Which otc pain reliever is best for back pain?

If you’re anything like me, any physical exertion that involves my back reminds me I’m not as young and invincible as I used to be. From hauling boxes up to the attic to binge-watching Tiger King in one sitting, my lower back often reminds me of its fragility with gnawing pain.

Luckily, the drugstore aisles are filled with a dizzying array of over-the-counter (OTC) pain relievers. But what works best? Let’s sift through this enduring question and get down to business!

What Makes OTC Medicines So Fabulous?

First things first – why do we love OTC pills so much? Because nothing spells instant relief like popping one in our mouth! These products contain similar active ingredients as their prescription cousins; however, they are less potent or contain smaller dosages.

For instance, if your granddad has an arthritic hip reminding him of his participation in World War II every morning- he might take 40 mg Percocet prescribed by his doctor. Compare it with the counter version available at Walmart containing only 5 mg oxycodone plus some Tylenol. This medicine packs enough punch without making Mr.Maximillian confused about who he’s talking to on phone – again!

Plus,going overboard can lead your liver into churning butter instead of detoxifying that margherita from last night(which may explain why they call Acetaminophen- APAP).

What Causes Your Back To Disobey You?

Injuries–and eventually degeneration–can occur due to natural wear and tear on joints and muscles over time— let alone other factors such as twists or slips leading oops moments(As Jim Carrey says: “Somebody Stop Me!!”).There’s no shame in seeking non-prescription pain relief like an OTC remedy, allowing your body to heal itself without breaking the bank.

Let’s Meet the Pain-Relieving Cast

There are five main pain-relief ingredients we need to keep on our radar: acetaminophen (Tylenol), NSAIDs such as ibuprofen and naproxen sodiums, aspirin, and topical creams.

Acetaminophen

The go-to medicine for many of us.. Acetaminophen in pills or liquids is a popular choice because it is gentle on the stomach , but can still conquer headaches or mild pain. While It’s usually found under Tylenol brand name-Acetataminiaphilia seems more relevant since some tablets seem labeled like this -which leaves me wondering…Is someone trying to resurrect ancient Spanish vocabulary?

Pros:

  • Tylenol recommended by American College of Physicians for low back pain.
  • Minimal side effects
  • Doesn’t irritate sensitive stomachs

Cons:

-Poor anti-inflammatory response.
-Need higher doses than other agents.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

In addition to treating fever, NSAIDS relieve inflammation known as prostaglandins that cause you discomfort.Celebrex,Voltaren,Diclofenac–these names sound straight out of a sci-fi movie! But these medicines have been around awhile tackling everything from menstrual cramps to post-operative hell.

Examples include over-the-counter brands such as Aleve (naproxen) and Advil or Motrin(ibuprofen). These drugs rule at smackdowning swelling internally before it turns into painful disaster zones!(me:Thank You Mr.Ibuprogen!)

Pros:

+Favoured treatment class due its dual action(anti-inflammatory coupled with analgesia).
+Usually lessens both acute & daily spinal symptoms(interscapular upper back pain, radicular-type lower extremity discomfort).

Cons:

-Puts pressure on liver or kidneys and should be used only under medical scrutiny in patients with history of acidity problems/concerns.

Aspirin

Acetylsalicylic acid aka aspirin–the grandmother of modern medicine (well since 1897). It’s the bionic woman due to its use for blood thinning needs besides relieving upsets(killer migraines,count me in!). Yet it has now become a circus-star member who juggles many roles apart from just playing stethoscopes.

Common brands are Bayer aspirin, St. Joseph’s aspirin, Ecotrin- adding “Coated” might sound more inviting; after all protecting our taste buds should not come second to soothing that joint hurting is it?

Pros:

+A whopping list: fever ,pain,inflammation reduction,reduction in risk of reoccurrence of heart attacks etc.
+Can help treat arthritis & degenerative conditions

Cons:

-Promotes stomach ulcers and gastritis .
– Higher doses can cause ringing in ears.

Topical analgesics/creams to apply directly on skin

Ointments..gels..patches..Creams that are smeared directly onto where relief is needed –back discs,donut buttock pillows ..It’s perfect! They provide quick comfort without having oral overspins(or so if accidentally leaked out) going through your system.
Examples include Biofreeze(Icy Hot),Bengay,and Capsaicin(haiya!), which contain anti-inflammatory ingredients such as menthol or camphor -smells like grandpa!(but opens up sinuses too)

Pros:

+No digestion required!
+ Provides targeted relief with no initial hepatic first pass effects thus avoiding liver related hazards.

Cons:

-May produce rash or itchiness on sensitive skin types.(Note for those with lizard like skin :Do a patch test before smearing ,)

Bring on the Statistic Gurus

A huge study that pitted these drugs against each other concluded that….drumroll please! All of them worked well depending on what works best specifically for you.Here’s an idea: enter into your own tournament of champions and see what gives you maximum relief!!

Another Important Note:

No surprise to hear SAFETY comes first – it is always necessary to read the label, check expiration dates regularly, and consult physicians if constantly taking any over-the-counter meds(since overdose may lead medication toxicity).

That being said, popping pills without any medical advice should be avoided at all costs. Keep small amounts on hand in case you are feeling disobedient crossing a line between discomfort and pang but remember- moderation remains key.”Say NO To Drug Mule Today”.

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