💊 OTC at Rx Drugs sa Sakit ng Likod
NSAID + muscle relaxant ay first-line para sa acute mechanical back pain. Symptom relief lang, hindi structural fix. Para sa chronic pain, kailangan ng physical therapy referral.
- Alaxan FR (Ibuprofen 200mg + Paracetamol 325mg): P5-10/tab OTC. 1 tab q6-8h, with food. Balanced OTC para sa acute pain.
- Mefenamic 500 mg (Dolfenal / Ponstan): P8-15/tab. 1 tab q6-8h. Stronger anti-inflammatory pero may gastritis risk.
- Naproxen 500 mg (Flanax / Skelan): P15-25/tab. 1 tab BID. Mas tagal ang relief (12 hours), good para sa overnight.
- Norgesic (Orphenadrine 35mg + Paracetamol 450mg): P15-25/tab. 1 tab TID. Muscle relaxant + analgesic combo. Para sa pain + spasm.
- Mydocalm (Tolperisone, Rx): P25-40/tab. 1 tab TID. Para sa severe muscle spasm. Mas centrally-acting.
- Voltaren Emulgel (Diclofenac 1% topical): P200-350/tube. 2-4x daily sa apektadong area. Localized relief, walang systemic side effects.
🧐 Home Management + Ergonomics
Avoidance ng prolonged bed rest at gentle movement ay better than total inactivity. Lifestyle changes (posture, ergonomics, core strength) ang long-term solution.
- Ice sa first 48 hours, heat after: Ice 15-20 min q2-3h para sa acute inflammation. Pagkatapos 48 hours, heating pad para sa muscle relaxation.
- Limited bed rest (max 2 days): Prolonged bed rest ay nagpapahaba ng recovery. Mag-walk 5-10 min q2h, gentle movement.
- McKenzie back extension exercises: Prone press-up, 10 reps q2h. Pampabawas ng disc-related pain. Magpa-PT para sa proper technique.
- Sleep position: Side-lying with pillow between knees, o supine with pillow under knees. Iwasan ang prone (face-down) sleeping.
- Ergonomic chair + posture: Lumbar support, screen at eye level, feet flat sa sahig. Stand at stretch every 30-60 min.
- Core strengthening (chronic): Plank, bird-dog, dead bug. 3x/week, 10-15 min. Pampaganda ng spinal stability long-term.
Cause ng Sakit ng Likod → Tamang Specialist
| Cause | Telltale Sign | Specialist |
|---|---|---|
| Acute mechanical strain | Post-lifting, prolonged sitting; resolves 2-6 weeks | Family Medicine; NSAID + rest |
| Chronic mechanical pain | Recurring >6 weeks, posture-related | Rehabilitation Medicine + PT |
| Sciatica / disc herniation | Pain radiates down the leg, worse on coughing/bending | Orthopedics + MRI |
| Spinal stenosis | Pain worse on walking, relieved by leaning forward (age 60+) | Orthopedics o Neurosurgery |
| Kidney stones / pyelonephritis | Flank pain, dysuria, fever, hematuria | Internal Medicine o Urology |
| Osteoporotic fracture | Acute mid-back pain, age 60+, minimal trauma | Orthopedics + X-ray + DEXA |
| Cauda equina syndrome | Saddle anesthesia, bladder/bowel incontinence, leg weakness | ER AGAD. Surgical emergency. |
| Spinal infection / cancer | Night pain, weight loss, fever, age >50 with no trauma | Internal Medicine + imaging |
Red flag mnemonic: TUNA FISH (Trauma, Unexplained weight loss, Neuro deficit, Age >50, Fever, IV drug use, Steroid use, History of cancer). Kung any of these, kailangan ng workup hindi self-medicate. Para sa simple acute mechanical strain (90% of cases), NSAID + heat + 2-6 weeks recovery.
Back Pain Drugs: Use Case Comparison
Alaxan FR
P5-10/tab OTC. Ibuprofen + Paracetamol combo. Balanced, mild-moderate pain.
Mefenamic (Dolfenal)
P8-15/tab. Stronger anti-inflammatory. Take with food, gastritis risk.
Naproxen (Flanax)
P15-25/tab. 12-hour relief. Good para sa overnight at chronic pain.
Norgesic
P15-25/tab. Orphenadrine + Paracetamol. Para sa pain + muscle spasm.
Mydocalm (Rx)
P25-40/tab. Tolperisone, centrally-acting muscle relaxant. Severe spasm.
Voltaren Gel
P200-350/tube. Topical diclofenac. Localized, walang systemic side effects.
⏱️ Severity Guide
Acute mechanical strain, walang radiating pain o neuro symptoms. Alaxan o Mefenamic + heat + 2-6 weeks.
Chronic >6 weeks, recurring, posture-related, mild sciatica without weakness. Imaging + PT referral.
Saddle anesthesia, bladder/bowel incontinence, leg weakness, post-trauma. ER AGAD para sa imaging at surgery eval.
Tips para sa Back Pain Prevention + Recovery
Lift with knees, not back
Squat down, keep object close, lift with legs. Iwasan ang twisting motion habang nagbubuhat.
Ergonomic workstation
Lumbar support, screen sa eye level, feet flat. Stand at stretch every 30-60 min sa prolonged sitting work.
Ice 48 hours, heat after
Ice 15-20 min q2-3h para sa acute inflammation. Heat pampakalma ng muscle tension sa chronic phase.
Sleep position matters
Side-lying with knee pillow o supine with knee pillow. Medium-firm mattress. Iwasan ang face-down.
Core strength = back support
Plank, bird-dog, dead bug 3x/week. Mas malakas ang core, mas konti ang back strain.
Iwasan ang prolonged bed rest
>2 days nakahiga ay nagpapahaba ng recovery. Gentle walking 5-10 min q2h ay better than total rest.
🚨 ER Agad: Cauda Equina at Critical Red Flags
Mga Karaniwang Tanong
Ano ang pinakamabisang gamot sa sakit ng likod?
Para sa acute mechanical back pain, ang Alaxan FR (Ibuprofen + Paracetamol, P5-10/tab) ang pinaka-balanseng OTC. 1 tab q6-8h, with food. Para sa moderate pain, Mefenamic 500mg (Dolfenal, P8-15) o Naproxen 500mg (Flanax, P15-25). Para sa muscle spasm, Norgesic (Orphenadrine + Paracetamol, P15-25). Para sa severe spasm, Mydocalm (Tolperisone, Rx). Para sa localized pain, Voltaren diclofenac gel topical. Hindi pwedeng self-medicate kapag may leg weakness, numbness, o bladder incontinence.
Kelan dapat magpa-ortho para sa sakit ng likod?
Magpa-Orthopedics o Rehabilitation Medicine kung: lasts longer than 6 weeks; recurring na nag-i-interfere sa daily life; radiating pain sa binti (suspected sciatica); kasama ang leg weakness o numbness; post-trauma pain; o age 50+ na walang clear trauma trigger. Kapag may bladder o bowel incontinence kasama ng back pain, ER AGAD para sa cauda equina syndrome workup.
Alaxan vs Dolfenal vs Norgesic: alin para sa anong back pain?
Alaxan FR (Ibuprofen + Paracetamol) ay balanced para sa acute mechanical pain. Dolfenal o Ponstan (Mefenamic 500mg) ay NSAID-only, mas anti-inflammatory pero may gastritis risk kapag empty stomach. Norgesic (Orphenadrine + Paracetamol) ay para sa muscle spasm component. Para sa acute mechanical back pain na walang spasm, Alaxan o Mefenamic. Para sa pain + palpable spasm, Norgesic o Robaxisal. Para sa severe spasm, magpa-doctor para sa Mydocalm Rx.
Pwede ba mag-exercise kapag may sakit ng likod?
Yes, controlled movement at gentle stretching ay better than prolonged bed rest. Sa acute phase (first 48 hours), ice pack at gentle ROM. Sa subacute phase (3-14 days), heat + walking + McKenzie back extension exercises. Iwasan ang heavy lifting at twisting. Para sa chronic recurring back pain, magpa-Rehabilitation Medicine para sa structured PT program (core strengthening, posture correction). Hindi pwede mag-exercise kapag may neuro symptoms, kailangan ng imaging muna.
Chronic na Sakit ng Likod?
Pain na lampas 6 weeks o umuulit ay kailangan ng proper workup. Magpa-konsulta sa Orthopedics o Rehabilitation Medicine sa NowServing para sa X-ray, MRI, o PT referral. Hindi sustainable ang NSAID daily.
Mahigit 3,500+ Orthopedics at Rehab Med doctors sa NowServing nationwide.
Orthopedics MD Rehab MedicineDisclaimer: Ang impormasyon dito ay para sa edukasyon lang at hindi ito pumapalit sa konsulta sa doctor. Hindi ito medical advice. Ang Mydocalm (Tolperisone) at iba pang Rx muscle relaxant ay nangangailangan ng doctor evaluation. Ang cauda equina syndrome at spinal cord compression ay surgical emergencies, hindi self-medicate. Ang NSAID overuse ay common gastritis trigger. Ang mga presyo ay pwedeng magbago.