Back pain can be one of the most debilitating kinds of pain, but most people get better with time.

Some advice:

¦ See a doctor quickly if the pain is accompanied by "red flag" symptoms that include trouble urinating, leg weakness, numbness or pain, fever or unintentional weight loss.

¦ With run-of-the-mill back pain, prepare to allow a month to six weeks to see if it goes away on its own.

¦ Don't expect an X-ray or MRI before then unless the doctor suspects a serious problem.

¦ Try over-the-counter pain relievers such as anti-inflammatories before seeking prescription pain relief. Old-fashioned steps such as heating pads and firm mattresses also are recommended.

¦ If the pain doesn't go away in that month to six weeks, ask about rehabilitation or exercise therapy. There are specific exercises recommended for different kinds of pain.

¦ If surgery is recommended, ask why that's the best option, what are the risks and what would happen if you don't operate — what other options you might try instead. Seek a second opinion. Your doctor or insurer also may offer "decision aids," DVDs or booklets that describe the pros and cons of each option.