Lower back hurts what injections will help. Injections for the treatment of the back. Painkillers in tablets

Back pain significantly worsens a person's life, interfering with work and rest. But in order to prescribe treatment, the doctor must first conduct a detailed examination of the body and make a diagnosis. Unfortunately, it is impossible to do this without eliminating the exacerbation and pain syndrome. To cope with acute painful symptoms, injections of diclofenac, movalis, milgamma, etc. are used. These drugs are usually administered intramuscularly by injection into the buttock. In some cases, if the pain is very severe, the doctor may inject directly into the affected area. This approach is called blockade, for which novocaine or lidocaine is usually used. Having correctly placed the blockade, they achieve rapid relief of symptoms, since injections instantly eliminate spasm and reduce inflammation.

Back pain - modern man's payment for civilization

Unlike the ancient progenitor, modern man does not need to run after a mammoth for days and climb trees for dry branches in order to have something to eat and something to keep warm. All the benefits of civilization are at our service - we have stopped using our feet as a means of transportation over long distances, any physical labor has long been replaced by mechanisms, even the physical efforts applied in the household of a modern woman are incomparable to those that were 30-50 years ago .

Constant sitting behind the wheel, at a desk, at an office computer cannot but affect health. The lack of physical activity and, on the contrary, the constant tension of the same muscles does not contribute to the optimal functioning of organs and systems - over time, pathological changes accumulate, leading to various exacerbations and diseases.

Most often, back pain is associated with spinal problems caused by degenerative changes in structural elements, congenital problems, uneven loads, curvature due to poor posture, lack of movement exercises. The back often hurts due to injuries that have gone unnoticed or not fully healed.

The spine is the most important life support organ, which is a kind of center and basis for the interaction of all organs and systems of the human body. Through the spinal cord passing through it, he "knows" about each organ and reacts with pain signals in the back if this organ fails. Therefore, diseases not only of the musculoskeletal corset, but also of the internal organs are manifested by different strengths and sensations (pulling, sharp, aching, intolerable, shooting, dull) syndromes.

Every year the number of cases of disability due to advanced back pain increases, but the trends are such that, even suffering from them, people are in no hurry to change their lifestyle and run for medical help, believing that it should go away on its own. This is a very erroneous opinion - in fact, everything is much more complicated.

More about the causes of dorsalgia

Determining the cause is an important factor for developing tactics than treating back pain in the lumbar region, sometimes it takes a lot of time for this and diagnosis on modern equipment. The spread of causes is quite wide, and an error in identifying them can be very expensive. Let's talk about the main ones.

Diseases of the spinal column

These diseases include:

1. Osteochondrosis - various changes, including degenerative, intervertebral discs, cartilage layers, compression of nerve roots by them. With the overwhelming number of complaints about back pain, the presence of this particular disease is evidenced.
2. Osteomyelitis is an infectious purulent inflammation of the bone marrow structures. A fairly rare disease, but everyone has a risk of getting sick.
3. Spondylolisthesis is a common cause of back problems, affecting 5-7% of the working population. With this diagnosis, the vertebral pedicle is deformed (in most cases, the fifth lumbar element) and hangs over the lower one, while protruding to one side. If an x-ray is taken at the same time, then the spine in this area will not resemble a pillar, but a kind of ladder. In this case, the pain is expressed as a chronic, changeable in intensity character, felt in the lower back, sometimes radiating to the gluteal region and lower limbs, and people get used to enduring it for years, not paying attention to it. Attacks of severe pain are recorded if the displaced vertebra presses on the nerve endings of the spinal cord.
4. Fibromyalgia - various diseases of the muscle fibers of the back, in which their soreness and stiffness are recorded. Myofascial syndrome is their variety, in which permanent spasmodic areas of muscles are formed, which are seals - the so-called trigger points. They can give pain in the heart, shoulder blades, upper and lower limbs, in the costal arches.

If complaints at the doctor's appointment point to episodic pain, then in 80-85% of cases a cause is established associated with exorbitant prolonged loads on the spinal column - monotonous physical labor, static stress in the same position. ?

Do not be surprised if the doctor points out this reason to those who do not lift weights at all, regularly play sports, do not wave hoes in the garden, bending over - the back muscles can still experience daily overstrain during their usual activities. For example, if you sit tensely in front of a computer all day, it is the back muscles that get tired the most. Sometimes pain is caused by minor damage to the ligaments or muscles. In this case, the diagnosis of “back fatigue” is not made, but simply recommendations are given for rest and comfortable body postures. However, if the pain continues after 14 days, a more thorough identification of the cause should be carried out.

Compression fracture

This is a vertebral fracture that occurs more often in patients with osteoporosis or in the elderly. In these patients, the skeletal system is fragile due to the low density of the structure, and the bones can be deformed and broken due to the pressure of the body alone. Often the patient remains in ignorance for a long time about what happened, but the pains that do not subside usually do not give rest and force them to look for the cause. According to statistics, such fractures account for 4% of the causes of all back pain.

Hernia is a common culprit of pain

Intervertebral hernia is a very common cause of back pain, especially "loving" people over 40 years old, although it is increasingly being recorded in the younger age segment. It is caused by degenerative (age-related) changes in the connective and muscle fibers of the tissue. Gradually, the spine ages, sags, flattens, as a result of which the intervertebral discs protrude beyond the boundaries of the column and squeeze the adjacent nerve roots. The pain is acute, with localization in the lower back and legs. It is important in the diagnosis of the exact location of the hernia, so a magnetic resonance examination (MRI) is mandatory.

Bechterew's disease

This formidable disease is also called "ankylosing spondylitis" - a progressive pathology that often has a genetic origin. First, the lower back becomes inflamed, then the disease captures the cervical and thoracic regions - it affects the shoulder and carpal bone structures, the hip joints, and the articular elements that connect them to the spine. With unfavorable development, internal organs are affected - lungs, kidneys, heart, eyes. The consolation can be considered the fact that its cases are quite rare.

Oncology

Oncology is an inexorable cause of pain in 0.8% of those who seek help. These can be both cancerous tumors of the spine itself, and other organs that metastasize to its area. However, do not be afraid - usually such a formidable disease is recorded with completely different symptoms, and if you do not have a history of this part, then your back is unlikely to "make" you this diagnosis.

Spinal tissue infection

This is a rare cause of back pain (0.01%), but you should be aware of it. Infection from another organ travels through the bloodstream to the spine and causes symptoms of fever, general malaise, and weakness, just like the flu.

Modern methods of getting rid of back pain

After identifying the disease that is causing your problems, appropriate therapy is prescribed. Modern medicine has an extensive arsenal of tools that can stop the manifestations of any pathology and achieve a speedy cure. The complex of measures includes: methods of reflexology, physiotherapy, physiotherapy exercises, kinesiotherapy and massage.

Of the methods of reflexology, they have proven themselves well:

• electroacupuncture - intermittent exposure to electrical impact through needles;
• acupuncture injections of biologically active points;
• electrical nerve stimulation is a method that stops pain signals going to the brain.

From the arsenal of physiotherapy procedures, it is more often used:

• electrophoresis - the introduction of drugs using electrical impulses;
• laser therapy - treatment with light beams of various spectra;
• phonophoresis - ultrasound treatment;
• magnetic therapy - exposure to a low-frequency magnetic field.

Surgical treatment, mainly excision of hernias, is used if conservative treatment fails. In case of detection of a chronic process that has acquired signs of an independent disease, it is necessary to receive special treatment, longer and more intensive.

The first stage in the treatment of back pain, as a rule, is drug therapy in the form of injections to block the pain syndrome. Let's talk about it in more detail.

Therapy with medications

Medicines used for back problems are intended for the following purposes:

• removal of pain syndrome;
• relief of the inflammatory process;
• decrease in temperature;
• muscle relaxation;
• improvement of tissue trophism;
• restoration of destroyed structures, etc.

For this, the following groups of drugs are used:

1. Analgesics relieve inflammation and have an analgesic effect. Names of painkillers injections: analgin, paracetamol, indomethacin, ibuprofen, diclofenac, naproxen, milgamma. They are used in the form of injections, tablets, gels and rubs.
2. Narcotic analgesics are designed to stop very severe pain. They are rarely prescribed, in cases where other drugs do not bring effect. These are morphine, codeine, promedol, fentanyl.
3. A group of nonsteroidal medicines: meloxicam, neurobion, ketonal, diclofenac, trigamma. Injections of these drugs are able to stop the most acute, shooting pain that occurs when moving.
4. A group of steroid drugs: prednisolone, hydrocortisone, flosterone, betamethasone, diprospan. These drugs are good for local elimination of the source of pain, but the duration of their action is short. Popular for blockades.
5. Means that improve the microcirculation of affected tissues: trental, cavinton are secondary therapeutic agents for back problems. Their main role is to supply oxygen to diseased tissues.
6. Vitamin-containing complexes, being at the same time nootropics, have an analgesic and anti-inflammatory effect: milgamma, calcium, magnesium, vitamin D.
7. A group of muscle relaxants relaxes muscles during various overvoltages, relieves increased tone, resolves trigger nodes, and eliminates spasms. These are mydocalm, seduxen, baclofen, artrozole, sirduralm, norflex.

Blockade of pain - the beginning of elimination of discomfort in the back

As a rule, a person is sometimes forced to seek professional help from doctors by acute, persistent back pain, which cannot be removed with local anesthesia (ointments or gels). Meanwhile, according to the unofficial guidelines of vertebrologists (specialists in diseases of the musculoskeletal system), acute pain in the cervical, thoracic or lumbar spine must be urgently eliminated, and this procedure is one of the priorities in treatment.

In this case, the doctor prescribes the so-called blockade of injections, that is, determines which injections to inject to relieve pain. Such therapeutic blockades are nothing more than the direct introduction of a drug into the focus of inflammation. They are the most effective means, giving long-term relief from pain and a pronounced therapeutic effect.

The drug effect of the type of blockade injections is always carried out within the walls of medical institutions, as it requires highly skilled execution techniques. This procedure should be carried out by doctors: traumatologists, neurologists, orthopedists, vertebrologists, neurosurgeons who thoroughly know the anatomy and structural features of the spine, and are aware of the possible complications in this case and are able to overcome them. Due to the seriousness of the procedure, the patient is always asked to sign consent for it.

Blockades are prescribed due to acute pain with:

• osteochondrosis of all parts of the back;
• intercostal neuralgia and neuritis;
• herpes zoster;
• intervertebral disc protrusion;
• with hernias;
• herpes zoster;
• muscle inflammation;
• spondylarthrosis of the spinal column.

Blockade types

The therapeutic value of the blockade is due to the purposeful "interception" of the pain impulse coming from the pathological source of pain to the neurons of the brain. The effect is achieved largely due to the accuracy of manipulations.

Solutions for blockades are by the number of active substances:

• one-component, in which the blockade is one substance;
• two-component - from 2 substances;
• multicomponent - contain three or more active ingredients.

In the treatment of pain at trigger points, blockades of anesthetics are administered:

• lidocaine;
• merkain;
• novocaine.

These blockades successfully relax the muscles and restore their lost tone. Susceptibility testing is carried out before their introduction, as they often cause allergies.

Powerful anti-inflammatory drugs that eliminate swelling, inflammation and pain are glucocorticosteroids:

1. Dexamethasone - is mainly used for the blockade of soft structures.
2. Hydrocortisone - in combination with analgesics, neural blockades are produced.
3. Diprospan - has a prolonged action.
4. Kenalog - used for quick pain relief of the joints and spine, requires rare, with an interval of 2 weeks, application.

Blockades that are produced to eliminate pain in areas adjacent to the spine are called paravertebral, or paravertebral. The doctor decides which injections to prescribe in order to relieve the syndrome associated with both physiology and neurology of the spine.

They differ in the place of influence:

1. Receptor - these types of injections are performed in biologically active points of the skin, ligaments, tendons and muscles.
2. Tissue - soft tissue is chipped near the affected part of the spine.
3. Conduction - these injections stop the nerve conduction of the tissue.
4. Ganglionic - pursue the "turn off" of the pain syndrome by injection directly into the nerve node.

The areas of application of blockades represent the entire topography of the human body, depending on the source of pain.

Introduction mechanism

The mechanism of administration can be different: subcutaneous, muscular, intradermal. Special skill requires injections into the intervertebral space, performed through a special catheter. Of course, without the high professionalism of medical workers, this procedure cannot be carried out.

Blockade injections are also of diagnostic value. If there is any doubt about which part of the spine provokes pain, the introduction of an analgesic substance into certain areas allows you to “turn off” it, if it is actually associated with the pathology of the spine. If the pain after the blockade injection does not subside, therefore, the cause should be sought elsewhere.

Difficulties are cases of far-reaching chronic pain, when they are no longer peripheral, but central, and are associated with a stable focus of excitation of brain structures. In this case, with the help of some blockades, pain is not enough, psychotherapy, additional treatment with antidepressants, antiepileptic drugs are called for help.

In some cases, the doctor rejects the possibility of using the blockade due to the presence of contraindications:

• childhood;
• general infection of the body;
• pregnancy;
• tendency to bleeding due to serious violations of the hematopoietic sphere;
• unconscious or general serious condition of the patient;
• hypersensitivity to those substances that need to be administered;
• Heart arythmy;
• hypotension;
• psychical deviations.

Possible Complications

There is a risk of complications after blockades, as with any surgical intervention. However, the mutual coordination of the actions of a highly qualified doctor, a trained patient and the sterility of the procedure will help to significantly reduce it.

Undesirable consequences may be as follows:

• infection of injection sites, infection in the spinal cord;
• bleeding;
• damage to various tissues - ligaments, muscles, nerves;
• allergic reactions;
• specific complications associated with exposure to administered substances.

Only after the removal of acute pain with the help of blockade injections, conditions arise for a detailed classification of symptoms and the appointment of a set of diagnostic measures to identify the exact cause of discomfort in the back.

The use of injections in the treatment of pain in the spine

With prolonged use of tablet forms of drugs, side inflammatory processes in the stomach and intestines are very often observed, which subsequently gives rise to the need for their treatment. Therefore, most doctors insist on taking a course of injections - an intramuscular or intravenous method of delivering medicine to a sore spot. Bypassing the gastrointestinal tract, the drug in the form of injections is delivered faster to the problem area and eliminates the manifestation of side effects.

The doctor prescribes injections for pain in the back and lower back based on the diagnosis made in the first week of the disease. Usually the scheme is a course of glucocorticoid hormones, analgesics, structure restorers, muscle relaxants, depending on the severity of the disease.

Injections are rightly considered the most effective method for relieving pain - they quickly stop acute attacks. Urgent use of painkillers injections require situations with:

• the occurrence of unbearable pain;
• tingling sensation in hands and feet;
• with the appearance of unusual weakness and numbness in the limbs;
• if there is pain during urination.

Therapy of diseases of the spine

The basis for the treatment of diseases of the spine and lower back are drugs that have both analgesic and anti-inflammatory effects. Let's talk about some of them, especially popular due to their medicinal qualities.

diclofenac

This is one of the most popular drugs today, a kind of "gold standard" prescribed by doctors for the treatment of back and lower back problems with injections. Belongs, along with "brothers in the shop", ketanol and voltaren, to the line of non-steroidal anti-inflammatory drugs. It is produced as part of ointments and gels, however, it is the injections that have a strong and rapid anti-inflammatory and analgesic effect lasting at least 12 hours.

The special advantages of using diclofenac are expressed in the rapid entry of the active substance into the blood and in the minimal manifestations of side effects.

Drugs of the line of non-steroidal anti-inflammatory drugs, especially their new derivatives, are characterized by the achievement of a pronounced long-term effect in a short time, but some side effects cannot be excluded:

• headaches, dizziness, insomnia;
• violations of the kidneys, severe edema;
• the likelihood of bleeding;
• anemic conditions;
• cramps of the lower extremities;
• visual impairment, hearing loss;
• digestive tract disorder;
• allergic reactions (with injections of diclofenac sodium);
• transformation of the injection site into an abscess.

Because of this, the appointment of a course of diclofenac for a short time (up to 4 days) is justified. After relief of unpleasant symptoms, the drug is not used. With caution, it is prescribed if dyspeptic disorders are present or there is a threat of bleeding.

Injections are prescribed once a day, in a single maximum dose of not more than 150 mg. Before use, the ampoule must be warmed in warm water. The introduction should reach the deep layers of the buttock, the place must be alternated due to the threat of an abscess. Subcutaneous and intravenous use of this device is not allowed.

• children under 6 years old;
• having diseases that threaten bleeding;
• with diseases of the blood, kidneys and liver;
• suffering from bronchial asthma;
• people over 80 years old.

Meloxicam

This medicine is anti-inflammatory, antipyretic and analgesic, effectively eliminating pain of various etiologies in the body. Movalis is an identical medicine with the same active ingredient. To relieve back pain, it is very popular in the medical environment to prescribe this substance in the form of injections in a dosage corresponding to the type and severity of the disease.

The range of diseases in which treatment with meloxicam is indicated is quite wide:

• osteochondrosis of various manifestations;
• rheumatoid arthritis;
• arthritis and arthrosis of unknown etiology;
• joint pain;
• radiculitis;
• polyarthritis;
• spondylitis;
• osteoarthritis and osteoarthritis.

The drug is perfectly adsorbed, well absorbed (by 95%), does not affect the concentration of attention.

It is contraindicated in the following population groups:

• persons with individual high sensitivity to it;
• people with kidney and liver failure;
• with exacerbations of ulcers of the digestive organs;
• children under 16;
• during pregnancy and feeding;
• with a number of serious allergic diseases.

An important caveat regarding meloxicam is that it is undesirable to inject it simultaneously with other nonsteroidal drugs, since there is a high risk of intoxication. Also, its interaction with acetylsalicylic acid leads to ulcers and bleeding in the stomach and intestines.

For persons taking contraceptives and hypotonic agents, meloxicam injections reduce the effect of their use to zero. A high risk of reduced concentration during injections implies a restriction in driving.

Injections are usually prescribed at a dose of 7.5 milligrams of the active substance, once a day. With severe inflammation, the dose can be up to 15 mg. A course of 3-4 days is usually enough to relieve acute symptoms and pain relief.

In case of overdose, disorders can be observed:

• gastrointestinal tract in the form of diarrhea, flatulence, vomiting;
• activities of the cardiovascular sphere - palpitations, pressure surges;
• respiratory system in the form of shortness of breath;
• nervous system in the form of dizziness, tinnitus, confusion, disorientation, vasoconstriction of the brain;
• organs of vision;
• urinary system;
• allergic reactions of the skin - rashes, urticaria.

Milgamma

This combined preparation includes solutions of compatible B vitamins:

• thiamine;
• B6 pyridoxine;
• B-12 cyanocobalamin.

Amino acids of the B-group are responsible for the implementation of enzymatic reactions of the body, which play a key role in fat, carbohydrate and protein metabolism. Milgamma organizes nervous excitation in synapses, protects cell membranes from the toxic effects of oxidative reactions.

It is an erroneous opinion that milgamma is used as a general tonic for vitamin deficiency conditions. Milgamma injections are an active compound with excellent anti-pain properties that have not yet been fully explored.

Milgamma injections are successfully treated for all neurological problems of the spine, with a combination of various pains, muscular-tonic syndromes, paresis and neuralgia, and many others. They are used in combination with other elements of complex therapy. They are especially popular in the clinical environment when it is necessary to relieve acute vertebrogenic back pain.

The medicine is also effective for relieving acute pain. He is prescribed 2 mg for 10 days intramuscularly. With prolonged treatment of the disease, the doctor prescribes more rare injections - 2-3 injections per week for 3 weeks or a month.

The composition of the solution includes lidocaine, which ensures the painlessness of the procedure. The drug is characterized by safety in the light of side effects and high tolerability. A special therapeutic effect is observed when it is combined with non-steroidal anti-inflammatory drugs, in particular, with diclofenac. With this treatment, a more pronounced analgesic effect is observed than with monotherapy.

How to make an intramuscular injection at home

When the severity of the disease subsides, you will be blocked, the necessary diagnostic procedures will be completed and the doctor will determine the cause of the pain, and the necessary treatment will be prescribed. Most often it consists of a course of injections. In diseases that require hospitalization, the question of an injection disappears by itself. And if a home regimen with the passage of injections is recommended, then it is quite possible to give injections on your own. We are not talking about complex administration options - intravenous infusion or subcutaneous injection. Such injections require the qualification of a nurse at least. And with intramuscular injections, it is quite possible to cope by calling on the help of family members, of course, having previously received the approval of a doctor.

In life, there are often situations when you need to quickly give an injection not only to yourself, but also to family members, without resorting to the help of doctors, and this skill will come in handy more than once.

Moreover, there is nothing complicated in this. It is much more convenient when the injection is not done by you yourself, but by someone from your home. The procedure is as follows:

1. Wash thoroughly with soapy hands.
2. Shake the ampoule, break off the tip with a cotton swab, draw the medicine into the syringe, making sure that there are no air bubbles left. Cover the needle with a cap and temporarily set aside.
3. Mentally determine the injection site on the buttock - divide it cross by cross, select the upper outer quadrant and wipe the injection site with alcohol. Injections are always placed in this place because the sciatic nerve is located at the greatest distance from here, the impact of which can bring big problems. Also, this quadrant has the largest muscle thickness, which contributes to the effectiveness of the procedure.
4. Take the syringe in your right hand, (in the left - left-handed!) Remove the cap and insert the needle perpendicular to the skin surface into the prepared place for about 2/3 of the length, that is, so that 1/3 remains visible. If the injection is injected shallowly, under the surface of the skin, an abscess may occur.
5. Do not administer the medicine too quickly by pushing the plunger with your thumb.
6. Quickly pull out the syringe, apply an alcohol swab and massage this place a little.

As you can see, this is a fairly simple manipulation. To insure yourself, you can ask the nurse in the treatment room to demonstrate the first injection so as not to be afraid of pain.

It should be borne in mind that in the vast majority of therapeutic injections, their effect cannot be painless. Pain sensations remain in the muscles for a long time, radiate to the legs and lower backs, remind of themselves when walking, bending over, etc. This is a normal reaction of healthy tissues to an aggressive intrusion of a foreign body, although it brings healing in its final result.

Pain in the back and lower back can occur at any age. In order to quickly select a treatment and get rid of discomfort, it is necessary to establish the primary source of the pain syndrome. Often this can be the consequences of hypothermia, intervertebral hernia, the result of injuries and accidents, infringement of the sciatic nerve, or diseases of the musculoskeletal system. A correctly established diagnosis and the conclusion of a doctor will be the beginning of effective treatment and prevent the development of the disease and complications to other organs.

First you need to undergo a comprehensive examination of the whole body, get advice from a vertebrologist, osteopath, 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 be examined by a gynecologist, urologist and gastroenterologist. Having identified the cause of the pain, the doctor prescribes medication. Based on their nature of the pain syndrome and concomitant symptoms, an individual complex of drugs is selected.

Pain injections

For pain in the back and lower back, the doctor prescribes a number of painkillers, including non-steroidal anti-inflammatory drugs (NSAIDs) and a fortified complex of group B. They not only eliminate severe pain, but also help to cure inflammation, have a blockade 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 to deal with severe pain; with a chronic manifestation of pain, such injections are ineffective. The course of treatment lasts an average of 12-14 days, after which the patient's condition improves.

If there are no visible results with long-term use of painkillers, doctors resort to the injection and stretching method. The procedure is carried out by a doctor, the patient is in the prone position and novocaine solution is injected into the places of greatest pain and compaction. After the injection, it is necessary to slightly stretch the affected area of ​​​​the back and make a hot compress. After the procedure, the patient is advised to perform active movements and increase the load on the painful muscle. Thus, its mobility is being developed.

In chronic aching pain, it is necessary to identify its type: central, neuropathic or reflected. Based on the type of pain syndrome and the possibility of side effects from the gastrointestinal tract and cardiovascular complications, the optimal list of drugs is selected. In most cases, it looks like this:

• for dyspepsia, Nimesulide, Ibuprofen or their analogues (Diclofenac, Naproxen, Miloxicam) are prescribed;
• in the absence of dyspeptic symptoms, any non-steroidal anti-inflammatory drug can be used;
• at the risk of gastrointestinal bleeding, proton pump inhibitors (omeprazole) are injected together with NSAIDs;
• for cardiovascular complications, injections include opioids, Paracetamol, Nimesulide (blood pressure measurement is mandatory);
• in the presence of chronic diseases of the gastrointestinal tract and cardiovascular pathologies, Omeprazmol and Nimesulide are combined with Aspirin.

With the correct start of treatment, the pain subsides within a week after the start of the course of treatment. In order to avoid relapse, it is necessary to undergo a full range of injections until the pain syndrome is completely relieved.

If there is no relief after anesthetic injections, the body is diagnosed to exclude tuberculosis, gonorrhea, syphilis and other pathologies that affect the spine and joints.

Anti-inflammatory injections

Back pain is often accompanied by inflammation of the internal organs and tissues, getting rid of them, you need to start treating pain. NSAIDs used to treat inflammation are divided into two large groups, which differ not only in their drug composition, but also in their effect on the gastrointestinal tract.

There are two groups of NSAIDs: selective and non-selective COX inhibitors. Non-selective 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 more gentle on the stomach, have no side effects, and do not affect articular cartilage. Preparations of this type can be taken much longer without disturbing the normal functioning of the internal organs.

One of the non-selective NSAIDs is Diclofenac or its analogues Ortofen, Voltaren, Naklofen. The drug is used for pain in the spine, arthritis, osteoarthritis, spondylitis, attacks of gout, spondyloarthritis, postoperative pain and discomfort after trauma. The standard dosage is one ampoule per day (75 mg), with acute pain - 150 mg per day. The injection is injected into the gluteal muscle.

Contraindications to the use of Diclofenac:

• pregnancy;
• lactation period;
• children's age (up to 18 years there may be exceptions and individually selected dosage);
• stomach ulcer;
• liver disease.

Movalis (Meloxicam, Amelotex, Artrozan) is considered the most common non-selective NSAID. The drug is used in the chronic form of polyarthritis, spondylitis, rheumatoid arthritis, acute arthrosis. It is administered intramuscularly in the initial stages of the disease or in acute pain. Next is the transition to the tablet form.

Contraindications for use:

• pregnancy;
• the period of breastfeeding;
• heart failure;
• children's age up to 15 years;
• stomach ulcer;
• tendency to bleeding of the gastrointestinal tract and other organs.

Preparations containing B vitamins help relieve pain and eliminate inflammation. They are extremely effective in the acute stage of the disease. Among them, the Milgamma 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 recurrence, 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. A contraindication to an injection is:

• pregnancy;
• lactation period:
• the patient's age is up to 16 years;
• heart failure.

Troychatka

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 provoked by both diseases of the musculoskeletal system and post-traumatic complications. In addition, the triad has antipyretic properties.

Diphenhydramine as part of an 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.

The dosage is prescribed by the attending physician according to the type of pain and individual tolerability of the drugs. The standard triad consists of 1 ml of 1% diphenhydramine, 2 ml of 2% papaverine and 2 ml of a 50% solution of dipyrone.

Note!

Analgin can cause allergic reactions. Allergy sufferers replace it in triad with aspirin.

Injections for sciatica

Radiculitis is treated with intramuscular injections of anti-inflammatory and analgesic drugs. In addition, the doctor may prescribe drugs that will help relieve swelling in the affected area of ​​​​the back and improve trophic processes. Injections give a positive result much earlier than the tablet form of the drug. To eliminate pain in the back area, the following drugs are prescribed:

1 Voltaren. Refers to the number of anti-inflammatory drugs used to treat sciatica and rheumatic diseases. The injection is injected deep into the muscle; injections should not be repeated for more than two days in a row. To enhance the effect, Voltaren can be combined with the tablet form of the drug.

2 Ketonal. The drug is listed in the group of non-steroidal anti-inflammatory drugs and is often prescribed not only for sciatica, but also for other pathologies of the spine and musculoskeletal system. Ketonal anesthetizes and prevents excessive sensitivity of pain receptors.

3 Ozone injections. A new method of dealing with sciatica is an injection of ozone with steroid drugs. It reliably eliminates back pain, but it is used only once - by injection into the affected area of ​​​​the back.

Injections for hernia

Medical treatment of a hernia includes mandatory injections for back pain relief and relaxation of the strangulated endings. Novocaine blockade will effectively relieve back pain and keep the result for a long time. The procedure should be carried out only by a specialist, an incorrectly administered solution can provoke violations of the motor function of the spine and the patient's nervous system. There are two types of novocaine blockade, which differ in the way the drug is administered:

• injections into the intercostal region with a special needle (the doctor injects a novocaine solution into the pinched nerve, it is very important not to get into the neurovascular bundle);
• epidural injections, which are administered between the dura mater of the spinal cord and the periosteum of the spinal canal.

In addition to novocaine blockade and epidural injection, a person requires constant monitoring and maintenance of health. The doctor may prescribe NSAIDs, vitamin complexes, pain medications. An integrated approach to eliminating the cause of pain syndrome will help to get rid of discomfort in the back and lower back as soon as possible.

In modern medicine, there are a number of medications that will help eliminate pain and relieve inflammation. Among them are the following drugs:

1 Traumeel. Treat anti-inflammatory, analgesic and analgesic drugs. It is prescribed for severe pain syndrome. The dosage for adults is one ampoule per day, with massive back damage, injections of two ampoules are possible. For children under six years of age, the fourth part of the ampoule is administered as prescribed by the pediatrician.

Contraindications are:

• AIDS, HIV infection;
• multiple sclerosis;
• tuberculosis;
• leukemia;
• lupus and autoimmune connective tissue diseases.

2 Alflutop. The drug prevents destructive processes in tissues and restores articular cartilage, has analgesic properties. The course of treatment is twenty days, one ampoule (1 ml) per day. The injection is administered intramuscularly.

If large areas of the joints are affected, the dosage may be increased to 2 ml per day. After a full course of treatment, after half a year, you can undergo a second treatment.

Contraindications include:

• pregnancy;
• lactation;
• individual intolerance to the components of the drug;
• child age of the patient.

3 Dexamethasone. The remedy is prescribed for rheumatic diseases and diseases of the connective tissues. With a mild pain syndrome, the patient is administered one ampoule per day. During an exacerbation of the disease, the doctor individually selects the dosage, which can vary from 4 mg to 20 mg per day. The course of treatment is four days, then the patient is transferred to the tablet form of the drug.

Contraindications:

• hypersensitivity to the components of the drug;
• diseases of the gastrointestinal tract;
• children's age of the patient (exceptions are made on an individual basis with a decrease in dosage);
• infectious diseases;
• endocrine diseases;
• pregnancy.

4 Diprospan. The drug is widely used for osteochondrosis, osteoarthritis, post-traumatic syndromes. The drug is administered intramuscularly, one ampoule per day. In the period of acute pain, an increase in dosage is possible.

Contraindications for use:

• stomach ulcer;
• diabetes;
• tuberculosis;
• glaucoma;
• psychosis.

If drug treatment of back pain and lower back does not give the desired result, you should consult a doctor and undergo an additional examination of the body. If the cause of the disease is not identified, then the treatment will be ineffective.

Video

How to get rid of back pain with an injection.

In medicine, combined treatment is practiced: medicines are combined with physical activity and massage. Constant exercises aimed at stretching the spine will increase its mobility and relieve the feeling of "stiffness". If medical treatment does not help, the only way to get rid of the pain is surgery.

Injections for pain in the back and lower back give a positive effect with the timely start of treatment. Advanced diseases of the spine require long-term treatment, and sometimes surgery.

There are many painkillers, ointments, injections, local compresses, patches. Each of them to a greater or lesser extent has a side effect. A qualified specialist will be able to choose the optimal drug.

Gastrointestinal bleeding;

Cyanocobalamin (vitamin B12) regulates the metabolic reactions of the nerve cell membrane. Promotes myelin synthesis. With prolonged administration of the drug into the body, regeneration of the sheaths of nerve fibers is observed. Alternative means with a similar action does not exist. Treatment of neuritis caused by back damage with the help of B vitamins was carried out in Soviet times. A lot of facts about the positive effect of therapy on human health have been accumulated about the method.

1. Most of the pain is based on muscle spasm, which in itself stretches the nerve root and causes a secondary radicular syndrome, therefore, in many cases, muscle relaxants are prescribed as an anesthetic:
2. Overdose: vomiting, nausea, abdominal pain, occurrence of peptic ulcers of the stomach, metabolic acidosis, impaired renal function.
3. (6 amp. 170 rubles)
4. Hypersensitivity to the components of the combined vitamins of group B
5. Mydocalm goes well with milgamma, especially with the so-called "neck" syndrome, when pain occurs in the neck area associated with compression of the nerve roots and deterioration of their blood supply. Symptoms such as dizziness and headache are also associated with neck pathology.
6. Chondrosis - this is what the people call the symptoms of osteochondrosis. Prolonged and debilitating pain in the neck and lumbar back is most often his fault.
7. osteoporosis;
8. Paraventricular blockade (injections are made at special trigger points near the spine);
9. According to statistics, almost every person (84% of the population) has experienced back pain at least once. At the same time, a third of all people experience back pain periodically throughout their lives. In 75%, the pain syndrome becomes a permanent companion of a person's life.
10. Nephrotoxicity.

A lot of information has been accumulated in the literature regarding the effect of B vitamins on the mechanism of pain responses. Doctors have formed a proposal that the antinociceptive response is due to the blockade of inflammatory processes. Some scientific works prove the enhancing effect of this group of vitamins on the transmission of serotonin and norepinephrine. There are facts of inhibition of pain stimuli of the thalamus and the posterior horn of the brain.

Pain relief is the first step in treating back pain.

Tolperisone - peripheral action, Mydocalm (instructions for use, tablets, injections 30 tab. 50 and 150 mg 300-400 rubles), Tolperizon 30 pcs. 150-200 rubles

Injections for back pain

Interaction:

Analgesics

Ketonal

Non-steroidal anti-inflammatory drugs

due to lack of research - children's age

• Blockades in neurology are called manipulations, the essence of which is as follows. The drug is injected directly into the source of pain. That is, with cervical osteochondrosis, the medicine is injected into the neck, with lumbar - into the lumbar region. This method of introducing a substance is called paravertebral. Sometimes it can be injected directly into the intervertebral disc or epidural canal.​
• Pain in chondrosis depends on the stage of the disease and on the localization of the process. Most often it has a aching, dull character, disturbs the patient even at night. With exacerbation, the pain becomes sharp and often disrupts the normal movements of a person.
• Tumor processes with metastases to the spine;
• Adhesiolysis - epidural blockade (the drug is injected directly into the epidural space).
• Soreness in the back is observed with obesity, gynecological diseases, and may be the first signal of a serious pathology. Treatment of pain syndrome involves making an accurate diagnosis by a neuropathologist, examination by a urologist, gastroenterologist, gynecologist, orthopedist and therapist.​
• For back pain with intervertebral hernia, along with NSAIDs, chondroprotectors (artradol, chondrolone, chondroitin sulfate) are recommended. Tablets improve calcium-phosphorus metabolism, contribute to the restoration of cartilage tissue. The remedy reduces pain, increases the mobility of the damaged spinal segment.

Muscle relaxants

Against the background of a combination of B vitamins and opioid analgesics, the protective properties of non-opioid analgesics in relation to protective complexes are significantly increased. Positive results have been obtained in the treatment of musculoskeletal and experimental neuropathic pain.​

Vitamin preparations

Hydroxyzine - central with CNS inhibition, suitable for severe pain, Atarax 25 pcs. 300 rubles, Hydroxyzin 25 pcs. 200 rubles​

Steroid hormones

(10 amp. 200 rubles)

Blockade

3 amp. 220 rubles - Neurobion does not contain Lidocaine in its composition

• Often the injection contains a small dose of the hormone to prolong the analgesic effect.
• Treatment of chondrosis mainly comes down to restoring cartilage nutrition and improving local blood circulation, as well as relieving pain.

pathology of internal organs. Thus, uterine lesions often predetermine back pain among women, and prostate disease - back pain among men;

With blockade, a combination of Novocaine and steroids (Dexamethasone, etc.) is usually used. Substances, enhancing the therapeutic effect of each other, quickly stop the pain. The action of the blockade lasts 2-6 weeks. Paraventricular blocks are especially effective in chronic low back pain. However, there is no evidence that blockades stop back pain that is not associated with radiculopathy.

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Painkillers for back and back pain

Causes of back pain:

How to deal with back pain?

There are other injections for back pain, but they are prescribed only by specialists after assessing the patient's health status. With pain syndrome of the lower back, an intervertebral hernia is likely, which provokes the infringement of the nerve fiber. The condition provokes severe pain, which is eliminated by injections, tablets. Combined treatment eliminates the symptoms of the disease for a certain period of time. Therapy must be repeated at regular intervals. Injections are also required for osteochondrosis of the lumbosacral spine of 2-3 degrees.

Baclofen is also a central action, Baclosan.

What injections for back pain are better than others?

Simultaneous use of NSAIDs with acetylsalicylic acid or other non-steroidal painkillers, as well as corticosteroids, calcium preparations, ethanol, can lead to gastrointestinal bleeding and the formation of gastrointestinal ulcers. Simultaneous reception with paracetamol increases the risk of nephrotoxicity.

About non-steroidal anti-inflammatory drugs

Flamax

About antispasmodics

Side effects: Tachycardia, increased sweating, rarely - allergic reactions - rash, itching, urticaria, skin reactions, shortness of breath, anaphylactic shock. In case of overdose - nausea, vomiting, dizziness, tachycardia.

On the reduction of swelling of the nerve roots

This method of treatment is used as an ambulance for severe pain. After the blockade procedure, the pain subsides almost instantly. The injection allows you to achieve the removal of muscle spasm, inflammation and swelling, as well as the restoration of blood circulation.

About other analgesics

When a patient is faced with a choice of which medicine to buy, injections come first. After all, everyone knows that injections will get you on your feet the fastest.

About side effects

diseases of the urinary tract, urolithiasis;

Pain injections are the only proven treatment for lower back pain. Using other methods of getting rid of pain does not guarantee a 100% result. The appointment of injections is determined by the severity of the pain syndrome and is only the first step in the treatment of the underlying pathology. Only a specialist can individually select an effective and expedient drug, the form of its administration and the duration of use.​

When should you see a doctor?

Osteochondrosis.

Who to contact?

Good anesthetic ointments for the back of domestic production: fibrofid, finalgel, bystrom, ketonal. From selective NSAIDs, the use of local forms of nimesulide is rational. Preparations only in 2002 appeared in the United States. Sufficiently convincing data on the absence of a negative effect of tablets on humans has not been accumulated. Caution should be taken with selective NSAIDs when breastfeeding.

What to do if the injections do not eliminate the pain?

Tizanidin - central action, Sirdalud (2 mg 30 pcs. 230 rubles, 4 mg. 30 pcs. 330 rubles), Tizanil (2 mg. 30 pcs. 170 rubles, 4 mg. 30 pcs. 250 rubles), Tizalud (2 mg. 30 piece 140 rub), Tizanidin 4 mg. 30 pcs. 150-200 rubles

What injections for back pain can be bought without a prescription?

Mukosat

(5 amp. 110 rubles).

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When should injections be used for back pain?

5 amp. about 100 rubles

Causes of back pain

With cervical osteochondrosis, this manipulation is combined with the subsequent immobilization of the cervical region with the Shants collar. After a few days, the collar is removed and allowed to turn your head unsharply.

Why the doctor will prescribe injections:

How to remove pain?

It should be noted that back pain can have a different character. It can be acute and chronic, temporary or permanent, localized in one area or diffuse in nature with irradiation to other areas.

Currently, a sufficiently large number of medicines have been developed that can help get rid of discomfort. The most commonly used painkillers are injections for back pain. They are good because they have a fairly high efficiency, and also relieve a person of this unpleasant sensation very quickly. That is why painkillers for back pain are so widely used.

Osteoporosis.

• Dolobene gel - a combined drug with anti-inflammatory and analgesic effects;
• Restoring the metabolism of nerve fibers allows you to achieve a long-term therapeutic effect with a remission of more than 3 months.
• This is a modern drug, which is a concentrate of small marine fish that regulates the metabolism of cartilage tissue. The composition of the bioactive concentrate includes amino acids, potassium, sodium, copper, iron, calcium and zinc ions, as well as mucopolysaccharides, peptides. This tool stimulates the processes of restoration of cartilage tissue, inhibits the destruction of the structures of bone and cartilage tissues, which provides a moderate analgesic effect.
• ​Chondroguard

(6 amp. 280 rubles)

Painkillers, of course, are used only as symptomatic therapy, they help eliminate pain in the joints, back, but do not eliminate the cause of its occurrence, in addition, 50% of patients may experience various side effects. Whatever provoked an exacerbation of osteochondrosis, it is necessary to try to prolong remission. To do this, you need to carefully consider your health. Try not to get cold, do not make sudden movements, do not lift weights, and also allocate 20 minutes every day for exercise. Primarily because they act quickly. And this is an undoubted advantage in exacerbation of chondrosis of the back. Then, during remission, the doctor will prescribe ointments and tablets.

If you experience any pain in the back, you should contact an orthopedist or traumatologist who will help identify the pathology of the spine, its organic or functional changes. It is also necessary to contact a phthisiatrician (who will rule out tuberculous lesions of the spine), as well as a rheumatologist and oncologist, who will rule out, respectively, a rheumatological pathology of the musculoskeletal system or a cancerous process in the body with metastasis to the back.

In addition to injectables, there are also tablet preparations that can help cope with this problem. Often, ointments are used for back pain. They can have both anti-inflammatory and warming effects.

Spondyloarthrosis.

Irritants: apizatron, finalgon, capsicam, analgos - compounds for vasodilation, stimulation of the metabolism of a substance. By improving blood flow to the affected area of ​​the back, the lower back provides a reduction in pain;

Acute back pain is eliminated by non-steroidal anti-inflammatory drugs when combined with combined group B drugs much faster.

• The drug is prescribed only for adults with osteochondrosis or polyosteoarthrosis, it should be administered intramuscularly deeply 1 ml / day for 20 days. If large joints are affected, then it is possible to administer the drug into the joint once every 3-4 days, 1-2 ml, a course of 5-6 injections.
• (10 amp. 600 rubles),
• Contraindications: Hypersensitivity to any component of the drug, heart failure, pregnancy and lactation, severe liver or kidney failure, aspirin bronchial asthma, children under 16-18 years of age, inflammatory bowel disease, exacerbation of gastric ulcer, gastrointestinal bleeding. Cerebrovascular diseases, ischemic heart disease, any severe diseases of the cardiovascular system, combined use of antiplatelet agents (clopidogrel, acetylsalicylic acid) prednisolone, impaired liver function, severe somatic diseases.

In more than 50 studies looking for the best pain reliever, researchers have found that no NSAID drug is more effective than other pain relievers, and some of them are very expensive drugs. The only thing to pay attention to when choosing is that some generics (Russian diclofenac, for example) are significantly inferior in effectiveness to original drugs (European Diclofenac).

When there is severe pain in the back, lower back, joints, of course, first of all, it is necessary to determine the cause of its occurrence. If it is a backache from hypothermia, lumbago, or a pinched sciatic nerve, intervertebral hernia, etc., you should definitely be examined by a neurologist, osteopath, and possibly a gynecologist, urologist, gastroenterologist, since back pain can be not only from spasm of muscles and ligaments but also in some diseases of the internal organs. After a thorough diagnosis, the doctor may prescribe, as part of complex therapy, NSAIDs, B vitamins in injections for back pain. The injection form of drug administration acts exactly on the site of pain. This applies to the implementation of blockades of the neck and lumbar back. If the back hurts a lot, injections can quickly eliminate pain, but they should never be used on their own. The appointment of injectable forms of drugs is the competence of the doctor, who must be contacted to establish a clear diagnosis and prescribe the appropriate etiological treatment.

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Medicines and injections for cervical and lumbar chondrosis

Currently, various physiotherapy techniques are used to combat back pain. They are good as an additional, and not the main method of treatment. Many still do not trust official medicine and refuse to take medicines and use injectables. Most often they turn to various folk remedies. Some of them really have a certain effectiveness.​

Curvature of the spine.

Chondroxide, artrocin - chondroprotectors based on chondroitin sulfate, dimethyl sulfoxide - stop cell destruction, restore cartilage tissue;

Multiple studies have confirmed that milgamma is comparable to diclofenac in terms of the effectiveness of pain relief. Only intramuscular injection allows you to stop the pain syndrome in 2 days.

Choosing painkillers for back pain among non-steroidal anti-inflammatory drugs is easy due to the extensive list of existing drugs. Each drug has an anti-inflammatory, analgesic, antipyretic effect with a certain strength.

Chondrolon

• With caution: gastrointestinal diseases, the presence of Helicobacter pylori infection, edema, fluid retention, diabetes mellitus, long-term use of NSAIDs.
• Also, these studies were aimed at determining the drug with the least side effects. As a result, Ibuprofen was found to be the least toxic of all NSAIDs.​
• Today, in the treatment of acute pain in the lumbar region, back medicine finds new principles and algorithms than 50 years ago. The main emphasis in the fight against pain is on the elimination of pain with the help of NSAIDs - non-steroidal anti-inflammatory drugs, which suppress inflammation and reduce pain, as well as muscle blockades.
• When injected, the exact dose of the drug enters the bloodstream. It's the one you need. Unlike tablets, the medicine does not pass through the intestines and does not lose part of the active substance there.

When treatment with injections will bring the best effect

The reason to see a doctor should be:

Currently, there are many different drugs available in injectable form and used for back pain. The most commonly used drugs are from the group of non-steroidal anti-inflammatory drugs. In addition, medications are often used to relieve muscle spasm. Quite effective for back pain drugs that reduce swelling of the roots of the intervertebral nerves.

Long-term loads of high intensity on the spine and the muscular frame of the back.

Groups of drugs used

Ointments based on bee venom, mummy can not be applied to damaged areas due to irritation and increased inflammatory response;

1. Milgamma and milgamma compositum are good back pain relievers. Modern doctors are accustomed to classic anti-inflammatory drugs, so vitamins are treated with disdain.

They can not be taken for a long time due to the pronounced side effects on the gastrointestinal tract. WHO (World Health Organization) recommends to stop back pain syndromes in combination, taking into account the symptoms of the disease.​

(10 amp. 800-1100 rubles),

Ketorol

Manufacturers of the new Cox-2 inhibitor Celebrex claimed that it had the least side effects, but studies did not find convincing evidence of this fact.

1. And after the removal of severe spasms, it is recommended to refuse immobilization of the patient, that is, to conduct physiotherapy exercises, massage. Most doctors insist that a person during pain syndromes in the back area does not limit his activity as much as possible.

​If a person has digestive problems, certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), can make the condition worse. In this case, injections are a great way out.

Increased pain syndrome, when the pain does not allow you to do everyday activities;

1. It is these injections for pain in the back and lower back that are used more often than others. The most popular among them are the drugs Ketorolac and Diclofenac. These drugs in injectable form are very, very effective. They are administered intramuscularly, usually in the buttock. Relief most often occurs after 15-20 minutes. It is worth noting that such injections for pain in the back and lower back have not only a pronounced anti-inflammatory, but also a significant analgesic effect.

Sciatica, lumbago, sciatica.

Herbal ointments - Comfrey, Artrocin, Sophia, Valentin Dikul, Shungite. They are used to treat osteochondrosis, traumatic injuries of the spine, lower back pain.

Non-steroidal anti-inflammatory drugs are available in injections and tablets. When NSAIDs do not help, novocaine blockades are used.

Acute symptoms in patients with acute back pain are treated with NSAIDs. Their analgesic, anti-inflammatory, antipyretic effect is due to inhibition of the enzyme cyclooxeganase types 1 and 2 in peripheral tissues, the brain (non-selective forms). Common members of the group:

1. Artradol

(10 amp. 130-150 rubles),

Therefore, when choosing a non-steroidal anti-inflammatory drug, it should be remembered that they have almost the same anesthetic property, the same side effects, but different frequency, intensity, severity of side effects, harmful effects, and, not least, different prices. For example, Meloxicam has less effect on the stomach and intestines than aceclofenac (Aertal). Indomethacin gives a pronounced analgesic effect, but destroys cartilage with prolonged use and is now used less and less.

blockades

It has also become popular and effective to prescribe combined vitamin complexes that can have a moderate analgesic effect, these are vitamins B12, B6, and B1. It is believed that vitamin B12 has a more significant analgesic property. Why these vitamins?

Chondrosis of the cervical or lumbar spine is accompanied by severe pain at the time of exacerbation of the disease.

The appearance of weakness and numbness in the limbs;

Such drugs are good because they can be used even without additional medical research. The fact is that in the vast majority of cases, lower back pain is caused by problems with the spine or with the kidneys. Eliminate muscle spasm is necessary in both cases. It is for this reason that antispasmodics are almost universal painkillers for back pain. A hernia of one or another part of the spine is also treated using drugs from this group. The most common drug among them is Spasmoton.

Intervertebral hernia.

Pain-relieving suppositories for back pain with voltaren, papaverine, indomethacin, ketanol act similarly to systemic anti-inflammatory drugs. By reducing the concentration of the drug in the blood, a decrease in side effects on the gastrointestinal tract is achieved.

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Painkillers: injections for back pain, joint pain, injections for back pain | ABC of health

The essence of the procedure is to find the exit point of the nerve, compaction of the back muscles and inject insulin perpendicular to the area of ​​compression.

What are the drugs that relieve back pain in injections?

Ibuprofen;

(10 amp. 700 rubles)

Ketanov

Moreover, doubling the dose does not reduce the intensity of pain, and in the case when one non-steroidal drug does not help (if it is not a fake), replacing it with another does not make sense. Moreover, based on research, it can also be concluded that they are not much more effective than regular paracetamol. Details about all ointments for back pain can be found in our article.

Recently, these drugs have been considered in medicine as moderate analgesics, since they are neurotropic - they normalize muscle innervation, participate in the transmission of excitation, in the metabolism of mediators, affect metabolism, processes in the nervous system, and help restore damaged nerves.

In addition, pain may be accompanied by symptoms such as dizziness, especially with cervical osteochondrosis, or a feeling of “goosebumps” running across the skin - paresthesia. There are medicines in injections that can cope with this.

The appearance of a tingling sensation in the arms or legs;

"Spasmoton" is able to reduce the swelling of the roots of the intervertebral discs. As a result, their infringement is relieved. Often this drug helps to cope with back pain with just a few injections. Unfortunately, in comparison with other drugs, the purchase of this drug will require quite a lot of money.​

Pathology of internal organs.

Diclofenac rectal suppositories for low back pain are used in patients with bowel disease when systemic analogues cannot be used. It should be remembered that candles do not have a strong effect. With a strong infringement of the spinal nerve between the vertebrae and in the muscle, intense nerve impulses develop. To relieve pain, some patients require novocaine blockade. Candles in such a situation will not help.

When your back or joints hurt, injections of B vitamins should help

The patient is placed on the stomach. By palpation, the area of ​​\u200b\u200badministration of the substance is determined. An injection is made into it. Then the muscle fibers are massaged. After the procedure, a hot compress is applied to the back. After removing the bandage, the person should carry out active physical movements.

Milgamma Aceclofenac; Chondroitin sulfate - this drug belongs to anti-inflammatory drugs, which is prescribed for the treatment of diseases of the joints and spine. It slows down the resorption of bone tissue, improves calcium-phosphorus metabolism in cartilage tissues, stops the destruction of connective and cartilage tissue, and accelerates recovery processes. Reduces pain and increases mobility of the spine and joints. It has a structural similarity with heparin, therefore it prevents the formation of blood clots in the subchondral and synovial bed. (10 amp. 100 rubles) In chronic pain, before prescribing an anesthetic, the doctor determines the causes and nature of chronic pain - referred, neuropathic or central, and prescribes the appropriate treatment. Over 90 different studies have proven that the use of B vitamins in clinical practice led to a significant reduction in pain in the acute phases of inflammation in complex treatment. Therefore, they can be used both individually and in the form of complex preparations of B vitamins. However, it must be remembered that pain relief is only a symptomatic treatment, it does not relieve the disease itself.

Kombilipen Urinary incontinence. Almost the favorite painkillers injections for back pain in the CIS are a mixture of medicines "Analgin", "Dimedrol" and "Papaverine". The name of such a drug, familiar to both patients and doctors, is “troychatka”. It is applied very widely. Many people choose it, and not specialized painkillers for back pain. Triple injections are carried out intramuscularly. The effect occurs in about 20-30 minutes. In addition, the patient may experience drowsiness due to the presence of Diphenhydramine in the mixture. The fact is that it has a good sedative effect. Psychogenic etiology (stress, depression). In conclusion, we will describe other groups of drugs that are used for pain in the back, lower back. Steroid analogs have a strong anti-inflammatory effect. Means are introduced into the epidural space between the spinal canal and the spinal cord. Local intramuscular injections of steroid hormones (prednisolone, hydrocortisone, diprospan) are used to anesthetize the lumbosacral region. Points of novocaine blockade: Diclofenac.

Neurobion When the back hurts a lot, the doctor may prescribe anti-inflammatory, painkillers in tablets, it was previously believed that oral administration slows down the onset of action, reduces effectiveness and leads to more severe side effects from the gastrointestinal tract. To date, it is believed that intramuscular administration and oral administration give the same bioavailability of the drug. Side effects from the gastrointestinal tract are realized through the suppression of the arachidonic acid system, that is, not through direct contact with the mucosa, but after absorption into the blood. Therefore, the side effects are almost the same when taken orally and when injected. Ketorolac

Trigamma If the pain is acute, then the doctor determines the risk of side effects on the gastrointestinal tract, cardiovascular complications, if the risks are not high, and: The composition of most complex preparations of this group contains the anesthetic lidocaine, which enhances the local analgesic effect. However, it should be remembered that the use of this group of vitamins makes sense only for acute pain in the back, joints, alcoholic polyneuropathy, B12 myasthenia gravis for 10-14 days, and in chronic recurrent diseases they already become ineffective.

Efficacy, contraindications and side effects of NSAIDs

Drugs are divided into several groups:

It is worth noting that injections in the back not only treat pain, but also eliminate the inflammatory process, since in most cases they contain both analgesic and anti-inflammatory components.

Anti-inflammatory injections for back pain are quite effective. Unfortunately, they have severe side effects. First of all, we are talking about the harmful effects on the gastric mucosa. In the event that the use of anti-inflammatory drugs causes a similar side effect, it is better to use less powerful injections for back pain. First of all, it is necessary to transfer the patient to antispasmodic drugs. Another option may be the additional intake of drugs that protect the gastric mucosa. Most often, the drug "Omeprazole" is used for these purposes.

Important! Only a specialist, having identified the true cause of pain, can prescribe appropriate medical therapy, including pain relief.

American scientists have developed schemes for the introduction of steroids into the seals of the gluteal muscle, followed by massage and warming compresses. The approach allows you to neutralize muscle spasm, which can cause piriformis syndrome. In pathology, the sciatic nerve is infringed, leading to severe pain in the lower back, lower extremities.

Sciatic nerve - at the greater trochanter;

Choice of painkillers

Selective tablets selectively inhibit cyclooxygenase-2, which prevents the side effect of non-selective analogues - a violation of mucus secretion by the intestinal wall. After the creation of this category, doctors counted on a breakthrough in the treatment of pain in the spine, joints, and lower back. Severe complications from the gastrointestinal tract did not allow long-term prescribing of the drug.

Celebrex (active ingredient celecoxib 10 pcs. 400-420 rubles)

• (10 amp 70-90 rubles)
• There is no dyspepsia - then any NSAID

In cases where painkillers do not help, specialists can offer the patient a method of injection and stretching. It consists in the following: after the patient lies on his stomach, the most painful seals or points where the pain is most intense are found in the muscles, and an injection with a novocaine solution is made exactly perpendicular.

Medicines that relieve pain and inflammation, so-called non-steroidal anti-inflammatory drugs. Let's consider them in more detail.​

It is worth noting again that

Antispasmodic drugs are good because they have practically no side effects. Unfortunately, they are far from the strongest painkillers for back pain. Currently, the most rational is the joint use of drugs "Spasmoton" and "Ketorolac". The fact is that separately this antispasmodic and a weak non-steroidal anti-inflammatory substance have an insufficient effect. Together they usually give a very good result.

An overview of painkillers in injections

The first aid and the initial stage of the treatment of pain syndrome is anesthesia. The drugs are used in the form of tablets, ointments and injections. The choice of the form of drug administration is determined by the intensity of pain. The maximum result is achieved with the simultaneous use of various forms of drugs. Increasing the dose of the drug only enhances the manifestation of side effects.

Meloxicam From modern developments, biostimulants are recommended for pain in the lower back and back. The drugs are characterized by an anti-inflammatory effect - placenta extract, gumizol, aloe extract. As a result, they cannot be prescribed for long periods. There are no clinical studies showing a good analgesic effect of drugs. Arcoxia (active ingredient etoricoxib 7 pcs. 520-600 rubles) age of the patient, intensity of pain. Up to 65 years, a single dose of 10-30 mg is prescribed. IM every 4-6 hours. Persons with impaired renal function or older than 65 years at a dose of 10-15 mg / m once, or every 4-6 hours. The maximum daily dose should not exceed 60-90 mg. and the duration of therapy is not more than 5 days. There is dyspepsia - better ibuprofen (or diclofenac, naproxen), nimesulide (or miloxicam) Immediately after the injection, passive stretching of the muscle is performed, after which a hot compress is placed on this place. Then, when the compress is removed, the patient must make active movements, exposing the painful muscle to the maximum movement.

Ketoprofen Representatives of the NSAID group are ketorolac, ketorol, diclofen, voltaren. It is strictly forbidden to use injections in the back on your own. First of all, you should visit a doctor if a person has severe pain in the back. If the discomfort does not interfere with the performance of labor and domestic duties, then you can wait. Pain that lasts for 3-4 hours, even if it is not expressed, is the reason for contacting a specialist. If we are talking about the lumbar spine, then the specialist will try to make a differential diagnosis between vertebrogenic lumbalgia and pyelonephritis. Most often, antispasmodics are prescribed immediately, but painkillers for back pain are used only when it has already been established that the cause of the disease lies in problems with the spine. An intense pain syndrome requires the appointment of injection forms. For the relief of acute pain, injections are prescribed for the first 3-7 days, with a further transition to oral medications. The following groups of drugs are used: We draw the attention of readers to symptomatic treatment: Vertebral - in the place of localization of the hernial protrusion. Back pain is caused by irreversible conditions (osteochondrosis, spondylosis, intervertebral hernia). Treatment of nosology is long, and NSAIDs are prescribed for a maximum period of 10-14 days, then a break. Texamen (active ingredient tenoxicam 10 pcs. 200-250 rubles) Diclofenac If the risk of cardiovascular complications is high, then NSAIDs should be avoided, and paracetamol, opioids should be used. At moderate risk, nimesulide may be prescribed, subject to adequate correction of blood pressure (amlodipine, see drugs to reduce pressure).

Ketorolac The purpose of novocaine blockade is to “turn off” the nerve. Therefore, the injection points should be as close as possible to the exit points of the nerves, for example, the sciatic - at the greater trochanter of the thigh, with intercostal neuralgia - in the corresponding intercostal space, with osteochondrosis - at the outer edge of the back extensor, etc. It is also advisable to carry out epidural blockades in chronic pain syndrome, for example. with herniated discs. Ketorolac, Ketorol have a strong analgesic effect and, to a lesser extent, anti-inflammatory. Most often used in the treatment of chondrosis of the lumbar, since the injection technique has its own specific features and contraindications. You may experience side effects or allergic reactions to a number of drugs, and if administered incorrectly, pain may increase or pathological muscle spasm may occur with impaired sensitivity and function of the back and lower extremities due to nerve damage. what painkillers injections for back pain to use, is a neurologist. This specialist has a fairly extensive knowledge of the structure of the nervous system in general and the spinal cord in particular. In addition to injections, he will most likely advise tablet preparations, as well as several physiotherapeutic methods. Exclusively eliminate pain without affecting the cause of its occurrence. Injections of Analgin, Baralgin are prescribed. These medicines are not highly effective and are used for unexpressed pain or in a situation where there are no other means of pain relief. Painkillers for back pain:

diclofenac Clinical studies have shown that taking tablets and intramuscular administration of an anesthetic drug is characterized by approximately the same bioavailability of the drug. The negative effect on the gastrointestinal tract is not due to the direct effect of the active ingredient on the intestinal mucosa, but to the blockade of the metabolism of arachidonic acid after absorption of the drug into the blood. (5 amp. 40 rubles) If there is a high risk of gastrointestinal bleeding - NSAIDs + proton pump inhibitors (omeprazole) are required. It is understood that taking NSAIDs is in itself a sufficient risk even with a single dose, therefore, according to the standard, all NSAIDs are taken in combination with proton pump blockers, regardless of the risks of gastroduodenal bleeding. Below is a list of drugs prescribed by the attending physician according to indications. Only a doctor determines the advisability of using B vitamins, NSAIDs, muscle relaxants, and chondoprotectors. The information below is for information only, the course of treatment and dosage is determined by a specialist. However, people suffering from chronic gastritis should be careful with these drugs, as they can provoke its exacerbation. I must say that the most effective method of eliminating back pain - implementation of blockades. This procedure is not only a medical technique, but can also be carried out for diagnostic purposes. So, if pain decreases during anesthesia of individual anatomical structures, then this indicates that they are the source of pain. In addition to a neuropathologist, therapists and general practitioners are able to solve the problem with back pain. They can also prescribe good shots for back and lower back pain.​ A group of drugs widely used in pain syndrome. NSAIDs are not only able to relieve pain, but also have anti-inflammatory and anti-edematous effects. They are used for hernia, sciatica and other conditions accompanied by compression by inflamed nerve tissues. The main disadvantage of NSAIDs is the high likelihood of undesirable consequences from the internal organs. The name of medicines with one active substance varies depending on the manufacturer. Apply:​

Lornoxicam Antispasmodics to relieve pain with inflammatory processes of cartilage tissue. It is rational to use funds together with diclofenac, mydocalm; Movalis (meloxicam); Tenoxicam List of painkillers for back pain of the NSAID group: Nalgezin (active ingredient naprxen 10 pcs. 110-130 rubles) Voltaren With a combination of risks of the gastrointestinal tract of side effects and complications of the CCC - Nimesulide + acetylsalicylic acid + omeprazole. B vitamins can also be taken in tablet form, but naturally, intramuscular administration of drugs is considered more effective. Consider what drugs of this group exist on the modern pharmaceutical market, their general indications, contraindications, side effects, methods of application and comparative prices in pharmacies: Diclofen, Voltaren can reduce inflammation, relieve swelling at the site of damage to the nerve roots. These drugs also tend to adversely affect the gastric mucosa.

Chondroitin sulfate First of all, you need to inform your doctor about this. It is important to describe the severity of pain before and after the course of treatment. In the event that the injections did not at all reduce the pain, it would be rational to replace them with other drugs. Most often, this step helps. In the event that new medicines have also proved to be ineffective, it is advisable to undergo an x-ray examination of the area of ​​the back where the pain is most pronounced. Often such a diagnosis does not give any results. In this case, it is recommended to undergo a more serious examination. We are talking about computed tomography or magnetic resonance imaging. These methods allow visualization of both bone structures and soft tissues. After such an examination, in the vast majority of cases, it is possible to establish an accurate diagnosis and prescribe a rational course of treatment. Preparations with the active substance Ibuprofen (less than others cause side effects); First aid for reducing pain (nemesil, ketanol, ketanov); The above drugs are indicated for ankylosing spondylitis, rheumatoid arthritis, osteoarthritis. Celebrax is the active ingredient celecoxib. Movalis, Artrozan, Meloxicam (substance Meloxicam price 20 tab. 40 rubles, Movalis 20 tab. 250 rubles)(5 amp. 270 rubles) If within 5-7 days the pain subsides, then continue treatment until it is completely relieved. If acute pain does not subside within a week, then muscle relaxants, local anesthetics are prescribed. Local administration of corticosteroids is possible with the exclusion of the diagnosis - tuberculosis of the joints or spine. With very severe pain and no effect from painkillers, the infectious nature of the pain should be excluded (tuberculous pathology - consultation and examination in a tuberculosis dispensary), joint pain with gonorrhea, syphilis or other infection.

Painkillers in tablets

Milgamma 5 amp. price in pharmacies 220 rubles, 10 amp. 400 rub. 25 amp. RUB 900​

Basic NSAIDs in tablets

• Vitamins that are needed for nutrition and better functioning of nerve fibers, as well as improving blood supply to the affected spine. Of particular importance are B1, B6 and B12. B vitamins are prescribed in neurology to reduce muscle tension, improve blood circulation.
• Often novocaine or lidocaine is used to carry out blockades. If corticosteroids are added to the anesthetic, then with the help of selective injections, a stable therapeutic effect can be obtained, to maintain which massage and physiotherapy are also recommended.
• Not everyone is ready to go to the doctor because of back pain. Fortunately for them, not all injectable drugs are sold by prescription. We are talking about the drugs "Ketorolac", "Diclofenac", "Spazmoton", "Analgin" and many others. At the same time, it is better to be careful with the use of the first two drugs, since their use can adversely affect the gastric mucosa. It is for this reason that Ketorolac and Diclofenac should be injected only after a heavy meal. As for the drug "Analgin", it can have a negative effect on the functioning of the cardiovascular system. If there are already problems in her activities, the drug should not be used on its own.
• Ketonal, Ketoprofen (has a pronounced pain relief);
• Painkillers - butadione;
• Contraindications for pain relief injections for the back:
• Flexen, ketonal, quickcaps, artrosilene (ketoprofen);
• Ketanov, Ketarol, Ketorolac (substance Ketorolac price 20 tab. 40-60 rubles)
• Naklofen
• All known NSAIDs in injections, with their general contraindications and side effects, average prices in pharmacies are presented in the table:
• The composition of all these drugs is the same: Lidocaine, Thiamine, Pyridoxine Cyanocobalamin
• A drug such as milgamma is widely used. This is a multivitamin complex containing large amounts of B vitamins. It has an analgesic effect, normalizes the blood supply to the nerves and muscles. It is actively used in the treatment of neck chondrosis, intervertebral hernia, with neurological pathology against the background of diabetes mellitus.

Combined pain medications

• It should be noted that such blockades cannot be used with severe bradycardia, myasthenia gravis and hypotension, as well as with a pronounced violation in the liver or with increased sensitivity to the chosen anesthetic.
• In the event that after a few days of self-treatment the pain does not decrease, it is imperative to make an appointment with a neurologist, therapist or general practitioner. Only a specialist can determine exactly which pathological process caused the development of symptoms, as well as prescribe the most effective injections for sciatica and back pain.
• Ketanov, Ketorolac (stronger, but the dose should be limited, and the time of use does not exceed 5 days);

Muscle relaxants

Acetylsalicylic acid, citramon, paracetamol are widespread groups of drugs.

• heart failure;
• Faspik, Nurofen, Burana (ibuprofen);
• Artrosilen, Bystrumcaps, Ketonal, Flexen (substance ketoprofen 20 pcs. 150 rubles, Bysrumcaps 10 pcs. 250-270 rubles, Flexen 30 pcs. 170 rubles)
• (5 amp. 50 rubles),

Chondoprotectors

Pain pills for back pain: injections for the lower back

Treatment of back pain with injections and blocks is a fairly new method compared to traditional drug therapy, physiotherapy, massage, acupuncture or manual therapy, but already has a number of advantages:​

Back pain occurs with a variety of diseases and occurs in almost 70% of the population. It should be noted right away that most people, not taking into account the etiology of this pain, self-medicate and prescribe themselves oral painkillers or even special injections for back pain, only erase the clinical picture of the pathology that develops, provoking further serious complications.

Pain pills for back pain

Voltaren, Diclofenac (the most commonly used remedy);

• Pain relief patches are used for gradual prolonged action. They cause the minimum number of side effects. A contraindication to use is individual intolerance to the components that make up the patches.
• Hypersensitivity to the components of the product;
• Dolaren;

Burana, Nurofen, Faspik, Ibuprofen (substance Ibuprofen price 20 pcs. 15 rubles, Nurofen 12 pcs. 110 rubles, Faspic 6 pcs. 100 rubles, Burana 10 pcs. 80 rubles)

Ortofen

(3 amp. 530 rubles)

Neuritis, paresis of the facial nerve, trigeminal neuralgia

Chondrosis is incurable without chondroprotectors. They nourish the cartilage and prevent its premature destruction.

• fast and long lasting analgesic effect;
• Among the main causes of pain syndrome with localization in the back, it should be noted:
• Movalis, Meloxicam (highly effective, minus - high risk of side effects).
• Nanoplast forte is used to treat diseases of the muscles, joints, spine, injuries, sprains. Clinical studies have found high potency of the patch with minimal side effects. The tool has passed the state registration in the legislation of the Russian Federation.​
• Bronchial asthma;

Lornoxicam.

Voltaren, Diklak, Naklofen, Ortofen, (substance Diclofenac price 20 pcs. 40 rubles, Voltaren 20 pcs. 200 rubles, Ortofen 30 pcs. 20 rubles, Diklak 10 pcs. 70-100 rubles)

(10 amp. 40 rubles)

Amelotex

Back pain caused by diseases of the spine, neurological manifestations (radiculopathy, lumboischialgia, muscular-tonic lumbar, cervical, cervico-shoulder syndromes, intercostal neuralgia, radicular syndrome due to degenerative changes in the spine)

Alflutop, mucosat, structum, dona, teraflex restore damaged cartilage tissue.

a small number of side effects;

deformation of the intervertebral discs;

The effect of the use of NSAIDs lasts up to 6 months. The choice of drug depends on the characteristics of the state of the body, the presence of concomitant diseases. NSAIDs have a number of contraindications (hypertension, liver and kidney pathology, pregnancy, etc.)

The drug does not contain anti-inflammatory drugs. The duration of action is about 12 hours. It is characterized by therapeutic and analgesic action. Can be used while breastfeeding. There are no age restrictions on the use of the drug.

Children's age up to 18 years;

Neurodiclovit is made on the basis of vitamins and diclofenac. Muscle relaxants eliminate muscle spasm, which contributes to the tension of the nerve root, causing a secondary radicular syndrome.

Airtal 20 tab. 400 rub. - active substance Aceclofenac.

Side effects: Digestive system: often - diarrhea, gastralgia, constipation, vomiting, nausea, heartburn, hepatitis, acute pancreatitis. Urinary system: frequent urination, nephritis, edema, acute renal failure. Respiratory system: shortness of breath, laryngeal edema, allergic rhinitis, difficulty breathing. CNS: dizziness, headache, drowsiness, hyperactivity, psychosis, hearing loss, depression, visual impairment. CCC: syncope, increased blood pressure, pulmonary edema. Organs of hematopoiesis: eosinophilia, anemia, leukopenia. Blood coagulation: rectal, nasal, gastric bleeding, from a postoperative wound. Dermatological manifestations: urticaria, skin rash, skin peeling, Lyell's syndrome, Stevens-Johnson syndrome. Allergic reactions: swelling of the eyelids, wheezing, shortness of breath, discoloration of the skin of the face, itching of the skin, rash, heaviness in the chest. Other: often - weight gain, swelling of the ankles, face, fingers, legs, excessive sweating.

(3 amp. - 280 rubles)

Painkillers for back pain

Night muscle cramps, alcoholic, diabetic polyneuropathy, shingles.

Chondroprotectors are not suitable for the treatment of acute conditions. Their effect accumulates gradually and improvement can be noticed no earlier than six months after the start of therapy. In addition, they can help only in the early stages of chondrosis.

the possibility of repeated use.

1. Due to the removal of spasm from the muscles, they have a pronounced analgesic effect. Long-term use is not advisable due to the development of addiction to the drug and the mass of side effects (drowsiness, impaired coordination, etc.). Often used drugs Mydocalm, Cyclobenzaprine, Flexeril. The combination of muscle relaxants and NSAIDs allows you to reduce the dose of both drugs and, accordingly, reduce the risk of developing undesirable effects.​
2. Folk remedies for back pain:
3. Inflammation of the intestines;

Mydocalm is used to relax muscles in case of pain syndrome caused by pinching of the nerve by spasmodic muscles.

• Xefocam 10 pcs. 130-200 rubles. - Lornoxicam.​

​Xefocam

Artrozan

• 5 amp. 100 -120 rubles, 10 amp. 170-210 rubles
• Long-term treatment of osteochondrosis with chondroprotectors allows you to reduce the dosage of anti-inflammatory drugs.
• In addition, with pain in the back, injections can reduce spasm of muscles and blood vessels, the inflammatory reaction and swelling that develops in the affected area, which favorably affects the course of the underlying disease.
• spondylosis;
• B vitamins improve metabolism and the very structure of the nervous tissue, while normalizing muscle innervation and relieving irritation from the nerve roots. The basis of the preparations is cyanocobalamin (vit. B12), supplemented with vitamins B1 and B6. Milgamma, Kombilipen and others are appointed.

Herbal tea lingonberry-birch - brew a teaspoon of birch leaves, lingonberries in a glass of boiling water. After straining, consume in small sips;

With caution, injections for the lower back should be given for intestinal diseases, diabetes mellitus.

• B vitamins are often recommended for back pain. The mechanism of therapeutic action is due to participation in many biochemical processes that improve the conduction of a nerve impulse along the fiber.
• Dolaren, Panoxen (20 pcs 120 rubles) - diclofenac + paracetamol.
• (5 amp. 700-720 rubles)

(3 amp. 190 rubles)

Contraindications: Do not treat if:

Pain relievers for the back

The course of treatment is at least 4 months, but the analgesic effect also lasts 3-4 months. The doctor selects the necessary drug and the scheme of application individually, based on the symptoms and stage of the disease.

It must be remembered that any such intervention most often does not eliminate the cause of pain, but only helps

1. congenital malformations of the spine;
2. Important! Vitamin remedies are indicated for acute pain. In chronic pain syndrome, more effective drugs are prescribed.
3. Grate a raw potato. Add the same amount of honey to the mixture. Apply the compress to the fabric. Attach to the lower back;
4. Tenoxicam (Texamen) should not be used with acetylsalicylic acid (vitamin C) to prevent overdose symptoms:
5. Thiamine (vitamin B1) maintains the functionality of nerve cell membranes, which affects the conduction of the impulse, promotes the regeneration of nerve fiber sheaths.

Pain relief candles for back pain

Neurodiclovit (30 pcs. 300 rubles) - diclofenac + vitamins of group B.

Texamen

Overview of other drugs for back pain, lower back

Indications for the use of NSAIDs: Symptomatic treatment of ankylosing spondylitis, osteoarthritis, rheumatoid arthritis, elimination of pain - musculoskeletal, back pain of any etiology, postoperative and other pain.

Pregnancy, lactation

Muscle relaxants. This group of drugs affects the reticular formation of the brain and provides relaxation of spasmodic muscles. Muscle relaxation leads to a decrease in pain, improved blood circulation.

temporarily eliminate its cause

1. Bechterew's disease;
2. Steroid drugs are indicated for severe disease, with high-intensity back pain. Most often combined with drugs of other groups (vitamins, NSAIDs). Ambene preparation consists of two solutions: one ampoule contains dexamethasone, lidocaine and phenylbutazone, and the second contains lidocaine and cyanocobalamin (vit. B12). Blokium B12 (diclofenac and betamethasone) has proven itself excellently.
3. Garlic with ginger must be grated. Add some butter. Lubricate the sore spot with the composition;
4. Metabolic acidosis (acidification of the blood);
5. Pyridoxine (vitamin B6) affects the synthesis of transport proteins. Without them, it is impossible to transfer chemical compounds at a distance.​

Next (120-170 rubles) - paracetamol and ibuprofen.

1 vial. 200 rubles​

Artrosilene

acute, severe types of heart failure

• The most commonly used is mydocalm. The drug is produced both in tablets and in injections. Despite the fact that this substance acts on the central nervous system, its use is relatively safe. It is also used in pediatrics.
• Therefore, simultaneously with such therapy, it is necessary to conduct an examination, the purpose of which should be to identify the true cause of back pain.
• Infectious diseases in which the infection, along with the blood, is transferred to the structures of the spine;
• Intense pain that does not go away is an indication for a blockade (injection into a sore spot). According to the method of administration of the drug are distinguished:

Menthol or fir oil well eliminates pain in the lower back or back.

Bardukova Elena Anatolievna
neurologist, homeopath, work experience 23 years
✔ Article checked by a doctor

Famous Japanese rheumatologist:“THIS IS AMAZING! Russian methods of treatment of joints and spine cause only bewilderment. See how doctors offer to treat back and joints in Russia: Voltaren, Fastum gel, Diclofenac, Milgamma, Dexalgin and other similar drugs. However, these drugs DO NOT TREAT THE JOINTS and BACK, they only relieve the symptoms of the disease - pain, inflammation, swelling. Now imagine that…” Read full interview »

The article contains all effective injections for back and lower back pain. According to statistics, 80% of all people on the planet experience back pain. In Russia, every 2 worker takes sick leave because of these unpleasant symptoms. And per year, spending one adult on painkillers, vitamins and other drugs related to the treatment of back and lower back pain is 35,000 rubles. These include injections for back and lower back pain.

The most popular remedy that doctors prescribe to patients is Diclofenac, a non-steroidal anti-inflammatory drug (NSAID) that has a strong analgesic effect. Even one injection is enough to completely eliminate the pain.

The attending physician must make the correct diagnosis - this will ensure the patient's speedy recovery.

Application: one dose of Ketorol is 10-30 mg, which is administered intramuscularly. The amount of the administered substance depends on the weight, age, condition of the patient. The maximum daily dose is 40-90 mg. The course of treatment should not exceed five days.

Contraindications:

• prohibited for people with asthma and cholecystitis;
• with violations of the renal and excretory systems;
• stomach ulcer;
• pregnancy, lactation;
• children under 16 years old.

Take with caution to persons with problems in the liver and kidneys, with nervous diseases.

Side effects:

• stomach diseases;
• nausea;
• diarrhea;
• headache;
• dizziness;
• drowsiness.

The price of drugs: Ketorolac - from 70 rubles, Ketorol - from 100 rubles, Ketanov - from 110 rubles, Ketonal - from 240 rubles.

Ketoprofen

The active substance Ketoprofen is contained in the preparations: Ketoprofen, Flexen, Flamax, Artrosilene.

Just one injection allows you to cope with inflammation and pain.

Application: 1 ml is injected slowly deep intramuscularly into the buttock. You can re-enter after a month.

Contraindications:

• stomach ulcer;
• mental illness;
• age up to 16 years;
• glaucoma.

Side effects:

• moon face;
• muscle weakness;
• diabetes;
• impotence;
• problems with menstruation;
• headache.

Despite the long list of side effects, Kenalog copes well even with chronic pain.

Cost: Kenalog - from 600 rubles.

Muscle relaxants

JAPANESE RHEUMATOLOGIST : “Surprisingly, most people are ready to take any drugs for osteochondrosis, arthrosis or arthritis, and without even thinking about side effects. Most of these drugs (Movalis, Diclofenac, Ibuprofen and others) have many side effects such as stomach ulcers, migraines, anemia, asthma, rashes, soft tissue necrosis from constant injections and much more. In Japan, these drugs were treated 10 years ago, now our most effective remedy is ... " Read more»

This type of drug appeared not so long ago. Muscle relaxants relax the muscle fibers in the body as much as possible, up to immobility. The mechanism of drugs is very different from the action of NSAIDs, because muscle relaxants do not relieve inflammation and pain. But in combination with non-steroidal anti-inflammatory drugs, these medicines help to effectively eliminate pain in a short time.

Mydocalm

The drug relaxes the muscles, blocks the nerve endings, which leads to the elimination of pain.

Mydocalm

Application: the drug is administered intramuscularly at 100 mg 2 times a day, or intravenously 100 mg 1 time per day.

Contraindications:

• autoimmune diseases (myasthenia gravis);
• children's age up to 3 years;
• sensitivity to the composition of the drug.

Side effects:

• headache;
• nausea and vomiting;
• abdominal discomfort.

Cost: Mydocalm - from 530 rubles.

Tablet forms of muscle relaxants:

Hydroxyzine and Atarax

They should be used when the pain is very severe. Muscle relaxants have a central effect. The cost of Hydroxyzine - from 230 rubles, Atarax - from 290 rubles.

Baclofen

It is a drug of central action. Contraindicated in epilepsy, psychosis, convulsions, pregnancy, children under 12 years of age. The price of Baclofen is from 230 rubles.

Tizanidin and Sirdalud

Both drugs contain the active substance tizanidine. It is also a centrally acting muscle relaxant. It is effective for muscle spasms in various diseases of the spine (osteochondrosis, spondylosis), after operations to remove a hernia. The cost of Tizanidin - from 110 rubles, Sirdalud - from 190 rubles.

Chondroprotectors

Real stories of site readers:“My name is Alexandra, I am 38 years old. I want to tell my story about how I cured osteochondrosis and hernia. Finally, I was able to overcome this unbearable pain in my lower back. I lead an active lifestyle, live and enjoy every moment! A few months ago, I was twisted in the country, a sharp pain in the lower back did not allow me to move, I could not even walk. The doctor at the hospital diagnosed osteochondrosis of the lumbar spine, herniated discs L3-L4. He prescribed some medicines, but they did not help, it was unbearable to endure this pain. They called an ambulance, they set up a blockade and hinted at an operation, all the time I thought about it, that I would be a burden for the family ... Everything changed when my daughter gave me one article to read on the Internet. You have no idea how grateful I am for that! What I learned from the article literally pulled me out of my wheelchair! In recent months, I began to move more, in spring and summer I go to the dacha every day. Who wants to live a long and energetic life without osteochondrosis, take 5 minutes and read this article. Read article»

Preparations of this group restore cartilage tissue, stop the processes of its destruction. Basically, injections with chondroprotectors are prescribed for people with joint diseases. But medicines can effectively cope with arthrosis, arthritis and other diseases that cause pain in the back.

Chondroitin sulfate

This active ingredient contains Chondrogard, Chondrolone, Artradal and Mukosat. These drugs have anti-inflammatory properties. The medicine is prescribed for various diseases of the spine and joints, including and for intervertebral hernia. Properties of medicines:

Price: Mukosat - from 400 rubles, Artradal - from 700 rubles, Chondrogard - from 900 rubles, Chondrolon - from 930 rubles.

Alflutop

The active ingredient is a concentrate from small types of sea fish (sprat, anchovy, shad, whiting). The drug regulates metabolic processes in the cartilaginous tissue and has an analgesic effect. The medicine is prescribed for osteochondrosis, spondylosis and osteoarthritis. The course of treatment requires 20 injections, 1 injection per day. The drug is administered deep intramuscularly and intraarticularly.

Alflutop

The cost of Alflutop is from 1500 rubles.

Drugs that improve blood microcirculation in the body

DOCTOR'S OPINION! “I have been an orthopedist for many years. During this time, I had to deal with various diseases of the back and joints. He recommended only the best drugs to his patients, but still the result of one of them surpassed himself. It is absolutely safe, easy to use, and most importantly - acts on the cause. As a result of regular use of the remedy, the pain disappears in a few minutes, and in 7 days the disease completely disappears. An excellent tool for a quick and stable result ... ”Sergey Mikhailovich Bubnovsky, orthopedist. Learn more»

Medicines from this group are designed to saturate the blood with oxygen and this helps to cope with the disease.

Cavinton and Trental

Improve blood microcirculation, dilate blood vessels. Applied in the form of droppers, tablets and intravenous injections.

Cavinton

Price: Cavinton - from 230 rubles, Trental from 150 rubles.

Vitamin complexes

Site Reader Stories:“My wife has been suffering from acute pain in her joints and back for a long time. In the last 2 years the pain was always present. Before, I could not imagine that a person could scream in pain like that. It was terrible, especially in the middle of the night, when blood-curdling screams were heard in complete silence. According to her, it was like dogs gnawing their legs on their backs. And there was nothing to help her, only holding her hand reassured her. She injected herself with painkillers, fell asleep, and after a while everything repeated again ... In the morning, waking up, she cried more often. The smile completely disappeared from the face, the sun left our house forever. She also moved with difficulty - the knee joints of the sacrum made it possible even to turn around. The first night after the application of this new remedy passed for the first time without screaming. And in the morning a cheerful one came up to me and said with a smile: “But there is no pain!” And for the first time in these 2 years, I saw my beloved wife happy and smiling. She flutters around the house like a swallow, the rays of life play in her eyes. Read more»

About 100 studies have proven that the use of B vitamins (B1, B6, B12) in combination significantly reduces back pain and speeds up the patient's recovery. Complex preparations have been developed that combine all the necessary vitamins, as well as the anesthetic Lidocaine, since the injections themselves are very painful.

Assign injections with vitamin complexes for acute back pain, trigeminal neuralgia, radiculopathy. They are always prescribed in combination with NSAIDs and muscle relaxants.

The composition of all drugs includes pyridoxine, cyanocobalamin, thiamine and lidocaine.

Milgamma, Neurobion, Combilipen, Neuromax, Trigamma, Neurorin, Nerviplex

These are drugs from the neurotropic group that have a positive effect on inflammation, radicular syndrome, degenerative diseases of the musculoskeletal system, disorders of the nervous system, back pain and joint problems. Also, vitamin preparations improve the innervation of the muscles, contribute to the restoration of damaged nerves.

Milgamma

Price Trigamma - from 130 rubles, Kombilipen - from 270 rubles, Milgamma - from 300 rubles, Neurobion - from 310 rubles.

Site Reader Stories: How I helped my mom heal her joints. My mother is 79, she has worked as a teacher of literature all her life. When she began to have the first problems with her back and joints, she simply hid them from me so that I would not spend money on medicines. Mom tried to be treated only with decoctions from the root of the sunflower, which, of course, did not help. And when the pain became unbearable, she borrowed from a neighbor and bought painkillers at the pharmacy. When a neighbor told me about this, at first I got a little angry with my mother - I took time off from work and immediately came to her by taxi. The next day, I made an appointment with my mother for a rheumatologist at a paid clinic, despite her requests not to spend money. The doctor diagnosed - arthritis and osteochondrosis. He prescribed treatment, but my mother immediately protested that it was too expensive. Then the doctor stepped into the position and offered an alternative option - home exercise and a plant-based drug. It came out cheaper than injections with chondroprotectors and did not even cause possible side effects. She began to use the drug and engage in physical therapy. When I stopped by her a couple of days later, I found her in the garden. She was tying up the tomatoes, and, apparently, she had already managed to do a lot. She greeted me with a smile. I understood: the drug and physical education helped, the pain and swelling went away. ” Read more»

If conventional remedies do not relieve pain in the back, then there is a method of combining injections and sprains. The patient is placed on his stomach, the doctor finds the damaged points and injects novocaine there. This is followed by gentle passive stretching of the muscles and the application of a hot compress. After that, active actions are needed to increase blood circulation in the muscles. Also, epidural blockades are very effective for intervertebral hernias.

How is an epidural block done?

Site Reader Stories:“I love working at my favorite dacha. Sometimes you work out so much that it is impossible to straighten your back and pain appears in the lower back - even cry. I do not drink painkillers - a sick stomach. A familiar doctor advised me to pay attention to the latest product, which is specially produced only for the domestic foreign market. I ordered and applied it before bed. I felt a slight burning sensation, but then warmth spread throughout my lower back. 2 days after using the wild back pain almost disappeared, and after another 2 weeks I forgot the feeling that your back hurt wildly. 4 (!) Months have passed, and the result is holding up - it means that the remedy really works. ” Read article»

This is the so-called hot injection, which includes analgin, papaverine and diphenhydramine. Used for first aid.

Triad injection preparations

Ointments and gels for back pain

Injections are very effective in dealing with pain. But most still prefer less painful drugs - ointments and gels.

The preparations are very easy to use - they are simply applied and rubbed into the affected area. Side effects are also minimal. Medicines are used for bruises and sprains of the spine. The best are ointments from the NSAID group:

1. Diclofenac - from 25 rubles;
2. Ortofen - from 70 rubles;
3. Nise gel - from 200 rubles;
4. Bystrumgel - from 200 rubles;
5. Voltaren Emulgel - from 230 rubles;
6. Ketonal - from 300 rubles;
7. Finalgon - from 320 rubles.

Pain relief patches

This form of preparations is very convenient - pasted on a painful place and forgot about pain. When wearing them, you can go about your daily activities. The best patches for back pain, lower back and joints:

Versatis. This patch contains lidocaine, a local anesthetic. Valid for 12 hours. It has many contraindications. Price - from 800 rubles.

Voltaren. The composition includes the chemical substance diclofenac sodium - NSAIDs. Fights more inflammation than pain. Valid 24 hours. According to patients, it does not adhere well to the skin. It costs from 250 rubles.

pain pills

Most NSAIDs come in the form of capsules and tablets. They are convenient to use, change the dosage, they can be used at almost any age. In terms of effect, the tablets are not inferior to injections, for example, Ibuprofen or Nimesil. List of popular and effective drugs:

1. Ketorolac - from 15 rubles;
2. Ibuprofen - from 20 rubles;
3. Diclofenac - from 50 rubles;
4. Ketoprofen - from 60 rubles;
5. Naproxen - from 160 rubles;
6. Nimesil - from 680 rubles.

Rectal suppositories

These drugs serve as a substitute for pills and injections. Rectal suppositories act faster than capsules and tablets due to rapid absorption in the rectum. But at the same time, this type of medication works more slowly than injections.

Rectal suppositories are prescribed for mild and moderate diseases of the spine, after operations in order to eliminate pain. Due to the specificity of drugs, they may not be suitable for everyone, but their popularity does not fall. The most popular rectal suppositories:

1. Relief - from 430 rubles;
2. Ketonal - from 260 rubles;
3. Diclofenac - from 20 rubles;
4. Flexen - from 150 rubles;
5. Anestezol - from 100 rubles;
6. Ibuprofen - from 70 r.

Combined pain medications

Panoksen. The composition of the tablets includes diclofenac and paracetamol. It is used for rheumatism, arthritis, osteochondrosis, intercostal neuralgia, pinched sciatic nerve. The price of Panoxen is from 145 rubles.

Neurodiclovitis. It has anti-inflammatory and analgesic effect. The composition includes diclofenac and vitamins of group B. It is used for degenerative diseases of the spine. The cost of Neurodiclovit capsules is from 260 rubles.

Next. The composition of the drug includes ibuprofen and paracetamol. It has analgesic and anti-inflammatory effect. Has a wide range of applications:

Next price - from 120 rubles.

If you want to enhance the effect of injections, then you can additionally use the Kuznetsov applicator and the Almag physio apparatus:

Real Patient Testimonials

Victoria, 42 years old

In the last year, I found a replacement for expensive Movalis with our domestic drug - Artrozan. It is almost 3 times cheaper! Both drugs are famously anesthetize and have almost no effect on the microflora of the stomach. Therefore, for me, this is a chic remedy for back and joint pain.

Maxim, 49 years old

With an exacerbation of osteochondrosis, I do this:

• Three days in a row I put on an injection per day with Artrozan;
• For five days I put 1 injection a day with Mydocalm. It relaxes the muscles well;
• Then for 5 days I also put Kombilipen 1 injection a day.

Pain subsides with this method for a long time.

Maria, 39 years old

I have osteochondrosis. My neurologist prescribed Combilipen for me. This drug contains B vitamins. It is also very safe. I also took Movalis for 3 days, and then pricked Mydocalm and Kombilipen for 5 days. And for 5 more days I took these 2 drugs in tablets. Such a scheme for a long time relieves attacks of osteochondrosis.

Natalia, 41 years old

Mydocalm helped me with numbness and muscle spasms. I took one tablet 3 times a day. The dosage is small, but the spasms and numbness went away very quickly, in just a couple of weeks, although the doctor spoke about a month of treatment. There were no side effects such as drowsiness and discomfort when taking medications. I highly recommend Mydocalm. This is a good remedy for those who give up.

Video: Injections for back pain

To completely get rid of back pain, you need complex treatment (manual therapy, acupuncture, exercise therapy, etc.). Your doctor must prescribe a course of treatment for you. It is strongly not recommended to inject injections at home, as there may be the opposite effect.

Findings and Conclusions

What are our Russian doctors silent about? Why in 90% of cases, drug treatment gives only a temporary effect?

Unfortunately, most of the drugs that "treat" diseases of the back and joints, which are advertised on TV and sold in pharmacies, are a complete divorce.

At first it may seem that creams and ointments help, BUT in fact they only TEMPORARILY relieve the symptoms of the disease.

In simple words, you buy a regular painkiller, and the disease continues to develop, turning into more severe stage. Ordinary pain can be a symptom of more serious diseases:

• dystrophy of muscle tissue in the buttocks, thighs and lower legs;
• pinching of the sciatic nerve;
• the development of arthritis, arthrosis and related diseases;
• acute and sharp pain - backache that leads to chronic sciatica;
• cauda equina syndrome, which leads to paralysis of the legs;
• impotence and infertility.

How to be?- you ask. We have studied a huge amount of materials and, most importantly, tested in practice most of the remedies for the treatment of diseases of the spine and joints. So, it turned out that the only new tool which does not remove the symptoms, but really heals - this is a medicine that is not sold in pharmacies and is not advertised on TV! So that you do not think that you are being sucked in yet another "miracle remedy", we will not tell you what an effective drug it is. If you are interested, you can read all the information about it yourself. Here is the link" .

List of used literature

1. Evgeny Cherepanov "School "Healthy Spine", 2012;
2. Alexey Ivanchev "Spine. Secrets of health", 2014;
3. Victoria Karpukhina "Health of the spine. Popov, Bubnovsky systems and other methods of treatment", 2014;
4. Yuri Glavchev "The spine is a provocateur of all diseases", 2014;
5. Stephen Ripple "Life without back pain. How to heal the spine and improve overall well-being", 2013;
6. Galli R.L., Speight D.W., Simon R.R. "Emergency Orthopedics. Spine.", 1995

Back pain can occur for many different reasons, but the main ones are degenerative type disorders that occur in the spine. If we list only the main diseases that are on everyone's lips, since the majority of patients complaining of back pain suffer from them in percentage terms, their list will take more than one line. All diseases associated with the occurrence of pain in the back differ from each other not only in etiology, but also in the drugs (and their forms) used in therapy. In some cases, tablet preparations are indicated, in others, external ointments and applicators work most effectively, and in still others, only injectable forms can help.

If the doctor prescribes treatment in the form of injections, there are certainly reasons for this, and there are many of them. There are different types of injections. In addition to the usual intramuscular and intravenous injections, injections can be made directly into the spinal body or tissue near it. Depending on the injection site, such injections have different names, united by the general concept of "blockade".

What are the reasons for the doctor to prefer injections to all other dosage forms? The fact is that almost all diseases of the spine, like diseases of other organs, have two forms - acute and chronic. When the disease is in remission, the patient may not require treatment and even refuse it, since the pain syndrome - the main indicator that something is wrong in the body - is absent. But as soon as an exacerbation begins, and here, depending on the stage and neglect of the disease, the pain will be felt on a scale from “strong” to “unbearable”. Moreover, not in all cases of back pain can be removed with tablet preparations, since they do not begin to act immediately.

Prices for painkillers for back pain

By the way, which the patient has taken, even containing the strongest anabolics, must go a long way through the esophagus to the stomach. There, the medicine will dissolve, be absorbed into the gastric walls, from there it will enter the bloodstream and be transported to the pain center, suppressing it.

Firstly, even if the entire path to the pain center is done as quickly as possible, the honor of the active substance will be lost along the way, and the effect will not be one hundred percent.

Secondly, passing through the systems and internal organs, the tablet will interact with their cellular tissue, for example, destroy the gastric mucosa, and have other side effects.

As for the topical preparations of creamy structures, they are good for "lumbago" or when "prokvozilo", acting locally and fairly quickly. But their action cannot be strong, and is based, in most cases, on a warming or cooling effect and the removal of external puffiness.

Topical preparations have a warming or cooling effect, help relieve tissue swelling

The pain cannot be tolerated. We are talking about severe and intense pain that the patient should not endure. It is necessary to get rid of the syndrome as soon as possible.

Important! When it comes, and the patient loses motor abilities, the relief of pain will avoid shock and convulsions, epilepsy, as well as a detrimental effect on the psyche.

When tablet and other forms, applied progressively, do not give the expected effect, injections are needed. And sometimes they resort to injections immediately, without waiting for the effect of other forms.

What injections are used for back pain

As already noted, there are several types of injections. Basically, for the relief of back pain of various etiologies, the following are used:

• intramuscular;
• intravenous;
• paravertebral;
• epidural.

All of them have a number of qualities that are not characteristic of other dosage forms.

1. They have the fastest possible effect, which occurs after a minimum time period.
2. The drug is delivered almost without loss to the place of pain (and right-sided and epidural injections - generally directly).
3. They do not have harmful side effects.
4. They have a high speed of action, since the medicinal substance is immediately in the blood or near the nerve endings.
5. It is possible to accurately calculate the dosage.

In case of back diseases, the type of injection is selected depending on the disease, the medications used, the degree of the disease and the patient's condition.

Table. Types of injections for back pain and their characteristics.

Type of injection	Characteristics
	Can be done on your own or with the help of loved ones. Used for drug therapy. Analgesics, non-steroids, steroids and antispasmodics are administered intramuscularly.
	Most often, a dropper is placed, but drugs can also be injected into a vein. It is used to relieve a pain attack of moderate severity. Groups of drugs intravenously can be administered the same as intramuscularly. The method of installing a dropper is used if it is impossible to make an injection. The treatment drug goes directly into the bloodstream and quickly reaches the pain focus, relieving the syndrome.
	Relieve severe pain. They can be installed with non-steroids, antispasmodics and hormonal drugs, but the composition must contain one of the three strongest anesthetic anesthetics - either Novocaine, or Lidocaine, or Trimecaine.

Important! You can only make an intramuscular injection on your own. Intravenous administration is carried out by medical personnel. Epidural and paravertebral administration requires not only the qualification of a specialist, but also the presence of the patient in clinical sterile conditions.

The most effective type of injections for back pain are epidural and paravertebral, that is, a blockade injection. It is done directly and pointwise to the affected area, the substance is delivered in a matter of minutes to the nerve roots, blocks the impulse emanating from them and stops the pain.

Table. Groups of drugs for injections for back pain.

Group	Drugs and their action
Analgesics	This group includes many drugs, the most popular of which are: "Butadion", "Piramein", "Analgin", "Tramadol", "Baralgin", "Piraminal", "Ketorol". Injections with these drugs have a mono-action - they eliminate the pain syndrome. At the same time, to stop the degenerative process, which serves as a source of pain, it is necessary to additionally use drugs from other groups. Injections with analgesics are effective for pain of moderate intensity.
Nonsteroids	This group includes even more drugs than analgesics. What to use - the doctor decides, in accordance with many circumstances and taking into account the full diagnostic data. Basically, for back pain, injections are used: Diclofenac, Ortofen, Ibuprofen, Naproxen, Nimesulide, Voltaren. The drugs of the group have a multi-action, simultaneously relieving swelling, relieving pain, relieving inflammation, removing nerve spasm and toning the tissues.
Glucocorticosteroids	These are hormonal drugs, from the group of which, with severe back pain, they are used by injection: Betamethasone, Diprospan, Prednisolone, Flosteron, Hydrocortisone. Application occurs when nonsteroidal drugs do not show the expected effectiveness. Hormones have multiple side effects, so they are used with caution and not for a long time. However, even a short course of steroid injections can relieve the patient of back pain and almost all of its accompanying symptoms.
Antispasmodics and muscle relaxants	They are used for pain in the upper back, mainly in the cervicothoracic area. It can be administered both intramuscularly and into a vein. Medicines relax spasms of smooth muscles well, but they have a more pronounced effect when back pain has an internal etiology, that is, it is associated with internal organs. The group includes: Mydocalm, Tolperison, Neuromidin.
Chondroprotectors	The group accelerates the metabolic processes that occur in the intervertebral discs, due to which cartilage tissue is restored faster. The drugs include: "Chondroitin", "Alflutop", "Chondroxide", "Adgelon".

By the way. Vitamin preparations, in particular, group B, can also be used in injectable form for back pain. Injections of diuretics Furosemide and Lasix are also used.

Blockade

What is a blockade for back pain, and how it is carried out, is worth mentioning separately. Blockade injections are made epidurally or paravertebral, that is, they are injected directly into the spine or its range.

By the way. A paravertebral type of blockade is when a drug is injected by injection in close proximity to the spine. Epidural view, when the injection is made into the epidural space.

An indication for blockade may be a pain syndrome that lasts a long time period, does not decrease from other medications or increases. The manipulation is so effective that the pain after the injection disappears after one to two minutes. The medicinal substance is 100% delivered to the pain focus. This not only relieves pain momentarily, but allows you to achieve a prolonged effect.

By the way. In addition to relieving pain, it has other effects, since the composition includes, in addition to anesthetics, drugs of other groups. Thus, puffiness, spasm is removed, inflammation is stopped and the speed of blood flow is restored.

There are several contraindications to the blockade, for example, they include paravertebral foci of purulent infections, severe mechanical deformation of the vertebrae, or an allergy to anesthetics. But in general, the blockade injection method is recognized as the most effective for relieving pain.

Important! Unlike an intramuscular injection, a blockade cannot be carried out if the person is not a specialist - a surgeon or an anesthesiologist. Even a nurse who can handle an injection into a vein will not be allowed to have an epidural and paravertebral injection. In addition, the blockade is carried out only in clinics, in rooms of increased sterility.

The pain syndrome is removed quickly, but the effect does not last long, so blockade injections are used in courses in order to save the patient from severe pain while their cause is being treated.

Injections and self-medication

Self-medication (as well as self-diagnosis) of back problems with pain in this area is a thankless and dangerous occupation. It is especially dangerous to prescribe painkillers or other injections to yourself. Yes, Novocain can be bought at a pharmacy without a prescription, but this does not mean that you need to inject it yourself.

"Novocain" is often used for blockades

When complaining of back pain, the doctor to whom the patient will turn is likely to prescribe conservative treatment, which will necessarily be combinatorial.

1. First, the patient's back must be anesthetized, because, as already noted, severe pain cannot be tolerated for a long time. Moreover, the pain syndrome can be felt so strongly that it cannot be removed with standard anabolics. In this situation, the doctor may recommend a blockade.
2. After getting rid of pain or at least reducing it, the process of removing inflammation begins.
3. Anti-edematous therapy is also carried out, relaxing spasms, resolving stagnation and accelerating the flow of blood.
4. Vitamin support will be provided in parallel.

And always, along with injections, for any diseases that cause back pain, and especially diseases of the spine, the doctor will prescribe auxiliary measures and remedies in parallel. These can be local preparations such as ointments, even folk remedies, in the form of applications or compresses, but they must be prescribed by a doctor.

Prices for traditional medicine for back pain

If you want to know in more detail what types exist, as well as consider the composition and application, you can read an article about this on our portal.

There are also courses of physiotherapy, massage, gymnastics, swimming, orthopedic products to support the spine and many other procedures that allow you to restore health and life without pain.

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