Start with nondrug therapies for low back pain, guideline says

The American College of Physicians’ (ACP) updated guideline on management of low back pain recommends nonpharmacologic therapies as initial treatment for acute and chronic pain. If additional pain relief is needed, NSAIDs and skeletal muscle relaxants can be used for acute pain, and NSAIDs, tramadol, and duloxetine can be used for chronic pain.

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The American College of Physicians’ (ACP) updated guideline on management of low back pain recommends nonpharmacologic therapies as initial treatment for acute and chronic pain. If additional pain relief is needed, NSAIDs and skeletal muscle relaxants can be used for acute pain, and NSAIDs, tramadol, and duloxetine can be used for chronic pain.