drugs to the other drug group in relieving low back pain, which prompts the doctor to turn the patient from one drug to another. It is better for the patient.
- COX-2 inhibitors, such as Celecoxib, are more selective than nonsteroidal anti-inflammatory drugs, and gastrointestinal bleeding may be less costly but costly.
- Muscle relaxants: None of the studies have shown any preference for using muscle relaxants to use NSAIDs in the treatment of lower back pain. In fact, there is no difference in efficacy if NSAIDs are used alone or with muscle relaxants. These drugs do not add any benefit when used with NSAIDs.
- Opioid Analgesics (Opioid analgesics) are used to relieve acute back pain. Some studies support their short-term use to temporarily relieve pain, as they are associated with many side effects.
- Steroids: Oral steroids may be used in the treatment of acute sciatica. Steroid injections are still controversial.
Other treatments
There is a range of other treatments that can be used to relieve low back pain, including:
- Surgery: It is used in cases of sciatica, Cauda equina syndrome and in the case of advanced neurological problems due to Herniated discs.
- Spinal manipulation, such as orthopedic medicine (Osteopathic) and chiropractic.
- Acupuncture.
- Transcutaneous electrical nerve stimulationn (Transcutaneous electrical nerve stimulationn).
- Relay exercises can be used in cases of chronic low back pain.