Non-steroidal anti-inflammatory drugs, such as: ibuprofen (ADVIL), aspirin (BAYER), acetaminophen (TYLENOL) and naproxen sodium (ALEVE), are often recommended to patients suffering from lumbar spinal stenosis, but oral steroids and narcotics are generally contraindicated.12,13

Anti-inflammatory agents are prescribed based on the theory that inflammation within the affected tissues is a major cause of pain. The most comprehensive studies to examine NSAIDs have looked at the various medications in combination with bed rest. Based on these studies, no single drug appears to be superior to any other. 9,14,15

One double-blind, placebo-controlled trial of piroxicam (feldene) showed that a greater amount of pain relief in the treatment group was evident only during first few days of back pain; however, after 2 weeks, more of the untreated group had returned to work.16