Brief Answer:
There is no "best" pain relief pill

Detailed Answer:
Hi, thank you for using Healthcare Magic. Unfortunately, no one can make a blanket statement about the "best" pain relief pill for back pain. It depends on the particular person, the cause of the back pain, and other factors. Everyone responds to different medicines differently, and what might work very well for someone else may have little or no effect on you.

The choice of medicine is also based on the cause of the back pain. If it's related to muscle spasms, a muscle relaxant might be the most helpful. If it's arthritis, perhaps an anti-inflammatory. If it's metastatic cancer, only a very strong narcotic may help. If it's nerve pain, certain antidepressants or seizure medicines may be used.

Other modalities than medicines may also be more helpful than drugs. Massage or physical therapy may provide relief. Back exercises or stretching may help. Heat or Jacuzzi may provide relief. Acupuncture can be very effective.

The way to find the "best" treatment is to have a complete evaluation by your doctor, who can determine the cause of the pain and then provide the most effective therapy and in the correct dose that works for you. You mention you are taking APAP with codeine. Perhaps you just need a bigger dose or a stronger narcotic. Maybe an anti-inflammatory may be better. If your pain is from muscle spasm, a muscle relaxant in addition to the codeine may be enough.

Even knowing the cause, sometimes it takes a little trial and error with different drugs to find out what drug is going to be most effective for YOU. Work with your doctor on this. If your problem is chronic pain, you may wish to consult with a specialist in pain management.

Hope this answers your query. If you have further questions, I would be happy to answer them.

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