Naproxen (Aleve) One pain reliever for a lumbar disc is naproxen, also called naproxen sodium. Naproxen is a type of propionic acid, the dosage of this drug can be different for each patient. However, it is safe to take *1 to 2 tablets per day*, with an interval of *8 to 12 hours*! The volume of each pill contains *220 mg*, and the amount of naproxen consumed by a person should not exceed *660 mg* per day. Ibuprofen (Motrin and Advil) Another type of propionic acid, which is used as the best medicine for lumbar disc, is ibuprofen. This drug is also sold under the brand names Advil and Motrin; In any case, the permissible dose for each patient can be *1 to 2 tablets every 4 to 6 hours* during the day; In addition, the maximum amount that any person can take ibuprofen during the day is about *1200 mg*. Keep in mind that each pill contains *200 mg* of ibuprofen! Aspirin (Bayer) Another type of NSAID that is recommended for non-surgical treatment of lumbar disc herniation, and may help relieve symptoms of mild lumbar disc herniation, is aspirin. This anti-inflammatory and pain-relieving drug consists of acetylated salicylates, and should not be taken more than *4000 mg* per day. A typical dose of aspirin for the treatment of lumbar disc herniation is *1-2 tablets of 325 mg*, which should be at least *4 hours* apart. Of course, a person can also take three pills in *6 hours* according to the doctor's order; However, the amount of medicine used should not exceed the allowed amount. The best multivitamin for lumbar disc Strengthening pill for lumbar disc Choosing the best multivitamin for lumbar disc depends on the specific nutritional needs of patients with spinal problems and related inflammations. According to studies published in *Journal of Bone and Mineral Research*, compounds such as vitamin D, calcium, magnesium, vitamin K2 and omega-3 play an effective role in maintaining bone health, reducing inflammation and improving the function of intervertebral discs. Also, group B vitamins, especially B1 (thiamine), B6 ​​and B12 are very effective in strengthening the nerve and reducing neuropathic pain. Among the reliable multivitamins that provide these compounds in a complete form and scientific dosage, the following can be mentioned: - Solgar VM-75; Contains a wide range of B vitamins, vitamin D and vital minerals. - Orthomol Arthroplus; Formulated for joint and disc health, with anti-inflammatory vitamins and omega-3. - Nature Made Multi for Him/Her with Omega-3; Contains basic ingredients for bone and nerve health, suitable for daily use. - Pure Encapsulations Nutrient 950; Without allergens, with the right dose of vitamins effective in reducing inflammation and strengthening connective tissue. Before taking these supplements, it is recommended to check your condition and physical needs by a doctor to make a more accurate choice. The best medicine for lumbar disc and sciatica When the lumbar disc becomes severe enough to cause lumbar disc pain and pain in the left leg, taking several types of medication can help reduce sciatica pain. Among the treatment solutions, the use of drugs such as **lumbar disc treatment pills** and other non-surgical methods can help reduce symptoms and improve the quality of life, which include the following: - Non-prescription painkillers; such as acetaminophen, aspirin, ibuprofen, ketoprofen and naproxen - muscle relaxant drugs; To relieve muscle spasms - taking antidepressants; For chronic back pain! - taking strong painkillers as prescribed by the doctor; For very severe pain Aspirin is not recommended for teenagers under 18 years of age. Because it may increase the risk of Reye's syndrome. Injectable steroid drugs are also suitable for reducing spinal inflammation and pain; These drugs should be injected into the space around the spinal nerves, to greatly reduce the pain caused by a herniated or ruptured lumbar disc. Immediate relief for lumbar disc Acetaminophen is prescribed as a lumbar disc medication, which has a positive effect on reducing pain and inflammation caused by a degenerated disc. Acetaminophen belongs to the group of immediate pain relievers for lumbar disc that affects the brain and reduces pain. Another point is that acetaminophen, which is prescribed as the best drug for lumbar disc in the first line of treatment, is relatively safe! When a person suffers from occasional pain, taking acetaminophen in the right dose can help to immediately treat low back disc pain. However, this drug, like other drugs, should not be taken in high doses; Because it may have side effects such as increasing blood pressure and increasing the risk of bleeding in the intestines. The best medicine for lumbar disc rupture When a herniated disc is left untreated, the resulting pain becomes more severe and necessitates more complex treatments such as microscopic lumbar disc surgery! But physical therapy and exercise along with the use of various drugs for degenerative lumbar disc will help in pain management; These drugs include: 1. **oral steroids**; which act as strong anti-inflammatory drugs and reduce the pain caused by lumbar disc rupture. 2. **narcotic painkillers**; Such as codeine, hydrocodone and oxycodone, which are only prescribed for short periods. 3. **non-steroidal anti-inflammatory drugs**; Like diclofenac and celecoxib, which block inflammation-inducing enzymes! 4. **muscle relaxants**; Such as carisoprodol, cyclobenzaprine and diazepam, which have a calming effect on the whole body. 5. **Tramadol**; which affects the brain and has no anti-inflammatory effect! Therefore, it may be taken together with anti-inflammatory pills, such as acetaminophen. Ultracet contains tramadol and acetaminophen in its composition; Therefore, it should not be taken with additional acetaminophen. 6. **anticonvulsant drugs such as gabapentin**; To control chronic back pain and sciatica pain! Be careful, the best medicine for lumbar disc can have the most benefits and the least side effects when it is taken according to the doctor's prescription and with the right dosage. Patients suffering from liver diseases and pregnant or lactating women should definitely consult their doctor about the use of lumbar disc medications. The best ointment for lumbar disc Using herbal remedies and natural supplements at home to treat lumbar disc at home as complementary treatments for lumbar disc can help reduce inflammation, relieve pain, and improve movement. These compounds are often extracted from natural sources and used in the form of creams, ointments or oral supplements. Although many of them have reported positive effects, their consumption should be under the supervision of a doctor, as they may be harmful to some people. The best ampoule for lumbar disc Lumbar anti-inflammation ampoule Lumbar disc injection is usually done to postpone spine surgery! Epidural corticosteroid injection directly in the spine reduces inflammation in the herniated disc area and reduces pain. This drug is prescribed only when the patient has not received satisfactory results from non-surgical lumbar disc treatment methods (within *6 weeks*). *—Dr. Charles Hans Raj, Spine Surgeon, Mercy Medical Center, USA:* > "In patients with lumbar discs that do not respond to initial treatments, epidural steroid injection can be one of the most effective methods to reduce inflammation and nerve pain; however, this treatment should be performed under controlled conditions and with imaging guidance." **Taking medicine for lumbar disc** Drug treatment is one of the most common and available methods to control the pain and inflammation caused by the lumbar disc. According to the studies published in the specialized journal Spine, about *70 to 80%* of patients with lumbar discs in the initial stages of treatment use oral or injectable drugs to reduce pain. Also, reports show that regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain symptoms by *50* in the first *4 to 6 weeks*. *According to the data of the American Academy of Orthopedic Surgeons (AAOS):* - More than *60% of patients* show a positive initial response to non-prescription drugs such as ibuprofen or naproxen. - In cases of severe or chronic pain, about *30% of patients* need stronger drugs such as muscle relaxants or corticosteroid injections. - Among the patients who take medicine, 20% of them end up needing combined treatment (medicine + physiotherapy or injection). In addition to the use of medicine, the use of complementary treatments such as herbal medicines and natural ointments has also become common, many of which have been noticed under the title of beneficial properties for the lumbar disc. The combination of these approaches, if approved by the doctor, can produce better results in reducing pain and preventing the progression of the injury.