What Causes Persistent Lower Back Pain Despite Taking Ibuprofen And Tylenol?

** Thanks for contacting with your health concern 1. since there is no known harmful interaction between ibuprofen and paracetamol thus it is safe to take them together, so if the symptom of back pain is persisting talk to your attending doctor even if the medicine is not giving you desired results in relieving your pain. 2. make sure to incorporate dietary regime and lifestyle changes into your daily routine: DIETARY REGIME i. Avoid urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when the sky is covered with clouds, and cold wind. ii. Take maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, kali marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed buttermilk. iii. Fry 250 ml ginger juice in 250 ml of til tail, when 250 ml remains [make sure oil doesn t get burn], filter it after cooling and massage. iv. Boil 1 spoon dried ginger in 4 cups of water till 1 cup remains, filter it and add 2 spoon castor oil and drink. PS. General Instructions [lifestyle management] i. Maintain straight back posture while sitting or standing. ii. Avoid bending forwards and lifting weights. iii. Sleep on a hard mattress. iv. Gentle massage v. back exercises: Leg rising in dorsal recumbent position, pushups, swimming. Spine Management: i. Relax the spine completely. ii. Do not lie face down. iii. Lie on your back with a pillow under the knee. iv. Lie on the side with a pillow between the knees. v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music. vi. Take 4 spoons of Tulasi juice 4 spoons of ginger juice 4 spoons of honey and take for 1 month. . Boil 100 gm black pepper powder in 300 ml til tail--- filter, cool and massage OR mix dried ginger in castor oil and massage. 3. If there is no relief with routine treatment . If the pain is severe and there is a neurological deficiency in the legs [earliest being a weakness of dorsiflexion of great toe] consult an Orthopedic surgeon for relevant examination and investigations like Hb%, X-ray LS Spine- AP & Lateral, [for osteoarthritis, disc prolapse, TB spine, oateoporosis] PS. In females, refer to a Gynecologist if X-ray is normal to rule out gynaec causes.