Background: The majority of acute and chronic LBP cases are non-urgent, and clinical practice guidelines recommend that patients with LBP be handled in primary care. The present study was conducted to assess management of acute low backache in emergency department. Materials & Methods: 128 patients of low back pain of both genders were enrolled. Height, weight, body mass index (BMI), marital status and education level were recorded. The use of previous medication, sudden onset of pain (if the pain started suddenly) and duration of symptoms were also recorded. Results: Out of 128 patients, males were 56 and females were 72. The mean body mass index was 26.4kg/m2, previous medication intake was seen in 53.8%, previous LBP episode in 61.2%, sudden onset of pain in 81.6%, duration of symptoms was 1.2weeks and there were 47.2% married. Commonly used drugs was opioids in 12%, NSAIDS in 34%, corticosteroidsin 14%, muscle relaxants in 8%, NSAIDs and corticosteroids in 6%, NSAIDs and opioids in 16%, opioids and corticosteroids in 7% and opioids and muscle relaxants in 3%. The difference was significant (P< 0.05). Conclusion: Maximum patients had sudden onset of pain. Commonlyused drugs was NSAIDS, corticosteroidsand opioids.