Ketorolac (Ketoprofen) is a fairly powerful painkiller tablet used for pain in the joints of the legs, arms and spine. The medicine has a prolonged effect; for moderate pain, the exposure time of Ketorolac reaches 8 hours. But if the pain is severe, then the pills should be taken more often.
The painkiller Dexetoprofen (Dexalgin) also has an anti-inflammatory effect. The tablets help with moderate pain, their duration of action is 4-6 hours.
The familiar Acetylsalicylic acid (Aspirin) also has some analgesic effect. In addition, the drug is one of the strong antipyretic and blood thinning agents.
Diclofenac (Olfen, Dikloberl) perfectly relieves even severe pain and eliminates swelling due to rheumatism. The product has, along with pain relief, an anti-inflammatory effect. In addition to tablets, Diclofenac is produced in the form of an injection solution and ointment.
Ibuprofen (Ibufen, Nurofen) is one of the oldest non-steroidal drugs, but to this day many patients with joint diseases willingly use it. It is undesirable for pregnant women to use the medicine, and it is better to give it to children in the form of a suspension.
For unbearably severe pain in the joints, painkillers, which are narcotic drugs, may be prescribed. As a rule, the attending physician prescribes narcotic drugs if other drugs do not relieve pain. An unpleasant feature of narcotic drugs is that the human body quickly gets used to them, so they are used in short courses, combined with other types of painkillers. Most often, Promedol and Tramadol tablets are used to relieve joint pain.
Painkillers for joint pain will quickly and effectively help relieve the condition. The ankle joint is the most mobile and the most loaded. Movements in it occur in two directions: plantar and dorsal (flexion, extension). When walking, running, swimming, climbing, the ankle joints are primarily involved. Pain in them makes it difficult to move. It can occur in people of different ages for various reasons.
Acute pain in the ankle joint pushes people to search for drugs that can alleviate the condition. It is advisable to take painkillers for joint pain after consulting your doctor, since there are many reasons for their occurrence.
The main causes of pain in the ankle joints: injuries of varying severity, inflammatory diseases, bone tuberculosis, deforming arthrosis, skeletal diseases, osteochondropathy, Diaz disease, chondromatosis, muscle paralysis, malignant and benign tumors.
Often, when acute pain occurs, due to which it is impossible to step on the foot, there is an irresistible desire to take painkillers. For joint pain, this is not always welcome, since taking certain medications can affect the course of the disease, in which case it will be difficult to diagnose.
Painkillers for joint pain
Analgesics, caffeine-containing, non-steroidal anti-inflammatory drugs quickly and effectively relieve pain.
Paracetamol relieves pain of moderate intensity. Preparations in which the active ingredient is paracetamol are “Paracetamol”, “Efferalgan”, “Panadol”, “Aldolor”, “Daleron”, “Sanidol”. The names of these drugs are different, but the active substance is the same.
Caffeine-containing drugs - "Caffetin", "Sdalgin-neo" - relieve joint pain, but for a short time. These combination drugs contain paracetamol and caffeine. The “disadvantage” of taking such medications is that they become quickly addictive, so after a certain time the tablets stop working effectively.
For joint pain, analgesics combined with antispasmodics quickly and effectively help: “Baralin”, “Spazmalgon”, “Solpadein”, “Spazgan”, “Pentalgin”, “Plivalgin”. These drugs will quickly alleviate the patient’s condition, and will also have an anti-inflammatory and antipyretic effect, and relieve muscle tension.
Nonsteroidal anti-inflammatory drugs are the most effective painkillers for joint pain. “Ketonal”, “Ketorol”, “Ibuprofen”, “Ortofen”, “Melbek”, “Diclofenac” will not only quickly relieve pain in the ankle joint, but will also have an antipyretic and anti-inflammatory effect.
Ointments, gels, creams with anti-inflammatory and analgesic properties will quickly improve the condition and relieve local inflammation in the ankle joint. For pain in the joints, creams “Dolgit”, “9111+”, “Apizartron”, “Viprosal”, “Fastum Gel”, gel “Indovazin”, “Arnica-gel”, etc. will effectively help.
Painkillers for joint pain greatly alleviate the condition, but do not cure the disease. It is necessary to consult a doctor and diagnose the disease before taking medications.
Every person at least once in his life has encountered the problem of pain in one or another joint. Such pain has different localization and intensity, and can be periodic or constant. Any pain can make a person’s life unbearable: it hinders movement, prevents you from doing your usual work or doing what you love.
When a person experiences pain in a joint, his only desire is to get rid of it as quickly as possible. It is at such moments that patients begin to uncontrollably take analgesics, that is, painkillers for joint pain. This approach is completely wrong! Pain syndrome is just the tip of the iceberg, and the cause of pain in the back and joints lies much deeper.
By taking analgesics, you do not eliminate the problem itself, but only put its solution on the back burner. If you have joint pain, you should first seek advice from a specialist: an orthopedist or traumatologist. Only an experienced doctor can make an accurate differential diagnosis, and then only after carrying out many diagnostic measures. By identifying the cause of joint pain, you can get rid of the discomfort forever.
There are situations when medical care for one reason or another is not available to the patient. This review includes the most comprehensive information about the causes of joint pain. Knowing what caused the pain, you can decide which analgesics will be most effective in a given situation.
There are a number of predisposing factors (or risk factors) that can cause various pathological disorders in the musculoskeletal system:
In the presence of such disorders, various joint diseases occur, which are characterized by severe inflammation and accompanied by pain. In some conditions, such as injuries, joint pain appears immediately. In other cases, pain occurs at that stage of the disease when the pathological process is very advanced. The joints of the lower extremities suffer the most, since they bear the entire weight of the human body and perform, among others, a supporting function.
The following diseases can cause joint pain:
A person can also experience joint pain due to general intoxication of the body during the flu or other viral infections. Severe pain occurs with sudden changes in weather, with mechanical damage to ligaments and tendons during injury, and with muscle spasm.
Non-steroidal anti-inflammatory drug for rapid pain relief
Analgesics are part of symptomatic therapy for various joint diseases. There are a number of drugs that not only eliminate pain, but also effectively fight the cause of its occurrence - inflammation. These medications belong to the group of nonsteroidal anti-inflammatory drugs (NSAIDs) and are the drugs of choice for arthritis and arthrosis of various etiologies. The most popular painkillers for joint pain are known to each of us and are considered the “progenitors” of all non-steroidal anti-inflammatory drugs - acetylsalicylic acid, or aspirin.
Modern pharmacological science has gone far ahead and developed a number of other NSAIDs belonging to the same group of salicylates:
Another broad group of NSAIDs are oxicams. This group is represented by the following drugs:
The drug tenoxicam is a NSAID
A distinctive feature of these drugs is that they have fewer side effects, and therefore their long-term use is possible. An exception is lornoxicam, which is available in injection form and is a long-acting drug. Also in orthopedic practice, drugs based on nimesulide (nemid, nise, etc.) and celecoxib are widely used. If painkillers for joint pain stop helping or are ineffective, your doctor may prescribe painkiller injections.
Today, intra-articular administration of analgesics and anti-inflammatory drugs is effectively used. This procedure can only be performed by specially trained medical personnel in an outpatient or hospital setting.
In order to quickly get rid of severe pain, drugs such as analgin, paracetamol and Celebrex are used. These analgesics differ from their narcotic “brothers” in that they act within 10-15 minutes, have a long-lasting analgesic effect and are not addictive.
If joint pain is caused by muscle spasm, then it is advisable to use muscle relaxants - drugs that relax the smooth muscles. Long-term use of these drugs is possible, which in combination with non-steroidal anti-inflammatory drugs give a good therapeutic effect. Muscle relaxants are used for various diseases of the spine and lower back pain.
Do not discount analgesics for topical use - various ointments and gels. There are preparations based on both chemical compounds and natural components. Ointments are based on diclofenac, ibuprofen, as well as bee or snake venom. They have a local anesthetic effect and have fewer contraindications. When rubbing the ointment, the joint is massaged, which improves blood circulation and metabolic processes. This helps not only to relieve pain, but also to speed up the patient’s recovery. For joints that are too deep (hip joint), such therapy is ineffective due to the low bioavailability of the drugs.
The choice of painkillers for joint pain of various etiologies is a purely individual process. Medicines that work great for others may not be right for you or may cause you to react in an unpredictable way. There is no universal cure for joints! Do not ignore periodic joint pain and seek advice from specialists.
Only a doctor can choose the optimal combination and dosage of drugs for the treatment of various joint diseases. Follow all doctor's instructions and stay healthy!
In the complex treatment of joints, painkillers, primarily tablets, are used to reduce pain. Pain due to diseases of the musculoskeletal system is often unbearable. Therefore, it is impossible to cope without regularly taking painkillers for joint pain; tablets are the most convenient dosage form that you can always have with you. The article reviews popular painkillers used for joint pain.
Analgesics are especially often used for pain relief. This popularity is explained by the fact that the drugs included in this group, in addition to the analgesic effect, have antipyretic and anti-inflammatory effects. Analgesics for mild pain last from 4 to 8 hours.
Antirheumatic non-steroidal drugs not only relieve pain, but also have a therapeutic effect on joint tissue, promoting their recovery. At the same time, non-steroidal painkillers for the joints of the legs and other articular ligaments negatively affect the condition of the gastrointestinal tract. It is for this reason that they try not to prescribe them to patients with chronic diseases of the digestive system. And in other cases, non-steroids should be taken for a short time and only after meals.
Indomethacin (Metindop) is one of the strongest anti-inflammatory drugs that can relieve severe pain. It should be borne in mind that Indomethacin tablets have many contraindications for use, so it is often recommended to replace them with another dosage form - ointment, gel or rectal suppositories.
Preparations with caffeine Caffetin, Sedalgin-neo relieve joint pain only for a short time, so it is better to use combination products containing both caffeine and paracetamol.
Arthrosis of the hip joint (coxarthrosis) is one of the most common diseases of the dystrophic type of the musculoskeletal system. It occurs in people of almost any age group, but is most often detected in the initial stages with further progression after reaching 40-45 years. Depending on the extent of the disease, treatment can be either medicinal or surgical. In terms of frequency, hip coxarthrosis occupies a leading position among diseases of this type. Osteoarthritis of the knee joint is less common, although the etiology of these diseases lies in the same causes.
Pain relief for arthrosis of the hip joint is the dominant aspect of the conservative type of treatment, since it is only possible to fully restore the functionality of the joint with surgical intervention and endoprosthetics. This is explained by the physical structure of the joint itself, where, depending on the degree of degenerative processes, the destruction or change of the articular hyaline cartilage and its synovial membrane occurs. In the initial stages of arthrosis, pain relief and anti-inflammatory therapy are successfully used in modern methods of conservative treatment. More advanced conditions of the disease when using such treatment only bring relief from pain relief, but restrictions on movement in the joint cannot be compensated.
The hip joint is formed by two bones: the femur and the ilium. The head of the femur fits into the acetabulum of the ilium, resulting in a hinge joint that allows freedom of movement of the femur.
In a healthy state, the spherical part of the femur and the cavity of the ilium are covered with special hyaline cartilage. At its core, this cartilage fills the gap between the bones and performs the most important functions: it reduces the friction force in the joint (hinge) and plays a shock-absorbing role during loads. Reducing the friction force preserves the geometry and structure of the bones. The structure of cartilage allows the release of joint fluid, and its amount is proportional to the compression force in the joint. This ultimately results in the formation of a liquid film between the bone body and cartilage, which minimizes the friction force and keeps the bone body intact. The joint itself is located in a cavity filled with this fluid, thanks to which the lubricating properties of the cartilage and its nutrition are constantly maintained.
The physical cause of arthrosis of the hip joint lies in changes in the properties of the synovial (articular) fluid. Changes in the physical and chemical properties of this fluid lead to increased stress on the articular cartilage. So, if its viscosity increases, its lubricating properties change. This ultimately leads to the fact that there is no lubrication in the gap and dry friction occurs. Naturally, this entails the gradual destruction of the cartilage surfaces and the appearance of severe pain. As a result, a change in the surface of the bones and their subsequent deformation occurs. Poor circulation further aggravates the situation by causing a lack of nutrition in the joint.
Gradually, as the surface of the cartilage changes, pain begins to appear. At first they are minor, the joint is felt when moving or begins to click. Over time, pain occurs during exercise. The process of cartilage abrasion at this moment progresses significantly. As the load decreases, the pain decreases; you can also numb the joint with conventional analgesics.
For some time, pain due to arthrosis may disappear completely. Arthrosis of the hip joint can progress to the next stage after a long time, so many people do not pay attention to this problem. It is important to note here the presence of an inflammation process: if pain occurs at rest or at night, this indicates the presence of inflammation in the joint. Further ignoring the problem or prescribing the wrong treatment leads to rapid destruction within the joint itself. Cartilage practically does not perform its functions; because of this, the bones at the joint are deformed, and the degree of freedom in the dynamics of movement of the hip joint changes sharply.
There are many reasons that can lead to degenerative processes in the joint. The main ones are:
In many cases, a combination of the above reasons leads to arthrosis of the joints.
The main symptoms of arthrosis are the appearance of pain in the joint, the inability to fully step on the leg, stiffness, and difficulty walking up the stairs.
In each individual case, the signs of arthrosis of the hip joint depend on the stage of the disease. It should be taken into account that in the first stages of the disease, in some people, changes in the joint may be subtle, so it is always important to carefully pay attention to possible deviations in freedom of movement and the occurrence of pain.
Conventionally, the course of coxarthrosis is divided into three degrees.
Modern methods of relieving joint pain include intramuscular anesthetic injections, intra-articular administration of hormonal drugs, blockades using novocaine, and the application of pain-relieving ointments that contain non-steroidal anti-inflammatory drugs.
The introduction of lubricant substitutes using intra-articular injection and the application of compresses with dimexide and bischofite are aimed at a long-term therapeutic effect. It is based on slowing down or stopping the processes of destruction of the articular ligament. At almost any stage, hip arthrosis requires competent pain relief.
In the first degree of the disease, intramuscular injections of analgesics and non-steroidal anti-inflammatory drugs are performed. For the most minor pain, it is possible to use tablet medications. Administration of analgin orally or intramuscularly in some cases can relieve moderate pain.
For more severe and persistent pain and in the second stage of the disease, non-steroidal anti-inflammatory drugs are usually used. As a rule, these are drugs based on Diclofenac or Ibuprofen. Severe pain is relieved with Ketanov injections. In parallel, it is possible to use ointments or gels with these drugs.
Intramuscular injections of steroid drugs for arthrosis have a very strong analgesic effect. The complex drug Ambene has been successfully used, which allows, simultaneously with the analgesic effect, vitamin therapy according to group B. The main steroid drug in the composition is Dexamethasone.
Intra-articular injections are carried out mainly for the administration of corticosteroid drugs, most often Kenolog, Hydrocortisone, etc. The selection of steroid drugs should be carried out by a specialist. In this case, many individual characteristics of a person are taken into account, for example, previous diseases, hormonal levels, and the absence of certain diseases caused by hormonal changes. It is extremely undesirable to self-prescribe corticosteroid-type drugs, as this can lead to a significant imbalance in the body’s hormonal levels. At the same time, with an adequate assessment of the patient’s condition and the correct selection of hormonal drugs, it is possible to simultaneously relieve pain for a long time and relieve inflammation inside the joint.
Novocaine blockade for arthrosis is used with a certain frequency and allows in some cases to remove pain.
Chondroprotectors are drugs aimed at restoring lost tissue in the joint. Their action is based on the process of restoration of cartilage tissue. In terms of recovery time, this process can take years, so the treatment regimen with such drugs for arthrosis is usually combined with taking painkillers.
Preparations based on lubricant substitutes are mainly used for arthrosis of the knee and shoulder joints. They enhance the pain relief process.
The application of compresses with Dimexide goes well with injection treatment.
It is important to know that any analgesic therapy is aimed only at relieving pain and has virtually no effect on the course of changes inside the joint. The role of painkillers in the conservative treatment of arthrosis of the hip joint is dominant, but it is necessary to remember the side effects of many drugs. Therefore, the use of painkillers or injections must always be coordinated with a specialist in the field and take into account the general condition of the body. Excessive intake of Ibuprofen or Diclofenac can increase the acid level in the stomach, and taking corticosteroids can cause hormonal shifts in the body.
When anesthetizing a joint, you should always remember this and not create additional stress while pain is being relieved.
Pentalgin is quite effective for headaches, fever, as well as severe pain accompanying neuralgia.
Migraine pain is persistent and severe. Migraine attacks are not easy to stop. The pathological chain, which leads to a sudden and significant narrowing of blood vessels, has already started and is difficult to break. Conventional analgesics are often powerless, and anti-migraine painkillers that dilate blood vessels come to the rescue.
Sumatriptan is an active substance (and drug) that relieves migraine pain. It begins to act 30 minutes after application. The standard dosage of sumatriptan is 50 mg, and if it is ineffective, you can take two tablets per day (total 100 mg). The maximum daily dose is 300 mg.
Drugs containing sumatriptan include Amigrenin, Imigran, Migrepam, Rapidmed, Sumamigren, Trimigren.
A drug that acts similarly to sumatriptan. The original drug zolmitriptan is produced by the British corporation Astra Zeneca under the name Zomig and Zomig Rapimelt.
An effective pain reliever that is used to treat migraines, including severe pain. Eletriptan shows the best results when used at the very beginning of a migraine attack, but the effectiveness remains at any time. Today, only one eletriptan drug is registered in Russia - the original Relpax, which is produced by the American supergiant Pfizer.
Another active ingredient that effectively dilates blood vessels and helps with migraines. Presented by a drug produced in Germany, Frovamigran.
A special place among painkillers undoubtedly belongs to non-steroidal anti-inflammatory drugs. And although almost all of them have an analgesic effect, we will mention only those of them that are distinguished by the most pronounced analgesic activity.
One of the safest NSAIDs, which has antipyretic and analgesic properties. The safety of Ibuprofen is emphasized by the fact that the medicine is approved for pain relief and fever reduction even in newborns and infants. The drug is available in tablets, syrups, suppositories, as well as in local forms (ointments and gels) for pain relief in joints and muscles. The adult dosage sufficient to relieve moderate pain is 400 mg. The most famous ibuprofen preparations: Dolgit, Ibuprom, Ipren, Nurofen.
Despite some analgesic activity, Aspirin is not used so often for pain relief. This is due to the aggressiveness of high doses of acetylsalicylic acid - the active ingredient of Aspirin - towards the mucous membrane of the digestive tract. However, Bayer produces an effervescent and tablet form of Aspirin designed to relieve pain and reduce fever.
A representative of NSAIDs, which, along with ibuprofen, is mainly used as an analgesic. Like all other drugs in the group of non-steroidal anti-inflammatory drugs, naproxen drugs are used with caution for diseases of the digestive tract. Naproxen is most often prescribed for the relief of dental, headache, periodic and rheumatic pain. In addition, naproxen can be used as an effective modern pain reliever for bone fractures or soft tissue injuries.
In Russian pharmacies, naproxen is sold under the trade names: Apranax, Nalgesin and Nalgesin forte, Naprobene, Pronaxen, Sanaprox.
Ketorolac is on the list of the most powerful painkillers. Its analgesic properties are comparable to the effectiveness of some opioid narcotic analgesics. However, ketorolac preparations should be used only in extreme cases when other means do not work. This is due to the side effects that occur with regular or long-term pain relief. Treatment with ketorolac is accompanied by irritation of the gastric mucosa (in 13% of cases), nausea (in 12% of cases), abdominal pain and even diarrhea (in 12 and 7% of patients, respectively). In addition, ketorolac can cause headache (in 17% of patients), dizziness (7%) and drowsiness (6%). There have been cases of severe gastric damage, including perforation and subsequent bleeding, as well as liver and kidney failure in patients taking ketorolac for a long time.
Nevertheless, the potent ketorolac can be indispensable for severe pain resulting from fractures and injuries, as well as as a drug for pain relief during cancer and after surgery. By the way, it does not have anti-inflammatory or antipyretic effects. There are several trade names on the domestic market, including Dolak, Dolomin, Ketalgin, Ketanov, Ketorol, Ketofril, Toradol, Torolak and others.
These drugs are classified as non-steroidal anti-inflammatory drugs. However, the special mechanism of action and the associated special effectiveness and, most importantly, safety, give reason to classify them as a separate subgroup of painkillers.
COX-2 inhibitors, unlike other NSAIDs, do not block COX-1, which protects the gastric mucosa. Therefore, they are not aggressive towards the organs of the gastrointestinal tract, and they can be used by people who have a history of gastric ulcers. However, most experts agree that coxibs should be taken with caution in such cases.
During treatment with COX-2 inhibitors, patients with peptic ulcers or gastric bleeding in the past are recommended to take proton pump inhibitors. These agents block the production of hydrochloric acid and thus protect the gastric mucosa.
We add that the most well-known proton pump inhibitors include Omeprazole, Lanzoprazole, Esomeprazole and Pantoprazole.
The first of the coxib-type painkillers registered in Russia. Excellently reduces inflammation and relieves pain. It is used for exacerbation of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis and other rheumatic diseases, including those with severe pain.
Celecoxib is available under the trade names Dilaxa, Coxib, Celebrex - the original drug manufactured by Pfizer.
Another representative of coxibs, which is prescribed to reduce pain and inflammation in acute and chronic osteoarthritis, pain syndrome of any origin. It is available in Russian pharmacies under the name Vioxx in the form of a suspension and tablets. The manufacturer of the drug is the Dutch company Merck.
This drug occupies a special position among analgesics - it has a parenteral, that is, injection form of release. Parecoxib has less pronounced anti-inflammatory activity, but this disadvantage is more than compensated by its high analgesic capabilities. In Russia, parecoxib is sold under the name Dynastat. It is produced by the British company Pharmacia in the form of a lyophilized powder, from which a solution for intramuscular or intravenous injection is prepared immediately before use.
Dynastat is widely used as a powerful injectable analgesic for severe pain, including after surgery or fairly sensitive diagnostic tests (for example, colonoscopy), as well as pain from fractures and injuries. In addition, Dynastat is sometimes prescribed for pain relief in cancer patients in order to reduce the dose of narcotic analgesics.
One of the most modern coxibs, which organically combines anti-inflammatory and analgesic effects. The drug is used for symptomatic, that is, analgesic therapy of osteoarthritis, osteochondrosis, rheumatoid arthritis and other joint diseases. Etoricoxib is marketed by Pfizer under the name Arcoxia.
Narcotic analgesics block opioid receptors and thereby inhibit the transmission of pain impulses. In addition, they reduce the emotional assessment of pain and reaction to it, and also cause euphoria and a feeling of mental comfort. To avoid the formation of addiction, narcotic analgesics are used only in extreme cases, for example, to relieve acute pain. In addition, opioid analgesics are used in anesthesiology for so-called premedication - preparing the patient before the introduction of epidural and spinal anesthesia.
Narcotic painkillers registered in the Russian Federation include preparations of codeine, fentanyl, morphine and some others.
Due to the codeine content, the group of opioid narcotic analgesics in combination also included the fairly well-known drugs Nurofen Plus and Sedalgin Neo.
The drug from the Nurofen line, which is produced by the British company Reckit Healthcare, contains ibuprofen in a dose of 200 mg and 10 mg of codeine. Nurofen Plus tablets effectively relieve headaches and toothaches, migraine pain, periodic pain in women, back pain, muscle and joint pain, pain due to neuralgia and spinal hernias. In addition, the drug is good for fever and pain characteristic of colds and flu. Nurofen Plus should not be taken by children under 12 years of age.
The Bulgarian painkiller produced by Activis Sedalgin Neo, known for a long time, also fell into the group of combined opioid analgesics. Sedalgin Neo contains a combination of five active ingredients, including codeine, caffeine, metamizole sodium, paracetamol and phenobarbital. Due to the latter, the medicine has not only an analgesic, but also a sedative effect. Sedalgin Neo is effective for neuralgia, neuritis, migraine, as well as pain of various origins, including rheumatic, headache, dental, phantom, post-burn, traumatic, postoperative and periodic. In addition, the drug can be used for fever and aches during ARVI and influenza.
Myotropic antispasmodics can reduce the flow of active calcium into the cells of smooth muscle fibers. As a result, smooth muscles and blood vessels expand, pressure decreases, which provides the drugs with an antispasmodic and analgesic effect.
The most popular myotropic antispasmodic is good old drotaverine. It has a pronounced antispasmodic effect and high safety. Drotaverine is used as an anesthetic for various diseases accompanied by spasm of smooth muscle organs, including:
Arthralgia, or joint pain, is a characteristic symptom of a number of diseases of the human musculoskeletal system and can affect both older people and the younger generation, including adolescents. According to statistics, every third person suffers from such pain syndrome, and the prerequisites for its occurrence are becoming more and more numerous.
A sedentary lifestyle, bad habits, poor environment and inattention to one's own health often lead to early problems with joints. In this case, pain is the main sign that the disease that caused arthralgia is already at a fairly serious stage. These diseases are usually divided into two main groups.
Degenerative-dystrophic diseases. This group includes various arthrosis, which affects all elements of the joint: the bone itself, the articular membrane, periarticular muscles, cartilage, and ligaments. The most common are: coxarthrosis (damage to the hip joint), gonarthrosis (arthrosis of the knee), glenohumeral periarthrosis. With arthrosis, intra-articular cartilage is slowly destroyed. The disease can appear against the background of age-related changes, as well as diabetes mellitus and thyroid diseases. Arthrosis is accompanied by pain when loading the damaged joint (usually subsides at rest), tension in the periarticular muscles, periodic swelling and gradual deformation of the affected joint, and decreased mobility in the joint.
Inflammatory diseases. This group includes various arthritis: rheumatoid, gouty, psoriatic, ankylosing spondylitis, etc. These diseases are characterized by inflammation of joint tissue. Symptoms include pain, swelling and gradual deformation of the affected joint. Inflammatory diseases also include bursitis, periarthritis, tendonitis, which are characterized by inflammation of the periarticular tissues. Such pathologies arise, as a rule, due to mechanical overload of the joints due to injuries, excessive physical exertion, scoliosis, and flat feet. The pain in such diseases is nagging and appears when moving, as well as at rest at night. In addition, symptoms include limited mobility in the joint and weakness of nearby muscles with their gradual thinning (atrophy). The cause of sudden unbearable arthralgia in the toes or hands can be gout, a chronic disease caused by metabolic disorders.
Arthralgia may not always be evidence of progressive arthritis or arthrosis. There are other reasons as well.
Intense physical activity. Weak aching arthralgia may be an echo of recent active physical work: long walks while traveling, working in the garden, training in the gym, etc. Pain syndrome usually occurs several hours after exercise, does not bother at rest, but intensifies during movement . This symptom usually goes away on its own after a few days and does not require the use of medications for joint pain.
Injury. Arthralgia in this case occurs after a few minutes or hours and may indicate damage to the cartilage, ligaments or joint capsule. It is permanent, i.e. is felt both at rest and in motion. The injury may also be accompanied by redness, swelling in the area of injury, and limited mobility in the joint. In this case, you need to consult a doctor, and pain relief for the joints will help relieve pain.
"Growing pains." Oddly enough, teenagers can also periodically complain of pain. If arthralgia is not intense and is not accompanied by additional symptoms, then such a syndrome is a completely natural process for a growing organism that does not require taking medications for joint pain.
Only a doctor can recognize the true cause of arthralgia and prescribe the optimal comprehensive treatment, but you can relieve pain yourself by taking painkillers for joint pain. For these purposes, medications containing non-steroidal anti-inflammatory drugs, such as Askofen-P®, are usually recommended. This is a broad-spectrum combination drug, which is available in tablet form and is sold in pharmacies without a prescription. Its components - paracetamol, acetylsalicylic acid and caffeine - have an analgesic, anti-inflammatory and antipyretic effect. Tablets for joint pain Askofen-P® help cope with arthralgia and reduce the severity of swelling, giving you freedom of movement.
If the pain is prolonged and long-term use of analgesics is necessary, then good old paracetamol is considered the safest in the world. Doses - up to 3-4 g per day, in 4 doses. Other non-steroidal anti-inflammatory drugs (diclofenac, ketorolac, etc.) with long-term use are highly likely to cause stomach ulcers and bleeding - and even die for a short time.
What helps? Mom is saved by Diclofenac, DIP cream, lilac tincture in alcohol, and not always. The doctor also gave her several Arcoxia tablets, although she said she didn’t feel much relief.
The doctor prescribed Arthra and Movalis for me, but I have 1 degree displacement. Red and yellow Tianhe patches help me a lot, you can find them at INT where they are sold. This is certainly not a panacea, but it relieves the pain. It’s better to have a patch, it’s herbal, than to swallow pills.
Any drugs based on analgin, but you need the advice of a doctor who has seen your picture of the joint and tests, painkillers relieve pain, maybe you need to treat inflammation
Bio-Manganese (30 tablets)
The use of the Bio-Manganese dietary supplement will ensure that the required amount of the element enters the body. Each dietary supplement tablet contains 2 mg of the element. The daily requirement is 2-9 mg.
Manganese plays an important role in cell metabolism. It is involved in the regulation of neurochemical processes in the central nervous system, in protein and energy metabolism, affects the absorption of calcium and phosphorus, promotes the proper metabolism of sugar and fat, and is involved in protecting the body from free radicals. It is part of the active center of many enzymes, actively participates in the normalization of the body's immune defense, the absorption of vitamin B1 and vitamin E, and plays an important role in the process of lactation during breastfeeding. For its active participation in the activities of the central nervous system, it is often called the “microelement of the manager.”
A lack of manganese in the body can lead to impaired carbohydrate metabolism such as insulin-dependent diabetes, delayed hair and nail growth, increased convulsive readiness, allergies, dermatitis, impaired cartilage formation, and osteoporosis.
to replenish manganese deficiency in the body
for chronic fatigue, irritability, weakness, poor attention
with a tendency to bronchospasms, allergic rhinitis
for osteoporosis, arthrosis, especially in women and the elderly
with excess weight, increased levels of fat in the blood
with delayed psycho-speech development in children, tendency to seizures
Application: 1-2 tablets per day after meals.
A drug to restore joints plus an anti-inflammatory and pain reliever helps reduce pain, but does not immediately help. Details by mail.
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Up to 5/6 of all people over the age of 35 suffer from joint pain in one form or another. These pains can be short-term or long-lasting, mild or intense, local or widespread - but they all significantly reduce the quality of life, and in some cases lead to disability. How to determine the cause of joint pain and get rid of it?
Joint pain, or arthralgia (Greek arthron - “joint” and algos - “pain”) can be observed in a variety of diseases - metabolic, rheumatic, tumor, systemic and acute infectious, endocrine and rheumatic. Therefore, it is a mistake to believe, and this is what the vast majority of people suffering from arthralgia and self-medicating believe, that pain in the joint is certainly caused by arthritis. Here it should be clarified that there are dozens of types of arthritis alone, and not all of them have pain symptoms.
Joint pain is caused by irritation of nerve endings coming from the synovial joint capsule (capsule), and irritants can be toxins, salt crystals (sodium or potassium urates), allergens, products of autoimmune processes, osteophytes and other inflammatory components.
Arthralgia is most often a harbinger or symptom of another serious disease, or may be an independent disease. For this reason, if you have joint pain of any intensity, but of sufficient duration, you should definitely undergo a medical examination.
The following diseases are most often the causes of arthralgia:
The above list is an illustration of how varied the causes of arthralgia can be and how important it is to undergo a comprehensive examination if prolonged or intense joint pain occurs.
Treatment of joint pain itself is symptomatic, that is, it is aimed at eliminating or reducing the pain syndrome. It is obvious that the relief of joint pain must inevitably be supplemented by treatment of the root cause of arthralgia, which must be identified using a number of diagnostic tests:
But regardless of the identified cause of joint pain, and also in the absence of direct contraindications, doctors most often prescribe non-steroidal anti-inflammatory drugs (NSAIDs), which have the ability to relieve pain, swelling, hyperemia, fever, lower temperature, and reduce inflammation. . In total, there are about 40 species, from the point of view of chemical structure, divided into several groups, most of which are derivatives of organic acids: aminoacetic, salicylic, propionic, heteroarylacetic, indole, enolic, and also derivatives of coxiba, pyrazolone and others.
Side effects of almost all NSAIDs include irritation of the gastrointestinal tract, since the drugs are acid-based, inhibition of platelet aggregation (reduced blood clotting) and impaired renal blood flow (in renal failure). Otherwise, if there are no individual contraindications, and there is a desire to follow all the doctor’s instructions, NSAID drugs are quite harmless.
The table below presents a comparative analysis of non-steroidal anti-inflammatory drugs, in terms of their analgesic and anti-inflammatory functions.
For joint pain, diclofenac sodium is most often prescribed, since it is balanced in its analgesic and anti-inflammatory syndrome, followed by indomethacin. However, for intense pain, the drug of choice is ketorolac and tenoxicam; with intramuscular or intravenous administration of the latter, in some cases, an analgesic effect can be achieved for up to 3 days. A significant difference between tenoxicam (Artoxan) and other NSAIDs is its universal mechanism of pain relief, in which the analgesic effect occurs both at the level of the central nervous system and in places of inflammatory processes, while diclofenac and indomethacin act only in peripheral tissues, and, for example, paracetamol - only at the level of the central nervous system. For this reason, to increase the analgesic effect, they sometimes resort to a combination of drugs, for example, diclofenac + paracetamol.
But effective treatment of joint pain is not limited to just taking NSAIDs, because after removing the primary or acute pain syndrome, it makes sense to move on to non-drug or homeopathic treatment, including some types of physiotherapy (SWT, magnetic therapy, ultrasound and electrical pulse therapy), exercises therapeutic exercises, manual therapy, swimming, etc. In addition, you should definitely review your diet and regimen.
A little-known method in Russia for treating not only joint pain syndromes, but also the causes of their occurrence is homeosynia - a German homeopathic technique from the founder of the pharmaceutical company Heel, scientist and physician Hans-Heinrich Reckeweg.
Homeosiniatry is one of the methods of homeopathic direction - homotoxicology. The concept of homotoxicology is based on the fact that the majority of all diseases are caused by the accumulation of homotoxins in the body - any toxic irritants that disrupt the normal functioning of the body. As classical medicine knows, half of all arthritis is a reaction to toxins. And most of all arthralgia are caused by arthritis or are their precursors.
Homeosynia involves microinjection of the most effective and modern homeopathic medicines from the world-famous Heel company into acupuncture points, that is, into biologically active points of the human body, when exposed to which the natural self-regulatory functions of the body are restored.
The choice of drugs and points of influence is carried out individually by a professional doctor, based on analyzes and data on previous diseases, taking into account current symptoms. As is known, homeopathic medicines are harmless, and only individual allergic intolerance may require replacing one homeopathic medicine with another.
The first homeosiniatric medical center in Russia is the One Schaden clinic - the only medical center in Moscow specialized in this technique. The method has been practiced at the One Schaden center for more than 10 years, and the qualifications of the doctors are beyond doubt: from 15 to 30 years of work in classical medicine in the areas of neurology, orthopedics and therapy. This suggests that the center’s doctors are specialists not only in the field of homeopathy, but also in traditional medical practice. Every year, the One Schaden Medical Center receives about 500 patients suffering from diseases of the musculoskeletal system, including various diseases of the joints and spine.
Persons No. LO-77-01-003287 dated December 22, 2010.
Issued by the Moscow City Health Department
There are contraindications. Consult your doctor.