Painkillers for spinal disorders. What pills should I take for back pain? Medicines, instructions, prices. Steroidal anti-inflammatory drugs

Probably, each of us at least once in our lives has been faced with the question of how to relieve back pain. There can be a lot of reasons for its occurrence: from physical activity and drafts, to diseases of internal organs.

Accordingly, treatment is individual in each case.

But often the use of painkillers for the back is simply necessary.

Depending on the cause of the symptom, the pain can be of a different nature: burning, long-lasting and paroxysmal, localized and radiating to other parts of the body.

It is possible to use painkillers for back pain, but it is not always safe, since pain is a beacon indicating a problem.

If completely stopped discomfort, you can forget about the problem for a while, but start the disease instead of curing it.

Thanks to advances in pharmacology, we have big choice drugs. However, questions constantly arise around the problem of how to choose the right painkillers for back pain.

As a rule, there are three ways to eliminate pain in the back.

Non-drug therapy

The group includes therapeutic procedures and maintaining a gentle regime for the spine: application, rest, and so on.

Drug treatment

Painkillers for back pain are divided into three groups:

1. Narcotic and non-narcotic analgesics. Strict records are kept on opiates; they are used as a back pain reliever in rare cases and only with a doctor’s prescription. They have a lot of side effects and can be addictive. Non-narcotic drugs include non-hazardous drugs for oral administration, which are found in every home medicine cabinet.
2. Inhibitors are non-steroidal anti-inflammatory drugs (NSAIDs). They are divided into two subgroups: COX and COX-2. The first include tablet medications and a range of back gels. However, COX-2 is considered a safer subgroup, as it has fewer side effects from use. NSAIDs are considered the best pain relievers for back neuralgia.
3. Muscle relaxants and neurotropic B vitamins. Muscle relaxants relieve muscle spasm and suppresses work spinal nerves. The latter help nerves recover.

A good pain reliever for back pain is a combination of muscle relaxants and NSAIDs, which allows you to reduce the dosage without compromising the effectiveness of treatment, which makes it possible to partially reduce side effects from the use of drugs.

Surgical intervention

Surgery is a last resort when the disease progresses and painkillers no longer help.

External back remedies

There is a whole range of gels, creams, balms and painkillers for back pain. Local medications are aimed at reducing pain, some also have an anti-inflammatory effect. The effect of use is the weakest, but ointments cause fewer side effects.

They can be divided into several groups, depending on the active substances in their composition:

1. homeopathic ointments for inflammatory processes;
2. in cases of osteochondrosis, spondyloarthrosis, or previous injuries; influence the accelerated recovery of damaged muscles and ligaments, and the metabolism in them, slow down the destruction of cartilage tissue;
3. pain-relieving ointments for the back, distraction and irritating effect; affect the dilation of blood vessels and blood flow to the sore spot, which causes an anesthetic effect;
4. NVPS group drugs have anesthetic and anti-inflammatory properties, long-term use not allowed as it may cause side effects;
5. combination back creams.

Injections for pain

There are a number of drugs for intramuscular use to relieve back pain. They have the greatest effect and speed of action. Use is possible only after prescription by the attending physician.

If you don't know how to relieve back pain when...

Painkillers used for back pain do not eliminate the cause of pain and do not completely cure the patient.

However, with their help you can significantly relieve pain and calmly carry out a medical diagnosis to prescribe competent treatment.

Medicines for back pain are divided into several categories.

• pain intensity;
• duration of pain;
• areas of localization of pain.

It is very important to understand that the effect of painkillers is temporary. In addition, they have a list of contraindications and side effects.

Therefore, there is no need to abuse painkillers, but combine them with treatment prescribed by a doctor.

Anti-inflammatory drugs

Advantages of non-steroidal anti-inflammatory drugs

• low cost;
• sufficient effectiveness of analgesic action;
• Easy to take, no specific skills required: tablets or injections.

Mechanism of action: analgesic, anti-inflammatory.

In most cases, back pain occurs when. In this disease, pain reduction is achieved through the following actions:

1. decreased activity of biologically active substances at the site of pain;
2. pain relief with analgesics.

It is these goals that the use of anti-inflammatory drugs can achieve.

Disadvantages of anti-inflammatory drugs

• do not eliminate true reasons pain;
• Not suitable for every patient.

Drugs that provide maximum pain relief effect

Price: from 80 to 100 rubles

Price: from 45 to 165 rubles

Price: from 40 to 170 rubles

Price: from 16 to 85 rubles

Muscle relaxants

The action of muscle relaxant drugs is based on reducing muscle tissue tension.

If spinal pain is spastic in nature, it is permissible to prescribe centrally acting muscle relaxants to relieve pain. They influence directly the departments of the central nervous system responsible for regulating muscle tone.

According to numerous studies, it has been established that the maximum analgesic effect is obtained by combining muscle relaxants with non-steroidal anti-inflammatory drugs.

Requirements for muscle relaxants:

1. The action of the drug should be selective and aimed at reducing muscle excitability, excluding the effect on suppression nerve impulses responsible for maintaining posture and muscle strength during movement.
2. Tolerability of the drug should remain high with a long duration of its use. The muscle relaxant should not significantly affect the patient’s activity and ability to work.
3. The drug must be used in accordance with the approved treatment regimen and combined with other medications.

Action of the drug:

• pain relief;
• relieving muscle hypertonicity;
• increase mental activity;
• withdrawal nervous tension, stress and anxiety.

Advantages of the drug:

• compatibility with anti-inflammatory non-steroidal drugs;
• absence sedative effect and muscle weakness from use;
• high degree of tolerance.

Contraindications:

• pregnancy;
• lactation;
• early age;
• individual intolerance;
• myasthenia gravis;
• hypersensitivity to icecaine.

Synthetic drugs

Cases in which it is permissible to prescribe synthetic drugs:

• insufficient effect from the use of anti-inflammatory drugs and muscle relaxants;
• chronic back pain;
• postoperative period.

Mechanism of action: effects on the brain and nerve cells.

Weaker drugs:

• Vicodin (hydrocorone, acetaminophen);
• Tylenol;
• codeine.

Possible side effects:

• allergy;
• risk of addiction;
• constipation;
• drowsiness.

Corticosteroids

Direction of action:

• anesthesia;
• reduction of inflammation;
• reducing the risk of developing chronic stage diseases.

Application Features:

• large dosages in the first few days of use;
• further - a significant reduction in dosage;
• Reception is carried out within five days.

Adjuvant therapy

Back pain can be caused by certain malfunctions of the body's nervous system. In this case, the condition of the back becomes dependent on psychosomatic factors. Due to severe stress, the patient may not be able to get out of bed for several days due to severe pain.

To relieve pain caused by stress, you can resort to the following medications:

1. Antidepressants, in particular duloxetine (only as prescribed by a doctor).
2. Antiepileptic drugs, for example, hapabentin.
3. For chronic pain it is prescribed more powerful antidepressants: nortriptyline, amitriptyline. They significantly improve the patient's condition. After the appointment, pinched nerves are treated.
4. Injections of vitamins from the B-group. To relieve back pain, a series of injections is necessary: ​​each individual injection with a portion of the vitamin is given with a new syringe.
5. Milgamma- a medicine that combines several vitamins. Thanks to it, you can avoid a series of injections, but limit yourself to one single injection.

You can get rid of spinal pain without drug treatment: physiotherapy has a positive effect on the condition of the back, and. However, medical diagnosis is necessary in any case, as well as discussion of treatment methods with a specialist.

conclusions

1. Anti-inflammatory drugs are aimed at reducing pain, reducing inflammation, and supporting normal performance.
2. Muscle relaxants help reduce muscle spasms when combined with anti-inflammatory drugs.
3. Narcotic painkillers only reduce pain without reducing inflammation.
4. Spinal corticosteroid injections help with secondary sciatica, hernia intervertebral discs.

It so happens that all adults have back pain. Sedentary image life, lifting weights, curvature of the spine and other problems bring discomfort and hinder movement. Regular tablets or warming ointments often do not help, since the cause of the pain is much more serious.

Causes of back pain

More than half of the adult working population suffers from back pain. But, as studies show, only 15-20% of these people seek help from doctors.

Muscle spasms and sprains

The most common and fairly minor problem. As a rule, such pain is not chronic, but episodic. They occur in people of any age and lifestyle. A sudden and careless movement, an unusual lifting of a heavy object or sitting for a long time in an uncomfortable chair will be enough.

Outpatient treatment in in this case not provided. Rest is needed, and symptoms are relieved with painkillers. For those who constantly “break” their back in this way, regular massage courses are recommended. It relieves tension, relaxes and strengthens the muscles of the entire back.

Scoliosis

This is a displacement of the spinal discs. This is the real enemy of schoolchildren and office workers. Incorrect posture, prolonged sitting, uncomfortable chairs and low physical activity over time provoke quite serious problem with health.

Curvature of the spine and a decrease in the thickness of the cartilage tissue between the vertebrae are accompanied by chronic and severe pain, which can acutely radiate to the hips or legs. Displaced spinal discs are also common in sports injuries or accidents.

The doctor solves this problem after full examination. As a rule, physiotherapy, massage, corrective corsets and medications are prescribed to improve the condition during treatment.

Osteochondrosis

The disease can affect the cervical, thoracic or lumbar spine. It disrupts and weakens normal condition vertebrae The cartilage tissue between them becomes thinner and changes its shape and structure. This leads to constant and severe pain in one of the parts of the spine, depending on the type of disease.

IN last decade Osteochondrosis has become more common in young people, although previously it was always considered a disease of the elderly population. This is due to lack of mobility, sitting at the computer, and crooked posture.

Only a doctor can diagnose the disease. It is necessary to be checked regularly and follow all doctor's instructions. Otherwise, the condition will worsen greatly.

Pain during pregnancy and after childbirth

Most pregnant women suffer from this disease. During pregnancy, the load on the spine becomes unusually large. Most often, the pain spreads in the lumbar region below the waist. At the time of childbirth, the load and pressure increases significantly. During the first month after childbirth, women complain of chronic aching or acute pain. Caring for a child does not allow your back to rest and recover.

In any case, after the birth of the baby, in agreement with the doctor, it is useful for the young mother to have a back massage. If the pain does not stop for a long time, it is worth undergoing a full examination.

Intervertebral hernia

A hernia is already a by-product of one of the disorders of the intervertebral discs. Osteochondrosis of the lower back is often accompanied by a hernia. Other causes of the disease include:

• Back injuries.
• Sudden turns or movements.
• Excess body weight, which puts a lot of stress on the musculoskeletal system.
• Frequent lifting of weights.
• Sitting for a long time at the wheel or at a desk.

Typically, intervertebral hernias are typical for young people under 50 years of age.

Radiculitis

A disease that affects nerve fibers. As a rule, it is also a side effect of a certain disease (osteochondrosis is the most common cause of radiculitis).

The disease appears periodically. When exacerbated, it causes severe pain in the area of ​​the affected nerve endings. Registered bed rest, rest, and pain relief therapy.

Other reasons

Less common causes of back pain include oncological diseases, infectious lesions, ankylosing spondylitis, etc. Each of them is very serious and requires medical intervention and proper treatment.

Remember an important rule!

For a complete and effective treatment Constant medical supervision is required. Only a specialist can correctly determine the source of back pain, conduct a diagnosis, prescribe treatment and prescribe the necessary medications.

Use of non-narcotic drugs

These painkillers are used in cases where the pain can be defined as average or slightly above average. These include ibuprofen-based medications, combination analgesics, anti-inflammatory drugs, etc. Depending on the active substance and dosage, non-narcotic tablets or injections can be dispensed either freely or strictly according to a prescription.

List of common non-narcotic painkillers

Diclofenac

Take 1-3 times a day 30 minutes before meals. The maximum daily dose is 6 tablets (divided into three doses).

Nalgesin

Daily dose is no more than 4 tablets. They must be divided into several doses with an equal period of time.

Take strictly after meals. Dissolve 1 tablet in a teaspoon of water. The daily dose is 200 mg (100 mg twice a day)

You are allowed to take 1 tablet (10 mg of substance) at a time. Maximum permissible dose per day – 4 tablets (40 mg). The exact amount and course of treatment is determined by the doctor.

Solpadeine

(tablets, effervescent dissolvable tablets, capsules).

Take no more than 4 times a day, 1-2 tablets or 2 capsules. For an analgesic effect, the course of treatment is no more than five days.

Ibuprofen

The first couple of days for quick removal pain relief, you can take 2 tablets 3 times a day. Then reduce to 1 tablet 3-4 times a day. Take the drug on an empty stomach in the morning, and after meals throughout the day. Maintain a minimum interval of 4 hours between doses.

One tablet may contain 7.5 mg or 15 mg of active ingredient, so you must carefully study the instructions. For severe pain quick effect sometimes it is allowed to take 15 mg per day (1-2 tablets depending on the dosage), then strictly 7.5 mg.

In addition to tablets and injection solutions, ointments, gels and patches relieve back pain. They relieve pain, inflammation and have a warming effect. Sold in pharmacies without a prescription. They are used both independently and in combination with other drugs.

Popular preparations for external use:

• Fastum - gel.
• Ketoprofen (most cheap analogue Fastum-gel).
• Nimid, Nimulid, Nise (modern ointments based on nimesulide).
• Finalgon.
• Finalgel.
• Ibuprofen ointment.
• Voltaren (gel, spray or patch).
• Diclofenac ointment.
• Diclak gel.
• Olfen patch.
• Apizartron ointment.

Potent drugs

Narcotic painkillers can relieve very strong, unbearable pain. They are taken in quite extreme cases when regular tablets or ointments do not work. The prescription is written by the attending physician, indicating the exact dosage and duration of use.

The main rule is strict adherence to medical instructions. Then painkillers will really help and will not harm the patient’s health. Most often they are taken at home in combination with basic therapy. In the most isolated cases intravenous injections need to be in hospital.

List of strong narcotic painkillers:

It is the most powerful analgesic. Available in the form of tablets and solution for injection. The exact dosage is determined by the doctor, according to the diagnosis and general condition of the body. According to the instructions, you are allowed to take 1-2 tablets (1 tablet contains 10 mg of the active substance) 2-3 times a day. The maximum dosage per day is 50 mg, that is, 5 tablets. In case of injections, administer 1 ampoule up to five times a day.

Vicodin

An effective drug that is taken in doses prescribed by a doctor. For each individual case they will be different. It is recommended to take the tablets with a full glass of water or milk (if taking the drug provokes vomiting).

Tramadol

Available in the form of a solution for injection (in one ampoule 50 mg of the substance), tablets (from 100 mg to 200 mg), capsules (50 mg), drops for oral administration (1 ml is equal to 40 drops and contains 100 mg), as well as rectal suppositories(100 mg each). Relieves pain no later than half an hour after the first dose, the effect lasts up to 6 hours. The duration of treatment and dosage are selected by the doctor individually in each case.

Hydrocodone

Most often found in the form of tablets or capsules with a dosage of 2.5 to 7.5 mg of active ingredient. Take 5-10 mg several times a day, but not more often than every 5-6 hours. Exact dosage depends on the intensity of pain, the weight of the patient and is calculated by the doctor.

Hydromorphone

It comes in tablets, suppositories or a solution for intravenous administration. It is taken up to 4 times a day, 2-4 mg, regardless of the form of release.

It’s not for nothing that all of the above drugs are called narcotic drugs and are sold strictly according to a prescription. It is necessary to clearly understand their mode of action and possible side effects. Should be taken only within the permitted dosage. Otherwise, they cause not only health problems, but also very serious addiction. That is why doctors prescribe them in the most extreme cases, when there is no other way out. Treat your health carefully and responsibly!

Side effects and possible complications

According to the specificity of their action, all painkillers have a mass adverse reactions. You should carefully read the instructions for each of them to weigh the PROS and CONS.

Common side effects may also be noted:

• Problems with the gastrointestinal tract (vomiting, constipation, bleeding, peptic ulcer).
• Headache, dizziness, possible loss consciousness.
• Noise in ears.
• Unexplained attacks of fear.
• Allergic skin reactions.

Obviously this is a list possible reactions body, however, the stronger the drug, the greater their likelihood.

Painkillers should be taken only when pain occurs, but not to prevent it. Frequent use causes the body to become addicted to the active substance. That is, after a certain period of time the body stops responding to the action of the drug. As a result, you have to increase the dosage or switch to a stronger medication.

In the case of narcotic painkillers, everything is much more serious. The main danger Physical addiction remains, which is quite possible if the dosage is not followed. Experience shows that curing a bad back is easier than getting rid of an addiction.

In addition, the negative impact on the body is much greater and more likely. Everything is explained high concentration active substances that relieve pain and affect all systems of the body. It is worth noting the negative impact on the liver; over time, it loses the ability to completely remove these substances.

Yoga is incredibly useful for prevention, as well as for solving many back problems.

Video

This video contains simple and effective asanas aimed at relaxing, strengthening and straightening the back. The exercises are calm, not at all difficult and have no age restrictions.

Constant back pain may indicate serious illnesses. You can't just endure the pain or take painkillers all the time. They only relieve pain, but do not solve the problem in general.

You should definitely consult a doctor, undergo examination and diagnosis. Understanding the problem will help you find the most correct option her decisions. Follow all prescribed recommendations exactly, and also try to avoid any self-medication.

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

First, you need to undergo a comprehensive examination of the whole body, get advice from a vertebrologist, osteopath, or neurologist. In some cases, back pain is a signal of the presence of inflammatory processes in the body and diseases of the internal organs. To exclude them, it is recommended to undergo examination by a gynecologist, urologist and gastroenterologist. Having identified the cause of the pain, the doctor prescribes medication. Based on the nature of the pain syndrome and accompanying symptoms, an individual set of drugs is selected.

Painkiller injections

For back and lower back pain, the doctor prescribes a number of painkillers, including non-steroidal anti-inflammatory drugs (NSAIDs) and a vitamin B complex. They not only eliminate strong pain syndrome, but also help heal inflammatory processes and have a blocking effect on the affected areas of the back.

Vitamins B1, B12, B6 have analgesic properties and have a neurotropic effect. This group drugs have a positive effect on metabolic processes in the body, improve the functioning of the nervous system, restore damaged nerve endings. Injections with a vitamin complex help fight severe pain when chronic manifestation pain syndrome, such injections are ineffective. The course of treatment lasts on average 12-14 days, after which the patient’s condition improves.

If at long-term use There are no visible results from painkillers; doctors resort to injections and stretching. The procedure is performed by a doctor, the patient is in a lying position on his stomach and in the greatest pain and seal, a solution of novocaine is injected. After the injection, you need to slightly stretch the affected area of ​​the back and apply a hot compress. After the procedure, the patient is recommended to perform active movements and increase the load on the painful muscle. Thus, its mobility is developed.

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

• for dyspepsia, Nimesulide, Ibuprofen or their analogues (Diclofenac, Naproxen, Miloxicam) are prescribed;
• Without dyspeptic symptoms You can use any non-steroidal anti-inflammatory drug;
• if there is a risk of gastrointestinal bleeding, inhibitors are injected together with NSAIDs proton pump(Omeprazole);
• for cardiovascular complications, the injections include opioids, Paracetamol, Nimesulide (measurement is required blood pressure);
• in the presence of chronic diseases Gastrointestinal and cardiac vascular pathologies Omeprazmol and Nimesulide are combined with Aspirin.

When treatment is started correctly, the pain subsides within a week after the start of treatment. To avoid relapse, you must undergo full complex injections until pain is completely relieved.

If relief does not occur after painkilling 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 internal organs and tissues; once you get rid of them, you need to start treating the pain. NSAIDs used to treat inflammation are divided into two large groups, which differ not only in their medicinal composition, but also in their effect on the gastrointestinal tract.

There are two NSAID groups: selective and non-selective COX inhibitors. Non-selective ones contribute to the inhibition of cyclooxygenase enzymes, which are involved in the formation of inflammatory mediators. But such drugs have a bad effect on the internal organs of the gastrointestinal tract; they can provoke the formation of stomach ulcers.

Selective NSAIDs have a gentler effect on the stomach, have no side effects and do not affect articular cartilage. Drugs of this type can be taken for much longer without affecting normal work internal organs.

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

Contraindications to the use of Diclofenac:

• pregnancy;
• lactation period;
• childhood(up to 18 years of age there may be exceptions and individually selected dosage);
• stomach ulcer;
• liver diseases.

The most common non-selective NSAID is Movalis (Meloxicam, Amelotex, Artrosan). The drug is used for chronic form polyarthritis, spondylitis, rheumatoid arthritis, acute form arthrosis. Administered intramuscularly to initial stages illness or acute pain. Next, the transition to the tablet form is carried out.

Contraindications for use:

• pregnancy;
• breastfeeding period;
• heart failure;
• children under 15 years of age;
• 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 is Milgamma, the component of which is pyridoxine hydrochloride (B6), thiamine hydrochloride (B1), cyanocobalamin (B12), lidocaine hydrochloride with a complex of auxiliary components. The injection is carried out intramuscularly once a day, 2 ml. To maintain the result and prevent relapse, when acute pain is eliminated, 2 ml of the drug is administered up to three times a week.

Milgamma is prescribed for myalgia, neuritis, radicular syndrome, neuralgia, paresis and polyneuropathy. Contraindications to the injection are:

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

Diphenhydramine as part of the injection blocks histamine receptors in the periphery and has a sedative effect. Papaverine is considered antispasmodic drug, which affects vascular smooth muscle. Analgin is used as an anesthetic.

The dosage is prescribed by the attending physician based on the type of pain and individual tolerance to the drugs. A standard triad consists of 1 ml of one percent diphenhydramine, 2 ml of two percent papaverine and 2 ml of a 50% analgin solution.

Note!

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

Injections for radiculitis

Treatment of radiculitis is carried out intramuscular injections anti-inflammatory and painkillers. In addition, the doctor may prescribe medications that will help relieve swelling in the affected area of ​​the back and improve trophic processes. They give injections positive result much earlier than the tablet form of the drug. To eliminate back pain, the following medications are prescribed:

1 Voltaren. It is one of the anti-inflammatory drugs used to treat radiculitis and rheumatic diseases. The injection is injected deep into the muscle; injections cannot 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 radiculitis, but also for other pathologies of the spine and musculoskeletal system. Ketonal anesthetizes and prevents excessive sensitivity pain receptors.

3 Ozone injections. A new method of combating radiculitis is considered to be an ozone injection with steroids. It reliably eliminates back pain, but is used only once - by injection into the affected area of ​​the back.

Injections for hernia

Medical treatment of a hernia includes mandatory injections to relieve back pain and relax the pinched ends. Novocaine blockade will effectively relieve back pain and maintain the results for a long time. The procedure should only be carried out by a specialist; an incorrectly administered solution can provoke disturbances in the motor function of the patient’s spine and nervous system. There are two types of novocaine blockade, which differ in the method of administration of the drug:

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

In addition to novocaine blockade and epidural injection, a person requires constant monitoring and maintenance of health. Your doctor may prescribe NSAIDs vitamin complexes, painkillers. A complex approach to eliminate the cause of pain, will help 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. Prescribed for severe pain. The dosage for adults is one ampoule per day; in case of massive back damage, injections of two ampoules are possible. Children under six years of age are administered a quarter of the ampoule 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, and has analgesic properties. The course of treatment is twenty days, one ampoule (1 ml) per day. The injection is given intramuscularly.

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

Contraindications include:

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

3 Dexamethasone. The drug is prescribed for rheumatic diseases and connective tissue diseases. For mild pain, the patient is given 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 medication.

Contraindications:

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

4 Diprospan. The drug is widely used for osteochondrosis, osteoarthritis, and post-traumatic syndromes. The medicine is administered intramuscularly, one ampoule per day. During periods of acute pain, the dosage may be increased.

Contraindications for use:

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

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

Video

How to get rid of back pain with an injection.

Practiced in medicine combination treatment: medicines combined with physical activity and massage. Constant exercises aimed at stretching the spine will increase its mobility and relieve the feeling of “stiffness”. If drug treatment does not help, the only way to get rid of the pain is surgery.

Injections for back and lower back pain give a positive effect if treatment is started in a timely manner. Advanced spinal diseases require long-term treatment, and sometimes operations.

Questions - Answers

People have known about back pain for a very long time, so ethnoscience knows many effective methods to combat this unpleasant symptom, most often localized in the lumbar region. Therefore, instead of tablets, you can use popularly proven recipes for rubbing, compresses and baths, which are in many ways more gentle on the body when compared with regular drug therapy. Just remember that you can get rid of pain forever only after the cause has been established, and therefore you should see a doctor as soon as possible.

Common causes of pain in the lower back and lower back

The causes of back pain are quite varied and can be accurately determined by a neurologist. It is caused by certain medical problems:

1. Mechanical. They lie in the movements of the spine, discomfort when taking a certain position. The most common situation is that the discomfort is due to degeneration of the intervertebral discs, meaning that they wear out with age. In this case, the discs lose their shock-absorbing abilities, which causes pain when the back is strained. Another reason is the grinding of the facet joints, which connect the vertebrae and are the largest. Other mechanical causes include muscle stiffness, spasms, and ruptured discs, also called herniated discs.
2. Damage. Sprains or various fractures are spinal injuries that result in permanent or temporary painful sensations in back. Vertebral fractures occur most often due to osteoporosis, which makes bones brittle and porous. A sprain is a rupture of the ligaments that support the spine, which occurs when suddenly lifting heavy objects or bending. Back pain in some cases is the result of more serious injuries caused by a fall or accident.
3. Acquired diseases and disorders. A considerable number of diseases stimulate the appearance of discomfort in the back. It is most often caused by: scoliosis, which contributes to the appearance of vertebral curvature and does not appear for many years; spinal stenosis, narrowing of the spinal canal, which contributes to the appearance of spinal pressure, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis. At the same time, osteoporosis, which does not lead to back pain, often causes vertebral fractures. Other causes include: kidney infections and the presence of stones in them, pregnancy, endometriosis, characterized by ectopic growth of uterine tissue, as well as fibromyalgia, which causes weakness and muscle pain.
4. Neoplasms and infections. Common reasons They do not protrude from painful sensations in the lumbar region and back, but infections can cause pain when they touch the vertebrae, which occurs with osteomyelitis, or when affecting the intervertebral discs, which occurs in a disease called discitis. Neoplasms rarely cause pain. There are cases of their formation in the back, but much more often they arise due to malignant tumors, spreading from various parts of the body.

Despite the fact that pain is most often physical, its duration and strength are also directly influenced by the emotional component. Stress can have an effect on the body, causing tension in the back muscles, which leads to discomfort. Lack of sleep and insomnia also contribute to the appearance of back pain.

When any discomfort in the back first appears, you must pay attention to it and remember where it appeared and after what movement, which will later help in diagnosing and eliminating the causes of its occurrence.

The occurrence of various pains in the back and lumbar region due to certain diseases

Each disease causes a certain type of back pain. Based on the symptoms a person experiences, the cause of the pain can be determined.

Reasons for the development of severe pain syndrome

The following diseases usually lead to the appearance severe pain, capable of spreading throughout the body.

Osteochondrosis

Its presence is characterized nagging pain which radiate to the leg and are aggravated by sneezing, coughing, or moving heavy objects. The duration of painful sensations can reach several hours. The cause of the disease is a violation of such body functions as: mineral metabolism, meaning a discrepancy between the need for minerals and their intake, as well as blood circulation in the spine due to the management sedentary lifestyle life.

Intervertebral hernia

Discomfort appears as a result of stress on the internal disc substance, causing it to swell and pierce the outer hard membrane, and the disc itself becomes deformed. In addition, compression of nearby nerves occurs, which further increases the pain. When the membrane ruptures due to subsequent activity or any injury, the disc substance is capable of putting pressure on the spinal cord and the nerves radiating from it, which is accompanied by the appearance of incredible pain. Often, such cases occur in the lumbar region, among which there are also those that do not cause pain. The main cause of the disease is a decrease in the supply of nutrients to intervertebral discs, due to which their strength decreases over time. Its appearance is also influenced by heavy physical labor, being overweight, high growth and smoking.

Radiculitis

Appears due to an inflamed or deformed spinal root. It may well be the result of osteochondrosis, the appearance of an intervertebral hernia and other diseases leading to deformation of cartilage tissue. It is characterized by aching one-sided pain, sometimes radiating to the thigh, leg, and increasing with changes in body position and walking.

Causes of acute pain syndrome

Among the main reasons for education similar discomfort are: lifting heavy objects, uncomfortable working positions for a long time, muscle strain, sudden movements, hypothermia, falls or blows. Sometimes it is the result of the following diseases.

Lumbago

People engaged in heavy physical labor are most prone to its appearance. The resulting pain syndrome, in most cases, goes away after a few days, but it is possible that its presence may increase to several weeks.

Spondylolisthesis

It is characterized by a shift of the vertebra forward or backward in relation to the other vertebrae. It is possible that both the presence of acute pain and a painless course. The disease can be caused by: osteochondrosis, various injuries of the spine, sudden movements heads in babies, age-related structural changes in bones, vertebral defects leading to fractures of the vertebral pedicle, temperature changes, and spinal sprains. Most often appears in people who move heavy objects, have suffered surgery spine with congenital defects.

Lung diseases

They are recognized by the presence of pain in the chest, back, including under the shoulder blade, which gets worse when coughing. In addition, general weakness and fever are observed.

Diseases of the genitourinary system

There is pain in the lower back, in the abdomen, as well as high temperature.

Renal colic

It is characterized by the presence of severe acute pain in the abdomen and back, moving to the genitals.

Chronic pain

Chronic pain is caused by several diseases.

Spondylosis

It is a disease that is associated with deformation of the vertebrae through the growth of bone tissue on their surface, as well as degeneration with simultaneous narrowing of the openings of the spinal canal and between the vertebrae. Most often appears in people long time those who are in immobile positions, have any spinal injuries, impaired metabolism, or are elderly. The reasons leading to the occurrence of spondylosis include: age-related changes, occurring in the body; large static loads; impaired metabolism; various spinal injuries. The pain that accompanies the disease is usually aching, and there may be discomfort in the legs, including numbness. Cervical spondylosis is characterized by pain in the back of the head, when turning the head, and in the shoulder area.

Ankylosing spondylitis

It is formed as a result of inflammation of the intervertebral joints, leading to their fusion, as a result of which the movements of the spine are significantly limited. The main reasons are considered: hereditary predisposition, stress; chronic, sexual intestinal infections, and various damages musculoskeletal system.

It's a dull pain

The cause is inflamed lower back muscles or myositis, which appears due to muscle strain or hypothermia. The painful sensations are not very strong and lasting, and the muscles at the site of their occurrence are always dense.

Pain spreading to the leg

The causes of such discomfort include inflammation of the sciatic nerve. The pain present is accompanied by partial muscle numbness or tingling. In addition, discomfort is present in the lower back, hip, and lower leg.

Relief from back and lower back pain

The best prevention, of course, is basic compliance correct posture, short breaks during sedentary work, as well as classes physical exercise and charging. All this keeps the body in good physical fitness, strengthens muscle tone, normalizes blood circulation, thereby preventing the occurrence of any pain in the lower back and back.

If this could not be avoided, then when painful sensations appear, the first thing to do is lie on your back, thereby ensuring rest for the spinal and intervertebral muscles. This will give them the opportunity to relax, which will help the pain subside. Then you should treat the affected area with a product that has an anesthetic and warming effect. If after this the discomfort does not disappear, you need to take an anti-inflammatory drug that gives an immediate analgesic effect, but this should be done only as a last resort, when the pain becomes unbearable. Muscle relaxants - muscle relaxants - can help, but they can only be used under the supervision of a doctor.

In most cases, the discomfort disappears within two weeks, but even after it goes away, it is worth going to the doctor to find out the cause of the appearance, and if necessary, find out how to treat back pain in the lumbar region. It is also advisable to do this because until the factor causing discomfort is eliminated, the pain may return.

Drug treatment of discomfort in the lumbar and back areas is carried out exclusively on the recommendation of a doctor. Some reasons are eliminated surgically, others – physical therapy, manual therapy, acupuncture, but do not forget that the main means of preventing pain is maintaining correct posture.

If pain occurs due to vertebral pathology, treatment includes medication, as well as massage, a set of special gymnastic exercises, physiotherapeutic procedures.

The effect of physiotherapeutic procedures is aimed at strengthening the spinal muscles, improving metabolic processes, stabilization of the spine. In most cases, electrophoresis with calcium, paraffin treatment, muscle electrical stimulation, and amplipulse are used. If you have chronic pain, treatment at mud resorts is indicated.

The effect of massage, like physical exercise, is beneficial for the back muscles and allows you to partially or completely eliminate pain. Massage treatments are prescribed only after the pain has stopped exacerbating, otherwise instead of benefiting the person, harm will be caused, the area of ​​the back will begin to hurt more severely.

The action of medications is aimed at pain relief, acceleration of metabolic processes, including the elimination of inflammation.

Pain-reducing medications

Painkillers, also called analgesics, are divided into:

1. Narcotic. Administered by injection when pain is caused severe injury or swelling, and it is so severe that no other remedy produces relief.
2. Non-narcotic. Includes non-steroidal anti-inflammatory drugs that suppress inflammation and pain, as well as immunomodulators, vitamins B and C.

Medications are selected based on the duration and intensity of pain, as well as its location.

It is necessary to understand that painkillers have a time-limited effect and are necessary to combine with the main treatment prescribed by the doctor; in addition, it must be taken into account that many of them have certain side effects, as well as contraindications. Below are the types of drugs, their names, descriptions of advantages and disadvantages:

Anti-inflammatory

Advantages of the drugs:

• low price;
• excellent analgesic effectiveness;
• ease of administration: injections or tablets.

The disadvantages are their intolerance by some people, negative effects on the kidneys, liver, digestive system, as well as the inability to eliminate the real causes of back and lower back pain.

The most effective anti-inflammatory drugs:

1. "Naproxen." A drug that has an antipyretic and analgesic effect, belonging to the group of propionic acid derivatives. Used in the treatment of diseases of the musculoskeletal system, arthritis, osteoarthritis. It has side effects such as nausea, weakness, drowsiness, slow reaction, headache and dizziness. Contraindicated in pregnant women, persons under 16 years of age and those who are intolerant to the drug or its components.
2. "Ketoprofen". It has a very high absorption rate, long-lasting analgesic and anti-inflammatory effects. The tablets are capable of providing long-term relief from the symptoms of arthritis, polyarthritis, and arthrosis. The medicine in the form of a gel can be used for minor injuries, for example: bruises of ligaments and muscles, swelling, sprains.
3. Ibuprofen and Nurofen. They are used for pain caused by injuries, osteoarthritis, radiculitis, as well as for inflammatory processes in the spinal muscles and vertebral joints. Side effects include: nausea, constipation, headaches, insomnia, blurred vision. These medications for pain relief are contraindicated in persons with medical conditions. optic nerve, increased sensitivity to drug components, children under 6 years of age.
4. "Diclofenac". Has a strong anti-inflammatory and antipyretic effect. Reduces pain in the joints, both in a quiet position and during movement, reduces their stiffness. It has 2 modifications: sodium and potassium. The potassium modification has more high speed absorption, as a result of which the effect of its use occurs faster. It has some side effects: drowsiness, dizziness, irritability. Contraindicated for pregnant and breastfeeding women, those with kidney and liver diseases, and children under 6 years of age.

Muscle relaxants

These drugs help relieve muscle tension. If there is pain of a spastic nature, it can be eliminated by prescribing centrally acting drugs that affect those parts of the nervous system that are responsible for regulating muscle tone.

The most effective pain relief occurs when drugs of this type are combined with anti-inflammatory drugs. In this case, muscle relaxants must meet certain requirements:

• the inadmissibility of the drug’s influence on human performance and high tolerability provided that it is taken for a long time;
• high compatibility with others medical supplies, approved when drawing up the treatment regimen;
• selectivity of the drug's action, aimed at reducing muscle excitability, excluding the suppression of nerve impulses that affect posture and muscle tone during movement.

The main advantage of such drugs is their exceptional effectiveness for pain caused by injuries. Side effects include surges in blood pressure and drowsiness.

The most common drug is Mydocalm, which has effects such as: relieving stress, mental tension, muscle tone; stimulation of mental activity; reduction of pain syndrome.

Advantages:

• excellent compatibility with anti-inflammatory tablets;
• no muscle weakness when consumed;
• exceptional portability.

Contraindications:

• individual intolerance;
• pregnancy;
• age restrictions;
• lactation;
• myasthenia gravis.

Synthetic drugs medical supplies. Such drugs are prescribed in some cases:

• postoperative recovery;
• chronic back pain;
• insufficient effectiveness of taking anti-inflammatory drugs, as well as muscle relaxants.

These analgesics have an effect on the human brain and its nerve cells, reducing their sensitivity, which contributes to the disappearance of pain.

The most a strong drug This category is “Morphine”. His high efficiency, however, has downsides:

• risk of addiction;
• drowsiness;
• constipation;
• allergy.

Despite this, sometimes situations arise when the appointment similar drugs inevitable, but it is necessary to exclude their long-term use.

Corticosteroids

Designed to reduce pain and relieve inflammation. Drugs of this type are most effective for inflammation and are prescribed when the use of other medications has not eliminated pain in the lower back and back.

The most common is Methylprednisolone, originally used large dosages, after which the amount of the drug is reduced and taken for 5 days. Side effects include: increased blood pressure, weakness.

Another remedy to relieve discomfort is adjuvant therapy. The reason for its use is due to the fact that lower back and back pain can often be caused by disruptions of the nervous system. In this case, psychosomatic factors drive the back into a position in which the patient cannot get out of bed for a long time due to severe pain.

Drugs that help relieve pain caused by stress:

1. Antidepressants. The most common is Duloxetine, released exclusively for medical purposes. Sometimes chronic pain lead to the need to use stronger antidepressants, such as Amitriptyline, Nortriptyline, after taking which the patient’s condition significantly improves.
2. Antiepileptic drugs. Gabapentin is often prescribed. There are no pronounced side effects when taking the drugs. It is prohibited for children under 8 years of age to take it, as well as for persons who are hypersensitive to the components of the drug.
3. Injections of B vitamins. Help eliminate painful sensations in the back.
4. "Milgamma". A medicine that combines several vitamins, thanks to which it can replace a series of several injections with one injection.

The listed types and names of drugs for low back pain are far from full list means to help get rid of it. A specific treatment is prescribed by the doctor after examination for each case individually.

Folk remedies for pain relief

Most methods of treatment with folk remedies are based on heating, which is sometimes combined with tinctures and decoctions of medicinal herbs.

The analgesic effect of heating is due to its ability to increase blood circulation in a certain area, which, in turn, leads to a decrease in pressure on the nerve endings and the elimination of pain. Considering that this method can be used for absolutely any disease of the spine, its popularity is quite understandable. It will not be possible to completely heal the affected area of ​​the spine, but it is possible to temporarily relieve pain. If there are no serious injuries, then with mild pinched nerves or muscle strain, several warming procedures may well help get rid of the discomfort.

It is important before using any recipes to consult a doctor, who, if necessary, will recommend how to get rid of lower back pain using folk remedies to eliminate the possibility of causing harm to the body. Below are the most common methods and recipes for getting rid of lumbar pain.

Compresses

Most compresses have a warming effect, helping to eliminate inflammation and pain.

It should be remembered that warming compresses should not cause discomfort or burning.

Folk recipes for making compresses:

1. Sand. Quite simple and effective method warming up. Sand in the amount of several glasses is heated in a frying pan, which is then poured into a woolen bag and placed on the lower back. The main thing is that the sand does not turn out to be too hot.
2. Radish or grated horseradish. Before applying to the affected area, it is necessary to mix the resulting mass with sour cream, otherwise there is a risk of burning. After putting the product on the body, you need to cover it with a napkin, then tie it with a scarf or woolen scarf for better warming.
3. Hay. A small flax bag must be filled with fresh hay and tied well. After this, boil for 10 minutes, then squeeze out, cool slightly and put on the sore spot. Place a wool scarf on top of the bag.
4. Mustard powder dissolved in water. To prepare the compress, you need warm water (about 40 degrees), in which mustard powder is diluted until a creamy consistency is obtained. After this, the mixture is applied to the sore area of ​​the back and insulated, kept for a period of time not exceeding 5 minutes, otherwise a burn may result.
5. Burdock leaves. You must first dry them, then pour boiling water over them and apply them to the lower back. The compress is covered with a woolen scarf and kept for 60 minutes.
6. Horse chestnut. A fairly common compress in which horse chestnut, camphor oil, and melted lard are mixed in equal quantities, after which the resulting mixture is applied to a piece of black bread and placed on the site of discomfort.
7. Garlic. Garlic infusion is diluted with lemon juice, after which a napkin is moistened with this solution and placed on the lower back for 20 minutes. With regular use of the procedure, the pain decreases.
8. Dough. To make a compress, you need sour dough, which is applied in a thick layer to the back, covered with gauze. The procedure is repeated every day before bedtime, and general course treatment lasts 9-10 days.
9. Honey. Periodically covering the lower back with a thin layer of honey helps accelerate blood circulation and increase muscle tone.

Rubbing

They are effective and at the same time easy to prepare. Famous recipes:

1. A bottle of Triple cologne is mixed with 2 bottles of iodine solution, 2 bottles of valerian tincture, 5 red peppers in a dark glass container, after which the resulting mixture is left to infuse for 24 hours. Before going to bed, you need to rub the tincture on your lower back or draw a mesh, then cover it with a warm scarf. This recipe is most effective for radiculitis.
2. Effective when pain are rubbing alcohol tincture Adam's root, burdock or eucalyptus.
3. A glass of lilac is infused with 0.5 liters of vodka for a week, after which it is used for rubbing. Allows you to increase blood circulation in the area of ​​the sore spot, thereby helping to relieve pain.

The extreme and most desperate way to relieve the pain of radiculitis is to beat with nettles. A bunch of burning herb is carefully beaten on the sore area of ​​the lower back, during which, along with the burning sensation, the painful sensations subside.

Mustard plasters

Common effective recipe, allowing to reduce lumbar pain. One tablet of "Furacilin" dissolves in 50 ml warm water, after which 1 tbsp is added to them. spoon of honey and mix thoroughly. Mustard plasters are dipped in the resulting mixture and placed on the sore spot. You need to hold them as long as you have enough patience, after which they are removed, and the compressed area is lubricated with oil or cream, covered with film and covered with a warm scarf or scarf.

Baths

Just like other folk recipes, baths are aimed at warming up the diseased area. Bath preparation options:

1. Bath with mustard. To prepare it, 200 grams of mustard is added to a bath of moderate temperature water. After taking it, you need to wipe yourself dry and go to bed, wrapping yourself in warm clothes before doing so.
2. Bath with mint. Immediately before cooking, 300 grams of dried mint must be boiled in 10 liters of water for 20-25 minutes, and then poured into a bath, which should be kept in until it cools completely.
3. Bath with pine. Dried up pine buds in the amount of 1 tbsp. Heaped spoons are poured with 5-6 cups of boiling water and boiled over low heat for half an hour, after which the product is added to the bath.
4. Bath with chamomile. 100 gr. medicinal chamomile infuse for an hour with 2 liters of boiling water, after which it is poured into the bath.

When using traditional methods of treatment, as well as simply ignoring pain in the back or lower back, you should remember that they may indicate the presence of diseases in the body that can lead to serious consequences.