Inexpensive ointment for the lower back. Homeopathic ointments for back pain. Ointments with irritating and analgesic effects for back pain

Back pain is common cause seeking medical advice. According to statistics, every fifth patient at an appointment with a therapist complains of discomfort in one or another part of the spinal column or the muscular corset of the torso.

Pain syndrome occurs with spinal osteochondrosis, radiculitis, intervertebral disc herniation, myositis, intercostal neuralgia, bruises and sprains in the back.

Unpleasant sensations can be caused by diseases internal organs: liver, gall bladder, gonads, lungs and pleura, myocardium. Therefore, if you experience back pain, you should consult a specialist to identify the real reason discomfort and prescribing adequate treatment. For local impact on the lesion, ointments, creams, balms and gels are widely used, which can be used as first aid, but are more often prescribed as part of complex treatment of diseases. A doctor can tell you what to apply to your back for pain after examining you and making an accurate diagnosis of the pathological process.

NSAID-based products

The most effective ointments for inflammatory diseases in the back area are considered to be medicinal substances containing NSAIDs (non-steroidal anti-inflammatory drugs). They have a pronounced analgesic effect and reduce the inflammatory reaction in the affected area of ​​the spine, muscle tissue or nerve fibers. The active ingredients of the gel or ointment are diclofenac, indomethacin, nimesulide, ibuprofen. Manufacturers of pharmaceutical drugs often use additional substances to enhance the therapeutic effect, such as local anesthetics, menthol, essential vegetable oils.

Voltaren gel contains the anti-inflammatory drug diclofenac

Local treatment with NSAID-based drugs is prescribed for the following diseases:

• pain traumatic syndrome;
• radiculitis, sciatica, lumbago;
• inflammation of the muscular frame of the back (myositis);
• intercostal neuralgia;
• osteochondrosis with manifestations;
• hypothermia.

Dosage forms for local therapy are used 3-5 times a day to lubricate areas of the pathological process or used as compresses on the area of ​​inflammation.

They are prescribed in courses of 10-14 days in the absence of contraindications, which include allergies to the ingredients of the ointment, pregnancy and breastfeeding, damage to the skin in the area where the substance is applied, peptic ulcer digestive tract and bronchial asthma. In case of severe pathology, treatment is carried out while taking tablets or injection forms anti-inflammatory drugs.

The most popular NSAID-based agents for local therapy:

• Nise,
• Finalgon,
• Dolgit,
• Ketoral,
• Fastum,

Side effects of using ointments and gels include allergic reactions, skin peeling, and itching. When using the substance on large areas of the skin, headache, nausea, diarrhea, and bleeding may occur.

Products based on chondroprotectors

In case of development of degenerative-dystrophic processes in the spinal column, local therapy containing chondroprotectors is used. The main substances in this group include chondroethin sulfate and glucosamines. Due to metabolic disorders in the body, nutrition suffers intervertebral discs– shock-absorbing cartilage between the vertebrae. As a result of the pathological process, cartilage tissue loses water, becomes brittle and inelastic, which leads to the destruction of the disc and the deposition of calcium salts in its tissues. When the cartilage is destroyed, pinching of the spinal roots occurs. It causes chronic pain syndrome varying intensity. In advanced clinical cases, the back hurts not only during physical activity, but also at rest.

Chondroprotectors local action should be used while taking tablet medications

Local treatment with drugs based on chondroprotectors is prescribed for the following diseases:

• osteochondrosis;
• intervertebral hernia;
• protrusion of spinal discs;
• involutive (age-related) changes in the spinal column.

The composition of ointments and gels includes chondroethin sulfate and glucasamines, which are obtained from tissues of large cattle or other animals. Thanks to the use of drugs, destruction is slowed down cartilage tissue, are activated recovery processes in chondrocytes, the action of proteolytic enzymes that damage the intervertebral disc is inhibited. Analgesic, absorbable, and warming components are added to some ointments, which improve the absorption of the main active ingredient and increase the effectiveness of treatment.

The most popular agents based on chondroprotectors for local therapy:

• Chondroitin sulfate,
• Teraflex M,
• Artron complex,
• Chondroflex,
• Glucosamine Maximum,
• Alflutop,
• Chondroxide.

Gels and ointments with chondroprotectors are used in combination with drugs of the same group that are administered enterally (tablets) or parenterally (injections). Long courses of treatment are recommended for 3-6 months. Contraindications to therapy are increased sensitivity to the components of the gel, pregnancy and lactation. The most common side effect is an allergic skin reaction.

Irritants

For back pain, ointment-like forms that have an irritating effect are effectively used. The main components of gels are substances that affect biologically active points on the skin, thereby causing a reflex enhancement of the body's anti-inflammatory and immune response. In addition, the funds of this group medicinal substances have a warming effect, increase local blood flow and accelerate metabolic processes in tissues. As a result, the inflammatory process is reduced, pain subsides, and metabolism in the area of ​​the pathological process is normalized. In most cases, the active ingredient of gels and ointments is represented by an extract of red hot pepper, bee or snake venom, methyl salicylate, camphor.

Apizartron ointment is made from bee venom

Local treatment with irritating drugs is prescribed for the following diseases:

• hypothermia,
• myositis,
• sports and domestic injuries,
• sciatica,
• lumbago, lumbodynia.

Contraindications to the use of drugs are violation of the integrity of the skin and diseases of the skin, the period of gestation and breastfeeding, and an allergic reaction to the components of the ointment. A common side effect is a burning sensation at the site of exposure, which usually goes away after the first sessions of therapy. Use gels several times a day. Duration treatment course- 10 days.

The most popular irritants:

• Kapsikam,
• Apizartron,
• Efkamon,
• Finalgon,
• Viprosal,
• Nicoflex.

Gels and ointments with an irritating effect can cause allergic reactions, which are manifested by hives, swelling of the face, and itching of the skin. If any similar manifestations after using the drug, it should be discontinued. Before starting treatment, doctors recommend testing for sensitivity to the components of the ointment. It is important to remember that irritants are used exclusively during the period of subside of the acute inflammatory process.

Homeopathy-based remedies

Homeopathic ointments consist of natural ingredients and can be used for back pain of various natures. Substances in the composition medicines have a moderate anti-inflammatory effect, help normalize metabolic processes, improve blood circulation in the area of ​​pathology, help eliminate pain syndrome. Homeopathy for local therapy is prescribed as part of complex therapy with systemic drugs; it practically does not cause side effects and harmoniously restores impaired functions.

Ointment Purpose T refers to local homeopathy

Local treatment with homeopathic medicines is prescribed for the following diseases:

• lumbago;
• radiculitis;
• osteochondrosis with pinching of the spinal roots;
• sciatica;
• pain syndrome of a traumatic nature.

Homeopathy is most effective in the initial stages of the disease. The pharmacy chain offers a wide selection of drugs in this group, produced by the German company Hel. The most popular homeopathic ointments from the manufacturer:

• Goal T;
• Traumeel S.

Contraindications to medications include individual intolerance, tuberculosis, blood diseases, multiple sclerosis, HIV infection, pregnancy. Adverse reactions are rare in the form of allergies to ointment components. If your back hurts, medications should be used as soon as possible after consultation with your doctor.

Combined action agents

Combination products include ointments that have additional therapeutic functions. Except standard set components that have an anti-inflammatory, anesthetic, warming effect, they exhibit a resolving and fibrinolytic effect. Prominent representatives of such drugs include Dolobene gel, which contains heparin. Thanks to this, the product is able to thin the blood in small vessels, prevent the formation of blood clots, reduce the accumulation of inflammatory exudate and accelerate tissue regeneration.

Dolobene belongs to the means of local therapy of combined action

Local treatment with gel is prescribed for the following diseases:

• inflammation of muscles and tendons;
• closed wounds, bruises, sprains;
• intercostal neuralgia;
• radicular syndrome.

Contraindications to the use of the drug are pregnancy, lactation, severe kidney and liver damage, heart failure, and bleeding tendency. Side effects include allergies and unpleasant smell garlic from the mouth. The course of therapy is continued for 10 days, lubricating the back up to 4 times a day.

Ointments and gels against back pain are rarely prescribed as independent method getting rid of the disease. To improve the general condition and actively influence on pathological process it is necessary to undergo complex treatment using local and systemic agents. In the majority clinical cases It is not enough to anoint the site of pain. Timely appeal to the doctor, diagnostic examination and an adequate treatment regimen will help cope with the disease, avoid complications and improve the quality of life.

Warming ointments often have not only an analgesic effect, but also help relieve swelling. They are designed to warm up the muscles and are also used for various diseases. This is a unique combination of components that allows you to solve several problems at once and forget about pain.

These ointments are used for various injuries, pain in joints and muscles. The components that the ointment contains can improve the functioning of ligaments, joints, and muscles.

For what diseases can it be used:

• Arthrosis and arthritis;
• Myalgia, neuralgia;
• Neuritis, sciatica;
• For warming up the neck and lower back during hypothermia.

What effect does warming ointment have?

The ointment helps to warm up the muscles, relieve unpleasant pain and tissue swelling. They improve heat exchange, relieve muscle tension, improve blood circulation in blood vessels. It also accelerates tissue regeneration and prevents further injuries. If an injury has already occurred, then these remedies are aimed at fast recovery muscles and surrounding tissues.

Popular warming ointments for muscles

Ointments have different composition, and all of them are based on the use of various means that cause a rush of blood and heating of an area of ​​the body. Local impact components not only helps to improve blood circulation in this area, but also acts as a distraction.

Pepper based:

• Capsicam, Nicoflex, Finalgon.

Based on bee and snake venom:

• Apizartron, Viprosal, Mellivenone.

Other ointments with a warming effect:

• Ben-gay, Arthro-Active.

Now let's take a closer look at the most popular ones.

Diclofenac

Diclofenac ointment is non-steroidal. It is used for injuries and diseases of the spine, muscles and joints. Active ingredient: diclofenac sodium. Suppresses inflammation, relieves swelling and pain. Gradually accumulates in tissues, is excreted in the urine, and does not affect the kidneys and liver.

Used for arthritis, bursitis, lumbago, rheumatic lesions, arthritis, radiculitis, sciatica and other diseases. Begins to act within an hour. It goes well with injections and enhances their effect.

Contraindications:

• Children under 6 years of age;
• Pregnancy and breastfeeding;
• Bronchospasms and aspirin allergy;
• Not allowed if the integrity of the skin is damaged;
• Diclofenac sodium intolerance.

Ointment with anti-inflammatory, warming effect. Helps improve blood circulation by dilating blood vessels. Relieves pain in damaged muscles and tissues. Contains nicoboxil and nonivamide.

Anti-inflammatory and analgesic effect manifests itself due to the penetration of the drug into the nerve fibers, causes redness of the skin, eliminates pain and helps restore damaged muscles and tissues. The therapeutic effect occurs within 25 minutes.

Analogues of the drug: Traumeel, Capsicam, Betalgon and others.

Indications for use will be:

• Pain in muscles and joints,
• Arthritis, arthralgia, physical activity,
• Lumbago, neuritis, neuralgia,
• Radiculitis, tendovaginitis and other diseases.

Contraindications for use: childhood up to 12 years of age, intolerance to the drug. In addition, it is prohibited during pregnancy and lactation, open wounds, with inflammation of the skin on thin skin. Should not be applied to the neck bottom part belly and inner part thighs or first apply a thick layer of baby cream to this area.

Bystrumgel

Bystrumgel is an anti-inflammatory and analgesic agent. Active substance - . Absorbed into surrounding tissues slowly, gives a prolonged effect. Reduces inflammation, eliminates swelling and pain, reduces internal stiffness of joints.

Applicable:

• For arthritis, arthrosis, radiculitis;
• For thrombophlebitis, tendonitis;
• For lumbago, osteochondrosis, ligament rupture;
• For phlebitis, sports injuries, lumbago, and others.

Side effects: swelling, stomatitis, urticaria, dermatitis.

Contraindications: dermatitis, open wounds, abrasions, eczema, skin sensitivity.

Analogues: Ketoprofen, and others.

Apizartron with bee venom

Analgesic, vasodilator. Relieves inflammation, warms. The ointment has combined composition, they have not learned how to replace bee venom synthetically. The active ingredient is bee venom. Histamine - relieves inflammation and pain. Methyl salicylate – relieves inflammation. Allyl isothiocyanate is a local skin irritant.

Applicable:

• For sports injuries;
• For myalgia, pain, damage to ligaments, tendons;
• For arthrosis, rheumatism, arthritis;
• For neuritis, lumbago, radiculitis, neuralgia and other diseases.

However, it also has a number of contraindications:

• Pregnancy and lactation;
• Intolerance to components;
• Children under 7 years old;
• Skin damage;
• Acute inflammatory diseases joints;
• Infections, tumors, mental diseases and suppression of hematopoiesis.

Arthro-Active warming anti-inflammatory action

The ointment is a warming ointment. which have an excellent therapeutic effect. Active ingredients: and boswellia extract. Relieves swelling of joints, helps in regeneration, restores activity, which contributes to improvement motor activity. The benefits of the ointment are almost immediate. In addition, it can be used in combination with the nutritional Art Active if there are joint diseases.

No contraindications have been identified. IN in rare cases Capsaicin intolerance is possible.

Capsicam

Capsicam is a pain reliever and irritant. In addition, it dilates blood vessels at the site of application and relieves the inflammatory effect. Contains turpentine, camphor, benzyl nicotinate, nonivamide and dimethyl sulfoxide. Effective within 30 minutes lasts on the skin for up to 6 hours. Enough burning ointment With strong odor Not everyone likes camphor and turpentine, however, therapeutic effect excellent.

Used:

• For myalgia, arthralgia;
• For athletes during competitions to warm up muscles.

Contraindications:

• For skin damage and intolerance to components;
• Not used in childhood;
• During pregnancy and breastfeeding;
• Be careful when sensitive skin, it burns a lot.

How to choose an ointment or gel for muscle pain?

Ointment or gel works great topically: relieve pain, swelling, warm tissues, reduce inflammation. Ointments are distinguished not only by their components, but also by their effect. If you need to relieve pain, choose some ointments, if you warm up others. Eat combined agents, in which there are several types of effects on muscles and joints.

Warming agents that can increase blood flow at the site of injury and help relieve pain:

• Kapsin;
• Espol;
• Nicoflex;
• Balm Star.

These ointments are irritating. They do an excellent job due to the local body-warming substance.

There are similar products containing salicylic acid:

• Viprosal;
• Bom Benguet;
• Nizhvisal;
• Efkamon.

Viprosal also contains snake venom, which, like bee venom, copes well with the symptoms of the disease, relieves pain, and warms up.

In addition, there are ointments that have an anti-inflammatory effect:

• Diclofenac;

Voltaren and Fastum gel used for injuries and sprains lumbar muscles. Read more about that and links here. They quickly restore mobility and provide relief from pain.

Non-steroidal anti-inflammatory drugs also include: Nise, Ketonal, Finalgel, Indomethacin ointment. At serious illnesses The doctor may prescribe hormonal medications.

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Price statistics

When back pain occurs, many feel that the most obvious cause of its occurrence is muscle spasms from osteochondrosis, intervertebral hernia or lumbago.

In most cases, this is indeed associated with the spine and the surrounding nerves and muscles, but it should be remembered that back pain can also appear due to inflammatory diseases of the internal organs - the gastrointestinal tract, kidneys, uterus and uterine appendages, prostate, urolithiasis, pyelonephritis. Therefore, before using any ointments for back pain, you should clarify the cause of its occurrence.

Today, city dwellers lead a lifestyle so inharmonious with nature that it is not surprising that each of us faces problems in the functioning of the musculoskeletal system at a young age. Many young people have suffered from one or another disease related to the spine since school.

Today, a person eats non-natural, chemicalized, refined, processed foods; most of the time, the bulk of the working population is forced to sit either in the office or behind the wheel, even those who strive to drive healthy image After sedentary work, people rush to sports clubs, where they abruptly begin training, receiving very uneven physical activity throughout the day.

It’s not even worth talking about the general environmental situation on the planet, in megacities, everyone knows this. Everything in the body is interconnected, all negative, negative external influences are reflected both in the immune system and in specific organs and systems of the body. In most cases sharp pains in the back occur in the cold season, from hypothermia, sudden changes in temperature.

For the treatment of diseases of the musculoskeletal system (MSD), medicine today offers a lot various methods- from massage, physical therapy, and physiotherapy, the use of various painkillers, anti-inflammatory gels, creams, balms for back pain, to surgical methods.

If we consider medicines for the treatment of problems with the spine, then as part of complex therapy or as independent means they are very popular local drugs, which reduce pain and have an anti-inflammatory effect.

From the whole variety of external agents, several groups can be distinguished, which differ in their effect depending on the active substances included in their composition:

• Homeopathic ointments, balms - used for inflammatory diseases
• Chondroprotectors - used for spinal arthrosis and osteochondrosis, injuries
• Local irritants - after injuries, excessive physical activity due to hypothermia
• NSAIDs - for any severe pain of any etiology as prescribed by a doctor, since they have serious side effects and contraindications (see).
• Combined drugs - massage, anti-inflammatory, painkillers

Warning! List the following drugs is presented for informational purposes only; any ointment or cream should be used exclusively as prescribed by a doctor after examination and diagnosis.

Homeopathic ointments

Homeopathic remedies for local application help improve metabolism, thereby stopping the destruction of cartilage tissue and helping it recover faster; these drugs, in addition to normalizing metabolism, also have an anesthetic effect. However, many doctors who are not related to homeopathy are very skeptical about such remedies and consider such therapy to be something like a religion; if a person believes, then it will help him, if he does not believe, then no effect can be expected. Therefore, when using homeopathic ointments for back pain, believe that they will definitely help you, and so they will.

Among such ointments, there are 2 drugs on the modern market, one is recommended more for osteochondrosis - Target T, the other Traumeel S - for radiculitis, lumbago or sciatica, that is, for inflammatory processes.

The composition includes 14 different components, which together have chondroprotective, chondrostimulating, analgesic and metabolic effects. Strengthens ligaments, stimulates the regeneration of bone and cartilage tissue. Indications for use: for inflammatory-dystrophic diseases of ODS, polyarthrosis, osteochondrosis, humeroscapular periarthritis, rheumatoid arthritis, for lesions bone tissue spine and limbs, lumbosacral disorders. Contraindications: hypersensitivity to the components of the drug, especially to extracts of Asteraceae, arnica, sumac poison. Mode of application: For back pain, rub the ointment 3-5 times a day; it is also possible to apply a bandage with ointment to the affected area. Side effects: Allergic reactions. Due to high biological activity During pregnancy, use is only possible under medical supervision. Disadvantages: In case of serious pathological disorders, in advanced cases, Purpose T can only be used in complex treatment underlying disease as maintenance therapy. Price: in pharmacies 360 -400 rubles.

Combined homeopathic medicine, manufacturer Hell, Germany. Traumeel is an ointment that has an anesthetic, anti-inflammatory, immunomodulatory, regenerating effect. Contraindications: hypersensitivity, tuberculosis, leukemia, HIV infection, multiple sclerosis. Side effects: skin allergic reactions Usage: Apply a thin layer of ointment for back pain 2-3 times a day; you can also use the ointment in the form of applications or bandages. The course of treatment is 3-4 weeks. Benefits of use: virtually no side effects, wide range of indications. Disadvantages: Just like Goal T and any homeopathic remedy is used in mild cases of inflammation, in case of clinically pronounced diseases Traumeel monotherapy may be ineffective. Price: 220-280 rub.

Ointments of irritating, distracting, warming action

When agents are used that have an irritating, warming effect, they thus dilate blood vessels, increase blood flow to the site of application of the drug, which in turn has an analgesic effect. More intensive nutrition of tissues and improvement of local metabolism leads to an analgesic effect. Such products are best used in case of hypothermia, pinched sciatic nerve, with lumbago (lumbago) and myalgia.

Finalgon, Betanikomylon Ingredients: Nicoboxil and Nonivamide The active ingredients have vasodilator effect, activate metabolism, cause skin hyperemia. Indications: Sports injuries, muscle pain, neuritis, ischialgia, lumbago, bursitis, arthritis, rheumatic pain Cannot be used: Dermatoses, hypersensitivity, should not be applied to skin wounds, neck, areas with delicate skin. Cannot be used by children under 12 years of age. Dosing: Using the applicator, apply no more than 0.5 cm of gel, rub in with light movements. Side effects: skin irritation, burning, usually occur with an excess amount of the product, as well as allergic reactions - swelling of the face, rash. Price: 220-270 rub.

Ingredients: dimethyl sulfoxide, benzyl nicotinate, racemic camphor, nonivamide, gum turpentine. Capsicam has an analgesic, local irritant, and anti-inflammatory effect. Contraindications: pregnancy, lactation, skin diseases, hypersensitivity, childhood. Application: 1-3 gr. Kapsicam ointments for back pain are applied 2-3 times a day, lightly rubbing. The average course of treatment is no more than 10 days. Price 140 -170 rub.

A combined drug containing substances that have a vasodilating, absorbable, local irritating, analgesic effect. When applied, it causes a feeling of warmth due to the increase in temperature at the treatment site due to the expansion of surface vessels. Price 150-160 rub.

Ingredients: camphor, methyl salicylate, capsicum tincture, menthol, mustard essential oil, clove oil, cinnamic alcohol, thymol, chloral hydrate. Natural herbal ingredients have a positive effect, stop the inflammatory process due to a distracting, relaxing effect, warm up the site of inflammation, and give a feeling of warmth. Contraindications side effects, the method of application is similar to Finalgona and Capsicama Price 100 rub.

Ingredients: methyl salicylate, bee venom, allyl isothiocyanate Apizartron is a combined drug that, due to stimulation of nerve endings at the site of application, has a locally irritating effect, direct vasodilator effect, as well as a warming, analgesic effect, improves oxygen supply to tissues, increases the elasticity of muscles and connective tissue, reduces muscle tone, and activates metabolism. Cannot be used: childhood, acute arthritis, skin diseases, severe kidney disease, neoplasms, mental illness, hypersensitivity to bee venom. Application: Apizartron ointment in a strip of 3-5 cm is applied for 2-3 minutes, then rubbed, then the area where the ointment is applied should be insulated, this procedure is carried out 2-3 times a day until the condition improves. Side effects: rash, itching, allergic reactions Price: 130-150 rub.

Ingredients: Camphor, viper poison, turpentine, salicylic acid A natural local irritant that has an analgesic, absorbable, anti-inflammatory effect, accelerates the healing process, snake venom has analgesic properties. Contraindications: violation of skin integrity, skin diseases, dermatitis. Side effects: allergic skin reactions. Application: rubbed into the affected areas 1 time per day until the condition eases (5-10 days); for severe pain, it can be used 2 times per day. Price 130-180 rub.

Chondoprotectors

To effectively stimulate the restoration of tissue metabolism, slow down the degeneration of cartilage tissue, and improve the trophism of the paravertebral muscles and ligaments, the attending physician may prescribe medications such as chondroprotectors. These are drugs with active substance Chondroitin sulfate, without which the formation of connective tissue is impossible. Chondoprotectors are used in the form of ointments for pain in the back, lower back, between the shoulder blades, and in the joints. There is another group of drugs, which, in addition to chondroitin sulfate, include glucosamine and others Excipients. More information about these gels and ointments:

Chondroitin sulfate Ingredients: chondroitin sulfate, dimethyl sulfoxide Indications: For the prevention and treatment of degenerative diseases of the spine and joints - osteochondrosis and osteoarthrosis. The natural component chondroitin sulfate in these preparations is obtained from bovine tissue; it inhibits the destructive processes in cartilage tissue, preventing the collapse of connective tissue. It also suppresses enzymes that lead to damage to cartilage tissue, stimulates the restoration of cartilage in joints, the synthesis of glycosaminoglycans, and processes in chondrocytes, and promotes the growth of intra-articular fluid production. Dimethyl sulfoxide, has an anesthetic, anti-inflammatory, fibrinolytic effect, helps better penetration of the main substance of the drug through the cells deep into the tissues. Cannot be used: children's age - safety has not been established, Hypersensitivity, with caution during lactation and pregnancy. Side effects: allergic manifestations. Application: For back pain, apply the gel 2-3 times a day, rub in for 2-3 minutes until completely absorbed. Duration of treatment is 2 weeks - 3 months. If prescribed by a doctor, the course of treatment can be repeated. Price: Chondroxide (230-260 rubles), Chondroitin Akos (60 rubles), Chondroitin gel (80 rubles), Honda cream (120-150 rubles)

Ingredients: peppermint oil, glucosamine hydrochloride, camphor, chondroitin sulfate The effect of Teraflex cream, in addition to the positive effect of chondroitin sulfate described above, contains Glucosamine hydrochloride, which also has chondroprotective properties. Camphor has an additional irritant effect on sensitive nerve endings tissues, promotes vasodilation, improves blood supply and has a weak antiseptic effect. Peppermint oil also has a moderate analgesic, antiseptic, distracting, and anti-inflammatory effect. Indications, contraindications, side effects and dosage are similar to the use of chondroitin sulfate (Chondroxid, Chondroitin, Honda) Price: temporarily unavailable in pharmacies

Sophia - chondroitin glucosamine complex Ingredients: chondroitin sulfate, nimesulide (Nise), sea buckthorn oil, rosewood, extracts of burdock, St. John's wort, elecampane, cinquefoil, comfrey, beeswax, etc. This cream has both a pronounced analgesic and anti-inflammatory effect due to the active substances included in the composition. Price: 80-90 rub.

Non-steroidal anti-inflammatory drugs - how to choose the best ointment?

NSAIDs are analgesics or non-steroidal anti-inflammatory drugs that have both analgesic and anti-inflammatory effects, however, these drugs, even when used topically, have a number of serious side effects and have many contraindications. Long-term use of such drugs is not permissible. When your back hurts, an ointment containing NSAIDs is considered the most effective and fast-acting, when pain is caused by hypothermia, with post-traumatic or postoperative pain, with exacerbation of osteochondrosis, lumbosacral radiculitis, in complex therapy of lumbago, sciatica.

NSAIDs have analgesic, anti-inflammatory, antipyretic effects. Indications: Cream and gel are used for chronic and acute inflammatory diseases of the musculoskeletal system - arthrosis, rheumatoid arthritis, osteochondrosis, ankylosing spondylitis, injuries, sprains, swelling, bruises of ligaments and muscles, inflammatory processes skin. Contraindications: Children under 6 years old, hypersensitivity, wounds, abrasions, eczema, weeping dermatoses at the sites of application, pregnancy (cannot be used in the 3rd trimester, with caution in the 1st-2nd trimester), lactation period. With caution in case of bronchial asthma, in old age, in case of gastrointestinal lesions of an erosive-ulcerative nature, in case of severe renal or liver failure. Side effects: purpura, photosensitivity, allergic reactions, skin exanthema. Use: for back pain, apply the cream with a rubbing motion 2-3 times a day in a small, thin layer, after which you can make a dry bandage at the site of application. Price: Ketoprofen (50 rubles) Arthrosilene gel (170 -200 rubles) Bystrum gel (140 rubles) Ketonal gel (180 rubles) cream (250 rubles) Fastum gel (180 rubles) Flexen (140 rubles), Febrofid gel (180 rubles )

Nimesulide Nise gel and Nimulid are NSAIDs of the new generation sulfonamide class. Today it is the best analgesic ointment for back pain. Indications: degenerative, inflammatory diseases of the musculoskeletal system - bursitis, lumbago, sciatica, rheumatism, exacerbation of gout, psoriatic arthritis, osteochondrosis with radicular syndrome, spondyloarthritis, radiculitis, osteoarthritis, muscle pain. Contraindications: hypersensitivity to the drug, pregnancy and lactation (animal studies have determined Negative influence on the fetus, tests have not been carried out in pregnant women), dermatoses, skin infections. With caution - children under 7 years old, diabetes, aspirin asthma, peptic ulcers Gastrointestinal tract, cardiac, renal, liver failure. Side effects: urticaria, itching, change in skin color; when used on large areas of the skin, systemic side effects may develop - diarrhea, nausea, heartburn, vomiting, diarrhea, headache, dizziness, fluid retention, allergic reactions, anemia, thrombocytopenia, bleeding. Application: The skin should be dry and clean, apply a thin layer of gel 3 cm without rubbing 3-4 times a day. You should not use Nise for more than 10 days without consulting a doctor. Price: Nise (120 rub.) Nimulid (120 rub.)

Indications and contraindications are similar to Numesulide Side effects: erythematous skin rash, photosensitivity, eczema, contact dermatitis, allergic reactions - burning, itching, urticaria, systemic anaphylactic reactions, angioedema. Application: The ointment is applied in a thin layer to the affected area, lightly rubbing 2-3 times a day. The course of treatment is 1-2 weeks, maximum daily dose no more than 8 g. Apply gel, no more than the size of a cherry or walnut, 3-4 times a day, rubbing gently; after applying any cream or gel, wash your hands thoroughly. The foam aerosol is squeezed out by pressing for 1-2 seconds 3-4 times a day, lightly massaging. Price: (90 rubles) Diclovit (80 rubles) and Voltaren (150-250 rubles), Diklak (170 rubles) Diclogen (40 rubles) Dicloran (100 rubles) Diclofenacol cream (40 rubles) Ortofen (30-40 rubles).

Piroxecam Indications: Pain in chronic juvenile arthritis, osteoarthritis, glenohumeral syndrome, sports injuries, ankylosing spondylitis, tendonitis, rheumatoid arthritis. Contraindicated: hypersensitivity to NSAIDs, children under 14 years of age, during pregnancy (3rd trimester), renal failure. With caution in case of COPD and bronchial asthma. Side effects: local skin irritations - peeling, itching, inflammation, redness, allergic reactions. Application: 1 gr. gel (no more hazelnut) 3-4 times a day, apply lightly. Duration of therapy is 1-3 weeks. Price: Piroxicam Verte (90 rub.) Finalgel (360-420 rub.)

Like all NSAIDs, it has an analgesic and anti-inflammatory effect. Contraindications: Hypersensitivity, weeping dermatoses, wounds, abrasions, eczema, with caution during lactation and pregnancy. Side effects: allergic reactions, skin hyperemia, tingling, burning, with prolonged use the development of systemic side effects. Usage: apply a 5-10 cm strip of cream and rub thoroughly until completely absorbed with light movements 3 times a day for a course of 7-21 days. Price: Ibuprofen (30 rubles), Dolgit (100-220 rubles), Nurofen gel (140 rubles)

Phenylbutazone Indications and side effects are similar to other NSAIDs Contraindications: bronchial obstruction, allergic rhinitis, 1st and 3rd trimester of pregnancy, lactation, children under 14 years of age, hypersensitivity to NSAIDs, with caution in old age. Application: apply a thin layer of cream to the joints in a strip of 2-3 cm without rubbing, 2 times a day, for no more than 7-10 days, if pain persists after the course, you should consult a doctor. Price: Butadion (100-120 rubles)

Combined ointments for back and lower back pain

Such drugs include, for example, Dolobene, which also has a resolving effect and thrombolytic properties.

Topical products are considered one of the most convenient methods of treatment and seem to be the most effective, but most doctors know that any topical remedy works only through the bloodstream (and the skin only allows 5-7% of the active substance to pass through).

The effect of the drug and their side effects depend on the method of introducing them into the body - with the help of the maximum effect, taking painkillers anti-inflammatory tablets orally is also effective, but the side effects are more noticeable, and ointments, gels, creams have less effect, but, accordingly, , and fewer side effects.

The effect of external use of warming creams and ointments has a distracting effect, which is also important when a person suffers from pain or discomfort.

Orthopedic traumatologist of the first category, specialist in foot surgery, RUDN University, 2008.

Many people periodically suffer from back pain. They occur not only in older people, but also in young people. Most often, the reason for their appearance is an inactive lifestyle, poor diet and polluted environment. Back pain ointment will help relieve painful symptoms.

In any first aid kit, it is recommended to keep ointment with you for back and lower back pain, especially if you have difficulties with the musculoskeletal system or heavy loads. To choose the right treatment, it is recommended to be examined by a qualified doctor.

Pain in the spine area can occur due to certain diseases, including hernia, curvature of the spine, degenerative pathologies in cartilage, spasms, lumbago and muscle hypertonicity. Discomfort may also be caused by deviations in work genitourinary organs, injuries and pathological abnormalities of the kidneys.

For the treatment and prevention of such ailments, all kinds of ointments, gels and creams are used. If pain and swelling occur, experts advise using external medications that have the following properties:

• Reducing pain;
• Reduced swelling;
• Reduction in the amount of bruising;
• Elimination of the inflammatory reaction;
• Activation of cell regeneration.

Almost all such drugs exhibit antiphlogistic and anesthetic results.

Main components

Most external medications for low back pain use elements such as:

1. Methyl salicylate - used in anesthetic ointments and gels. This item is made from salicylic acid. Has an anesthetic and anti-inflammatory effect;
2. Ketoprofen is a substance produced from propionic acid. Has exactly the same properties as methyl salicylate;
3. Diclofenac;

All these substances have a similar mechanism of action, but differ in effectiveness.

Types of drugs

Many medications have been created that are used to eliminate pain, but usually ointments and other external agents are prescribed to treat the back. They can be used in combination with other medications and individually.

Below is a description of the types of medications for external use to eliminate lower back pain and the most popular medications in each type.

Nonsteroidal anti-inflammatory drugs

NSAIDs contain anesthetic and antiphlogistic components. They do not contain hormones and for this reason do not cause their characteristic adverse effects. This category is effective for patients suffering from back and spine pain. They are used for bruises, injuries, damage to the nerve trunk, inflammation and overexertion.

One of the most common drugs of this type is. Its structure contains ketoprofen and additional elements that increase the effectiveness of the main ingredient.

Typically, the gel is applied when there is pain in the lower back due to prolonged exposure to a place with low temperature, with uterine bleeding in females and colic in the kidneys, when discomfort occurs after an injury or surgical procedure.

Fastum Gel is also prescribed for lumbosacral radiculitis, lumbago and dystrophic cartilaginous abnormalities.

The Russian substitute for this remedy for back pain is Bystrum gel. They are similar in properties and components. This type also includes medications including ketoprofen, diclofenac, ibuprofen, nimesulide and indomethacin.

• Ketoprofen is strong, and in addition eliminates inflammatory reactions. Produced in 2 configurations: ointment and gel. Prescribed for cartilaginous dystrophic disorders, ailments inflammatory in nature, injuries and dorsopathy. The daily norm is up to 3 applications. The list of contraindications includes hypersensitivity, skin abnormalities, last deadlines pregnancy and age under 6 years.
• Nise and Nimesulide - effective ointments for lower back pain, which are in greatest demand among patients and healthcare workers. They exhibit antipyretic, anesthetic and anti-inflammatory results. Due to shallow penetration into the skin, adverse effects occur rarely. The daily norm is up to four applications. The ointments are rubbed into the epidermis and left until completely absorbed by the skin. Prescribed for chronic joint deformation, radiculitis, inflammation, etc. Consumption prohibited female during pregnancy and breastfeeding.
• Diclofenac - produced in the consistency of ointment, gel, cream and aerosol. The daily amount of use is 3 applications. The restrictions are identical to the two previous medications. To possible undesirable consequences burning, rashes and swelling are attributed.
• Piroxekam is an effective ointment for back and lower back pain. Prescribed for joint and muscle disorders, dorsopathy and arthritis that has progressed to chronic form. Restrictions include diseases and damage to the skin, dermatosis, personal intolerance to the ingredients, complete or partial dysfunction, and age less than 14 years. Can cause redness, irritation and peeling.
• Ibuprofen is another topical medication that comes in several forms. Apply with massage movements. Analogues include:

Combination drugs

Medications are considered effective treatments for lower back pain external use with the totality different properties. This type includes, which is characterized by antiphlogistic, thrombolytic, restorative and absorbable effects.

Among its components are dexpanthenol, heparin and dimethyl sulfoxide. The medication is prescribed for certain ailments in the dorsal area, including discomfort after bruises and glenohumeral periarthritis.

Anesthetic drugs

For back pain, painkillers that have an anesthetic and irritant effect are used. These include Finalgon, which contains nicoboxyl and nonivamide.

This medication exhibits the following properties:

1. Increases blood flow to the affected area;
2. Increases the diameter of blood vessels;
3. Eliminates painful sensations;
4. Activates cellular nutrition and material metabolism.

Finalgon is prescribed for painful sensations that appear after general physical overexertion, for lumbago in the lumbar area, injuries and freezing.

This family of medications also includes external agents: Analgos, Capsicam, Nicoflex and Apizartron.

Chondroprotectors

Chondroprotectors are drugs against lower back pain that have an anti-inflammatory effect. Recommended for dysfunction and defective pathology of muscles and ligaments in the paravertebral area.

Chondroxide, available in the form of an ointment, is in demand among supporters of this category of external medicines. It includes dimethyl sulfoxide and chondroitin sulfate. It is the 2nd element that is responsible for resuming the development of cartilage and slowing down its destruction in osteochondrosis disease. Most often, Chondroxide is prescribed for such a disease.

Same main element used in Arthrocin cream and Teraflex M ointment.

Homeopathic medicines

If you are interested in the topic of how to treat back pain in the lumbar region, you should not discard homeopathic medicines. They effectively eliminate discomfort and malaise after overexertion, serious activity and during inflammatory reactions of the body. And natural ingredients reduce the likelihood of side effects to a minimum.

Ointment-like medication "Tsel T" promotes increased efficiency of material metabolism, activation of regenerating microprocesses and prevention of destruction of cartilage tissue. The drug has anesthetic properties, therefore it is used for shoulder-scapular periarthritis and pathological disorders.

Trumel S ointment, which contains a complex of substances of plant and mineral origin, also corresponds to this type. It plays the role of an anesthetic and has immunostimulating and antiphlogistic effects. It is prescribed for ailments arising from inflammatory pathologies and during the rehabilitation phase.

Herbal remedies and balms for massage

Here, an effective remedy for back and lower back pain is called “Valentin Dikul’s Balm”. It consists of many concentrates plant origin, mumiyo, natural bile from bear gall bladder and bee products. And its properties include anesthesia, stimulation of material metabolism and blood flow in the diseased area, renewal of old cartilage tissue and elimination of inflammation.

This healing agent is prescribed in combination with other drugs. Used for radiculitis, inflammation of various nature, lumbago, back injuries, prolonged exposure to sub-zero temperatures and overexertion. At the same time, it is recommended to use a massage balm from the same series.

Other popular external medications for low back pain include:

• Comfrey;
• Sophia;
• Shungite.

This list of medications for external use is for informational purposes only. Each of its categories includes many more ointments and creams, so it is recommended to consult a doctor first.

In case of osteochondrosis disease, the patient is prescribed external medications with local irritant, anti-inflammatory and anesthetic effects. The types of these medications include ointments, creams, gels and solutions for medicinal rubs. They influence subcutaneous tissue and nerve endings, and because of this, blood flow and metabolism improves.

To enhance the effectiveness of the products, it is recommended to wash the required area of ​​skin with soap and water at room temperature, and then apply the drug. Finally, you can wrap the affected area with something warm. Such manipulations should be done during the day.

Do not forget that some products can cause serious skin irritation or allergic reaction. For this reason, you should choose treatment only on medical advice or find out the components and properties of the medication at the pharmacy.

With heating properties

The best results from warming ointments for the back are observed when they contain poisonous secretions of bee or snake origin. They are also called hyperemic. Their effectiveness is ensured due to the peculiar properties of the poison, which irritates receptors and improves the absorption of substances.

Bee poisonous secretions contain enzymes, acids of organic origin, histamines, trace elements, etc. All these elements help activate the immune system.

List of the most popular ointments in this category and their components:

Warming ointments for the lower back with toxic substances have certain contraindications:

• Personal intolerance;
• Carrying a child;
• Various liver and kidney dysfunctions;
• Pathological disorders of the cardiovascular system;
• Tuberculosis;
• Diabetes;
• Fever.

The best warming ointments for lower back pain are based on poisons or pepper concentrate. Medicines containing methyl salicylate are less effective. Medicines with a warming property increase capillary permeability and blood filling, which normalizes heat metabolic processes.

For scratches or open wounds, it is not recommended to immediately apply these medications to the affected area. In such a situation, a cooling property is required rather than a heating property. Warming ointments are prescribed in combination with rehabilitation therapy in the presence of inflammation of the spinal root, peripheral nerves, joint capsules or muscle tissue, bronchitis or lumbago in the lumbar area.

Warming gels for lower back pain are prescribed for preventive measures professional athletes. They are very effective under heavy loads. To prevent discomfort in the back area after training, it is recommended to use them. But you should not abuse such medications, because they can provoke adverse effects.

Cooling agents

Anesthetic ointments for the spine with a cooling effect are often used for injuries. They give a feeling of coolness. Their main substances include anesthetics, menthol extract, anticoagulants and natural oils. They are the ones who demonstrate a calming and anesthetic effect.

It is not recommended to rub cooling ointments into areas of newly received injuries, as tissue hyperemia may develop. It is recommended to apply them to the skin in a thin layer and leave until completely absorbed. It is more effective in such situations to use gels that are absorbed faster.

People with chronic diseases of the musculoskeletal system are prescribed cooling agents with an anti-inflammatory effect containing iodine.

Rubbing

Most people who are interested in what to apply to their back for pain have heard about menovazine. Its components include anesthesin, menthol, ethanol and novocaine. For of this medicine characterized by anesthetic properties. Daily volume - 2-3 applications. Long-term use of menovazine is not recommended, as it can cause the appearance of unpleasant symptom(weakness, low blood pressure and dizziness).

The group of rubs includes efkamon, which has the following components:

The medication is rubbed into the affected area a maximum of 3 times a day, and then covered with a scarf or other warm cloth. Its actions include vascular dilation and improved blood flow.

For rubbing lumbar region spine recommended Fastum gel, Diclosan, Finalgon, salicylic alcohol 1%, formic alcohol, zinc-naphthalan ointment. Balm has been in demand among consumers for many years " Golden Star", having healing oils. Its properties include the elimination painful sensations and inflammation.

Conclusion

For back pain, warming, anti-inflammatory or analgesic ointments should be used. This article contains only the most popular and effective drugs, which are most often prescribed by doctors.

But each organism is individual, so before starting treatment, it is recommended to consult a specialist and undergo an examination.

Everyone, young and old, is familiar with back pain. According to statistics, every fifth person living on earth has felt this pain. It doesn’t matter how old you are, but pain at any age remains pain, and oddly enough, everyone has their own attitude towards this pain. Some people think that this is a momentary weakness and it will go away on its own, while others are looking for ways to get rid of this pain and find an ointment for back pain, which they use for relief. You can remove it with ointment painful sensation, but you still need to consult a doctor.

Classification of ointments for back pain

Which ointment against pain (in the back and lower back) will help in each specific case? Let's try to figure this out with you. Ointment for back pain quickly relieves pain. Self-use of ointments can be harmful, so you should consult your doctor about which ointment to use at the moment and be sure to read the leaflet, which talks about side effects. The thing is that pain can be caused by dysfunction of the kidneys, heart muscle or gastrointestinal tract. Only a specialist can deliver accurate diagnosis, which takes into account not only the indications for the use of the ointment, but also the contraindications that may be caused by its use. It is better not to resort to self-medication. Ointments have different effects on problems in the back and lower back, it all depends on the effect the ointment has and on the anti-pain components contained in the ointment. So... Pain-relieving ointments are divided into several groups:

1. Non-steroidal anti-inflammatory ointments
2. Local irritant ointments against pain
3. Chondroprotectors
4. Combined ointments
5. Homeopathic medicines

Let's look at each group separately.

1. Non-steroidal anti-inflammatory ointments contain non-steroidal components (ibuprofen, nimesulide, piroxicam, diclofenac sodium, ketoprofen). These components relieve pain and relieve inflammation. Effective against back pain due to bruises or hypothermia, lumbago or osteochondrosis, sciatica or radiculitis. However, these ointments have contraindications, as they cause side effects. They cannot be used for very long.
2. Local irritant ointments have a warming effect, which occurs due to the substances included in the ointment (snake and bee venom, nonivamide, capsaicin, nicoboxil). The warming effect causes a rush of blood to the sore spot and improves tissue nutrition. The pain goes away quickly. Such ointments against pain are used in sports medicine, for sciatica, and myalgia.
3. Chondroprotectors contain chondroitin sulfate, which restores connective tissue, cartilage and normalizes tissue metabolism, nourishes the muscles located near the vertebrae. Indications for use: osteoarthritis and osteochondrosis.
4. Combination drugs include several components that have different action. They help against swelling, inflammation, blood clots and heal wounds. Ointments are used for acute back pain after injuries, and for neuralgia.
5. Homeopathic remedies improve metabolic processes in the body, help slow down the destruction of cartilage, accelerate the restoration processes of cartilage tissue, relieve pain, and relieve inflammation. They contain homeopathic components. One drawback is that these ointments long-term use and acute back pain will not be eliminated. In advanced cases, they are not recommended for use.

Let's take a closer look at the composition of the most popular ointments in each group, their indications and contraindications.

Ortofen and Diclovit

Refers to non-steroidal anti-inflammatory drugs. The main component is diclofenac sodium, which is also included in tablets for back and joint pain. Indications for use: diseases leading to joint deformation, inflammation, injuries, swelling, muscle pain after physical activity. Contraindications: allergies caused by components of the drug, exacerbations of the gastrointestinal tract, asthma, pregnancy, breastfeeding, should not be given to children under six years of age.

Fastum gel

The substance that acts in the ointment is ketoprofen. Indications for use: arthrosis, osteochondrosis, ankylosing spondylitis, rheumatoid arthritis, muscle and ligament injuries. Contraindications: eczema, impaired skin integrity, allergies, pregnancy, children under six years of age, breastfeeding. The drug should be used with caution if you suffer from bronchial asthma, kidney failure, or stomach ulcers.

Finalgon and Betanicomylon

They are classified as local irritant drugs. The substances in the ointments are nicoboxil and nonivamide. Indications for use: muscle pain, lumbago, neuritis, trauma, sciatica. The drug is contraindicated for open wounds and skin inflammations, allergies; children under 12 years of age are not recommended to use this ointment.

Apizartron

It contains bee venom, allyl isothiocyanate, and methyl salicylate. Indications for use: traumatic and muscle pain, sciatica, osteochondrosis, radiculitis. Contraindications: acute arthritis, liver or kidney failure, skin damage, pregnancy and breastfeeding, children under six years of age.

Chondroxide

Chondroprotectors, they contain chondroitin sulfate. Indications for use: osteoarthritis and osteochondrosis. Contraindications: skin damage and diseases, allergies caused by the drug. Pregnant and breastfeeding women should use the ointment with caution.

Dolobene

The drug belongs to the combined ointments. The drug contains dexpanthenol, dimethyl sulfoxide and sodium heparin. Indications for use: inflammation of soft tissues, muscles and tendons, closed bruises and neuralgia. Contraindications: bronchial asthma, skin wounds, severe heart, kidney and liver diseases, pregnant women, lactation period, children under five years of age.

Goal T

TO homeopathic remedies refers to the drug Cel T, which contains fourteen homeopathic components. Indications: damage to the bone tissue of the spine and its diseases, inflammatory diseases of the joints and spine, lumbosacral disorders. The only contraindication is intolerance to the components (allergy).

Back Pain Relief

Back pain can occur unexpectedly, at the most inopportune moment, as a rule. There are reasons for this, but whatever they are, you can quickly relieve this pain in any way. But most effective method- use ointment for pain in the lower back and back. As soon as the attack passes, you should immediately consult a doctor and have this pain examined so that the cause of its occurrence can be eliminated. To relieve pain you can use:

• Mustard plasters;
• non-steroidal anti-inflammatory drugs;
• analgesics;
• distracting ointments.

If pain in your back or lower back takes you by surprise, then you should lubricate the sore spot with ointment containing bee or snake venom. You can also use an ointment with a warming effect, based on red pepper, for example, finalgon or the non-steroidal anti-inflammatory ointment Diclofenac. If you don’t have any ointment on hand, use “Star” balm or mustard plasters.

It is dangerous to use ointment for back pain on your own., since pain can be of a different nature, for example - renal colic or a problem related to the genitals. The most correct solution for lower back pain is to call an ambulance, especially if swelling appears and urination is impaired. The body signals problems in its system by the appearance of pain in one area or another (back and lower back), so you need to take emerging pain seriously. Local pain can be relieved with ointment, but medical examination in this case it is necessary. It is necessary to take an x-ray and ultrasound, as well as pass all tests.

After the examination, the doctor will prescribe therapeutic treatment, if necessary, you will need to do an additional complex examination (tomography). The examination will reveal the cause of your pain, and an appropriate drug will be prescribed that will eliminate this pain. If the pain is caused by problems related to the spine, then it will be necessary to wear a corset to support it. The pain may be caused by a pinched sciatic nerve, then it is prescribed hormonal drugs(steroids).

To prevent pain, you should use ointment for back and lower back pain, and you should also try not to lift weights, sleep on an orthopedic mattress, do physical exercises to strengthen your back, undergo a timely examination and not violate the recommendations given by the doctor.