Stephen J. Schueler, M.D.

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Back Strain Chronic Pain Control

Medications commonly used to control pain and inflammation in adults with a chronic back strain or sprain include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Continue to Back Strain Chronic Taking Control

Last Updated: Dec 7, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Back Strain Chronic References
  1. Athanasou JA. Return to work following whiplash and back injury: a review and evaluation. Med Leg J. 2005;73(Pt 1):29-33. [15881444]
  2. Coste J, Delecoeuillerie G, et al: Clinical course and prognostic factors in acute low back pain: an inception cohort study in primary care practice. BMJ 1994 Feb 26; 308(6928): 577-80. [8148683]
  3. Hayden J, Tulder M, Malmivaara A, Koes B. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005 Jul 20;(3):CD000335. [16034851]
  4. King HA. Back pain in children. Orthop Clin North Am. 1999 Jul;30(3):467-74, ix. [10393768]
  5. Marriott A, Newman NM, et al: Improving the evaluation of benign low back pain. Spine 1999 May 15; 24(10): 952-60. [10332784]
  6. Smith D, McMurray N, Disler P. Early intervention for acute back injury: can we finally develop an evidence-based approach? Clin Rehabil. 2002 Feb;16(1):1-11. [11837522]
  7. van Tulder MW, Koes BW, Bouter LM: Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine 1997 Sep 15; 22(18): 2128-56. [9322325]
  8. Wassell JT, Gardner LI, Landsittel DP, Johnston JJ, Johnston JM. A prospective study of back belts for prevention of back pain and injury. JAMA. 2000 Dec 6;284(21):2727-32. [11105177]
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