Millions of people worldwide suffer from lower back pain, with 60% of UK adults expected to experience it at some point. A new global review found that most treatments lack effectiveness, but there are several alternatives worth exploring.
Exercise is a highly recommended first step in managing lower back pain, according to the National Institute for Health and Care Excellence (Nice) and NHS England. Engaging in exercises like stretching, strengthening, aerobic workouts, and yoga can help alleviate symptoms. The global review also found that exercise is one of five effective ways to tackle chronic lower back pain.
Medication plays a role for some people, but it’s essential to choose the right treatment. Nice recommends non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin for back pain, while NHS England advises taking anti-inflammatory medicine like ibuprofen. However, paracetamol should be used with caution.
Physiotherapy can also provide relief, particularly when combined with exercise. Family doctors often refer patients to physiotherapists for assessment and guidance on exercises. Some patients find non-medical interventions helpful in reducing pain.
In addition to these treatments, psychological or talking therapies like cognitive behaviour therapy may be beneficial for those who haven’t seen improvement with other treatments. Applying heat or cold packs can also help reduce pain and swelling. While massage and manipulation by a therapist are not recommended as standalone treatments due to limited evidence, they can be used alongside exercise.
By incorporating these effective treatments into your care plan, you can take steps towards managing lower back pain and improving your quality of life.
Source: https://www.theguardian.com/society/2025/mar/18/five-ways-to-help-manage-lower-back-pain