Another sign is the sustained pain that is accompanied with unplanned weight loss, fever, shakes and chills, loss of appetite, nausea and vomiting that are signs of spinal infection or tumor. While the majority of back neck pain does not have identifiable anatomical roots, many are closely linked to general conditions such as muscle strain and herniated vertebral disc. Due to the nature of muscle strain, it is best to avoid irritation on the affected part especially on the spine and the muscles that surround this area. Anti-Inflammatory Medications or Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Medications that are covered by NSAIDs are often used in treating inflammation associated with lower back pain and other pains. Though cardiovascular exercises may add to your overall strength, it is still ideal for you to incorporate exercises such as the following: Leg raising for hip and stomach muscles strength Leg raising that intensifies hip and back muscle strength Wall sliding for promoting back, leg and hip muscles Partial sit-ups for strengthening stomach muscles Back leg swing for promoting back and hip muscles Flexibility exercises and stretches In case you have not done any of the routines stated above or you have issues that may affect or may be affected with such activities, it is best to seek medical and professional help. This is the reason why trauma or any excessive force over the area is betterly recognized as "kidney punch" rather than lower back pain. Kidney pain is directly linked to the organ itself but may usually manifest as lower back pain. It is acute in origin because the pain typically starts rapidly but may develop into chronic pain over time. However with the newer released items for NSAIDs (e.g. COX-2 Inhibitors), patients may be allowed to take higher doses without the accompanying risks of side effects. Acetaminophen Acetaminophen such as Anacin-3 , Valadol , Phenaphen , and Tylenol , are commonly known to have the effects of ordinary analgesics- the typical alternatives to NSAIDs. Both the myofascial pain and the joint dysfunction can best be helped with treatments in the forms of: Active and passive physical therapy and daily exercise Osteopathic or chiropractic manipulation Massage therapy or deep massage Acupuncture Massage therapy Injections with a local anesthetic on trigger points Over the counter medications Prescription drugs The back bone is divided into several categories and each are at risk to different factors.