Most patients who seek help from a neurologist complain of back pain radiating to their legs. As a rule, these are elderly and senile people. However, recently there has been a tendency towards “rejuvenation” of this category of people. An increasing number of young men, women and even teenagers experience characteristic pain that radiates to one or both lower extremities.
What is the cause of these pains? The bottom line is that a similar condition with pain in the back and leg is characteristic of inflammation of the sciatic nerve. Being the thickest, longest, and, accordingly, the most powerful in the human body, the sciatic nerve is easily vulnerable. Originating from the roots of the lumbar and sacral spinal nerves, this nerve can become thickened due to swelling and inflammation with subsequent entrapment at the intervertebral foramina.
Most often, inflammation of the sciatic nerve occurs due to the following reasons:
In all these conditions, due to pinching of the sciatic nerve, a person experiences pain in the lumbar and sacral areas. And back pain radiates to the leg for the simple reason that the sciatic nerve runs through the gluteal region, the back of the thigh, branches and descends along the back of the lower leg to the plantar surface of the foot. And the localization of pain strictly follows the course of the affected sciatic nerve.
Pain in the lower back (according to medical terminology - lumboischialgia) can manifest itself in different ways. In addition to the pain itself, there may be numbness and decreased sensitivity in the lower extremities, unpleasant sensations in the form of cold, heat, and crawling. Depending on the predominance of certain symptoms, there are three main clinical forms of lumboischialgia:
In reality, the above clinical forms are rarely observed in isolation. Most often there is a combination of them in various combinations. As a rule, the back hurts and radiates to the leg on one side, although in some cases the process is bilateral.
What should a person do if his back hurts and his leg is pulled? First of all, you need to seek qualified help from a specialist - a vertebrologist. True, such specialists are only available in large medical centers, but a neurologist is present in any clinic. Only a qualified specialist can correctly diagnose and prescribe adequate treatment.
Diagnosis of lumboischialgia is based on clarifying the patient’s complaints and identifying previous diseases. In addition, the characteristic symptoms described above are noteworthy. An important diagnostic measure for back pain is radiography of the lumbosacral spine - before it is carried out, you should specially prepare, do a series of cleansing enemas “to clean water”. Currently, qualitatively new and more informative diagnostic methods are used - computed tomography and magnetic resonance imaging.
Official medicine treats lumboischialgia with general and local medications. In this capacity, anti-inflammatory drugs, painkillers, drugs that stimulate metabolic processes and improve blood circulation in affected areas are used. Pharmacological drugs are used in various dosage forms - tablets, ointments, injection solutions.
Treatment of back pain would not be effective if physiotherapeutic procedures (magnetic therapy, amplipulse therapy, diadynamic currents, phonophoresis), massage, and physical therapy were not used. Non-traditional methods are effective - acupuncture (acupuncture), manual therapy, traction of the spine along the longitudinal axis using special devices. And, of course, traditional medicine helps a person with back pain radiating to the lower extremities. Recipes from natural remedies quickly eliminate pain and relieve inflammation of the sciatic nerve.
Prevention of back pain is aimed at eliminating the provoking factors given at the very beginning of this article. In this regard, drafts and hypothermia are unacceptable. Excessive physical activity and heavy lifting are also not advisable. Women should not get carried away with high-heeled shoes, because due to a shift in the center of gravity, the load on the spine increases. Of course, you should pay attention to proper nutrition. Firstly, quality nutrition means losing weight and reducing the load on the spine. In addition, vitamins and microelements contained in nutritious foods can prevent inflammatory and degenerative processes in cartilage and nerves.
Pain in the back and lower back can occur at any age. In order to promptly select treatment and get rid of discomfort, it is necessary to establish the original source of the pain syndrome. Often this can be the consequences of hypothermia, intervertebral hernia, the result of injuries and accidents, pinched sciatic nerve or diseases of the musculoskeletal system. A correctly established diagnosis and doctor’s conclusion will be the beginning of effective treatment and will prevent the development of the disease and complications in other organs.
First, you need to undergo a comprehensive examination of the whole body, get advice from a vertebrologist, osteopath, or neurologist. In some cases, back pain is a signal of the presence of inflammatory processes in the body and diseases of the internal organs. To exclude them, it is recommended to undergo examination by a gynecologist, urologist and gastroenterologist. Having identified the cause of the pain, the doctor prescribes medication. Based on the nature of the pain syndrome and accompanying symptoms, an individual set of drugs is selected.
For back and lower back pain, the doctor prescribes a number of painkillers, including nonsteroidal anti-inflammatory drugs (NSAIDs) and a vitamin B complex. They not only eliminate severe pain, but also help heal inflammatory processes and have a blocking effect on the affected areas of the back.
Vitamins B1, B12, B6 have analgesic properties and have a neurotropic effect. This group of drugs has a positive effect on metabolic processes in the body, improves the functioning of the nervous system, and restores damaged nerve endings. Injections with a vitamin complex help fight severe pain; in case of chronic pain, such injections are ineffective. The course of treatment lasts on average 12-14 days, after which the patient’s condition improves.
If there are no visible results after taking painkillers for a long time, doctors resort to the method of injections and stretching. The procedure is carried out by a doctor, the patient is in a lying position on his stomach and a novocaine solution is injected into the places of greatest pain and compaction. After the injection, you need to slightly stretch the affected area of the back and apply a hot compress. After the procedure, the patient is recommended to perform active movements and increase the load on the painful muscle. Thus, its mobility is developed.
In case of chronic aching pain, it is necessary to identify its type: central, neuropathic or referred. Based on the type of pain syndrome and the possibility of side effects from the gastrointestinal tract and cardiovascular complications, the optimal list of medications is selected. In most cases, it looks like this:
When treatment is started correctly, the pain subsides within a week after the start of treatment. To avoid relapse, it is necessary to undergo a full range of injections until the pain syndrome is completely relieved.
Back pain is often accompanied by inflammation of internal organs and tissues; once you get rid of them, you need to start treating the pain. NSAIDs used to treat inflammation are divided into two large groups, which differ not only in their medicinal composition, but also in their effect on the gastrointestinal tract.
There are two groups of NSAIDs: selective and non-selective COX inhibitors. Non-selective ones contribute to the inhibition of cyclooxygenase enzymes, which are involved in the formation of inflammatory mediators. But such drugs have a bad effect on the internal organs of the gastrointestinal tract; they can provoke the formation of stomach ulcers.
Selective NSAIDs are gentler on the stomach, have no side effects and do not affect articular cartilage. Drugs of this type can be taken for much longer without interfering with the normal functioning of internal organs.
One of the non-selective NSAIDs is Diclofenac or its analogs Ortofen, Voltaren, Naklofen. The drug is used for pain in the spine, arthritis, osteoarthritis, spondylitis, gout attacks, spondyloarthritis, postoperative pain and discomfort after injuries. The standard dosage is one ampoule per day (75 mg), for acute pain - 150 mg per day. The injection is given into the gluteal muscle.
Contraindications to the use of Diclofenac:
The most common non-selective NSAID is Movalis (Meloxicam, Amelotex, Artrosan). The drug is used for chronic polyarthritis, spondylitis, rheumatoid arthritis, and acute arthrosis. It is administered intramuscularly in the initial stages of the disease or for acute pain. Next, the transition to the tablet form is carried out.
Contraindications for use:
Preparations containing B vitamins help relieve pain and eliminate inflammation. They are extremely effective in the acute stage of the disease. Among them is Milgamma, the component of which is pyridoxine hydrochloride (B6), thiamine hydrochloride (B1), cyanocobalamin (B12), lidocaine hydrochloride with a complex of auxiliary components. The injection is carried out intramuscularly once a day, 2 ml. To maintain the result and prevent relapse, when acute pain is eliminated, 2 ml of the drug is administered up to three times a week.
Milgamma is prescribed for myalgia, neuritis, radicular syndrome, neuralgia, paresis and polyneuropathy. Contraindications to the injection are:
To relieve back pain, a triad injection is used; the active ingredients are diphenhydramine, analgin and papaverine. The drugs are combined in one injection and administered intramuscularly. The injection effectively relieves sharp pain caused by both diseases of the musculoskeletal system and post-traumatic complications. In addition, triad has antipyretic properties.
Diphenhydramine as part of the injection blocks histamine receptors in the periphery and has a sedative effect. Papaverine is considered an antispasmodic drug that affects vascular smooth muscle. Analgin is used as an anesthetic.
Pain reliever for lower back pain
Painkillers for back pain are required for intense pain. The pharmacy chain offers a large selection of dosage forms, so you can choose the most suitable options with minimal side effects.
All painkillers are conventionally divided into drugs:
Narcotic painkillers
narcotic series. These are powerful substances that can interrupt the chain of transmission of pain impulses to the brain. They are prescribed by specialists with caution, because opiates have a detrimental effect on the central nervous system, and if used uncontrolled, they can be addictive. “Strong” narcotic analgesics (methandone, fentanine, morphine, hydromorphone) can relieve unbearable pain in the last stage of cancer, postoperative pain syndrome.
Today, pain relief for lower back pain can be purchased in various pharmacological forms: injection solution, tablets, ointment, gel, suppositories.
Injectable pain medications
Analgesic drugs for injection are a huge group of medications that are administered both intravenously and intramuscularly. In recent decades, the injection of painkillers into the lumbar region has been practiced. Lidocaine and novocaine are effective for relieving pain in the acute period. The drugs are prescribed for 10-14 days, therefore this group of drugs is unsuitable for the treatment of chronic pain.
Complex drugs of group B relieve pain well: milgamma, combilipen, neurobion, trigamma. They are prescribed in the acute period, as a complex treatment.
Almost all nonsteroidal anti-inflammatory drugs (NSAIDs) have the same analgesic effect, but varying degrees of toxicity and cost. Ibuprofen is a strong pain reliever for back pain, a drug with the fewest side effects and degree of toxicity. Most often used: meloxicam, ketoprofen, ketorolac, diclofenac, lornoxicam.
Do not take NSAIDs without a doctor's prescription or without supervision. The consequences can be unpredictable. For example: long-term use of indomethacin can completely destroy the cartilage tissue between the surfaces of the vertebrae.
Tablet drugs are the most popular as affordable painkillers. This pharmacological form is very convenient to use: it is easy to drink, it takes up minimal space and does not require special equipment.
The compositions of the tablets are different. They may contain antispasmodic substances, NSAIDs, which will somewhat enhance the analgesic effect, because spasmodic, inflamed muscles generate pain.
For spinal pain the following are prescribed: Celebrex, Arcoxia, Texamen, Nise, Nimulide, Movalis, Ketanov.
Gels for lower back pain
Ointments are rarely single-component. As a rule, they have not only an analgesic effect, but also a warming, irritating, and anti-inflammatory effect. Let's list just a few of them: finalgon, capsitrin, efkamon, virapin, nicoflex, viprosal. The composition includes both natural and chemical substances. Many ointments are made at home, and goose, duck, and badger fat are used as a base.
Pain-relieving suppositories for lower back pain are an almost ideal option. The fact is that many drugs have a detrimental effect on the cells of the mucous membrane of the stomach and duodenum. Gastric and intestinal juice partially destroys the active pharmacological substance, reducing the effectiveness of the drug.
From the rectum, painkillers quickly migrate into the bloodstream, guaranteeing the fastest and most lasting therapeutic effect.
Remember that candles should only be stored in the refrigerator!
In order for the suppository to reach the ampullary part of the rectum, the anus must be kept as relaxed as possible at the time of insertion. It is better to carry out this procedure in the evening just before bedtime. But if the attack occurs during the day, then after administering the drug you need to lie down for at least 30 minutes.
Ointment for pain in the back and lower back should definitely be in the first aid kit if you suffer from osteochondrosis and other diseases that are characterized by prolonged pain in the back. If you do not know which ointments help with back pain and which ointment works best for your disease, your doctor will help you choose a medicine. If there is no time for a consultation, and the pain needs to be eliminated as quickly as possible, you can choose an ointment yourself.
If pain occurs in the lumbar or other parts of the spine, using back ointment will not cause harm. Self-help is allowed using painkillers, warming ointments, gels and creams. These are quite effective anesthetics with a number of advantages:
External medications for back pain are divided into several categories:
You should use ointments for back pain on the recommendation of a doctor, knowing exactly your diagnosis and the cause of the pain.
The basis of anti-inflammatory ointments for the lower back are non-steroidal components that effectively relieve pain and inflammation. The effect is based on the ability to inhibit the action of body enzymes that contribute to the occurrence of inflammatory processes and associated pain. The term “non-steroidal” in relation to drugs means that they do not contain hormones and do not have the side effects characteristic of hormonal drugs.
NSAIDs are effective ointments for back pain, based on the following components:
Non-steroidal drugs are considered one of the most effective in the treatment of inflammatory processes in the spine and neck; they will help with intense pain in the lumbar region associated with an exacerbation of a chronic disease or the occurrence of an inflammatory process.
The use of NSAIDs is indicated:
Ketoprofen - has a good analgesic and anti-inflammatory effect. Analogues of the drug: Ketonal, Ketonal uno, Ketprofen organic, Fastum gel, Bystrum gel and others. Available in the form of ointment and gel for back pain. It is used in the treatment of inflammatory diseases, osteochondrosis, pain relief from dorsopathy and injuries.
Directions for use: 3 times a day, rub small doses into the area where the pain is located, after which apply a loose, dry bandage or put on cotton underwear.
Ointments based on ketoprofen have a number of contraindications for use:
This drug should be used with caution in elderly people with diseases of the gastrointestinal tract and in patients with renal and liver failure. With prolonged use, allergic manifestations on the skin are possible.
Ointments for the spine and back Nimesulide and Nise gel are currently considered one of the best remedies for external use for back pain. The drugs have earned many good reviews not only from patients, but also from medical specialists.
These are new generation drugs based on the active substance nimesulide, which have a local analgesic, antipyretic, anti-inflammatory effect. Acting locally, only at the site of application, the active substances do not penetrate deeply into the body and do not harm it.
In addition to the active component, these effective ointments and gels for back pain contain excipients: methanol and methyl salicynate. Due to this, pain relief occurs in a shorter period of time, vascular tone is restored, itching and other unpleasant sensations are eliminated.
Application: Apply a thin layer to the back in the area of intense pain. The gel does not need to be rubbed in. You should wait until the product dries and you can begin your daily activities.
Apply the product 3-4 times a day. Main indications for use: radiculitis, inflammatory processes, arthrosis, and other painful sensations of various origins.
Medicines in this group have contraindications:
Use with caution in diabetes mellitus and renal failure. Doses and number of applications for children should be reduced.
Diclofenac is another popular remedy for lower back pain. Derivatives of this drug: Diclovit, Ortofen and others have also long been known in the pharmaceutical market. The products are available in the form of back pain creams, gels, ointments and aerosols.
The product should be lubricated by lightly massaging the affected areas 3-4 times a day. The dose should not exceed the size of a cherry. After application, you must wash your hands with soap.
Indications and contraindications for use are similar to the drugs described above. With prolonged use, allergic reactions in the form of swelling, rash, and burning are possible.
Piroxekam and its analogue Finalgel are also effective drugs for the treatment of pain. This ointment for pain in the lower back and other parts of the spine helps with chronic arthritis, dorsopathy of various origins, and rheumatism.
Directions for use: an amount of ointment no larger than a cherry berry, lightly rubbing, is applied to the affected area.
Contraindications for use are:
If you are sensitive to the components of the ointment, skin reactions may occur in the form of redness, peeling, and itching.
Ibuprofen is another popular medicine for lower back pain. The ointment has several varieties. These are fairly well-known drugs: Dolgit cream, Nurofen gel, Ibuprofen verte. Ointments, gels and cream for back pain. The scope of their application is the same as that of the non-steroidal anti-inflammatory drugs described above. It is worth noting that when using them, they must be thoroughly rubbed in with massage movements.
In cases of dysfunction of paravertebral muscles and ligaments, age-related changes in their structure, and dystrophic diseases of the spine, ointments of a special group are prescribed. These are chondroprotectors, products whose main active ingredient is chondroitin sulfate. The active substance stimulates metabolism in the tissues of the back and inhibits destructive processes associated with age or chronic ailments. Thanks to the auxiliary components included in their composition, the drugs also have an analgesic and calming effect for back pain.
The most effective chondoprotective ointments are:
In addition to the main active component, they may contain sea buckthorn oil, mint oil, beekeeping products, St. John's wort and comfrey extracts. Thanks to this composition, they gently and harmlessly restore damaged tissues, are able to anesthetize and relieve inflammation.
Homeopathic preparations for external use that help relieve pain and cure a sore back include various balms, ointments and gels, which contain various components of natural origin. The main component is extracts of medicinal plants, bee products, snake venom and others. Their mechanism of action is based on the analgesic, strengthening and restorative effect of these ingredients.
Indications for use may be:
Experts include two German-made drugs as well-proven homeopathic ointments for pain in the lower back and cervical spine:
They can help with pain and discomfort from intense and hard work, with sports injuries, and inflammation of bone tissue. When the lower back hurts, an ointment based on natural ingredients is sometimes the best remedy, as it has no side effects. The therapeutic effect is achieved by strengthening ligaments and cartilage, restoring metabolism in the affected areas.
It should be noted that homeopathy remedies are not official medicines and require a special approach when used. It is necessary to consult an experienced doctor in this area of medicine who knows all the features of the effects of such drugs on humans.
Using homeopathic ointments for back pain is easy. You need to anoint the sore areas, applying the product in a thin layer. Balm or thick ointment should be lightly rubbed into the skin.
In conclusion, we emphasize that the article provides a far from complete list of external remedies for back pain. They all have their own characteristics, advantages and disadvantages. Therefore, when deciding what to apply to your sore back, be sure to consult your doctor.
Before giving injections for back pain at home, you should find out the name of the drug from your doctor. It is almost impossible to independently diagnose what causes the pain syndrome, so if it occurs, you should immediately consult a doctor. You can treat your back only under the supervision and recommendations of a therapist or neurologist.
Injections are considered the best way to get rid of pain, since painkillers for back pain provide only temporary relief . Solutions used for injections simultaneously relieve pain and treat the causes of its occurrence. In modern medicine, there are several different medications to solve such problems. A specific remedy is selected depending on the disease.
Strong pain-relieving injections for hernia, as well as other inflammatory processes, are most often based on the use of non-steroidal anti-inflammatory drugs. These medications quickly eliminate the shooting sensations characteristic of back pain, which do not allow normal movement. Painkiller injections for lower back pain are prescribed in different ways; popular medications of this type include:
The next group of drugs includes steroid drugs. Most often, they block pain, since they act quickly, although not always for a long time. It is important to remember that there are a large number of contraindications, so they can only be used as prescribed by a doctor. This group of medications includes the most powerful painkillers for lower back pain.
Popular strong pain-relieving injections for hernia:
Painkillers for back pain do not always help, so injections are considered the most effective. The group of muscle relaxants includes drugs that relax muscle fibers. Blocking pain with the use of such medications occurs much faster. For quite a long time, muscle relaxants were considered anesthetics, but recently, with their help, pain-relieving injections are increasingly being given for severe back pain. They can only be used under the strict supervision of doctors, in compliance with the dosage and rules of use. The most famous include:
Chondroprotectors are aimed at restoring cartilage tissue, they force the vertebrae to regenerate more actively and reduce inflammation in the back. Most often, doctors prescribe:
This group includes many drugs that are not aimed at greatly reducing pain, but are designed to improve blood oxygen saturation. Doctors usually prescribe:
When starting the fight against pain in the spine, you need to remember that the entire range of medical measures must be supervised by doctors. You should not give injections with painkillers yourself, even in the most extreme case. An incorrectly performed procedure can cause the opposite effect, not at all alleviating the patient’s general condition, but only worsening it.
If a person periodically experiences intense pain in the back, as well as in the lower back, in the joints, first of all, it is important to determine the reasons why such signs appear. After all, the back can hurt due to various reasons: it could be a lumbago due to hypothermia, lumbago , or the development of an intervertebral hernia . Painful sensations are also caused by pinching of the sciatic nerve, as well as other manifestations. But if your back hurts, taking painkillers is not enough. It is necessary to undergo a course of therapy prescribed by a doctor, in particular, to take anti-inflammatory injections for the back, which were prescribed by a specialist.
To choose the right treatment tactics, it is important to consult a number of specialists: visit an osteopath, neurologist, if necessary, consult with a gynecologist, urologist, gastroenterologist, because sometimes the back hurts not only due to spasms of muscles and ligaments, but also due to diseases of the internal organs.
After the doctor has made a diagnosis, the patient is prescribed a comprehensive treatment: the course includes B vitamins, NSAIDs, painkillers, and sometimes steroids and antibiotics .
Currently, doctors offer many schemes for treating acute back pain. Moreover, there are much more algorithms for how to relieve pain if you have a pain in the back than several decades ago. The main drugs that are prescribed to relieve acute pain are non-steroidal anti-inflammatory drugs, which help relieve inflammation, help relieve pain, and are used to carry out muscle blockades .
After the medicine has alleviated the patient's condition, it is currently not recommended to practice immobilization of the patient. He is prescribed not only pain-relieving injections for back and lower back pain, but also massage sessions and physical therapy. Typically, doctors advise patients with pain not to limit activity as much as they can manage.
Before taking painkillers for back pain, it is important to know the exact diagnosis and take into account all the contraindications and side effects of such drugs. Any injections for back pain (the name of the medicine does not matter) are used only after approval by a specialist.
Currently, injections and tablets for back and lower back pain are very often prescribed, which contain a combination of B vitamins . It has been proven that B vitamins in injections can provide moderate pain relief. Complex preparations that are used for this purpose contain vitamins B1, B12, B6 .
If you read the indications for the use of vitamin B12 injections, you will find out that this vitamin has the most pronounced analgesic properties.
Injections of B vitamins provide a neurotropic effect. They normalize the innervation of muscles, affect metabolic processes, improve the condition of the nervous system, and promote the restoration of damaged nerves.
A lot of different studies were carried out, during which scientists obtained evidence that B vitamins in injections made it possible to relieve pain in the acute phases of the inflammatory process when used in complex therapy.
Therefore, these vitamins can be used both in combination and separately - vitamins B6 and B12. Injections, instructions for use of which are always included in the kit, must be carried out correctly. It is important to consider how to properly inject B vitamins in order to avoid a local reaction and get the desired effect.
But it makes sense to use complex vitamin preparations intramuscularly only if acute pain in the joints or back occurs, with myasthenia gravis , alcoholic polyneuropathy. They are made over 10-14 days. But if we are talking about a chronic course of the disease and frequent relapses, such injections are ineffective.
In some cases, conventional pain medications do not bring the desired effect. Then the injection and stretching method can be practiced. This process goes like this: the patient lies on his stomach, the doctor finds the most painful points and compactions in the muscles, and perpendicularly injects a solution of novocaine . Immediately after the injection, passive stretching of the muscle is performed, then a hot compress is placed at the injection site. After it is removed, it is necessary to carry out active movements so that the painful muscle actively moves.
Novocaine back blockade is carried out with the aim of “disabling” the muscles. That is why it is important that the injection point is as close as possible to the exit points of the nerves. Accordingly, if the patient has intercostal neuralgia , the injection is carried out in the intercostal space, in case of inflammation of the sciatic nerve - at the greater trochanter of the femur, in case of osteochondrosis - at the outer edge of the extensor muscle of the back. Epidural blocks are also performed in cases of chronic pain, for example in patients with herniated discs . But in any case, you need to know before a back block is performed, what it is and what the consequences of such treatment may be.
To relieve back pain, the so-called triad injection is sometimes used. The triad injection contains analgin , diphenhydramine and papaverine , all three drugs are mixed in one syringe. But this remedy is used infrequently for back pain. The so-called hot injection is not used for back pain.
In order to use any drugs, the list of which you will find below, strict doctor's instructions are required. It is a specialist who can determine whether it is advisable to use B vitamins, NSAIDs, chondoprotectors, and muscle relaxants. This list is provided for information only about the variety of medicines available. It is up to the attending physician to determine whether the disease can be treated with a certain remedy, how often injections should be given, what doses to use, and what injections are given for a spinal hernia.
Currently, there is a large list of painkillers and injections that contain B vitamins. You can also take medications in tablet form, but vitamins in ampoules are more effective. The list of medications that contain vitamins of this group is quite wide. Below you can find a brief description of such tools.
Contained in packs of 5 ampoules or 10 ampoules.
Indicated for nervous system disorder syndromes and neurological diseases as part of complex treatment. The following indications are determined:
Combilipen is contained in packages of 5 ampoules or 10 ampoules.
Combilipen is contraindicated in the following cases:
Price – from 150 rub.
Contained in packs of 3 ampoules.
Price – from 270 rub.
Trigamma is contained in packages of 5 ampoules.
The instructions stipulate that Trigamma, like the other drugs listed above, should be used by deep intramuscular injection in a dose of 2 ml once a day for 5 to 10 days. Next, the drug is administered two to three times a week for 2-3 weeks, or they switch to the use of oral medications with this group of vitamins.
If strong, pronounced symptoms appear, pain is relieved using painkillers. It should be clearly understood that painkillers for osteochondrosis and other diseases are used for symptomatic treatment. However, analgesics for osteochondrosis and other ailments that cause back pain do not eliminate the cause that provoked the disease. In addition, in many patients, painkillers for these diseases can cause a number of side effects. Therefore, even the best analgesics should not be used uncontrolledly and frequently. The treatment regimen should be prescribed only by a specialist.
Currently, there are results from more than 50 studies that were conducted to identify the most effective pain relievers. As a result, it turned out that none of the NSAID drugs was more effective than other drugs, even more expensive ones. It should be noted that the list of NSAID drugs is quite large.
However, investigators noted the fact that a number of generic drugs are significantly less effective than the original drugs.
These studies also determined which drugs had the least severe side effects. It turned out that the least toxic is Ibuprofen .
The information provided by drug manufacturers is not always true. Thus, recently the manufacturers of the drug Celebrex (Cox-2 inhibitor) announced that this drug causes the least pronounced side effects. However, this information was not confirmed during the research process.
Thus, in the process of choosing NVSP, you should find out what painkillers are available in tablets and injections. It must be remembered that both the strongest painkillers and drugs in ampoules have a number of side effects. They may be different. For example, the drug Meloxicam has a less pronounced negative effect on the gastrointestinal tract, without causing such negative changes in the stomach and intestines as other NSAIDs. Indomethacin drugs provide an analgesic effect, but with prolonged use they have a negative effect on cartilage. However, the cost of medications can vary greatly.
Patients who need pain medication should note that using double doses of such medications does not reduce the severity of pain. Therefore, there is no point in replacing NVSP, which does not help, with another medicine from the same group. Ointments for back pain are described in more detail below.
Most often, complex treatment of back pain in the lumbar region requires the prescription of a number of medications, including painkillers. But you should not decide on your own what to do if you have a shot in the lower back and choose painkillers or injections for lower back pain. The question of what to do for lower back pain and how to relieve very severe pain should be immediately asked to a doctor. As a rule, in addition to analgesics, the specialist also prescribes other medications - vitamins, muscle relaxants, etc.
But even if there is a lumbago in the lower back, what to do in this case and what first aid should be, becomes clear after determining the causes and nature of the pain. Why the lumbago occurred in the lower back, how to treat it, what the treatment regimen should be, a specialist can accurately determine after a full examination.
In case of acute pain, the specialist must determine whether there is a risk of side effects from the gastrointestinal tract, as well as cardiovascular complications. If the likelihood of such complications is low, the doctor prescribes medications taking into account the following:
If severe pain subsides within 5-7 days, you need to continue therapy until the pain is completely relieved. If acute pain does not go away within a week, not only anti-inflammatory drugs, but also local anesthetics and muscle relaxants are prescribed.
Local corticosteroids ( Prednisolone ) can also be administered, but only if tuberculosis affecting the joints or spine has been ruled out.
If the pain still continues and the anti-inflammatory does not give the desired effect, it is important to rule out infection, tuberculosis, joint pain due to syphilis , gonorrhea , etc.
The main injections for osteochondrosis and other diseases, the names of which are given below, are used for their intended purpose and according to the scheme determined by the doctor. You can learn more about what injections are prescribed for cervical osteochondrosis and other diagnoses directly in consultation with a specialist.
NVSP is indicated for use for the symptomatic treatment of osteoarthritis, ankylosing spondylitis, rheumatoid arthritis , muscle pain, back pain, and postoperative pain.
Price Amelotex – from 200 rubles, Movalis – from 700 rubles, Arthrozan – from 300 rubles. Mesipol – from 200 rub.
NVSP is contraindicated in the following cases:
You cannot combine medications with antiplatelet agents (acetylsalicylic acid, clopidogrel), prednisolone.
Take with caution in case of gastrointestinal diseases, the presence of Helicobacter pylori, diabetes mellitus , edema, prolonged use of NSAIDs
The price of Artrosilene is from 200 rubles, Flamax is from 120 rubles, Ketonal is from 220 rubles, Flexen is from 300 rubles.
NVSP is administered intramuscularly, injections are administered deeply in the dose prescribed by the doctor. This takes into account the age of the patient, as well as how severe the pain and spasm are. People under 65 years of age are prescribed 10-30 mg every 4-6 hours. In case of impaired renal function, as well as in elderly patients, doses of 10-15 mg are prescribed every 4-6 hours. Such doses can also be prescribed for single administration for the purpose of pain relief. In this case, the duration of treatment should not be more than five days, and the daily dose should not exceed 60-90 mg.
The price of Ketorolac is from 100 rubles, Ketanov – from 120 rubles, Ketorol – from 150 rubles.
Numerous side effects may occur when using NVSP:
The price of Diclofenac is from 50 rubles, Naklofen – from 60 rubles, Ortofen – from 50 rubles, Voltaren – from 300 rubles.
The component lornoxicam contains the drug Xefocam . The cost of Xefocam is from 700 rubles.
In case of overdose, the following side effects may occur: abdominal pain, nausea, vomiting, peptic ulcers, renal dysfunction, metabolic acidosis .
When taking NSAIDs and acetylsalicylic acid or other non-steroidal painkillers simultaneously, as well as calcium supplements, orticosteroids, ethanol, the likelihood of developing gastrointestinal ulcers and bleeding increases. When used simultaneously with Paracetamol, the risk of nephrotoxicity increases.
The cost of Texamen is from 200 rubles.
After injections of this group of drugs, rapid pain relief is noted, but their duration of action is short. It should be noted that steroid drugs have many contraindications, so they can only be used according to indications and under the supervision of a specialist. These drugs can be used directly at the site of pain. The blockade is carried out using a direct injection into the area of the lower back where severe pain is noted. To carry out the blockade, corticosteroids are combined with Novocaine or Ledocaine. The cost of Prednisolone is from 50 rubles.
If you have back pain or joint pain, you can also take medicine for joint and back pain in tablets. Previously, it was generally accepted that painkillers for joint pain do not act so quickly and effectively, and that strong painkillers for joint pain cause serious side effects from the digestive system.
However, experts currently believe that both tablets and pain-relieving injections for joint and back pain provide the same bioavailability of active substances. Side effects when using oral and injectable drugs are also the same. Therefore, a specialist can suggest both the name of the tablets and the names of intramuscular injections for joints when prescribing a treatment regimen.
If pulling, stabbing and other types of back pain occur, your doctor may recommend the following tablets: