Best otc drug for lower back (waistline level) nerve pain? aleve? advil? tylenol (acetaminophen)? other?

Varies: It depends on the patient. Some respond to one med better than another. Any of these can provide a benefit. Aleve and Advil are anti-inflammatories and thus, have the potential to reduce inflammation, a common cause of low back pain. Tylenol (acetaminophen) works through the brain, but is not an anti-inflammatory. If I can help, then join my care team & virtual practice at www.healthtap.com/dr-clarkeholmes

Depends: All are ok choices depends what helps you the most. Do not take any of them long term. Not designed for that usage.