What is lumbar radiculitis: symptoms and drug treatment, alternative treatment options. How to treat lumbar radiculitis

Radiculitis is a disease that occurs due to inflammation of the nerve roots of the spinal cord. Treating it with medication is the surest way to relieve pain. You just need to find out exactly what is the reason for its appearance. This disease occurs due to various reasons and often occurs chronically with periodic relapses.

Treatment of lumbar radiculitis should begin as early as possible, be comprehensive and individual. Treatment is aimed primarily at eliminating the root cause that caused the disease. In addition to massage, therapeutic exercises, manual therapy, drug therapy occupies a special place in the treatment of lumbar radiculitis. It includes: the use of anti-inflammatory drugs prescribed by a doctor, taking analgesics, vitamins, drugs that improve microcirculation and blood circulation, and anti-inflammatory ointments.

If symptoms of lumbar radiculitis are detected, then a qualified doctor, after a full diagnostic examination (X-ray and MRI), will determine how severe the pathological changes in the spine are and will prescribe complex therapy, including drug treatment of radiculitis.

Basic methods of treating radiculitis with medications

Usually, at the first stage, medications are prescribed that help relieve pain.

Analgesics

Anti-inflammatory medicinal preparations are used both during the period of exacerbation and during the period of subsidence of the disease. This treatment leads to a decrease in pain symptoms in the lower back.

Non-steroidal

The most effective means. They are able to relieve swelling and inflammation in the diseased segment of the spine. However, they have a rather negative effect on the functioning of the gastrointestinal tract, so they need to be taken for a limited time. Therefore, before prescribing drug treatment, the doctor compares the benefits that the drugs will bring and the possible negative consequences of them for the body. After this, he decides which medications to prescribe to the person depending on his general condition and availability concomitant diseases.

If radiculitis has sharply worsened, then the patient urgently needs to take a couple of tablets of a non-steroidal pain reliever. These could be tablets of ortofen, diclofenac or ibuprofen. IN further doctor may prescribe treatment with tinctures and ointments. Non-steroidal drugs eliminate swelling and eliminate pinched nerve roots in the intervertebral foramina.

Ointments, gels, creams

NSAIDs are often used for lumbar radiculitis, mainly in the form of ointments and gels. They are available with indomethacin, ortofen, ibuprofen. Ointments such as Finalgon and Apizartron are effective. When absorbed, they provide a rush of blood to the site of inflammation, which helps improve blood circulation. Ointments for radiculitis are used with the addition of hot red pepper extract, snake and bee venom. Complex application ointments, oral medications and will give injections greatest effect and will help you quickly overcome such an ailment as radiculitis. Among the ointments, Finalgon, Capsicam, Viprosal, Nise, Diclofenac, Indomethacin have proven themselves to be excellent.

Injections

If the pain is already unbearable, then injections are prescribed, which quickly eliminate the pain and relieve muscle spasms. However, injections do not cure radiculitis, but only alleviate the patient’s condition. As soon as the pain subsides, treatment should begin. For the same symptoms, each person’s treatment is radically different. Some patients are prescribed a course of chondroprotectors, others are prescribed B vitamins. Local anesthetics such as Novocaine, Lidocaine and Trimecaine injections into the paravertebral area are one of the most effective means to relieve pain from lumbar radiculitis. The effect they give is good but short-lived. Therefore, after some time the disease will reappear. However, only a specialist should administer the medicine and he must ensure that the drug does not get into the vascular bed, otherwise it is possible sharp drop blood pressure.

Injections for radiculitis give a positive effect much faster than tablets. What medications need to be injected are determined by the doctor depending on the person’s condition. Basically, injections of the following drugs are used to relieve pain: Voltaren, which is injected directly deep into the muscle and has an anti-inflammatory and analgesic effect, Ketorol - an anesthetic injection to relieve pronounced pain syndromes. Cannot be used for bronchial asthma, inflammatory processes in the intestines and blood clotting disorders. Milgamma is a drug that combines lidocaine and vitamins. This drug relieves pain and improves nutrition of the affected areas. This helps to subside the pathological process. Ozone injections with steroids are also a good method for eliminating pain. They are performed once directly into the affected area of ​​the back.

Blockades

If the disease requires a quick response, then novocaine blockades are used with the simultaneous administration of Relanium, hydrocortisone, aminophylline and diphenhydramine intravenously. Injections for lumbar radiculitis are administered either into the epidural space, or into bone tissue, or into the joint cavity, or into periarticular tissues, into places where nerve trunks and plexuses are pinched, or into muscle areas of local damage. Novocaine is sometimes replaced with Trimecaine, Lidocaine, hydrocortisone with other glucocorticosteroids, such as prednisolone, diprospan, Kenalog - 40.

Muscle relaxants

Also, medications such as muscle relaxants are effective for radiculitis. They relax cramped muscles, reduce pain and increase range of motion. Muscle relaxants include tablets Mydocalm, Sirdalud, Baksolan. They are able to allow the muscles to relax. They are purchased only by prescription, but have quite a lot of side effects, so they are not very often prescribed to patients. Although they are very effective for radiculitis, they are prescribed only once so that the person can relax and calm down.

Chondroprotectors

These are substances that do not directly affect radiculitis, but help eliminate at least to some extent its cause - osteochondrosis. Improves metabolic processes in intervertebral discs and prevent further development of radiculitis. Only chondroprotectors such as Chondroxit and Chondroitin should be taken in long courses.

Rules for treating radiculitis with medication

To enhance the effect of medications, physiotherapy is necessary. Just 15 minutes of electrophoresis will greatly enhance the effect of medications. It is recommended to rub formic or camphor alcohol, tincture of hot red pepper, novocaine, ointments based on viper, viper or cobra venom, with bee venom into the sore spot. Special ones also help a lot medicinal plasters.

For lumbar radiculitis of the spine, drug treatment is usually combined, and, of course, supplemented with gymnastics, physiotherapy, and hirudotherapy. So, along with non-steroidal anti-inflammatory drugs, the doctor can prescribe painkillers such as analgin, indomethacin, pyraminal, steroid injections around the painful nerve, biological biostimulants such as plasmol, aloe extract.

Drug treatment of radiculitis must be carried out carefully, since medications have many side effects, although they significantly improve the patient’s condition. Only the right combination medications, their dosages and duration of courses contribute to the rapid cure of radiculitis. If drug treatment for radiculitis does not have the desired effect, then surgical treatment becomes necessary. If there is a symptom of a cauda equina, then the operation cannot be postponed.

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Treatment of radiculitis with medications

Radiculitis is one of the most common ailments, affecting most of humanity. The normal and balanced functioning of all systems depends on the condition of the spine human body. Inflammatory and edematous processes in the tissues surrounding the discs spinal column, lead to the emergence and development of a disease such as radiculitis. Drug treatment of radiculitis is usually prescribed only in case of exacerbations accompanied by severe pain and a number of other negative factors.

Lumbar radiculitis symptoms (what medications are needed for certain symptoms)

A huge number of people over 40 years of age are familiar with this disease, however, today patients who are much younger often encounter it. The disease most often results from osteochondrosis, a sedentary lifestyle, as well as various hernias and hematomas.

With radiculitis, the nerve root spinal region and the blood vessels located nearby are pinched, and nutritional processes are violated. This entails sharp and acute pain of the “shooting” type in the area of ​​the buttocks, groin, lower back or neck.

Symptoms may vary depending on the stage of the disease. At the initial stage, radiculitis is characterized by periodic discomfort directly in the affected area. Then the patient suffers from frequent exacerbations with severe pain, which are subsequently replaced by a constant feeling of numbness and loss of sensitivity in the problem limb.

If one of the above symptoms is accompanied by weakening of local muscles, loss of tone and a general feeling of weakness, then the likelihood of radiculitis is very high.

Important! To establish a correct diagnosis and develop a competent treatment plan, you must immediately contact a competent doctor.

How to treat different types of radiculitis?

Since this disease is quite difficult to treat, its treatment should be approached using a number of comprehensive measures. Most pharmaceutical drugs are aimed only at relieving the symptoms of the disease and have a large number side effects.

Most patients who engage in gymnastics and physical exercise on a regular basis note a decrease in the incidence of chronic exacerbations of the disease and a significant decrease in the intensity of pain syndromes. Massage combined with various therapeutic and preventive measures exposure can significantly improve the patient’s condition and restore mobility and a feeling of comfort during movement. Conservative medicine currently uses several types of drugs to treat radiculitis.

Analgesics

At acute manifestation The patient's radiculitis can be pronounced pain syndrome, which is difficult to tolerate and is a serious stress for the whole body. In order to stop negative symptoms radiculitis in acute form, in most cases it is necessary to use pharmaceuticals with analgesic effect.

Many experts believe that using pills in such situations is simply irrational. Path through gastrointestinal tract, the process of dissolution and absorption into the blood takes a very long period of time. Therefore, the most effective and fast-acting option is intravenous or intramuscular injection, which begins to act within a few minutes after administration.

Some of the most common medications are:

• analgin, usually used in conjunction with other potent substances;
• ketonal refers to pharmaceuticals non-steroidal anti-inflammatory group and is a fairly strong pain reliever;
• Voltaren has a pronounced analgesic effect, while lowering temperature and reducing inflammation;
• naproxen, ibuprofen, paracetamol, ortofen and other combination analgesics.

In case of a serious exacerbation with severe pain and severe deterioration of the condition, the patient may be prescribed blockades using novocaine or lidocaine. This method involves numerous injections directly into the problem area of ​​the spinal column, after which there is rapid relief and a decrease in pain.

There are narcotic analgesic drugs that are prescribed only in the most extreme cases when non-steroidal drugs do not have the desired effect. However, such substances cause withdrawal syndrome and have a large number of side effects. Novocaine blockades can eliminate pain no worse than narcotic analgesics, without having such an impressive number of negative consequences.

Important! Painkillers should be mandatory prescribed by a properly qualified physician. Self-treatment can lead to unpredictable effects and severe deterioration in health. Products containing antibiotics are not recommended for use by children, pregnant women and nursing mothers.

Anti-inflammatory nonsteroidal drugs

This group includes anti-inflammatory pharmaceuticals that act directly on the site of the inflammatory process and reduce swelling. Due to the high toxic effect on the gastrointestinal tract, taking drugs is often accompanied by nausea, pain and other unpleasant symptoms. That is why they must be taken in strict accordance with the instructions of the attending physician.

Nonsteroidal pharmaceuticals should not be used by people suffering from disorders of cardio-vascular system, anemia, as well as kidney and liver diseases. The most popular today are the following drugs non-steroidal group:

• indomethacin;
• butadione;
• a number of drugs acting as COX-2 inhibitors;

One of the most common drugs that are actively used in the treatment of radiculitis is Diclofenac. This drug can significantly alleviate cervical radiculitis. By stimulating local blood flow, it acts directly on the lesion and reduces inflammatory process. It is available both in the form of tablets and as an ointment, the use of which is considered more preferable.

Steroid drugs

How to treat lumbar radiculitis? In cases of intense pain in the lumbosacral region, epidural steroid injections are often used. This method involves a long-term effect that can last from a week to several months. However, the effect of steroids on each person is strictly individual, so a positive outcome from a single use cannot be guaranteed.

Steroid pharmaceuticals have a pronounced effect and should not be used for long period. The most common drugs are the following:

• dexamethasone;
• diprospan;
• prednisolone;
• hydrocortisone.

Taking such drugs may cause hormonal changes in the body, in particular, a sharp gain or loss of body weight. Steroid drugs interfere with the normal functioning of the pancreas, which leads to various chronic diseases, such as diabetes. During pregnancy, the use of such drugs is strictly contraindicated.

Other means

Ointments and creams are a group of very effective products that provide positive impact in the treatment of radiculitis. They are especially effective in combination with other drugs and means of conservative and alternative medicine. Irritating creams and ointments contain snake or bee venom, which has an irritating and anti-inflammatory effect directly on the lesion and restores local blood supply.

Remedies such as Viprosal and Apizartron are proven helpers in the fight against sciatica. However, their use is strictly contraindicated for persons suffering from allergic reactions for honey and bee products.

Muscle relaxants have a relaxing effect on peripheral muscles, relieving the patient of spasms and symptoms of pain. The most common include: Baclofen, Tolperisone, Tizanidine and other drugs.

Diuretics are necessary to reduce swelling and remove excess fluid from the body. For complex therapy of radiculitis, there are effective measures that can, even if not completely get rid of the disease, then at least significantly alleviate the symptoms and reduce the frequency of exacerbations.

It is also worth choosing, under the supervision of your attending physician, vitamins B, A, E, supplements and various auxiliary products. If necessary, the doctor prescribes antidepressants.

At home, you can regularly perform a simple set of physical therapy, which should include aerobic elements, stretching and exercises aimed at strengthening the muscle corset. It is best to coordinate the training program with a competent specialist. It is worth starting physical activity very gradually, gradually increasing the load.

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Symptoms and drug treatment of lumbar radiculitis

Radiculitis is a disease that occurs when the nerve roots of the spinal cord become inflamed. The most effective way to get rid of pain and restore health is complex drug treatment. The sooner you take action, the faster you can eliminate painful sensations.

In contact with

• Symptoms
• Anti-inflammatory drugs
• Muscle relaxants
• Diuretics
• Injections
• Ointments and creams
• Plasters
• Vitamins

The doctor first conducts a complete diagnostic examination, determines the root causes and severity of the pathology, and then prescribes complex therapy, which consists of drugs that relieve pain, improve blood circulation and microcirculation. Drug treatment of lumbosacral radiculitis is aimed at relieving pain, reducing local tissue swelling and leveling the inflammatory reaction. Treatment of lumbar radiculitis is also possible at home.

Symptoms

Marked following symptoms:

• Lasègue's symptom is a sharp pain in the lumbar and gluteal regions when lifting a straight leg;
• Bekhterev's symptom is a reflex flexion of the leg when the patient transitions from a lying state to a “sitting” state;
• Neri's symptom - increased pain in the lumbosacral region and leg with a sharp tilt of the head forward;
• Dejerine's symptom - when coughing and sneezing, pain in the lumbar region increases;
• Bonnet's sign is a noticeable smoothness of the gluteal fold on the affected side.

Anti-inflammatory drugs

TO generic medicines for radiculitis lumbar region(for swelling, inflammation and pain) include non-steroidal anti-inflammatory drugs (NSAIDs). They are available in the form of injections, tablets and ointments. For radiculitis, the following anti-inflammatory drugs are indicated: Voltaren, Diclofenac, Ibuprofen, Ortofen, Nimesulide.

Due to their high efficiency, these drugs can be used during acute attacks and during the period of subsidence of radiculitis. The dosage and duration of use should be determined only by the attending physician. Depending on the patient’s condition and the severity of the disease, drugs are administered intramuscularly (injections), externally (ointments) or orally (by mouth).

It is important to know that NSAIDs have side effects: they negatively affect the gastrointestinal tract, so these drugs can only be taken in short courses (no more than 2 months) and on a “full stomach”.

Chondroprotectors

To treat lumbar radiculitis, “Chondroitin” or “Chondroxit” is used. With the help of these remedies it is possible to stop the progression of the disease and increase metabolism in the intervertebral discs.

Muscle relaxants

These drugs are designed to reduce muscle tone. These include “Baksolan”, “Mydocalm”, “Sirdalud”. Taking muscle relaxants is possible only as prescribed by the attending physician. After a course of treatment with these drugs, pain decreases and mobility of the lumbar region improves. Muscle relaxants are used if pain due to radiculitis appears due to spasms of the lower back muscles.

Diuretics

With complex drug treatment, the doctor prescribes diuretics to remove excess fluid from the body. These drugs include Lasix and Furosemide. They are produced in the form of tablets and liquid for injection.

Injections

If the pain due to radiculitis becomes unbearable, doctors prescribe injections of drugs that quickly eliminate muscle spasms. However, these remedies only alleviate the condition and do not cure sciatica. Injections into the paralumbar region or into the spine are carried out only by a doctor and are performed during acute attacks of radiculitis.

As active substance use "Trimecaine", "Novocaine", "Lidocaine". The pain disappears almost instantly, but this effect is short-lived. When treating lumbar radiculitis with injections, you should know that injections are performed repeatedly, their frequency is determined by the patient’s condition and the characteristics of the treatment of the disease.

Ointments and creams

There are two groups of ointments and creams:

• Which include bee, snake or ant venom (“Alizartron”, “Viprosal”, “Capsicam”, “Finalgon”, “Vipratox”, “Mellivenon”, etc.). In areas treated with these ointments, blood and lymph circulation improves, as a result, metabolism accelerates, muscles relax, pain and inflammation decrease.
• With NSAIDs (“Ketanol”, “Voltaren”, “Febrofid”, “Finalgel”, “Nise-gel”, “Dolgit”, “Bystrum-gel”, etc.). These drugs do not cause a burning sensation; they act due to the analgesics they contain. If menthol is present, the product has a cooling effect. These ointments speed up recovery processes, relieve muscle spasms and eliminate lack of blood circulation.

To regenerate damaged roots, you will need rubbing: formic or camphor alcohol, pepper tincture.

Anti-inflammatory gels are often used to treat lumbar radiculitis: Diklak, Ibupropen, Diclofenac, Nise, Miklox, Voltaren. These remedies relieve inflammation, restore lumbar mobility, joint functionality and eliminate swelling.

Plasters

Special patches for lumbar radiculitis (for example, Voltaren patch) provide a long-lasting warming effect, but prolonged wear can lead to redness of the skin. There are two warnings to keep in mind when using these tools:

• If the skin is damaged from the use of rubs or ointments, the patches cannot be used.
• Do not tolerate a strong burning sensation on the skin under the patch, as this may cause a burn.

Find out whether it is possible to treat a herniated cervical spine without surgery?

We will tell you how to do therapeutic exercises correctly for a herniated cervical spine in our article.

Exercises for hernia of the lumbar spine: http://beregispinu.ru/treatment/gymnastic/gryzha-poyasnichnogo-otdela.html

Vitamins

When treating radiculitis with medication, the doctor prescribes vitamins to speed up the healing process and strengthen the lower back. Multivitamin complexes are used orally (Multitabs-B, Bemix-S, Neurovitan, Neromultivit, B-complex) and by injection (Milgamma, vitamins B1, B6 and B12). If it is necessary to improve the nutrition (trophism) of tissues, the doctor prescribes biogenic stimulants and antihypoxants.

Treatment of lumbar radiculitis with tablets is effective only in the early stages of the disease, when the pain syndrome is not yet expressed. The basis of drug treatment is the use of NSAIDs, which have an anti-inflammatory and analgesic effect. These drugs are prescribed intramuscularly or orally. Anti-inflammatory drugs are available in the form of injections, creams, tablets and ointments.

Drug treatment of lumbar radiculitis is prescribed to each patient individually; the course may include the use of NSAIDs, muscle relaxants, chondroprotectors, the use of injections, creams and patches.

We also invite you to watch a video about the symptoms of radiculitis:

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Drug treatment of lumbar radiculitis

The most common disease of the peripheral nervous system is lumbar radiculitis. Correct treatment includes integrated and individual approaches. It can be conservative and operative. Conservative therapy uses drug treatment for radiculitis of the lumbar spine.

Features of drug therapy for radiculitis

Drug therapy is prescribed depending on the stage of development of the disease. The main task at the first (acute) stage of the disease is to eliminate pain. In this regard, medications are actively prescribed to reduce pain and speed up recovery.

Therapy for acute course diseases includes the appointment:

• exclusively bed rest in a week;
• non-steroidal anti-inflammatory drugs;
• painkillers;
• vitamins B1, B12;
• blockades: novocaine, lidocaine, trimecaine;
• ganglion blockers;
• muscle relaxants;
• hormonal drugs;
• dehydration therapy.

Benefits and risks of taking non-steroidal drugs

Anti-inflammatory non-steroidal drugs effectively cope with pain by relieving swelling and inflammation in the lumbar spine. However, the attending physician limits the period of taking these drugs due to their negative effect on the stomach and intestines. Patients may experience nausea and stomach pain.

In addition, these medications are contraindicated in individuals taking blood thinning medications. Simultaneous use These medications can cause increased blood clotting, which can lead to bleeding. Other contraindications for taking non-steroidal drugs include heart disease, liver disease, kidney disease and anemia. That is why it is necessary to weigh the upcoming benefits against the possible ones. negative consequences.

You can’t do without painkillers

Because of limited use Anti-inflammatory drugs are used to relieve pain. In case of severe pain, they are used in the form of “blockades,” that is, injecting the affected area, for example, with novocaine. This method quickly eliminates pain, but this is not a sign of recovery, but the effect of the drug. That is, there is no treatment as such.

After eliminating the pain, the task arises of accurately identifying the cause of the disease and prescribing appropriate treatment. Due to the variety of causes, treatment varies greatly. In some cases, taking chondroprotectors is required, usually for a long time. In others, you can limit yourself to B vitamins.

Treatment with steroids

Medications that effectively relieve pain from lumbar radiculitis include steroid medications. They serve as substitutes for the hormone cortisol produced by the human body. These are the following drugs:

• hydrocortisone
• dexamethasone
• diprosan
• metipred
• prednisolone
• kenalog

Steroids relieve inflammation and internal swelling, reduce pain. But they also have side effects:

1. osteoporosis
2. weight gain
3. stomach diseases
4. facial swelling

What medications treat sciatica?

Simple painkillers

In case of an unexpected attack of radiculitis, simple painkillers are used, which can be purchased without a prescription at the pharmacy. With the help of these medications you can control lower back pain and at the same time manage ordinary life. These medications include:

• paracetamol
• aspirin
• ascophene
• analgin
• pentalgin
• panadol
• baralgin

About non-steroidal anti-inflammatory drugs

Anti-inflammatory non-steroidal drugs reduce swelling and fight inflammation - the main factor in the appearance of radiculitis. The most common of them are:

• diclofenac
• ibuprofen
• ketoprofen
• COX-2 inhibitors
• naproxen
• indomethacin
• butadione
• ketorolac
• ortofene

Remedies for relaxing muscle spasms

A very important place in the treatment of radiculitis is given to muscle relaxants. These include substances that promote muscle relaxation. Sometimes such medications are called narcotic analgesics. They can only be purchased with a doctor's prescription. Known muscle relaxants include methocarbamol and cyclobenzaprine. Meanwhile, around the world, experts are trying to avoid prescribing these drugs to patients due to the presence of serious side effects. Antidepressants are also prescribed to help you relax, calm down, and sleep.

What do injections do?

Medicinal treatments for lumbar sciatica include injections of a steroid drug (cortisone) into the painful area surrounding the sciatic nerve. These injections speed up the treatment process.

First, the area where the pain is concentrated is determined using tomography (computer or magnetic resonance imaging). Using a fluoroscope, the doctor pinpoints the injection area and injects a steroid combined with a local anesthetic or saline solution.

Some experts consider such injections unsafe. Therefore, the method with pinpoint injections is more often used. These injections include:

Injections are placed into the muscles and ligaments located next to the spine. According to research, this form of drug therapy helps accelerate growth connective tissue and activation of the blood circulation process. As a result, recovery is much faster.

Local forms of drug treatment for radiculitis

Pain relief with Ketonal cream

Lumbar radiculitis is accompanied by exacerbation of inflammatory processes. This means the release of special substances in the tissues - prostaglandins. Because of them pain receptors sensitivity increases, in which even a simple touch is very painful. Due to swelling at the site of inflammation, pain develops with small movements and even at rest.

Ketonal cream reduces pain by penetrating the skin of ketoprofen molecules (a non-steroidal anti-inflammatory substance) and blocking prostaglandins. As a result, the activity of pain receptors and the inflammatory response in general decreases. Ketonal cream contains a high concentration of ketoprofen (5%), which causes maximum anti-inflammatory and analgesic effect for lumbar radiculitis.

Ketonal is also available in gel form. It is absorbed very quickly and does not leave any marks on clothes. In this form it is medicine convenient to use in the morning.

Anti-inflammatory ointments and local remedies

A good result for radiculitis is achieved by local application of anti-inflammatory ointments such as Fastum-Gel, Diclofen and the like. They directly affect the affected areas, relieving swelling and providing some analgesic effect. These ointments have no irritating effect. In this regard, they can be used by people prone to allergic reactions. Rubbing into the painful area helps reduce inflammation and reduce pain:

• camphor alcohol
• formic alcohol
• methyl salicylate
• drugs with snake or bee venom
• nicotinic acid

Applications with diclofenac and tinctures

Often, lumbosacral radiculitis is associated with strangulation of a herniated disc. In this case good help provide applications with the drug "Dimexide". It is diluted with water in half. This agent plays the role of a conductor of a medicinal substance, in particular, diclofenac. The Dimexide solution (and with it diclofenac) is applied to a napkin and applied to the lower back.

For radiculitis, Alor tincture provides a good anti-inflammatory and analgesic effect. It consists of:

1. aloe juice ( biogenic stimulant)
2. liquid extract of calendula and chamomile
3. castor and eucalyptus oils
4. emulsifier
5. menthol

Alorom is used for two weeks as a rub on the skin in the lumbar area. The break is two weeks. The drug is contraindicated in damaged skin.

Another effective drug local significance for rubbing the lower back - Capsitrin. It includes:

1. tincture capsicum
2. green soap
3. St. John's wort tincture
4. ethanol
5. ammonia solution

Thus, the treatment of lumbar radiculitis is serious and difficult process. Considering the contraindications and negative effects, the patient should not self-medicate. Drug therapy is aimed at reducing pain and speeding up recovery processes in the affected roots. In other words, it serves as the first step in a long process of treating lumbar sciatica.

The duration of treatment is related to the specifics of this part of the spine. The effectiveness of further non-drug therapy (massage, physiotherapy, therapeutic exercises, etc.), which as a result should lead to recovery, depends on the quality of drug treatment.

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Drug treatment of radiculitis

When the diameter of the aperture through which the spinal cord roots exit decreases, compression of these roots occurs.

Under the influence of compressive factors, signs of inflammation of the root appear, or radiculitis (from the Latin Radix - root).

As a result, the person experiences pain varying intensity, impaired muscle strength, reduction or complete elimination tendon reflexes, tension symptom, etc.

What medications do doctors most often prescribe for radiculitis?

Treatment of radiculitis in most cases is carried out on an outpatient basis (about 75%), only 25% of patients are treated in a hospital.

Currently, treatment of radiculitis boils down to the following principles:

• Reduction of pain impulses from the damaged root;
• Avoid unfavorable physical activity;
• Use only gentle treatment methods;
• Only an individual approach is effective;
• Treatment should not be targeted, aimed only at the damaged area of ​​the root. It is necessary to comprehensively include the entire body in treatment;
• Strengthening the back muscles. This can create a strong frame for the damaged nerve;
• Treatment regimen.

An integrated approach to the treatment of radicular syndrome includes therapeutic measures:

• Surgery. Used for root decompression. It is used in the absence of positive dynamics with conservative treatment within 2-3 weeks. Also indicated are dysfunction of the pelvic organs, persistent pain, repeated cases of disability, severe paresis.
• Treatment regimen. In the acute stages of the disease, it is advisable to remain in a horizontal position on a hard surface for as long as possible.
• Introduction of medicinal substances into a degeneratively changed disc.
• The use of medications - hydrocortisone, blockade of damaged nerves.
• Wearing support corsets.
• Traction treatment. Using various devices, traction of the spine is performed.
• Massage.
• Manual therapy.
• Physiotherapy.
• Physiotherapy.
• Acupuncture.

Drugs for the treatment of radiculitis

Today the following groups of funds are used:

Nonsteroidal anti-inflammatory drugs

Such drugs are the drugs of first choice in the treatment of radiculitis with medications.

The mechanism of their action is reduced to suppressing the synthesis of the enzyme cyclooxygenase. It plays a major role in inflammation and pain response. Thanks to these drugs, the manifestations of all phases of inflammation are minimized.

The analgesic effect of these medications is visible already in the first week of use, and sometimes even after the first use.

Not all NSAIDs are suitable for use in radiculitis.

Suitable medications include the following:

• Aspirin ( acetylsalicylic acid, askaff, aspecard, anopyrin, upsarin) has a strong antipyretic effect, analgesic and anti-inflammatory effect. Aspirin should be used strictly after meals, from 200 mg to 1 g per day. The entire dose should be distributed over 3-4 doses. This medicine must be taken “under the cover” of anticides (magnesium hydroxide, etc.).
• Diclofenac (almiral, voltaren, diklak, dikloberl, ortofen, rapten, rumakar, etifenac). This drug is characterized by strong anti-inflammatory and analgesic effects. Its antipyretic properties are moderate. In tablet form, you should take 50-100 mg per day. If the pain syndrome is severe, the dose can reach 125 mg. When administered intravenously, the dose should be 75 mg up to 4 times a day. When administered intramuscularly, the dose is 75 mg once a day.
• Aceclofenac (Aertal) is released in tablet form, 100 mg. They should be taken after meals 1-2 times a day. The frequency of administration depends on the severity of pain.
• Ibuprofen (Advil, Bonifen, Burana, Nurofen, Profinal, Solpaflex) is a good pain reliever and relieves inflammation. Take orally up to 2.4 g per day.
• Tioprofenic acid (surgam) is produced in tablets of 300 mg and suppositories of 150-300 mg. Take up to 600 mg per day. Suppositories for the night up to 300 mg.
• Indomethacin (methindol, indomine) is a drug in tablets or capsules of 25, 50 and 75 mg. They should be taken after meals. Start with 25 mg. If there is no or little effect, the dose is increased.
• Tolmetin (tolectin) is produced in capsules of 200 and 400 mg. Take 400 mg daily, 3 times.
• Sulindac (clinoril) is medicine with a minimum number of side effects. Released in tab. 200 mg each. One tablet should be prescribed. twice a day
• Niflumic acid (donalgil, nifluril) is released in capsules of 250 mg. Do not take more than 1 g per day.
• Tenoxicam (oxytene, tilcoil) is released in tablet form. 20 mg each, powder for injection 20 mg, suppository 20 mg. Apply once a day. The anti-inflammatory effect will be noticeable after a week of use.
• Nimesulide (Aponil, Nise, Nimesil, Nimika, Prolide, Flolide) in tablet form is taken 100 mg after 2 times.
• Etoricoxib (Arcoxia) is available in tablets of 30, 60, 90 and 120 mg. You need to start with 30 mg once a day. The maximum course of administration is 8 days.

Muscle relaxants

Used to reduce spasm of the back muscles.

Spasms occur in response to a painful stimulus and vice versa, creating a vicious circle.

In order to break it off, you need to reduce muscle hypertonicity. By reducing muscle tone, the mobility of the spinal column increases, thereby improving blood flow to the tissues.

Some muscle relaxants that help with radiculitis:

• Baclofen (Lioresal) is released in tablet form. 10 and 25 mg, and in the form of a solution for intrathecal administration (into the spinal space). Should be used starting with 5 mg three times a day, with gradual increase doses every 4 days, 5 mg to 75 mg per day. For intrathecal administration, a special pump is used, which is implanted into the skin.
• Tizanidine (sirdalud) is released in tablet form. 2, 4 and 6 mg. The mechanism of its action is due to the suppression of excitatory amino acids at synapses. Take this medicinal substance 2-4 mg three times a day. If the pain does not subside, you can take an additional 2-4 mg at night.

Analgesics

This group includes compounds that have a predominantly analgesic effect, but have virtually no anti-inflammatory effect.

These drugs are indicated for mild pain.

Most of them are applicable to the treatment of acute pain, but chronic pain is not amenable to their action.

These include:

• Paracetamol (Panadol, Daleron, Paracet) is taken so that the daily dose does not exceed 1 g. In this case, the frequency of administration can reach 4.
• Metamizole (analgin, baralgin) in tablet form is used 0.5-1 tablet (1 tablet - 500 mg) 3 times a day. Injections are used intramuscularly or intravenously at a dosage of 2-5 ml of a 50% solution.
• Ketorolac (todarol, ketalgin, ketanov, dolac) should be used so that the daily dose does not exceed 120 mg, and for patients with kidney dysfunction - 60 mg. In this case, the drug is produced in tablet form. 10 mg, 3% solution in ampoules of 1 ml.
• Nefopam (oxadol) is released in tablet form. 30 mg and in ampoules of 1 ml containing a 2% solution. Tablets are taken 2 three times a day for acute pain, and injections are administered intramuscularly at 20 mg 3-4 times.
• Parecoxib (Dynastat) is more suitable for the postoperative period. 40 mg is administered after surgery, then 20-40 mg every 12 hours.

Glucocorticoids

Used when there is no effect from the above-mentioned remedies.

They relieve signs of the inflammatory reaction, thereby performing decompression.

Applicable glucocorticoids:

• Prednisolone (medopred) in tablet form 5 mg and in solution for parenteral administration. It is advisable to use in a dosage of 10-20 mg per day. If there is no expected effect from therapy, the dose can be gradually increased. The drug should also be discontinued gradually.
• Methylprednisolone (Medrol, Solu-Medrol, Lemod) is released in tablet form. and injection suspensions. The anti-inflammatory effect is superior to that of prednisolone. Take 4 to 40 mg orally per day, 10-80 mg intramuscularly.

Vascular drugs and antihypoxants

Used to improve trophism of inflamed tissues.

Blood flow will allow you to better cope with inflammation.

Prescribed:

• Eufillin is used as a drug that improves blood circulation in the area of ​​the damaged root. Use injections or tablets.
• Nicotinic acid - helps improve the oxidation-reduction process. Treatment begins with 1.5 g per day for three doses.
• Trental (pentoxifylline), due to the improvement of blood rheology, promotes tissue trophism in the area of ​​inflammation.
• Dipyridamole (chimes) take 75 mg before meals 3-4 times a day.

Antibiotics

For radiculitis, it is prescribed in case of infection of a necrotic disc, a long-term infectious process.

Antibiotics are prescribed wide application:

• Benzylpenicillin acts effectively on both gram-positive and gram-negative bacteria, except bacteroides. Released in the form of powder for injection in doses of 250, 500, 1000, 5000 thousand units. The dose can reach up to 12 million units per day.
• Cefotaxime is a representative of the third generation of cephalosporins. Suitable for the treatment of nerve root lesions infectious process. Available in bottles with powder of 0.5, 1 and 2 g. Administer three times a day, 1-2 g.
• Ceftriaxone is also a third generation cephalosporin. In bottles with powder for injection in doses of 0.5 and 1 g are produced by many manufacturers. It is administered intramuscularly once a day for 1-2 g.
• Chloramphenicol is available in tablets of 250 and 500 mg and in bottles with powder for injection of 0.5 and 1 g. When consumed no more than 1 g per day.

Chondroprotectors

Prescribed if radiculitis is caused by compression of the root by a degeneratively changed disc.

They are prescribed in courses of 4 months of administration with a break of 2 months.

Chondroprotectors contain substances that are found in the tissue of intervertebral discs.

It is best to use for radiculitis:

• Chondroxide contains chondroitin sulfate at a dose of 250 mg.
• Dona - contains 1.5 g of glucosamine. In addition to the chondroprotective effect, Dona has some anti-inflammatory and analgesic effects.
• Theraflex combines glucosamine 500 mg and chondroitin sulfate 400 mg.
• Chondromed contains chondroitin sulfate in a dose of 250 mg.
• Structum consists of chondroitin sulfate in doses of 250 and 500 mg.

Neuroprotectors

Helps restore the structure of a compressed root:

• Milgamma consists of pyridoxine (vit B6), thiamine (vit B1), cyanocobalamin (vit B12). Contains ultra-high doses of vitamins. Injections of the drug stimulate neural metabolism.
• ATP is administered to stimulate the repair of nervous tissue for 25-30 days, 1 ml of a 2% solution.
• Administration of vitamin B12 at 200 mg, every other day it is worth administering vitamin B1 1 ml of a 6% solution.
• Neurovitan is a combination of B vitamins: thiamine, octothiamine, riboflavin, pyridoxine, cyanocobalamin.

Diuretics

Prescribed when acute radiculitis.

Their mechanism therapeutic influence consists in eliminating the swelling of inflamed tissues that are adjacent to the root and additionally compress it.

Prescribed:

• Lasix (furosemide) should be used at a dose of 20-40 mg to begin with. If necessary, the dose should be increased to 80 mg. You should always remember that the use of furosemide is associated with the loss of potassium and magnesium.
• Hydrochlorothiazide (dichlorothiazide, hypothiazide) is not as strong a diuretic as furosemide, but retains calcium ions in the blood. Start taking with 12.5-25 mg.
• Spironolactone preserves potassium ions in the blood. Start using 25 mg per day.

Blockades

Therapeutic blockade is used to temporarily eliminate pain impulses from the source of the inflamed root or nerve.

This procedure involves the injection of an anesthetic (novocaine, lidocaine) into an area with intense pain.

These blockades are also called epidural, since in order to administer the substance it is necessary to enter the epidural space.

The anesthetic penetrates into nerve fibers and “turns off” this sensitive nerve for a while.

The number of blockades performed per year can reach 4.

Technique:

• A 0.5-1% solution of novocaine (50 ml) is mixed with hydrocortisone (50-75 mg).
• Treating the puncture site with an antiseptic.
• Using a small injection needle, we numb the injection site until a “lemon peel” forms.
• Using a needle for epidural injection and a syringe with an air bubble to indicate entry into the epidural space, we move between the spinous processes.
• Administration of the drug.
• After removing the needle, cover the injection site with a sterile bandage.

The most effective drugs

Not all drugs used are used for treatment.

The doctor tries to choose medications that will be the most effective in a particular situation and for a particular patient.

In most cases, the following is prescribed:

• Diclofenac
• Indomethacin
• Nimesulide
• Etoricoxib
• Ketorolac
• Trental
• Milgamma
• Teraflex
• Eufillin

What is allowed for treatment during pregnancy?

The expectant mother is not allowed to take a large number of standard medications for radiculitis, since taking most medications is associated with a risk to the fetus.

It is best to do without medications.

Corsets and bandages are suitable for pregnant women.

However, if the pain syndrome is not relieved with the help of these devices, then medications are prescribed:

• Indomethacin (do not use in the last trimester).
• Ibuprofen (cannot be used in the last trimester).
• Paracetamol (used with caution and according to the indications of the treating doctor).
• Nefopam is an analgesic. Used according to indications.
• Curantil is used by pregnant women to improve placental blood flow. For radiculitis, it will promote blood flow to the affected area.

Ointment forms of non-steroidal anti-inflammatory drugs have minimal systemic action on the body of the mother and fetus.

A large number of drugs and medications are used to treat radiculitis. For each person it is necessary to find the maximum suitable way treatment.

Spinal stretching exercises at home

Lumbar radiculitis is an inflammatory process of the nerve processes of the spinal cord. It is characterized by a set of symptoms indicating damage to the intervertebral discs. The disease manifests itself acutely, accompanied by sharp pain in the lumbar region, practically immobilizing the person.

In 70% of cases, the disease is a consequence of osteochondrosis, in other cases it manifests itself as a result of spinal injuries, abrasion of intervertebral discs, or spinal hernia. The basis of complex therapy is treatment with medications. Anti-inflammatory and painkillers are prescribed.

If obvious signs of lumbar radiculitis are detected, after taking a medical history, it will be clear how to treat radiculitis and achieve stable remission.

The treatment process is based on eliminating the cause of painful irritation, but the disease itself is not cured.

It is recommended to treat radiculitis as quickly as possible. Medicines for radiculitis include the prescription of non-steroids and anti-inflammatory substances, B vitamins, tablets for radiculitis and gels that relieve inflammation.

Medicine for lumbar radiculitis:

• Painkillers for radiculitis;
• Ointments, gels;
• Non-steroids;
• Vitamins, dietary supplements;
• Chondoprotectors.

Pills

How to treat radiculitis with painkillers:

• Painkillers in the form of tablets are widely prescribed; they belong to the group of non-steroidal substances (NSAIDs);
• Analgesic drugs - belong to anti-inflammatory, painkillers, are recommended in acute period, and during the period of remission. They allow you to relieve pain and relieve muscle spasms;
• Non-steroidal - are prescribed primarily for pathology. This is one of the most common groups of drugs successfully used in the treatment of radiculitis. The action of non-steroids leads to suppression of the synthesis of the cyclooxygenase enzyme. It is the main cause of spasms and inflammation in tissues. They remove inflammation, swelling, and relieve pain.

At acute exacerbation radiculitis, you can take a double dose of the drug at once.

Main drugs:

• Aspirin – has antipyretic, anti-inflammatory and analgesic effects. It is taken strictly after meals, as it irritates the gastrointestinal mucosa;
• Diclofenac - this medicinal product primarily an anti-inflammatory and analgesic neurosteroid, it has a slight antipyretic effect. Available in tablets No. 10 and ampoules of 5 ml;
• Sulindac – has a mild therapeutic effect practically without side effects, available in tablets No. 20. Taken 2 times a day, 1 capsule;
• Tolmetin – available in capsules of 20, 40 g. Take 40 g, 3 times a day. Has a good analgesic effect;
• Indomethacin is a fairly common drug, available in capsules and tablets of 25–75 mg. Reception begins with a dose of 25 mg, 2 times a day after meals. If necessary, increase the dose.

Injections

In case of severe pain, injections are prescribed; they will relieve pain for a short period of time and relieve muscle spasms and relieve inflammation. Having the same symptoms, treatment in each case will be different, depending on the severity and cause of the damage to the intervertebral discs. Some are treated with chondroprotectors and painkillers, others with B vitamins.

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It is much faster to achieve stable remission with the help of injections when painkillers in the form of tablets do not help with radiculitis. Given the narcotic components of many painkillers, they are rarely prescribed for reticular syndrome. NSAIDs are usually enough to reduce pain.

To relieve pain and inflammation, use:

• Voltaren - has analgesic and anti-inflammatory effects, administered intramuscularly at a dose of 5 ml once a day. To improve the effect, use with other components: tablets or suspensions;
• Ketorol is a widely used remedy for radiculitis, relieves severe symptoms, thanks to its powerful analgesic effect. It is administered intramuscularly, 2 ml 2 – 3 times a day. It is not recommended for use with concomitant bronchial asthma, poor blood clotting, inflammatory diseases gastrointestinal tract;
• Milgamma - this drug consists of lidocaine and vitamins. Quickly blocks pain, improves blood circulation in affected cells, nourishes with beneficial microelements and reduces the inflammatory process in tissues, quickly helps reduce the pathological process;
• Ozone with steroids - injections give excellent results in the fight against the disease. It is placed once in the affected area in the lumbar region - sacral region, deep in muscle tissue.

Necessarily in the treatment of radiculitis, neurotransmitters are prescribed to restore the affected neuromuscular activity and improve the condition of the nerve endings.

Blockades

At severe cramps When unbearable pain occurs, novocaine or lidocaine blockades are placed. They will quickly relieve pain and significantly improve the patient’s condition. At the same time, a solution is administered intravenously: Relanium, hydrocortisone, Elenium. Positive result comes in a few minutes. The injection is placed in places where nerve endings and plexuses are pinched, in the muscle tissue of painful areas of the body.

Muscle relaxants

Rarely, when treating lumbar radiculitis, doctors prescribe muscle relaxants. The medicine is classified as non-steroidal strong drugs, help relax and relieve muscle spasms, reduce pain due to substances central action.

• Medokam;
• Sirdalud;
• Baksalan.

They have a number of side effects, which is why they are so rarely recommended by doctors for the treatment of radiculitis. Prescribed with great caution, strictly under the supervision of a specialist. They are taken once, so that a person can escape from discomfort and take a break from acute spasms.

Chondoprotectors

The course of taking chondroprotectors is long; they directly treat the cause of radiculitis. They improve blood circulation and metabolism in the intervertebral discs, slow down the development of the disease.

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Supplements and vitamins

The complex with the main treatment is complemented by preventive intake of vitamins. Especially if the attack is associated with hypothermia. The patient's body is supported by vitamins and dietary supplements. They help tissues recover, participate in metabolism, strengthen the immune system, while reducing the risk of a recurrent attack.

Diuretics

To remove excess fluid from human organs and tissues, to relieve swelling in inflamed muscles, diuretics are taken: furosemide, Lasix, in tablet form or injections, intramuscularly.

Rules for medication treatment

Along with the medicine for lumbar radiculitis, a complex of therapeutic physical exercise. A course of physiotherapy enhances the healing properties of the medicine. Rubbing an ointment (Captrin, Voltaren-gel, Nise-gel) with a warming property into the sore spot has a beneficial effect, alcohol tinctures are additionally prescribed. Main therapy is underway in combination with exercise therapy and physiotherapy.

Treatment of radiculitis is medicinal, carried out strictly under the supervision of a doctor, since drugs for radiculitis have a number of side contraindications and negatively affect the human body. Only with the correct prescription and dosage of drugs can significant improvement and remission of lumbar radiculitis be achieved.

Sometimes drug treatment does not bring the desired result, in which case surgical intervention is required. If a cauda equina is detected, surgery is performed urgently.

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Treatment at home

It would not hurt to use traditional medicine in parallel with the basic treatment prescribed by the doctor. There are many recipes for treating lumbar radiculitis; you can choose the desired method yourself or consult with your doctor to avoid allergic reactions and adverse reactions of the body.

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Almost everything folk remedies for radiculitis have a warming and locally irritating effect: rubbing, tinctures,. They heal well, improve metabolism, and boost the immune system. Quickly relieve spasm and swelling in the muscles of the lumbar region, subject to bed rest.

It won’t hurt to change your diet, include fruits and vegetables in your diet, and completely eliminate spicy, salty, fatty and smoked foods. To prevent attacks, it is recommended to perform daily. Strengthen your immune system with vitamins and a healthy lifestyle.

Radiculitis is often an age-related disease, however, it can also occur at a relatively young age. This is an inflammation of the nerve endings between the vertebrae in the lumbar region. Most often, the occurrence of radiculitis is caused by osteochondrosis.

Radiculitis and its symptoms

To recognize radiculitis, it is enough to test once sharp pain. It is localized in the lower back and can radiate to the groin, sacrum, buttocks, legs and even reach the toes. Read more about the back here.

Moreover, the pain becomes stronger when the patient moves, bends, and even coughs or sneezes. Every movement of a person goes through acute pain. To alleviate his condition, a person takes a forced position on his healthy side, bending his injured leg.

What other symptoms are characteristic of the development of the disease:

• Burning along the nerve;
• Numbness, tingling of the affected area;
• Weakness, increased body temperature at the site of pain;
• A limb that is cold and pale to the touch with altered tissue trophism;
• Severe muscle tension in the lumbar region.

A person with back pain goes to see a neurologist or orthopedist. Doctors make the main diagnosis and prescribe treatment. What causes radiculitis, and why is this disease so widespread? Read about it here.

Read about here.

Causes of lumbar radiculitis:

• Cold lower back in the cold;
• Hematoma, tumor;
• Hernia, and others.

For the most part, the main cause is osteochondrosis, which appears from a sedentary lifestyle, monotonous movements at work, stress and even infections.

All this, layered, gives a picture of overgrown osteophytes (growths on the vertebral discs), which irritate nerve roots. Heavy weight and displacement of the vertebral discs, old injuries, and improper lifting of heavy weights can also provoke inflammation, so there can be many reasons for the appearance of pain. Read about it here.

Treatment of radiculitis

Most often, treatment for radiculitis involves a comprehensive selection of medications, physical therapy and other procedures that will help you recover. Injections and ointments, pills and massage, exercise therapy and much more - all this is aimed at speedy recovery of the body.

You should not refuse treatment, because the acute form can quickly turn into a chronic phase and become a concern much more often.

Treatment of radiculitis with traditional methods

Radiculitis is well treated with honey mustard plasters. A quarter glass of water and ¼ tablet of furatsilin are heated and stirred.

A tablespoon of honey is added to this solution and after dissolution, mustard plasters are dipped, which are then applied to the lower back.

After holding them for the prescribed time, they are removed for about 5 minutes, and the solution remaining on the skin is wrapped in polyethylene and a woolen scarf. So you need to sleep until the morning, after which pain relief will come.

Some are treated with raw potatoes, which are applied to the site of the pain.

Others are treated with burdock. Why do you need to moisten it with water and reverse side tie the sheet to the place that is bothering you. It perfectly anesthetizes the lesion. After drying the burdocks for future use, you can use them in the winter if your back suddenly hurts.

If you are not allergic to radish, then some people grate it and apply it to the sore spot. We make a compress as usual, not forgetting the parchment and a warm scarf. You will have to keep the bandage on for a long time, but after the 3rd procedure the pain will probably go away.

Treatment of radiculitis with medications

Drug treatment of the disease is aimed at: relieving pain symptoms, inflammation, removing muscle spasms and improving tissue nutrition around the nerve roots.

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Medicines for pain relief

Pain syndrome is relieved with anti-inflammatory drugs: Paracetamol and Ibuprofen. If these medications do not help, the doctor may prescribe Nimesulide, Meloxicam, or Celecoxib.

The drugs have a rather strong effect on the gastrointestinal tract, so we take them after meals or wash them down with milk. Even if these drugs are ineffective, an intramuscular blockade with glucocorticosteroids is prescribed.

What else can the doctor prescribe:

• Indomethocin, Ketorolac;
• Naproxen, Diclofenac.

All of them relieve inflammation and pain at the site of the lesion.

Muscle relaxants for lumbar radiculitis

Drugs that relieve muscle spasms are called muscle relaxants. They help reduce pain and increase motor activity.

What exactly is offered to the patient:

• Baksolan and others.

Read about here.

Pain and crunching in the back over time can lead to dire consequences- local or complete restriction of movements, up to disability.

People, taught by bitter experience, use natural remedy which orthopedists recommend...

Are there enough drugs to cure?

In addition, vitamins can be prescribed to restore nerve tissue and improve the conduction of lost impulses. These are vitamins (P., B).

To activate metabolic processes, biostimulants are used: Aloe, Plazmol, FiBS. To eliminate swelling and relieve inflammation, steroids are used: Hydrocortisone, Prednisolone and Dexamethasone.

Ointments with a warming and anti-inflammatory effect can be prescribed locally:

• Fastum gel and Finalgon;
• Viprosal and Apizartron.

Naturally, many try to be cured with ointments alone, citing the fact that injections need to be given in a clinic, where they need to go, overcoming the pain.

However, this is almost impossible, and comprehensive treatment will get you back on your feet much faster, preventing the acute form from moving into the chronic phase. In addition, the doctor may recommend exercise therapy and massage, which will also help restore lost nerve connections.

Read about here.

Exercise therapy and massage

After the acute period has passed, you can begin exercises and massage. This is not recommended during the acute phase of the disease.

What exercises will help:

• Stretching;
• Twisting;
• Warm up the lumbar region.

You need to do the exercises carefully without sudden jerks and be gradual. You should not immediately load your lower back with long-term exercise.

Massage must be entrusted to a specialist, since for radiculitis it has its own characteristics. Classic, acupressure or massage will be an excellent addition to the main treatment.

In addition, there is excellent physical therapy that helps solve the problem and quickly return to its former mobility, for example:

• Magnetotherapy;
• Acupuncture.

IN severe cases in the presence of intervertebral hernia Surgical treatment may be prescribed.

Radiculitis occurs due to neglect of your body, so it is very important to remember, in order not to get sick, you need to weigh your every step.

Stress and heavy stress, hypothermia and heavy lifting, monotonous movements and a sedentary lifestyle, all this contributes to the development of osteochondrosis, and from it to radiculitis one step.

Read about here.

Love yourself

You should not neglect old injuries and ignore herniated intervertebral discs until the diagnosis of sciatica has become commonplace.

It is necessary to undergo a course of treatment from various specialists, including qualified chiropractors.

The diagnosis of radiculitis is made based on the occurrence of a number of symptoms:

• muscle weakness in the back;
• acute back pain;
• Numbness and tingling sensations in the legs and arms.

This disease develops as a result of the fact that the nerve endings located in the spinal cord become inflamed and compressed, which causes discomfort of varying severity. If the above symptoms are present, the attending physician will prescribe complex therapy, which consists in the use of drugs with local effects in the form of injections or tablets.

Medicine for radiculitis, be it injections, tablets or ointments, should be prescribed only by a specialist after examination and diagnosis, since the symptoms characteristic of this disease may be a manifestation of other diseases of the spine, which need to be treated completely differently.

Drugs for the treatment of radiculitis: effects depending on their group

Therapy can only be effective if the cause of radiculitis has been accurately established. Before starting treatment, the doctor must determine what exactly causes inflammation of the nerve endings, and only after that choose remedies that can change the situation for the better.

All tablets for radiculitis, depending on the nature of their effect, can be divided into the following groups:

1. With anti-inflammatory effect. To reduce the inflammation that occurs with radiculitis, the following anti-inflammatory medications are usually used:

• Diclofenac;
• Ketolorac;
• Ketoprofen;
• Ibuprofen;
• Ortofen;
• Naproxen.

However, it is worth noting that these effective drugs significant drawback: they quite irritate the gastric mucosa, therefore they are contraindicated for people with diseases of the gastrointestinal tract.

On this moment For patients suffering from gastrointestinal disorders, drugs have been created that have significantly fewer side effects, including those from the digestive system:

Nonsteroidal anti-inflammatory drugs (NSAIDs) are rightfully considered practically universal means relieving pain and swelling in acute stage radiculitis and beyond. By following your doctor's recommendations and using such medications when optimal dosage, it is possible to achieve the desired effect with minimal consequences for overall health. For this purpose, it is recommended to use NPVN in time-limited courses. A prerequisite for them safe use is taken after meals.

1. Painkillers - analgesics. Analgesics are intended for maximum quick removal painful sensations. One of the most common drugs with a similar effect is Analgin. This medicine is in some sense universal, so its use is appropriate for radiculitis of any origin. The doctor must warn the patient about existing contraindications: liver or kidney diseases, as well as hematopoietic organs, asthma, pregnancy exclude the use of Analgin.

1. Drugs that directly affect the cause of the symptoms of radiculitis:

• antibiotics;
• medicines aimed at combating the virus;
• steroids.

1. With a diuretic effect - diuretics. They are used to prevent fluid from accumulating in the body, thereby eliminating swelling in the area of ​​compression or pinching of the affected nerve endings.

1. Medicines that relieve muscle spasms are muscle relaxants. Drugs from this group reduce pain due to the fact that when they are taken, the muscles in the affected area relax. The following are most often found in doctors' prescriptions:

• Mydocalm is a muscle relaxant, the action of which is aimed at increasing peripheral blood circulation, which is why spasm in the muscles located closer to the center is relieved;
• Scoutamil is a combined remedy that relaxes spasmodic muscle fibers and ensuring the outflow of blood from the muscles. It is taken simultaneously with painkillers and sleeping pills if it is necessary to enhance the effect of their use.

The peripheral part of the human nervous system is a conventionally allocated area of ​​the nervous system, whose structures are located outside the brain and spinal cord. It is practically not protected, unlike the central nervous system, so it can be affected by infections and intoxications; such an area can suffer from vitamin deficiency, circulatory disorders, injuries and other aggressive influences. Any diseases of the peripheral nervous system require targeted treatment under the supervision of a qualified doctor. Common ailments of this type include: Let’s discuss the drug treatment of lumbar radiculitis with injections, ointments and tablets in a little more detail.

Radiculitis refers to a number of symptoms that occur when the intervertebral discs in the lumbosacral spine are damaged. The disease makes itself felt by pronounced painful sensations, which cause the patient to practically immobilize. Drug treatment with such a pathology, this is the most effective method to cope with it.

Treatment of lumbar radiculitis with medications: injections

Injections for lumbar radiculitis are carried out exclusively by a doctor. Different drugs from different drug groups can be used at the same time. Medicines can be administered intramuscularly and intravenously. Quite rarely, doctors inject drugs into the membranes of the spinal cord or directly into the vertebral bodies.

Injections for lumbar radiculitis are designed to provide an analgesic effect and eliminate inflammation. The drugs of choice are usually NSAIDs (non-steroidal anti-inflammatory drugs), steroids (glucocorticoids), as well as central muscle relaxants and B vitamins.

Nonsteroidal anti-inflammatory drugs are aimed at pain relief and elimination of inflammation. They are almost as effective as hormones, but have fewer side effects. The drugs of choice most often are drug, remedy, medicine and medication.

Novocaine blockades for lumbar radiculitis are aimed at effective and quick fix local pain caused by the disease. A solution of novocaine is injected into the area where the patient feels severe pain. However, this remedy has only a short-term effect.

Centrally acting muscle relaxants are also considered popular injections for lumbar radiculitis. They relax the lumbar muscles, affecting directly the central nervous system. The most popular drug of this type is.

In addition, doctors can use glucocorticoid hormones for lumbar radiculitis. They quickly accelerate local blood flow and reduce local inflammation by an order of magnitude. Such medications are administered locally and most often one-time; over time, more gentle medications are used. Of the glucocorticoids, the most commonly used are also.

As for, they are extremely important for the normal functioning of the nervous system and for the full implementation of cellular metabolism. Such injection medications are also represented by Neurorubin; they are sources of vitamins B1, B6 and B12.

Radiculitis lumbar ointments

Ointments for lumbar radiculitis are an important part of complex treatment. Such remedies are aimed at eliminating pain and neutralizing inflammation. Anti-radiculitis ointments may contain non-steroidal anti-inflammatory drugs and various warming components, represented by snake or bee venom, capsicum, camphor and formic alcohol etc.

To eliminate painful sensations, Ketonal cream or gel is excellent, which contains quite a lot of ketoprofen (5%), due to which it has a pronounced anti-inflammatory and analgesic effect.

An excellent effect for lumbar radiculitis is provided by the use of other drugs with NSAIDs, for example, Voltaren, Diclofen, Fastum-gel, Diclovit, etc. Such drugs help eliminate the lack of blood circulation in the tissues, neutralize muscle spasms and accelerate the regeneration of damaged areas. Drugs containing NSAIDs relieve pain, reduce swelling and inflammation, and also effectively restore functional mobility of the spinal joints.

Among ointments with warming components, the drugs of choice are usually Viprosal, Finalgon, Spasatel Forte, Efkamon, Kapsicam, etc. Such products activate the processes of blood and lymph circulation in the treated areas, enhancing the nutrition of inflamed tissues, accelerating metabolic processes, relaxing muscles and activating natural protective forces body. The skin becomes reddened and also responds with a burning sensation. The use of warming ointments can reduce pain and inflammation.

Tablets for lumbar radiculitis

Treatment of lumbar radiculitis may also involve the use of tablets - the same painkillers and NSAIDs, as well as hormones. In addition, vitamins, diuretics, chondroprotectors, antidepressants, etc. can be used.

Of the simple painkillers, Paracetamol, Analgin, Pentalgin and Baralgin are usually used. As for tableted non-steroidal anti-inflammatory drugs, they can be represented by Diclofenac, Ibuprofen, Ketoprofen, Ketorolac, etc. Most of these drugs can be bought without a prescription at the pharmacy, but it is worth considering that they can have various side effects associated with activity digestive tract, circulatory system etc. Therefore, you definitely cannot do without consulting a doctor. Most often, NSAIDs in tablet form are advised to take one tablet two to three times a day, an hour after a meal.

Diuretics for radiculitis are aimed at removing excess fluid from the body and reducing swelling in inflamed muscles. Usually the doctor prescribes Furosemide or Lasix.

Therapy for radiculitis may involve taking chondroprotectors - Chondroxit or Chondroitin. Such medications effectively improve metabolic processes in the intervertebral discs, preventing further progression of radiculitis.

Multivitamin medications for radiculitis can be administered not only intramuscularly, but also in the form of tablets. The patient is often prescribed Neuromultivit, Neurovitan, Multitabs-B and B-complex.

Drug treatment for lumbar radiculitis often includes the use of antidepressants. Such medications help the patient relax, calm down and sleep better.

Additional Information

Alternative treatment for lumbar radiculitis

Folk remedies can be used exclusively in addition to the treatment selected by the doctor.

Radish compress on the back. Application of compresses has an excellent effect. This way you can moisten a piece of thick cotton cloth with freshly squeezed black radish juice. Place it on the sore spot, secure with a bandage or adhesive tape. Wear this compress for as long as possible, but strong burning sensation- take it off.

As an ointment for radiculitis in the lumbar region department. You can also use lilac flowers, preferably purple ones, to treat lumbar radiculitis. Rub them with soft butter, maintaining an equal ratio. Use the resulting product as an ointment.

Horseradish compress on the back. Squeeze the juice from the horseradish root, dilute it with water in equal parts. Rub into the sore spot and wrap yourself in a warm woolen scarf.

Alcohol tincture “nettle”. Prepare a couple of tablespoons of chopped fresh nettle leaves and combine this raw material with a glass of vodka. Leave for a week, then use to rub your sore back.

Nettle from the back. You can also brew a couple of tablespoons of nettle leaves with a glass of boiling water and leave for twenty minutes. Use the resulting infusion to apply compresses. Carry out such procedures once or twice a day, the duration of one procedure is two hours.

Aspen bark for radiculitis. If you suffer from lumbar radiculitis, use products that remove salts from the body. The use of aspen bark gives an excellent effect. Brew three tablespoons of this raw material with half a liter of boiling water and cook until the volume of liquid is halved. Sweeten the drink with honey or sugar and take a quarter glass three times a day.

Roots of parsley plant for sciatica. Taking a medicine based on parsley root also has an excellent effect. Cut a couple of thick roots into circles, place them in an enamel pan and pour one and a half glasses of water. Boil for a quarter of an hour, leave for another half hour, squeeze and strain. Take the resulting drink three times a day, half an hour before meals (half a glass at a time).

Therapy for lumbar radiculitis should be carried out exclusively under the supervision of a doctor.