There are various treatments; the condition guides the choice of treatments. Often a combination of treatments is needed to provide relief. Treatments include:
• Medications: Pain relievers, such as acetaminophen, or nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen sodium, are the first tried for back pain Narcotics, such as codiene or hydrocodone, may be used for short periods of time under close supervision. Low doses of certain types of antidepressants have been shown to relieve back pain, independent of their effect on depression.
• Education: This may mean a class, a talk with your doctor or a video, which emphasizes staying active, reducing stress and worry, and proper body mechanics.
• Physical therapy and exercise: These are the most important types of treatment. A physical therapist can teach helpful exercises.
• Injections: Numbing medicine and cortisone injected directly into the painful area may give considerable relief.
• Surgery: With unrelenting pain associated with radiating leg pain or progressive weakness in the legs, surgery may be helpful.