Surgery is different vickypea.
Wanmankylung, is that not relevant when considering healing following an acute muscle injury?
That would depend on the nature of the injury. But for back ache there's not likely to be a hell of a lot of bleeding.
Dunno? Only basing my opinion on the use of NSAIDs immediately post injury on current literature and experts in the field. Obviously we would give different advice, which is fine everyone can have their opinion on how to best manage an injury depending on the evidence we choose to influence our practice.
We have no or very littke evidence here and can't do an assessment so best that the OP follows NHS advice, which mentions NSAIDS, until they can seek help. Me if he fits the acute back injury criteria without any of the complications then I'd be prestibing codeine, paracetamol, diclofenic and possibly diazepam if they're were no contraindications.
Drac - is that so that the constipation takes their mind off the back ache?
Something like that.
I'd be prescribing codeine, paracetamol, diclofenic and possibly diazepam
That is exactly what I was given after I was hit by a minicab on the club run and left with a couple of stable spine fractures. It helped deal with the pain and I dealt with the constipation later. I did end up in the land of the fairies mind.
EDIT : No, I've just remembered, it wasn't diclofenic that I was given to take with codeine, paracetamol, and diazepam, it was tramadol, that's what sent me to the land of the fairies.
I know surgery is different to the OP's situation, but wanmankylung said above that limiting NSAIDS post-surgery is more to do with increased bleeding. But surely that is most relevant in the short term, whilst longer-term avoidance of them post surgery is related to inhibition of healing?
Yeah tramadol is supposed to be wonderful. I'll add that I wouldn't necessarily prescribe all those that's the options I have.
No Vickypea they avoid them post surgery for increased bleeding, they're used long term post surgery to reduce inflammation to allow healing and aid pain relief. Even Paracetamol is a pretty good antiinflamatorty. Current guidelines for acute back pain is to consider NSAIDs. If I didn't consider using them I'd have to give a good reason not to, reading an article wouldn't really be any good for me as I'm not a practitioner.
