Pain Management

Managing pain is a crucial aspect of treatment for backache, as debilitating pain can affect other aspects of the patient’s progress and may potentially lead to other problems such as depression. Having a good pain management allows patients to go back to their daily routine and initiate exercise programs for improved wellbeing.

The most common medication for backache is non-steroidal anti-inflammatory drugs (NSAIDs), which function to stop pain and inflammation. Given in the right doses and duration, NSAIDs are a safe and effective way to control pain and inflammation. In cases of severe pain, however, doses need to be increased, which may lead to side effects such as gastrointestinal problems (nausea, vomiting, dyspepsia) and increased risk of heart problems, erectile dysfunction, inflammatory bowel disease, kidney failure and others. As such, lower doses are believed to be safer, but at amounts that does not compromise on its efficacy levels.

Studies published in rheumatology scientific journal showed that combination vitamin B1, B6 and B12 can help to reduce pain symptoms and shorten treatment period compared to just taking NSAIDs alone. The results were reaffirmed in another study involving 122 patients with back pain using a lower dose of diclofenac, a type of NSAID. The group that was given vitamin B1, B6 and B12 together with diclofenac reported significant reduction in pain after 3 days, compared to the group on diclofenac alone who experienced no change in symptoms.

This pain reduction and elimination meant that patients could reduce the number of days they had to take diclofenac and allowed them to take it at the lowest dose possible (75mg) compared to the conventional dose (150mg). Lower doses and shorter medication periods of NSAIDs also reduced the risks of side effects for patients. This can be achieved through the treatment with combination of NSAID and vitamin B1, B6 and B12.


  1. Vetter G., et al. Z Rhematol, 1988, 47: 351-362
  2. Kulhwein A., et al. Klin Wochenschr, 1990, 68: 105-115
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