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Background and Aims Introduction- Acute low back pain is a condition that effects the quality of life and also the health related quality of life and also the sports performance. Aim-Aim of this study was to evaluate the use of use of injections of paracetamol and ibuprofen in amateur male athletes (range 25–45 years , mean age 35 years) , with acute low back pain.Methods Material and Methods- 10 amateur male athletes were participated in this study. In all patients we perform clinical neurological exam and radiological exam with x-ray control, ct-images and mri images. None of the patients reported other internal medicine or cardiological problems. For 2 days they receive intravenous solution of paracetamol and ibuprofen , 4 times a day . We used specific performance pain tests (oswestry scale and prolo scale) in order to evaluate our results. Follow up was between 6 months and 12 months with mean period of 9 months.Results Results-9 of them (90%) reported optimal results and good reaction to the treatment. 1 of them (10%) reported moderate results and mild reaction to the treatment.Conclusions Conclusions- We need more patients but this therapeutic path seems to be an optimal and safe treatment, especially for elderly patients. Acute low back pain remains a situation with necessity of adequate evaluation and management, in order to ameliorate the overall health and the sports performance.