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| Bed Rest | | However sensible getting off your back may seem, studies show that bed rest is NOT superior to remaining (conservatively) active to treat a low back injury. In fact, prolonged bed rest can actually lead to increased stiffness and pain and a reduced ability to function. Periodic short rests can be helpful and your healthcare provider may advise a reduction of normal activity. | | | | Heat and Ice | | Immediately after an injury, ice your back for about 15 minutes at least 3 to 4 times a day to reduce or prevent inflammation and swelling. After 2 to 3 days, if symptoms persist, use a heating pad for 15 to 20 minutes every 2 or 3 hours. Then, if pain continues, see a healthcare professional. | | | | Drugs | | Non-prescription pain relievers such as acetaminophen (i.e. Tylenol) or other non-steroidal anti-inflammatory drugs or NSAIDS (i.e. ibuprofen) may be helpful for temporary relief, but are NOT advisable for chronic pain or long term use. Tylenol has recently been linked to liver disease and ibuprofen to bleeding ulcers. Doctors often prescribe stronger drugs for pain, but of course, these have other risky side effects including mental or physical impairment, behavioral effects, and addiction. Extreme caution should be used when undergoing any chemical therapy for pain. | | | | Surgery | | Most back pain problems can be treated effectively without costly and risky surgeries. In fact, one recent study shows that up to 40% of back surgery patients report a DIS-satisfactory result within 4 years of treatment. For this reason, other more natural, less invasive treatments should be explored or exhausted before choosing surgical intervention. |
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