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8 natural remedies for back pain

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Exercise and stretchingSpinal manipulationHeat and cold therapyAcupunctureMind-body practicesHerbal remediesGood postureMassage therapyOther treatmentMedical helpSummary
Back pain can be very common. Natural remedies such as exercise, heat therapy, and spinal manipulation may help relieve your back pain.
Medically reviewed by Kerry Boyle D.Ac., M.S., L.Ac., Dipl. Ac., CYT
Written by Uxshely Carcamo
Updated on

Experiencing back pain, especially in your lower back, is very common. It can sometimes lead to neck pain after strenuous activity. In most cases, back pain will not require extensive treatment and will get better on its own.

About 75% to 85% of Americans will have back pain at some point in their lives. It can cause a lot of discomfort and affect your day-to-day life.

Several natural remedies may be able to help keep your back healthy. These remedies can also help prevent or reduce back pain alongside any medical treatment you may receive.

1. Exercise and stretching

A female in workout clothes, in plank position.
Luca Sage/Getty Images

The National Institute of Neurological Disorders and Stroke suggests that exercising regularly can keep your back muscles flexible and strong.

The United Kingdom’s National Health Service (NHS) recommends completing stretching exercises 2–3 times a day to help alleviate back pain.

A 2021 review found that several types of exercise can be helpful for lower back pain. Some of the most beneficial exercises listed include:

  • Pilates
  • McKenzie therapy, a method to help manage spinal and extremity musculoskeletal disorders
  • core strengthening exercises, such as planks and crunches

The researchers also recommended doing whatever type of exercise you enjoy, as several exercise types can help with back pain.

2. Spinal manipulation

Spinal manipulation is a technique where a chiropractor applies pressure to a joint of your spine.

The National Center for Complementary and Integrative Health says that spinal manipulation can help to relieve back pain and improve how you can use your back.

3. Heat and cold therapy

Applying heat or a cold compress to your back may help relieve pain. The Arthritis Foundation recommends that you can manage back pain by:

  • soaking in a warm tub
  • applying a washcloth soaked in warm water, heat pack, or heat pad to your back
  • applying a cold compress to your back

4. Acupuncture

The National Center for Complementary and Integrative Health suggests that acupuncture may be helpful for back pain.

Acupuncture is a traditional therapy that involves inserting needles into pressure points in your body. The American College of Physicians 2017 guidelines also recommend that therapies like acupuncture can be a first-line treatment for chronic low back pain.

5. Mind-body practices

Mind-body practices may help relieve stress and tension, which can often worsen back pain.

This can include techniques such as:

6. Herbal remedies

A 2016 review suggests that some herbal supplements like cayenne pepper (Capsicum frutescens) and devil’s claw can reduce inflammation, which can help with back pain. 

It is important to speak with a doctor before trying any herbal remedies for back pain. Herbal remedies can have side effects and may interact with other medications that you are taking.

7. Good posture and lifestyle  

Having a good posture and avoiding slouching can help to prevent or improve back pain. The National Institute of Arthritis and Musculoskeletal and Skin Diseases suggests that it can also be helpful to:

  • wear comfortable shoes (that have a low heel)
  • avoid carrying heavy things
  • sleep on your side with a small pillow in between your knees
  • get up and move around regularly if you are sitting for long periods of time
  • eat a healthy diet and maintain a healthy weight

A 2020 study found that smoking can increase your risk of chronic lower back pain. It can help to quit smoking if you are experiencing regular back pain.

8. Massage therapy

The National Center for Complimentary and Integrative Health suggests that massage therapy may be helpful for lower back pain. It involves pressure and strokes being applied to your back muscles to relieve any tension.

Massage therapy is usually performed by a trained professional, but you can also use self-massage techniques at home.

More research is needed to confirm whether massage therapy can help with back pain. A review of 13 studies from 2015 suggests that it may provide only short-term relief.

Other treatment options

The National Institute of Arthritis and Musculoskeletal and Skin Diseases advises that other treatment options for back pain include:

Medication

Your medication options for back pain include:

In some instances, a doctor may prescribe opioid medications, such as hydrocodone (Vicodin), to treat severe pain. It is important to know that opioids are highly addictive and can result in serious health conditions. If you have been prescribed opioids, there are several steps you can take to reduce the chance of addiction.

Be sure to speak with a doctor before taking any medications for back pain.

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Surgical treatments

If other treatments and therapies have not worked to improve your back pain, a doctor may suggest surgery such as:

  • laminectomy, which involves removing a part of a bone in your spine to relieve pressure in your spine
  • discectomy and microdiscectomy, where a portion of a disc is removed from your spine to relieve pressure and pain in your back
  • spinal fusion, which involves joining two or more vertebrae in your spine that have slipped from their usual position
  • disc replacement surgery, where a damaged disc in your back is replaced with a synthetic disc
  • radiofrequency lesioning, which involves treating the nerves in your back that may be causing your pain

When to contact a doctor

It is important to speak with a doctor before trying any natural remedies and over-the-counter or prescription medications for your back pain. Consider speaking with a doctor if your back pain is severe or continues for a prolonged time.

If you are experiencing back pain, you may just want to rest in bed. But this can make your condition worse. It is important to stay active and keep doing gentle movements that feel comfortable.

Summary

Experiencing back pain is common, but it can also affect your day-to-day life. There are several natural remedies that can help to decrease pain and inflammation levels, such as:

  • exercise
  • heat and cold therapy
  • spinal manipulation
  • mind-body practices

If you are concerned that your back pain is not going away, consider speaking with a doctor to help you find the right treatment options.

Download the free Optum Perks Discount Card to save up to 80% on some prescription medications.

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