Management of low back and neck pain by analgesics and adjuvant drugs: an update.

Although recent advances in drug therapy for low back and neck pain may seem slight, some consolidation of knowledge has taken place. Opiates, NSAIDs, and acetaminophen remain the drugs of choice. New NSAIDs, especially ketorolac, have some advantages. Injections of steroids and other agents into the lumbar area do not offer any distinct advantages. The use of adjunctive drugs such as muscle relaxants and antidepressants has not materially changed in the last few years.