Do you also have back pain from time to time? Maybe when you get up in the morning, after sitting in a chair for a while, or when you lift a heavy object, your back feels "stuck" or numb? This is actually a problem that many people in our country have. Some people ignore it, while others work through the pain. But today we will talk about this back pain and the simplest and most effective things you can do about it.
Why is back pain so common?
Simply put, sudden lower back pain is called acute lower back pain. This is one of the most disabling conditions in the world, preventing people from doing their daily activities. Think of sitting in the same position for hours at a time in the office, lifting weights incorrectly, or suddenly bending your back forward while doing household chores. Any of these things can cause pressure on the muscles and joints in your back, causing this pain.
Most of the time, this pain goes away on its own within a few weeks. But the pain that is felt during that time can be very bothersome. Although in the past, this type of pain was treated with strong painkillers, especially opioids, which can be addictive, doctors are now more cautious about it. That is why research is being done to find safer alternatives.
What does the latest research say?
A team of researchers in Germany recently conducted a major study on this. They analyzed data from 18 studies involving more than 3,000 people with back pain. The majority of these people were between the ages of 40 and 45.
The main thing they found in this study was that two simple medications were very effective in reducing this pain.
1. Muscle Relaxants: These relax the tight and constricted muscles in the back and reduce pain.
2. Nonsteroidal anti-inflammatory drugs (NSAIDs): These are the most commonly used painkillers. They control both pain and inflammation.
Surprisingly, this study found that using only paracetamol (Acetaminophen), which we all use for fever and headaches, did not provide significant relief for back pain.
However, when paracetamol is used together with NSAIDs, better results have been obtained than when NSAIDs are used alone.
The table below will make this clearer to you.
| Drug type | Effect on back pain (according to study) |
|---|---|
| Muscle Relaxants | It significantly reduces pain and discomfort after about a week of use. |
| NSAIDs (eg Ibuprofen, Diclofenac) | It significantly reduces pain and discomfort after about a week of use. |
| Paracetamol only | There is no significant effect on back pain. |
| NSAIDs + Paracetamol (together) | Shows greater improvement than using NSAIDs alone. |
Be sure to do these things before taking medication
The most important thing to note from this study is that there are a few things to consider before reaching for a pill. Because acute back pain often resolves on its own, it's important to try non-drug treatments first.
What are these non-drug treatments?
- Proper rest: "Rest" does not mean staying in bed for days. If the pain is severe for about 24-48 hours, it is best to rest and gradually return to normal activities as soon as possible.
- Hot/cold application: Applying a hot water bottle to the painful area can help relax the muscles and provide relief. Some people may also find relief from applying an ice pack.
- Posture : Keep your back straight when sitting in a chair. Bend your knees when picking up something on the floor. Simple things like these can greatly reduce the pressure on your back.
- Simple exercises: Once the pain has subsided a bit, it is very important to start simple exercises to strengthen your back, as advised by your doctor or physiotherapist.
So should I go to the pharmacy and get some medicine? - No! Here's why
After reading this article, you might be thinking, "Okay, I'll just go and take an Ibuprofen pill." But think twice before you do that.
The main message emphasized by the doctors in this study is that "patients with headache should talk to their doctor about the best treatment option for them."
why is that?
The reason is, the doctor needs to know your complete health status before giving you any medicine.
- Do you have gastritis? NSAIDs can worsen gastritis.
- Do you have kidney problems? Continued use of NSAIDs can be harmful to your kidneys.
- Do you have high blood pressure? Some painkillers can increase blood pressure.
- Are you taking medication for another condition? Some medications can cause side effects when taken together.
Because there are so many factors involved, only a doctor can prescribe the right medicine for your body and condition, in the right dosage, for the right period of time. Therefore, do not go out and get medicine for back pain on your own. Be sure to see a doctor and get advice.
Take-Home Message
- Acute lower back pain is a very common condition, and it often resolves on its own.
- Recent research shows that muscle relaxants and NSAIDs (e.g. ibuprofen) are very effective for short-term relief.
- Paracetamol alone does not provide significant relief from back pain.
- Before using any painkiller, be sure to talk to your doctor. He or she will determine the best medication for you based on your other medical conditions.
- Before medication, it is very important to try things like rest, correct posture, warm compresses, and simple exercises.
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