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Taking ibuprofen **every day for a month isn’t something I’d consider “okay” without a clinician’s guidance**, even if it helps. It can be useful short-term, but daily use raises the risk of side effects.

**Main risks of ongoing ibuprofen (an NSAID):**
- **Stomach irritation/ulcers/bleeding** (risk higher if you’re older, drink alcohol, have ulcer history, take steroids, blood thinners, aspirin, or some antidepressants like SSRIs)
- **Kidney strain/injury**, especially if dehydrated or if you have kidney disease, heart failure, or take ACE inhibitors/ARBs or diuretics
- **Higher blood pressure**, fluid retention, and increased cardiovascular risk in some people
- Can worsen asthma in some people

If you’re going to take it short-term, follow the label dosing, take it **with food**, avoid combining it with other NSAIDs (naproxen, aspirin for pain, etc.), and avoid alcohol—but given it’s been a month, you should **book an appointment** to figure out the cause of the back pain and safer longer-term options (physical therapy, exercises, topical NSAIDs, heat, acetaminophen if appropriate, etc.).

**Seek urgent care now** if you have any of these:
- Black/tarry stools, vomiting blood, severe stomach pain
- Chest pain, shortness of breath, new leg swelling
- Very little urination, severe weakness/dizziness
- Back pain with **new numbness/weakness**, numbness in the groin/saddle area, or **loss of bowel/bladder control**
- Fever, unexplained weight loss, history of cancer, recent major trauma

If you tell me your **ibuprofen dose**, your age, any medical conditions/medications, and what your back pain feels like, I can help you think through risk level and next steps.