Instruct to continue daily activities using pain as limiting factor
Recommend at home stretches
Medications
Acetaminophen and/or NSAIDs
1st line therapy
Consider gel/patch like diclofenac or ketoprofen (shown to be more effective than PO form and placebo in one study)
Lidocaine patch
Capsaicin or Cayenne
Skin desensitization upon repeated exposure
Muscle relaxants (limited evidence)
Cyclobenzaprine 10 mg PO OR
Methocarbamol 1500 mg PO
Opioids
Can be considered for moderate-severe pain but only for limited duration (<1 week)
Associated with higher return rates to ED within 30 days for same complaint when compared to other modalities
Acetaminophen and/or NSAIDs
1st line therapy
Consider gel/patch like diclofenac or ketoprofen (shown to be more effective than PO form and placebo in one study)
Lidocaine patch
Capsaicin or Cayenne
Skin desensitization upon repeated exposure
Muscle relaxants (limited evidence)
Cyclobenzaprine 10 mg PO OR
Methocarbamol 1500 mg PO
Opioids
Can be considered for moderate-severe pain but only for limited duration (<1 week)
Associated with higher return rates to ED within 30 days for same complaint when compared to other modalities
1st line therapy
Consider gel/patch like diclofenac or ketoprofen (shown to be more effective than PO form and placebo in one study)
Skin desensitization upon repeated exposure
Cyclobenzaprine 10 mg PO OR
Methocarbamol 1500 mg PO
Can be considered for moderate-severe pain but only for limited duration (<1 week)
Associated with higher return rates to ED within 30 days for same complaint when compared to other modalities
Steroids
Of unlikely effectiveness
Benzodiazepines
No benefit over NSAIDs alone
Of unlikely effectiveness
No benefit over NSAIDs alone
80% of patients will ultimately improve without surgery
Treatment is mostly the same as for acute non-radicular<unk>  pain
Consider also gabapentin (titrate slowly) or TCAs (nortriptyline, amytriptyline)
Gabapentin Oral: Immediate release: 400mg-1200mg PO TID
Gabapentin Oral: Immediate release: 400mg-1200mg PO TID
Treatment is the same as for musculoskeletal<unk>  pain
Immediate spine surgery consultation for spinal decompression to avoid permanent bowel/bladder/neurologic injury
Lower back pain
Spine related
Back pain 
Acute ligamentous injury
Hip pain
Acute muscle strain
Hip pain 
Disk herniation 