Comfort is often a patient's first concern. Nonprescription analgesics will provide sufficient pain relief for most patients with acute low back symptoms. If treatment response is inadequate, as evidenced by continued symptoms and activity limitations, prescribed pharmaceuticals or physical methods may be added. T.a.bIe„„2Z.4.-.2., summarizes comfort options.15 Muscle relaxants seem no more effective than NSAIDs for treating patients with low back symptoms, and using them in combination with NSAIDs seems to have no demonstrated benefit. Side effects including drowsiness have been reported in up to 30 percent of patients taking muscle relaxants. 15

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