Managing chronic back pain often requires a personalized approach. For mild to moderate pain, over-the-counter options like ibuprofen, naproxen, or acetaminophen can help reduce discomfort and inflammation. If these are not sufficient, a doctor may prescribe muscle relaxants, topical lidocaine patches, or medications that target nerve pain pathways, such as gabapentin or duloxetine. Because chronic pain is complex, medication is usually most effective when paired with physical therapy. I highly recommend consulting your healthcare provider to get a proper diagnosis and a safe, tailored treatment plan that is right for you.