NSAID Pain Killers and Heart Attacks By Mrs Vera West

     If you have a bad back like me, then this is something that should concern you:
  https://www.naturalnews.com/2019-02-25-common-painkillers-are-associated-with-heart-attacks.html

“Overuse of non-steroidal anti-inflammatory drugs (NSAIDs) are associated with a higher incidence of coronary health risks. Did you know that taking too much Motrin, Aleve, and Advil can put you at increased risk of having a heart attack? A new study warns against overuse of over-the-counter pain killers such as diclofenac, naproxen, and ibuprofen. The five-year study out of Denmark monitored 100,000 people who had recently suffered a heart attack. About half of the patients were prescribed an NSAID and the other half were not. The researchers followed the patients for one year and found out that the NSAID users were 60 percent more likely to die from a second heart attack in a year’s time, compared to the patients who did not take an NSAID. For every 100 patients who took an NSAID, there were 20 deaths within one year. For every 100 who didn’t take a pain drug, there were 12 deaths. The correlation continued into the fifth year, with 9.5 deaths per 100 NSAID users and only 6 deaths per 100 in the non-medicated group.

The largest increase in heart attack rate was associated with diclofenac, an NSAID drug recognized by the brand name Cataflm. Medications that contain naproxen, such as Naproxyn and Aleve, were also associated with a second heart attack, but at a slightly lower rate. The Denmark study mirrors a 2013 study published in the Lancet. In that study, researchers investigated 353,000 individual cases from 639 clinical trials and found that NSAIDs increased patients’ risk of heart attack by one third. Most concerning, ibuprofen doubled the likelihood of patients suffering a heart attack. The mechanism by which the NSAIDs increase heart attack risk is unknown. The studies found that aspirin use does not put patients at an increased risk of a heart attack, but when combined with NSAIDs, aspirin’s blood thinning affects are diminished.”

     There is no easy answer to back pain, especially the main one of lower back/lumber pain. This article below goes through all of the treatments, ands pretty much concludes that one will need to search out what works best for the individual, if anything:
  https://www.muscleforlife.com/lower-back-pain-relief/