However, acupuncture should be combined with an exercise program for many of the reasons outlined in prior paragraphs. During the acute phase of low back pain, drugs may be prescribed. Narcotics are used on a short-term basis partially due to their addiction potential. When low back pain is caused by muscle spasm, a muscle relaxant may be prescribed. These drugs have sedative effects.
Depression can be a factor in chronic low back pain.
Anti-depressant drugs have analgesic properties and may improve sleep. Manipulation Today manipulation is performed by Chiropractors and Physical Therapists. Thereafter, benefits are unproven. Manipulation is believed to be effective because of its effect on spinal mobility. Acute low back pain, chronic low back pain, and DDD without nerve compression may respond to manipulation.