Hello, Thanks for your query. Both the instability and the inflammation have to be addressed for the back pain treatment to be effective. Therapeutic low back massage is thought to provide low back pain relief by improving blood flow, reducing muscle stiffness, increasing range of motion. Typical pain medications used to treat the low back pain include acetaminophen, NSAIDs, oral steroids, narcotic drugs, and muscle relaxants. For the vast majority of patients, the only way to achieve long-term healing is active exercise, which usually includes a combination of strengthening, stretching and low-impact aerobic exercise. I do hope that you have found something helpful and I will be glad to answer any further query. Take care