![]() If your back pain doesn't get better or is severe, your doctor may recommend: Prescription medicines. Treatment if back pain is severe or lasts a long time It involves putting tiny needles into your skin at certain points on the body. It can range from massage and slow pressing to a quick thrust. Your physiotherapist may teach you an exercise program so you can do it at home. Physiotherapy to help increase your flexibility, strength, and balance.Exercise to stretch and strengthen the muscles of your back, shoulders, and stomach.Capsaicin cream is applied directly to the skin over the painful area. footnote 1 It's a substance found in cayenne peppers. This is a cream that you can rub over the sore area and may help relieve pain. Non-steroidal anti-inflammatory drugs (NSAIDS).These are medicines that you put on your skin. These include acetaminophen (such as Tylenol) and NSAIDs (such as Advil, Aleve, aspirin, or Motrin), to reduce pain. In most cases, people with mild to moderate upper and middle back pain can manage their symptoms with: How much your symptoms prevent you from doing your daily tasks.Work with your doctor to find what is best for you. ![]() There are many treatments for upper and middle back pain. If you don't feel better in 1 to 2 weeks, call your doctor. You can try home treatment to relieve your symptoms. If your back pain is mild to moderate, it probably will get better on its own. If you get worse, you and your doctor will decide what to do next. If you get better on your own, you won't need treatment. Watchful waiting is a wait-and-see approach. You have new or increased back pain with fever, painful urination, or other signs of a urinary tract infection.You have new or worse weakness in your legs.You have new or worse numbness in your legs.You have a new loss of bowel or bladder control.Weakness, tingling, or numbness in the arms, legs, chest, or belly.A person has signs of damage to the spine after an injury (such as a car crash, fall, or direct blow to the spine).Pain, pressure, or a strange feeling in your back, neck, jaw, upper belly, or one or both shoulders or arms. ![]()
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