Because 85% of low back pain is still undiagnosable and as such impossible to administer proper medication for the best thumb rule is to begin by trying to relieve the pain using the easiest, most cost-effective, and non-invasive approaches available.
The easiest and by far the most cost-effective forms of treatment involve activities such as walking or lying on your back with legs up and sitting on a chair or couch, etc. Such therapies are self-administered, so if something like exercise causes additional discomfort rather than relieving it, you will move on to something else easily. Figuring out which medication relieves and which usually does not happen very quickly and no matter which advice is given from which origin, the treatment which induces aggravation should be stopped and the therapy which relieves should be pursued.
Therapy for low back pain can usually be divided into three categories based on invasiveness; non-invasive, mildly intrusive, and aggressive. Together with some others, I may list later, the self-administered treatments listed above drop into the non-invasive classification.
Invasive therapies are those that require surgery, and after all, all treatment options have expired, all health care providers agree that these procedures be the “last resort therapy.” Invasive treatments are often unsuccessful in relieving pain due to the undiagnosable nature of low back pain and far too often result in “failed back syndrome,” a term coined to describe failed back surgery, which has made the patient worse off.
Some progress has been made in surgical therapies for low back pain, leading to an increase in their success rate, although there is still room for improvement.
Moderately intrusive therapies involve opiates and other dental and topical medications that do not require surgery but work with the chemical processes of your bodies to relieve pain in one manner or another. While these therapies mitigate the discomfort efficiently, they do not address the underlying cause and, as such, can place the sufferer at risk of aggravating the condition unknowingly. Moderately intrusive procedures should only be used when other non-invasive treatment options have been shown to be of no use.
Advances have also been made in mildly aggressive therapies with the creation of more and more new drugs that relieve discomfort more and more efficiently, but often followed by elevated side effects.
Much improvement has also been made in the non-invasive sector. There have been many studies over the past ten years and a great deal of information has been available that allows caregivers to recommend better and more cost-effective non-invasive treatments for acute and chronic low back pain.
It is now generally recognized that prolonged bed rest is not effective in the management of low back pain, but is a fast return to movement, strength, and normalcy. More commonly, it is also recognized that decompression or disks unloading can alleviate low back pain and help rejuvenate the problem area.
Until recently, the issue has always been that there was no treatment modality that could deliver decompression or unloading coupled with stability and versatility, but that has changed with the introduction of “ambulatory spinal unloading machines,” which allowed this mixture to alleviate and rejuvenate pain.
So, as a first step to treat your acute or chronic low back pain and as a simple second thought before surgery or opiates, update yourself on the newly available treatments, treatments that; 1. Do not penetrate the skin as opiates, prescription lotions or operation 2. It can be self-administered so that you can stop if the medication aggravates and it relieves you at your discretion.