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For this reason, topical nonsteroidal antiinflammatory or analgesic agents have been increasingly introduced as an alternative to oral steroid therapy (19, 20, 29, 34, 35, 38). The safety and efficacy of oral and topical steroid-containing products for acute low back pain are not well defined because of their variable mechanisms of action and the fact that they are used in combination (19, 20, 34, 35, 39⇓⇓⇓–42), clenbuterol weight loss in a month. Therefore, the purpose of this report is to review the clinical and ethical literature evaluating the use of topical oral and/or topical steroid-containing products with acute low back pain. We describe recent clinical trials that evaluate use of topical agents and address possible mechanisms of action.
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