Last update
5/22/2026
Reviewed By
Reviewed By
Overview
SCIENTIFIC SCORE
Moderately Effective
Based on 18 Researches
8.3
USERS' SCORE
Good
Based on 2 Reviews
8.3
Supplement Facts
Serving Size: 1 tablet
Amount Per Serving
%DV
Vitamin B6 (as pyridoxine HCl)
2 mg
118%
Folate (as folic acid)
400 mcg DFE
100%
Vitamin B12 (as methylcobalamin)
1000 mcg
41667%
Top Medical Research Studies
9
We evaluated the effectiveness of intramuscular vitamin B12 in treating low back pain among 60 patients aged 18 to 65 with mechanical pain lasting at least six months.
In this double-blind, placebo-controlled study, both groups showed improvement in pain levels. However, those receiving B12 had a more significant reduction in pain and dependence on pain medication compared to the placebo group.
Overall, B12 appears to be a safe option for alleviating low back pain, helping to reduce discomfort and medication use for those without nutritional deficiencies.
In this double-blind, placebo-controlled study, both groups showed improvement in pain levels. However, those receiving B12 had a more significant reduction in pain and dependence on pain medication compared to the placebo group.
Overall, B12 appears to be a safe option for alleviating low back pain, helping to reduce discomfort and medication use for those without nutritional deficiencies.
Read More
9
We explored the effects of vitamin B12 treatment on a patient experiencing severe back pain, along with other symptoms associated with subacute combined degeneration (SCD) from prolonged vitamin B12 deficiency. This case involved a 49-year-old man who faced a year of worsening weakness, pain, and gait abnormalities.
Upon diagnosis, he began receiving intramuscular vitamin B12 injections. Remarkably, within weeks, we observed significant improvements in his pain levels and mobility. This underscores the importance of recognizing vitamin B12 deficiency early since it can lead to debilitating conditions but is often reversible through timely treatment.
Our findings highlight how addressing nutrient deficiencies can enhance overall health and well-being. In this specific case, vitamin B12 not only alleviated back pain but also restored functioning, improving quality of life for the patient.
Upon diagnosis, he began receiving intramuscular vitamin B12 injections. Remarkably, within weeks, we observed significant improvements in his pain levels and mobility. This underscores the importance of recognizing vitamin B12 deficiency early since it can lead to debilitating conditions but is often reversible through timely treatment.
Our findings highlight how addressing nutrient deficiencies can enhance overall health and well-being. In this specific case, vitamin B12 not only alleviated back pain but also restored functioning, improving quality of life for the patient.
Read More
8
B vitamins improve back pain relief
We explored how B vitamins, when combined with a reduced dose of diclofenac, could enhance pain relief for patients suffering from acute lumbar pain. In a controlled study of 123 participants, those receiving both B vitamins and diclofenac experienced significantly better outcomes compared to those taking diclofenac alone. Remarkably, more patients in the combination therapy group achieved total pain relief sooner, highlighting the potential benefits of B vitamins in reducing the required dosage of NSAIDs while still providing effective pain management.
Read More
Most Useful Reviews
9
Normalised back pain
I've been pleased with this B12 product, which has helped normalise my low B12 levels and subsequently reduced my back pain.
Read More
6
Aided back pain
These supplements are effective. I take them when my back starts to hurt.
Read More
Medical Researches
SCIENTIFIC SCORE
Moderately Effective
Based on 18 Researches
8.3
- All Researches
9.5
We investigated the impact of a treatment combining mannitol and vitamin B on piriformis syndrome (PS), which is characterized by sciatic nerve entrapment. In a study involving 22 patients, participants received a five-day intravenous infusion of mannitol alongside a six-week regimen of vitamin B, including B1, B2, and B12.
Our observations highlighted significant improvements in clinical assessments, particularly in tenderness and pain levels assessed by various tests and scales. Notably, the Numeric Rating Scale demonstrated a marked reduction in pain at rest, at night, and during activities, which were all statistically significant. Additionally, the swelling around the sciatic nerve also showed a noteworthy decrease.
While vitamin B12 was part of this combination treatment, we must acknowledge that the study's focus on mannitol alongside the vitamins makes it challenging to isolate vitamin B12's specific effects on back pain alone.
Nevertheless, the results suggest that the combined approach might be a promising alternative for managing PS effectively.
Our observations highlighted significant improvements in clinical assessments, particularly in tenderness and pain levels assessed by various tests and scales. Notably, the Numeric Rating Scale demonstrated a marked reduction in pain at rest, at night, and during activities, which were all statistically significant. Additionally, the swelling around the sciatic nerve also showed a noteworthy decrease.
While vitamin B12 was part of this combination treatment, we must acknowledge that the study's focus on mannitol alongside the vitamins makes it challenging to isolate vitamin B12's specific effects on back pain alone.
Nevertheless, the results suggest that the combined approach might be a promising alternative for managing PS effectively.
Read More
9
We evaluated the effectiveness of intramuscular vitamin B12 in treating low back pain among 60 patients aged 18 to 65 with mechanical pain lasting at least six months.
In this double-blind, placebo-controlled study, both groups showed improvement in pain levels. However, those receiving B12 had a more significant reduction in pain and dependence on pain medication compared to the placebo group.
Overall, B12 appears to be a safe option for alleviating low back pain, helping to reduce discomfort and medication use for those without nutritional deficiencies.
In this double-blind, placebo-controlled study, both groups showed improvement in pain levels. However, those receiving B12 had a more significant reduction in pain and dependence on pain medication compared to the placebo group.
Overall, B12 appears to be a safe option for alleviating low back pain, helping to reduce discomfort and medication use for those without nutritional deficiencies.
Read More
9
Mixed results from vitamin treatment
We investigated the effectiveness of Dolo-Neurobion, a combination of vitamins B1, B6, and B12 along with an analgesic, for patients with acute lumbosacral pain. The treatment began with a parenteral application followed by oral dosing.
Out of 53 patients, we observed that 77.4% experienced good to excellent relief from their pain, while 15.1% noted moderate effects. There were no notable side effects, which makes this treatment a viable option for managing pain associated with intrapelvic organ issues.
Out of 53 patients, we observed that 77.4% experienced good to excellent relief from their pain, while 15.1% noted moderate effects. There were no notable side effects, which makes this treatment a viable option for managing pain associated with intrapelvic organ issues.
Read More
9
We examined a randomized double-blind study that explored the impact of adding B vitamins, specifically B1, B6, and B12, to the treatment regimen of diclofenac for patients suffering from lower back pain due to degenerative spinal conditions.
During the study, 256 individuals participated, with some receiving diclofenac alone while others were given diclofenac alongside B vitamins for a maximum of two weeks. Interestingly, those in the group taking the B vitamins reported significantly better pain relief, allowing more patients to stop treatment early due to decreased symptoms.
While we documented some side effects, they were not significantly different between the two groups. Overall, the results indicated that incorporating B vitamins can enhance the effectiveness of diclofenac therapy, potentially allowing for less reliance on this medication for pain relief.
However, it’s important to note that the specific benefits of vitamin B6 alone on back pain cannot be definitively determined from this study, as it focused on a combination of B vitamins.
During the study, 256 individuals participated, with some receiving diclofenac alone while others were given diclofenac alongside B vitamins for a maximum of two weeks. Interestingly, those in the group taking the B vitamins reported significantly better pain relief, allowing more patients to stop treatment early due to decreased symptoms.
While we documented some side effects, they were not significantly different between the two groups. Overall, the results indicated that incorporating B vitamins can enhance the effectiveness of diclofenac therapy, potentially allowing for less reliance on this medication for pain relief.
However, it’s important to note that the specific benefits of vitamin B6 alone on back pain cannot be definitively determined from this study, as it focused on a combination of B vitamins.
Read More
9
We explored the effects of methotrexate (MTX), a well-known folic acid antagonist, in addressing epidural fibrosis (EF), a common complication that can lead to persistent back pain after lumbar surgery. In our study, we tested how topical application of MTX influenced the healing process following lumbar laminectomy in rats, an experimental model for understanding back pain post-surgery.
Our results were promising—the use of MTX seemed to significantly suppress the development of EF compared to the control group. We measured this through various methods, including macroscopic scoring, hydroxyproline content analysis, and histological evaluations. Additionally, we observed that the effectiveness of MTX was dose-dependent, increasing with higher concentrations.
We also investigated the underlying mechanisms and found that the effects of MTX might be linked to endoplasmic reticulum (ER) stress, which appeared to trigger cell apoptosis in fibroblasts. This suggests that MTX could potentially help in regulating scar formation which is often at the root of chronic back pain.
Overall, our findings indicate that while MTX does not target folate directly, its therapeutic properties may offer a new avenue for managing post-surgical back pain through its effects on EF and associated cellular pathways.
Our results were promising—the use of MTX seemed to significantly suppress the development of EF compared to the control group. We measured this through various methods, including macroscopic scoring, hydroxyproline content analysis, and histological evaluations. Additionally, we observed that the effectiveness of MTX was dose-dependent, increasing with higher concentrations.
We also investigated the underlying mechanisms and found that the effects of MTX might be linked to endoplasmic reticulum (ER) stress, which appeared to trigger cell apoptosis in fibroblasts. This suggests that MTX could potentially help in regulating scar formation which is often at the root of chronic back pain.
Overall, our findings indicate that while MTX does not target folate directly, its therapeutic properties may offer a new avenue for managing post-surgical back pain through its effects on EF and associated cellular pathways.
Read More
User Reviews
USERS' SCORE
Good
Based on 2 Reviews
8.3
- All Reviews
- Positive Reviews
- Negative Reviews
9
Normalised back pain
I've been pleased with this B12 product, which has helped normalise my low B12 levels and subsequently reduced my back pain.
Read More
6
Aided back pain
These supplements are effective. I take them when my back starts to hurt.
Read More
Frequently Asked Questions
9
Normalised back pain
I've been pleased with this B12 product, which has helped normalise my low B12 levels and subsequently reduced my back pain.
6
Aided back pain
These supplements are effective. I take them when my back starts to hurt.
8
We conducted a study to examine whether combining diclofenac with B vitamins (B1, B6, and B12) would be more effective in treating back pain than diclofenac alone. In a double-blind trial with 418 patients, we found that those receiving the combination therapy had statistically significant improvements in pain relief, especially patients with severe pain initially.
Out of those treated with the combination, 53 achieved total relief within a week, compared to 48 patients on diclofenac alone. Importantly, both treatment groups reported similar side effects. This suggests that adding B vitamins may enhance pain management for back pain sufferers.
Out of those treated with the combination, 53 achieved total relief within a week, compared to 48 patients on diclofenac alone. Importantly, both treatment groups reported similar side effects. This suggests that adding B vitamins may enhance pain management for back pain sufferers.
9
We evaluated the effectiveness of intramuscular vitamin B12 in treating low back pain among 60 patients aged 18 to 65 with mechanical pain lasting at least six months.
In this double-blind, placebo-controlled study, both groups showed improvement in pain levels. However, those receiving B12 had a more significant reduction in pain and dependence on pain medication compared to the placebo group.
Overall, B12 appears to be a safe option for alleviating low back pain, helping to reduce discomfort and medication use for those without nutritional deficiencies.
In this double-blind, placebo-controlled study, both groups showed improvement in pain levels. However, those receiving B12 had a more significant reduction in pain and dependence on pain medication compared to the placebo group.
Overall, B12 appears to be a safe option for alleviating low back pain, helping to reduce discomfort and medication use for those without nutritional deficiencies.
9
We examined a randomized double-blind study that explored the impact of adding B vitamins, specifically B1, B6, and B12, to the treatment regimen of diclofenac for patients suffering from lower back pain due to degenerative spinal conditions.
During the study, 256 individuals participated, with some receiving diclofenac alone while others were given diclofenac alongside B vitamins for a maximum of two weeks. Interestingly, those in the group taking the B vitamins reported significantly better pain relief, allowing more patients to stop treatment early due to decreased symptoms.
While we documented some side effects, they were not significantly different between the two groups. Overall, the results indicated that incorporating B vitamins can enhance the effectiveness of diclofenac therapy, potentially allowing for less reliance on this medication for pain relief.
However, it’s important to note that the specific benefits of vitamin B6 alone on back pain cannot be definitively determined from this study, as it focused on a combination of B vitamins.
During the study, 256 individuals participated, with some receiving diclofenac alone while others were given diclofenac alongside B vitamins for a maximum of two weeks. Interestingly, those in the group taking the B vitamins reported significantly better pain relief, allowing more patients to stop treatment early due to decreased symptoms.
While we documented some side effects, they were not significantly different between the two groups. Overall, the results indicated that incorporating B vitamins can enhance the effectiveness of diclofenac therapy, potentially allowing for less reliance on this medication for pain relief.
However, it’s important to note that the specific benefits of vitamin B6 alone on back pain cannot be definitively determined from this study, as it focused on a combination of B vitamins.
References
- He C, Li J, Hu W, Xiao B, Fan T, et al. Effects of dexamethasone combined with vitamin B12 on percutaneous endoscopic interlaminar discectomy early outcomes: a randomized controlled trial. J Orthop Surg Res. 2024;19:733. 10.1186/s13018-024-05210-z
- Mibielli MA, Geller M, Cohen JC, Goldberg SG, Cohen MT, et al. Diclofenac plus B vitamins versus diclofenac monotherapy in lumbago: the DOLOR study. Curr Med Res Opin. 2009;25:2589. 10.3111/13696990903246911
- Mauro GL, Martorana U, Cataldo P, Brancato G, Letizia G. Vitamin B12 in low back pain: a randomised, double-blind, placebo-controlled study. Eur Rev Med Pharmacol Sci. 2000;4:53. PubMed
- Brüggemann G, Koehler CO, Koch EM. [Results of a double-blind study of diclofenac + vitamin B1, B6, B12 versus diclofenac in patients with acute pain of the lumbar vertebrae. A multicenter study]. Klin Wochenschr. 1990;68:116. PubMed
- Kuhlwein A, Meyer HJ, Koehler CO. [Reduced diclofenac administration by B vitamins: results of a randomized double-blind study with reduced daily doses of diclofenac (75 mg diclofenac versus 75 mg diclofenac plus B vitamins) in acute lumbar vertebral syndromes]. Klin Wochenschr. 1990;68:107. PubMed
- Kunt T. [Complaints in the lumbosacral region and their management with Dolo-Neurobion]. Fortschr Med. 1978;96:299. PubMed
- Jurna I. [Analgesic and analgesia-potentiating action of B vitamins]. Schmerz. 1998;12:136. PubMed
- Vetter G, Brüggemann G, Lettko M, Schwieger G, Asbach H, et al. [Shortening diclofenac therapy by B vitamins. Results of a randomized double-blind study, diclofenac 50 mg versus diclofenac 50 mg plus B vitamins, in painful spinal diseases with degenerative changes]. Z Rheumatol. 1988;47:351. PubMed
- Chen H, Yan L, Wang J, Sun Y, Li X, et al. Methotrexate prevents epidural fibrosis through endoplasmic reticulum stress signalling pathway. Eur J Pharmacol. 2017;796:131. 10.1016/j.ejphar.2016.12.032
- Demko AW, Rustom DH. Progressive Decrease in Function and Ambulation Potential: A Case of Subacute Combined Degeneration. Cureus. 2024;16:e64027. 10.7759/cureus.64027
- Li QD, Yang JS, Gong HL, Wei JM, Wang XF, et al. Can Additional Facet Joint Block Improve the Clinical Outcome of Kyphoplasty for Acute Osteoporotic Vertebral Compression Fractures?. Pain Physician. 2021;24:283. PubMed
- Mibielli MAN, Nunes CP, Goldberg H, Buchman L, Oliveira L, et al. Nucleotides Cytidine and Uridine Associated with Vitamin B12 vs B-Complex Vitamins in the Treatment of Low Back Pain: The NUBES Study. J Pain Res. 2020;13:2531. 10.2147/JPR.S277024
- Yang JS, Liu KX, Chu L, Chan YK, Fan H, et al. Cocktail Treatment with a Gelatin Sponge Impregnated with Ropivacaine, Dexamethasone, and Vitamin B12 Promotes Early Postoperative Recovery after Percutaneous Endoscopic Lumbar Discectomy: A Retrospective, Case-Controlled Study. Pain Physician. 2020;23:E211. PubMed
- Buesing S, Costa M, Schilling JM, Moeller-Bertram T. Vitamin B12 as a Treatment for Pain. Pain Physician. 2019;22:E45. PubMed
- Huang ZF, Lin BQ, Torsha TT, Dilshad S, Yang DS, et al. Effect of Mannitol plus Vitamins B in the management of patients with piriformis syndrome. J Back Musculoskelet Rehabil. 2019;32:329. 10.3233/BMR-170983
- Zhang M, Han W, Hu S, Xu H. Methylcobalamin: a potential vitamin of pain killer. Neural Plast. 2013;2013:424651. 10.1155/2013/424651
- Chiu CK, Low TH, Tey YS, Singh VA, Shong HK. The efficacy and safety of intramuscular injections of methylcobalamin in patients with chronic nonspecific low back pain: a randomised controlled trial. Singapore Med J. 2011;52:868. PubMed
- Mibielli MA, Nunes CP, Cohen JC, Scussel AB, Higashi R, et al. Treatment of acute, non-traumatic pain using a combination of diclofenac-cholestyramine, uridine triphosphate, cytidine monophosphate, and hydroxycobalamin. Proc West Pharmacol Soc. 2010;53:5. PubMed
