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The two most popular nonprescription
medications in the U.S. - ibuprofen (i.e., Advil) and acetaminophen (i.e.,
Tylenol) - have been promoted as "first-line" management of
acute low back pain. These analgesics may cause potential kidney, stomach,
and liver problems, however. Self-administered topical heat wraps may
offer a drug-free alternative treatment for acute back pain.
In
a recent study in the journal Spine, the authors compared eight
hours/day of low-level topical heat therapy with maximal recommended
dosages of ibuprofen and acetaminophen. Pain, muscle stiffness,
disability, and back flexibility were compared in almost 400 people with
back pain, ages 18-55, over two days of therapy and two days of follow-up.heat-wrap
therapy was more effective than either drug. Heat wraps were significantly
more effective than ibuprofen and acetaminophen in terms of self-reported
pain relief. In the heat-wrap group, back flexibility was greater, and
disability and muscle stiffness were lessened to a greater degree.
Based on these findings, continuous low-level
heat-wrap therapy may be better than painkillers for acute back pain. Your
doctor of chiropractic can tell you more about this noninvasive, drug-free
pain treatment, which involves simply wrapping a Velcro belt with a
heating element around your torso.
Reference: Nadler SF, Steiner DJ, Erasala GN, et
al. Continuous low-level heat wrap therapy provides more efficacy than
ibuprofen and acetaminophen for acute low back pain. Spine
2002:27(10), pp. 1012-1017.
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