Over the counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin (Bayer®, Ecotrin®, Bufferin®), ibuprofen (Motrin®, Advil®), and naproxen (Aleve®), may help provide pain relief in mild cases. Individuals with low back pain due to strained muscles might benefit from topical application of methylsalicylate (Ben-Gay®, Icy Hot®, Flexall Ultra Plus®) or trolamine salicylate (Aspercreme®, Myoflex®).
Migraines can be helped with Fioricet. Prescription strength NSAIDs, such as ibuprofen (Motrin®), naproxen (Naprosyn®, Anaprox®), indomethacin (Indocin®), diclofenac (Voltaren®), and etodolac (Lodine®), might be necessary. Moderate to severe pain might require the use of narcotics combined with acetaminophen, such as codeine (Tylenol® with Codeine), hydrocodone (Vicodin®, Lortab®), and oxycodone (Percocet®). Muscle relaxants, such as carisoprodol (Soma®), cyclobenzaprine (Flexeril®), and baclofen (Lioresal®), might be prescribed.
Hot and cold application, rest, strengthening and flexibility exercises, physical therapy, and instruction on good posture and body mechanics may be included in a conventional treatment plan. In some cases, back surgery may be recommended.
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