How is mechanical low back pain treated?

Updated: Mar 30, 2020
  • Author: Everett C Hills, MD, MS; Chief Editor: Stephen Kishner, MD, MHA  more...
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Management of mechanical low back pain can be outlined in the following 6 steps:

  1. Control of pain and the inflammatory process

  2. Restoration of joint ROM and soft tissue extensibility

  3. Improvement of muscular strength and endurance

  4. Coordination retraining

  5. Improvement of general cardiovascular condition

  6. Maintenance exercise programs

Surgical interventions for mechanical low back pain (LBP) are the last choice for treatment.

Pharmacological interventions for the relief of low back pain include acetaminophen, nonsteroidal anti-inflammatory drugs, topical analgesics, muscle relaxants, opioids, corticosteroids, antidepressants, and anticonvulsants.

See Treatment and Medication for more detail.

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