the Impact of Anti-Inflammatory Painkillers on Back Pain - Pharmacology

Share to:

Taking anti-inflammatory medication for lower back pain?


Taking anti-inflammatory painkillers can cause lower back pain.

A Jian, 30~39 year old female. Ask Date: 2008/10/11

Dr. Liao Lingmei reply Pharmacology


Dear A-Jian: Poudarcam has been approved for the treatment of rheumatoid arthritis, osteoarthritis (joint pain, degenerative joint disease), ankylosing spondylitis, acute musculoskeletal injuries, and acute gout, with the active ingredient being Piroxicam.
Common side effects of Piroxicam include vomiting, nausea, diarrhea, constipation, abdominal pain, abdominal cramps, decreased appetite, gastrointestinal discomfort or pain, dyspepsia, heartburn, abdominal bloating, anxiety, headache, dizziness, and tinnitus.
These side effects typically diminish after taking the medication for a while.
To understand the cause of lower back pain when taking anti-inflammatory pain relievers, it is important to first determine whether the medication has been taken for a long time, if other medications are being used concurrently, and if there is a history of gout.
If the answers to these questions are all negative, then it may be suspected that the lower back pain could be a skeletal muscle side effect caused by Piroxicam (primarily affecting the hip bone).
This side effect is uncommon, and further discussion with a physician is recommended for confirmation.
Wishing you health and happiness.

Reply Date: 2008/10/11

More Info


When considering the impact of anti-inflammatory painkillers on back pain, it's essential to understand both the mechanism of action of these medications and their potential side effects, particularly in patients with pre-existing conditions or those taking other medications.

Anti-inflammatory painkillers, commonly known as non-steroidal anti-inflammatory drugs (NSAIDs), work by inhibiting enzymes called cyclooxygenases (COX-1 and COX-2). These enzymes are responsible for the production of prostaglandins, which are compounds that promote inflammation, pain, and fever. By reducing the levels of prostaglandins, NSAIDs can effectively alleviate pain and inflammation, making them a popular choice for treating conditions like back pain, arthritis, and other musculoskeletal disorders.

However, while NSAIDs can be effective in managing pain, they are not without risks. Long-term or excessive use of these medications can lead to gastrointestinal issues, such as ulcers or bleeding, as well as renal impairment, especially in individuals with pre-existing kidney conditions or those taking medications like warfarin, which can increase bleeding risk. In your case, if you are considering using NSAIDs like "poudercam cap" for back pain, it is crucial to consult with a healthcare provider to ensure that it is safe, especially if you have a history of kidney problems or are on anticoagulant therapy.

Regarding the specific question of whether taking anti-inflammatory painkillers will help with back pain, the answer is generally yes, but with some caveats. For acute back pain, especially if it is due to inflammation or muscle strain, NSAIDs can provide significant relief. However, if the pain is chronic or due to underlying conditions such as degenerative disc disease or spinal stenosis, a more comprehensive treatment approach may be necessary. This could include physical therapy, exercise, and possibly other medications, such as muscle relaxants or corticosteroids, depending on the severity and cause of the pain.

In addition to medication, lifestyle modifications can also play a crucial role in managing back pain. Regular physical activity, maintaining a healthy weight, and practicing good posture can help reduce the frequency and intensity of back pain episodes. For some individuals, alternative therapies such as acupuncture, chiropractic care, or massage therapy may also provide relief.

If you are experiencing persistent back pain despite using anti-inflammatory medications, it is essential to follow up with a healthcare provider. They may recommend imaging studies, such as X-rays or MRIs, to identify any underlying issues that may require more targeted treatment. Additionally, they can help you develop a personalized pain management plan that considers your medical history, current medications, and lifestyle factors.

In summary, while anti-inflammatory painkillers can be effective for managing back pain, it is crucial to use them judiciously and under the guidance of a healthcare professional, especially if you have other health concerns or are taking medications that could interact negatively. Always prioritize a holistic approach to pain management that includes both pharmacological and non-pharmacological strategies.

Similar Q&A

Understanding the Effectiveness of Anti-Inflammatory Pain Medications

Hello, Doctor Gao. I have ankylosing spondylitis, primarily experiencing pain in my buttocks (sacroiliac joint) and lower back (at the level of my navel). I have been taking Voltaren and Celebrex for three months each. While taking Voltaren, my buttock pain was well controlled, b...


Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your question. Here are my responses: 1) Can the same anti-inflammatory pain reliever (such as Naproxen) effectively treat sacroiliac joint pain but not lower back pain? Or can Celecoxib effectively treat lower back pain but not sacroiliac joint pain? -->...

[Read More] Understanding the Effectiveness of Anti-Inflammatory Pain Medications


Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis

Hello, Doctor. I have ankylosing spondylitis. Before treatment, I experienced pain in my buttocks and lower back. For the past year, I have been consistently taking 2 tablets of Celebrex daily, and my CRP levels have been maintained within the normal range. The pain in my buttock...


Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your question. Here are my responses: 1) My current index is normal, and I hardly feel any pain in my buttocks. However, I do experience some discomfort in my lower back when leaning back, but it is minimal and does not significantly affect my daily life. Can...

[Read More] Understanding Inflammation Index and Its Impact on Adhesion in Ankylosing Spondylitis


Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?

Hello Dr. Zeng, I am a patient with ankylosing spondylitis and have been experiencing symptoms for 2 years. In the first year, I mainly took anti-inflammatory and pain relief medications, and my symptoms were limited to pain in the sacroiliac joint. In the second year, I switched...


Dr. Zeng Guosen reply Internal Medicine
Is it true that the side effects of Seroquel need to be differentiated? If back pain is a side effect, it will not cause permanent harm to the body. It is recommended to follow up with the attending physician for evaluation.

[Read More] Is My New Lower Back Pain a Side Effect of Salazopyrin or AS Symptoms?


Chronic Back Pain: Seeking Solutions After 3.4 Years of Suffering

Hello Doctor: I have been experiencing lower back pain since high school, and it has persisted for about 3 to 4 years now. Recently, the pain has worsened over the past six months, and it even hurts when I walk. The pain radiates from my lower back down to my thighs and extends t...


Dr. Lin Xiaoyi reply Orthopedics
Hello, Xiao Hong: If a diagnosis of seronegative spondyloarthritis is confirmed, the most commonly used immunomodulator is Salazopyrin (sulfasalazine). However, patients with G6PD deficiency may not be suitable for this type of medication (depending on the severity of the enzyme ...

[Read More] Chronic Back Pain: Seeking Solutions After 3.4 Years of Suffering


Related FAQ

Back Pain

(Family Medicine)

Lower Back Pain

(Internal Medicine)

Low Back Pain

(Orthopedics)

Chronic Diseases

(Pharmacology)

Medication Safety

(Pharmacology)

Drug Side Effects

(Pharmacology)

Gynecological Medications

(Pharmacology)

Steroids

(Pharmacology)

Herbal Medicine

(Pharmacology)

Weight Loss Products

(Pharmacology)