Quiz: What's the best way to treat back pain?

Low back pain caused by strain or injury may last just as long if you take medication, if you go to a chiropractor or a physical therapist, or if you seek no treatment at all. But treatment of some type — either chiropractic or conventional — might make you more comfortable as you wait for your back to heal.

Acetaminophen can help control pain. Aspirin and ibuprofen can relieve pain and reduce inflammation, swelling and stiffness. With your doctor's OK, the choice is up to you. Follow the directions and any precautions printed on the product label.

Light activity promotes healing. As much as possible, follow your normal routine. Be careful to avoid heavy lifting, prolonged sitting, repetitive bending or anything that aggravates the pain.

Use cold treatment first, such as a bag of ice or frozen vegetables wrapped in a thin towel. Use the cold pack several times a day for up to 20 minutes at a time, starting as soon as possible after the injury. After two to three days, switch to a heating pad or warm compress to help loosen tight muscles and increase blood flow.

The best sleeping position for your back is curled on your side, with your knees bent up toward your chest. To help keep your spine aligned properly, you may want to place a small pillow between your knees. Lying flat on your back or stomach may contribute to back pain by arching your spine beyond its normal curve.

For years, firm mattresses were recommended for people with low back pain. But now, researchers say a medium-firm mattress is best.

Back braces can help support your back. But prolonged use may weaken your back muscles. The best back brace may actually be your own muscles. Ask your doctor about strengthening and stability exercises.

Smoking reduces blood flow to the lower spine, which can hinder the healing process. If you smoke, ask your doctor to help you develop a plan to quit.

Surgery for low back pain is rarely needed. It's typically reserved for cases of severe or persistent pain that doesn't respond to other treatment or pain that significantly affects your ability to function. Surgery may also be recommended if you experience weakness in your leg due to a pinched nerve or you have trouble controlling your bladder or bowels.

Most cases of low back pain can be treated with simple self-care measures at home. But sometimes back pain can signal a serious problem. All of the symptoms listed above deserve medical attention. Also consult your doctor if the pain is constant or intense; it causes weakness, numbness or tingling in one or both legs; it causes new bowel or bladder problems; it's accompanied by abdominal pain; or it's the result of a fall or blow to your back.