After taking painkillers or back pain should be timely medical treatment, feasible general treatment, physical therapy, drug therapy and surgical treatment. Common causes include trauma, osteoarthritis, ankylosing spondylitis, spinal tumor and myocardial infarction.
1. Trauma: If the back ligament, muscle and fascia injury is caused by strenuous labor or fall, the possibility of fracture should be excluded. Simple soft tissue injuries can be treated with cold compresses and rest within 72 hours after the injury, and then change to hot compresses after 72 hours, and use medicines to activate blood circulation and remove blood stasis, such as Yunnan Baiyao Cream, to relieve the symptoms.
2. Osteoarthritis: the damage of articular cartilage is the main cause, involving the whole spinal joint tissue. In the acute stage, we should reduce the weight of joints, avoid excessive activities, and use anti-inflammatory and analgesic drugs such as ibuprofen and celecoxib to relieve pain.
3. Ankylosing spondylitis: non-steroidal analgesic and anti-inflammatory drugs such as celecoxib and diclofenac sodium are the drugs of choice for the treatment of ankylosing spondylitis. Refractory ankylosing spondylitis can be treated surgically.
4. Spinal tumor: For back pain caused by primary tumor or metastatic tumor, after clear diagnosis, anti-tumor treatment such as radiotherapy, chemotherapy, targeted therapy and surgical resection of tumor should be actively used.
5. Myocardial infarction: myocardial infarction can involve back pain, which can also radiate to the shoulder. The use of nitrates such as isosorbide nitrate tablets, beta-blockers such as metoprolol, calcium channel blockers such as nifedipine and other drugs can be relieved.
After taking painkillers or back pain may have other causes, you need to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, under the guidance of the doctor standardized treatment. The medication should be applied according to the doctor’s instructions.