Table 2. Symptom control methods


Recommended
Nonprescription analgesics
Acetaminophen (safest) NSAIDs (Asprin[1],Ibuprofen[1])
Prescribed Prescribed pharmaceutical methods physical methods
Nonspecific low back Nonspecific low Sciatica symptoms and/or sciatica back symptoms Other NSAIDs[1] Manipulation (in place of medication or a shorter trial if combined with NSAIDs)
Options
Nonspecific low back Nonspecific low Sciatica symptoms and/or sciatica back symptoms Muscle relaxants [2,3,4] Physical agents Manipulation (in and modalities [2] place of (heat or cold medication or a modalities for shorter trial if home programs combined with only) NSAIDs) Opioids [2,3,4] Shoe insoles [2] Physical agents and modalities [2] (heat or cold modalities for home programs only) Few days' rest [4] Shoe insoles [2]
1. Aspirin and other NSAIDs are not recommended for use in combination with one another due to the risk of GI complications. 2. Equivocal efficacy. 3. Significant potential for producing drowsiness and debilitation; potential for dependency. 4. Short course (few days only) for severe symptoms.