Alternatively they could consider using herbal medicines. A Cochrane review (http://summaries.cochrane.org/CD004504/herbal-medicine-for-low-back-pain) has shown three herbal medicines to be effective in treating episodes of back pain The herbs tested were oral administration of Devil’s Claw
(Harpagophytum procumbens ) and White Willow Bark (Salix alba), and topical application of Cayenne (Capsicum frutescens ). The review contained ten randomized controlled trials that included 1567 adults with non-specific acute or chronic low back pain. All three herbs reduced pain in comparison to placebo.
The herbs selected by a Medical Herbalist depend on the particular presentation of each individual patient but would aim to relieve pain, decrease inflammation, reduce muscle spasm, promote healing, improve circulation and maintain stamina.