Spinal stenosis is a condition that can cause severe pain and discomfort. Painkillers are commonly included in spinal stenosis treatment plans, in combination with physical therapy, lifestyle modifications, and other therapies, to help alleviate patients’ symptoms. Here are some of the best painkillers for spinal stenosis:

• Over-the-counter pain medications: Over-the-counter (OTC) drugs are usually the first line of medication treatment for spinal stenosis. These medications may help alleviate pain and/or inflammation. Examples of OTC analgesics include acetaminophen (Tylenol), aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve) .

• Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs reduce pain and inflammation. Examples of over-the-counter NSAIDs include aspirin, ibuprofen, and naproxen. Prescription-strength NSAIDs are also available.

• Antidepressants: Some types of antidepressants can help with chronic pain. Amitriptyline is the most common.

• Anti-seizure drugs: Certain anti-seizure medications, including gabapentin and pregabalin, can help alleviate pain stemming from nerve damage.

• Corticosteroids: Corticosteroids are anti-inflammatory medications that can reduce swelling and irritation in nerves and the spinal cord, relieving pain. Doctors typically prescribe a course of corticosteroids taken by mouth for five or six days and reassess your symptoms before recommending further treatment.

Its important to note that medication can provide near-immediate relief from severe spinal stenosis pain, but may carry the risk of side effects and complications. Before starting any medication, even over-the-counter medications, you should speak with a spine specialist. Additionally, combining certain medications can have a negative effect and worsen pain or cause unpleasant side effects. A spinal specialist can help you determine which spinal stenosis medication is right for you.