Medications: Good study showing statistical power for nonsteroidals, analgesics and muscle relaxants, the use of those has to be individualized.
Physical Therapy: Absolutely, there was just a publication in the Journal Spine and that is referenced in your hand-out from the Paris Task Force, looking at the superiority of physical therapy to inactivity and shortening symptomatic intervals, particularly active physical therapy, not modality based therapy, manipulation, hot, cold ice packs, but really active physical therapy.
Low back pain medications:
Muscle relaxants: Soma is a muscle relaxant used to treat pain caused by muscle spasms.
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Manipulation: Believe it or not, there is some very compelling evidence to suggest that may help in the acute phase as with any modality, and by that I mean no more than three to four weeks from the time of onset, chronic manipulation has not been shown to impact long-term health care, delivering a positive sense for low back pain, and injections very controversial despite their wide-spread use, and are used in many individuals. There really are very few studies that demonstrate statistical power as far as the ability of injection to shorten the treatment interval.
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