Will My Back Pain Get Better?

The good news is that most back pain improves on its own. About 90% of people with acute low back pain feel better within 6 weeks, regardless of treatment. However, if not treated, it's very common for back pain to return, about half of people experience another episode within 6 months to 2 years.

What Can I Do to Help Myself? 

Stay Active 

  • Continue your normal activities as much as you can during the painful flare, even if you have some discomfort. However, be careful not to cause pain. 
  • Avoid bed rest, this can actually make things worse 
  • Try to return to work as soon as possible, even with modified duties if needed


Use Heat and/or Ice 

  • Apply heat for 20 minutes several times a day to help with pain and stiffness 
  • Ice can also help, especially in the first few days 
  • Sometimes alternating heat (20 minutes) with a few minutes of ice can help 
  • Use whichever feels better to you


Try Gentle Stretching 

  • Light stretching exercises can help maintain flexibility 
  • Move within your comfort zone—some discomfort is okay, but avoid sharp pain 

 

What Medications Can I Take? 

If you want to use medication for pain relief: 

  • Over-the-counter NSAIDs, such as ibuprofen (Advil, Motrin) or naproxen (Aleve) are good first choices as long as your doctor has said they are safe for you specifically. 
  • Acetaminophen (Tylenol) is another, safer, option than NSAIDs mentioned above. 
  • Take these medications as directed on the package


Do I Need an X-ray or MRI? 

Most people with back pain do not need imaging tests. X-rays and MRIs are usually not helpful unless: 

  • You have signs of a serious problem (like unexplained weight loss, fever, or loss of bowel/bladder control) 
  • You have significant numbness, weakness, or tingling in your legs 
  • Your pain hasn't improved after 4-6 weeks of conservative treatment 

Many people without any back pain have abnormal findings on MRI scans, so these tests can sometimes be misleading and cause unnecessary worry.

 

When Should I See a Doctor Right Away? 

Seek immediate medical attention if you experience: 

  • Loss of bowel or bladder control 
  • Numbness in your groin or inner thighs 
  • Severe weakness in your legs 
  • Fever with back pain 
  • Unexplained weight loss 
  • History of cancer 
  • Recent significant injury or fall 


Do I Need Physical Therapy or Other Treatments? 

For most acute back pain, you can start with self-care measures. If your pain isn't improving after a few weeks, Dr. Stein is happy to discuss additional treatment options with you.

These treatment options likely include: 

  • Physical therapy 
  • Massage therapy 
  • Acupuncture 
  • Trigger point injections. 
  • Spinal manipulation (chiropractic care)