NSAIDs and Pain Relief—What You Need to Know

Physiotherapy Column

At Barefoot Physiotherapy, we’re here to support your whole health – not just your pain. Part of that includes helping you understand your options, including when medication might play a role in your recovery. 

One group of medications that often come up in conversations with clients is NSAIDs: short for Non-Steroidal Anti-Inflammatory Drugs. These are commonly used for pain and inflammation, but they’re not always well understood. 

This blog breaks it down in simple terms so you can feel more informed when NSAIDs are mentioned as part of your care. 

To read the blog written for Clinicians about NSAIDs CLICK HERE 

What Are NSAIDs?

NSAIDs are medications that help reduce: 

  • Pain 
  • Swelling/inflammation 
  • Fever 

They’re often used in situations like: 

  • Soft tissue injuries (e.g. sprains or strains) 
  • Joint pain or arthritis 
  • Musculoskeletal pain (like back or neck discomfort) 
  • Recovery from surgery or injury 

You may be familiar with common ones like: 

  • Ibuprofen (Nurofen) 
  • Aspirin 
  • Diclofenac (Voltaren) 
  • Naproxen (Naprogesic) 
  • Meloxicam 
  • Celecoxib 

The first 4 on that list are available over the counter at a pharmacy.  

Things to Be Aware Of 

While NSAIDs can be helpful, they’re not for everyone. Some people may need to avoid them or use them carefully, especially if they have: 

  • Kidney or liver conditions 
  • A history of ulcers or gut irritation 
  • Asthma 
  • Heart issues 
  • Are pregnant  

Should You Take NSAIDs? 

If you’re considering using NSAIDs for the first time or it’s been a while, it’s a good idea to: 

  • Talk with your GP or pharmacist 
  • Let your physio know – they may adapt your treatment based on what’s safe and helpful for you 
  • Be aware of how your body responds, and avoid taking them if you’re dehydrated or unwell 

Tip: Topical NSAIDs can be worth trying for hand or knee inflammation due to how close to the skin these joints are.  

What We Focus On at Barefoot

Our goal is to help your body move better and feel better – with or without medication. 

NSAIDs can be part of your recovery toolkit, but they’re just one piece. At Barefoot, we’ll always: 

  • Prioritise hands-on care 
  • Look for the root cause of your pain 
  • Help you build strategies for long-term healing and strength 
  • Respect your comfort and values around medication use 

If you have questions about how NSAIDs might relate to your recovery, feel free to bring it up at your next session. We’re here to help you make informed choices that feel right for you. 

Our clinical insights (this is general information, ask for individual advice from your pharmacist or GP): 

  • If a medication has worked well for you in the past it is often a good first port of call. 
  • The usual NSAID medications people use are Ibuprofen, Naproxen, Diclofenac or Aspirin.  You should not take more than one NSAID.  These are available over the counter.  
  • You can combine them with Paracetamol.  
  • Naproxen is not just for period pain! It can be used for musculoskeletal pain and  inflammation. 
  • The key we find is for you to have the medication in a good therapeutic dosing window (taken consistently, usually 3 times a day, for 5-14 days).  
  • For acute inflammation the timing of the inflammatory cascade means that a true anti-inflammatory effect takes 3 days to be felt. So make sure to take your medication regularly for at least that long.  
  • You should see good results of the medication within 5 days and if not you may need to change medication. Sometimes it is hard to know if the improvements are from the medication or the physiotherapy treatment (often it is both) – but if you are not making the improvements expected you may need to change (for example from Ibuprofen to Diclofenac).  
  • In our clinical experience with good physiotherapy management often you will be able to wean off the NSAIDs at 2 weeks.  
  • IMPORTANT: decreasing your medication and holding your testing ranges is a big win – make sure to keep us in the loop if you are changing your medication.  
  • For chronic inflammation like Osteoarthritis it can take up to 2-3 weeks to see full effects of the medication – this is often managed by a GP referral. 

     

Need support for a musculoskeletal injury or pain concern? 
Book an appointment online or give us a call at 1300 842 850. 

We’re here when you’re ready. 

Disclaimer: This blog is general information only and isn’t a substitute for individual medical advice. NSAIDs aren’t right for everyone, and the safest option depends on your health history, other medications, and the type of pain you’re dealing with. Please speak with your GP or pharmacist before starting, stopping, or changing medication. We’re always happy to work alongside your wider care team.

Physio assessing client

FAQs

What are NSAIDs used for? 

NSAIDs are commonly used to reduce pain, inflammation, and swelling. They’re often used for musculoskeletal pain, sprains, strains, arthritis, and short-term pain after injury or surgery. 

What does NSAID stand for? 

NSAID stands for Non-Steroidal Anti-Inflammatory Drug. These medications are used to help manage pain and inflammation. 

Are ibuprofen and Voltaren NSAIDs? 

Yes. Ibuprofen and diclofenac (Voltaren) are both NSAIDs. Other common NSAIDs include aspirin, naproxen, meloxicam, and celecoxib. 

Can I take NSAIDs for back pain or neck pain? 

NSAIDs may help some people manage back pain, neck pain, and other musculoskeletal pain, especially where inflammation is part of the picture. They are not right for everyone, so it’s best to check with your GP or pharmacist. 

Can you take paracetamol with NSAIDs? 

Paracetamol can often be taken alongside NSAIDs, but individual advice matters. Speak with your pharmacist or GP to make sure it is safe and appropriate for you. 

Should I take more than one NSAID at the same time? 

No. You should not take more than one NSAID at the same time unless you have been specifically advised to do so by your doctor. 

Are NSAIDs safe for everyone? 

No. NSAIDs are not suitable for everyone. They may need to be avoided or used carefully if you have kidney problems, liver conditions, stomach ulcers, asthma, heart issues, or if you are pregnant. 

How long do NSAIDs take to work for inflammation? 

For acute inflammation, NSAIDs may start to help with pain sooner, but a stronger anti-inflammatory effect can take a few days of regular use. For longer-term conditions like osteoarthritis, the full effect may take a couple of weeks. 

Can topical NSAIDs help with joint pain? 

Yes. Topical NSAIDs may be helpful for some people, especially for hand or knee pain, where the joint is closer to the skin. 

Can physiotherapy help without NSAIDs? 

Yes. At Barefoot, physiotherapy focuses on helping your body move better and feel better with tailored treatment, hands-on care, and long-term strategies. NSAIDs can be one tool, but they are not the only option. 

Should I tell my physio if I’m taking NSAIDs? 

Yes. It’s helpful for your physio to know what medication you’re taking so your care can be adapted in a way that is safe and supports your recovery. 

Contact

F 07 3054 7388

28 Curzon street,
Tennyson QLD, 4105

Locations

AT BAREFOOT PHYSIOTHERAPY, WE’RE PROUD TO SERVE CLIENTS FROM ALL CORNERS OF AUSTRALIA WHO MAKE THE JOURNEY TO OUR CLINIC IN TENNYSON, BRISBANE.

Below is a list of nearby suburbs that many of our local clients come from. Whether you’re near or far, we’re dedicated to providing exceptional care tailored to your needs.