Having Neck or Back Pain? Here Are the Medications a Spine Surgeon Might Recommend
Neck or Back pain is one of the most common reasons people visit a doctor. Whether it’s from that golf game, a recent injury, or something more chronic, you're not alone if you're reaching for relief. As a spine surgeon, I often get asked: What medications can help? While not every patient needs surgery, many can benefit from medications that ease pain and inflammation. Here's a breakdown of the medications I often recommend or prescribe.
1. Tylenol (Acetaminophen)
One of the most basic—but effective—pain relievers.
Often my first-line recommendation, especially for those who can’t take anti-inflammatories.
Safe when taken correctly — up to 4,000 mg per day, divided into doses.
Important: Avoid mixing with other medications that contain acetaminophen to prevent liver damage.
2. NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
Great for reducing both pain and inflammation.
Over-the-counter options: Ibuprofen (Advil, Motrin), Naproxen (Aleve)
Prescription strength: Meloxicam (Mobic), Celecoxib (Celebrex)
NSAIDs can be very effective, especially when taken consistently for a few days rather than “as needed.”
Be cautious if you have stomach issues, ulcers, or kidney concerns — always follow your doctor’s advice.
3. Muscle Relaxants
Useful for those dealing with painful muscle spasms.
Common options include:
Methocarbamol (Robaxin) – my go-to, as it’s effective and less sedating than others
Tizanidine (Zanaflex)
Cyclobenzaprine (Flexeril)
Usually taken at bedtime to help reduce muscle tension and improve sleep.
4. Nerve Pain Medications
For pain that shoots down the arms or legs — what we often call radicular pain or sciatica.
Gabapentin and Pregabalin (Lyrica) are two commonly prescribed medications in this category.
These help calm irritated nerves and are especially useful for burning, tingling, or shooting pains.
Often started at a low dose and adjusted based on response and tolerance.
5. Steroids (Medrol Dose Pack)
Short-term steroid tapers can provide powerful anti-inflammatory relief.
I sometimes prescribe methylprednisolone (Medrol Dose Pack) for acute flare-ups.
Important: These are not for everyone—especially those with uncontrolled diabetes, as steroids can spike blood sugar levels.
Final Thoughts
Not every type of neck or back pain needs the same treatment. Some patients benefit from a combination of medications, while others may respond to physical therapy, pain management injections, lifestyle changes, or in rare cases, surgical intervention. The key is understanding the source of the pain — and targeting treatment accordingly.
If you're struggling with pain and unsure what’s right for you, don’t hesitate to reach out. The right medication — in the right hands — can make a big difference.
📍 Need help managing your back or neck pain?
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