If severe back pain begins to torment, injections can help - but how to choose the right remedy? There is a huge variety of items on the pharmacy shelves, and prices vary from a few tens of rubles to many hundreds. Is it worth it to take the most expensive tool? Or maybe the most publicized? Or reliable, cheap, long known? Let's try to figure out what injections are for back pain.
Starting from the beginning
There are a lot of options for medications, and each of them is designed by the manufacturer to alleviate the serious condition of the patient, provoked by some reason. And there can be a huge number of reasons for a sore back. Therefore, with inflammation, you need to take those injections that are designed for such a situation, and with a hernia, completely different means will help.
Effective injections for back pain will be only if you choose a remedy that matches the cause of the pain syndrome. The best thingthe doctor can determine why the back hurts. The doctor will prescribe special tests and instrumental studies, analyze the information received and make a diagnosis, on the basis of which it will be possible to select suitable injections for back pain. Unfortunately, not everyone has the opportunity to seek qualified medical help, and yet you should not indulge in self-treatment: there is a high risk of harming yourself, and the damage can be irreparable.
Most modern injections are designed to relieve pain, but they cannot fight the root cause. This means that the treatment of a sore back should include a set of techniques and approaches aimed at restoring he alth to tissues and organs - otherwise you will have to constantly complain about pain in the back, in the lumbar region. The injections are complemented by procedures that can be practiced at home, although some require hospital conditions.
What will help?
What injections do doctors prescribe most often for back pain? Perhaps the most popular class is non-hormonal compounds for stopping the activity of inflammatory foci - NSAIDs. In addition to alleviating the condition in general, they also have additional therapeutic effects, making the course of treatment more effective. NSAIDs are also blockade injections for back pain, that is, they relieve muscle spasm.
If it is possible to achieve relaxation of the vertebral muscle tissues, you can continue treatment with milder methods. Often, injections are used only at the first stage of the course, while a person suffers from severe pain, and as it stops, they continue therapy without injections. To maintain the effect of injections for pain in the back and lower back, the patient is referred for physiotherapy, therapeutic exercises and massage are prescribed. The key to the success of the program is the abundance of soft movements.
NSAIDs are not the only type of widely used drugs. What injections for back pain can doctors prescribe? For example, it can be drugs that locally affect the nerve roots. If it turns out that the cause of the pain syndrome is swelling of these organs, it is possible to alleviate the patient's condition by using drugs that strictly affect the nervous system.
Categories and cash registers
So, the most popular medicines for back pain are injections of nonsteroidal medicines. In the predominant percentage of cases, they resort to them. Of the popular names, it is worth noting "Diclofenac", "Ketorolac". The drugs are intended for injection into muscle tissue. A noticeable relief of the condition is observed already a quarter of an hour after the injection. Means at the same time stop the activity of foci of inflammation and have a slight effect of analgesics, due to which the patient's condition improves significantly. The duration of the effect of one injection reaches eight hours. However, don't expect too much from NSAIDs: these back pain medications are injections that alleviate the condition, but do not cure the root cause. Yes, and you can not use them for too long. NSAIDs cause side effects - you need to be prepared for this.
Another type of injections for pain in the back and lower back -antispasmodic drugs. Such funds can be used if necessary to quickly eliminate pain, when doctors do not have time to conduct a comprehensive examination in order to identify the cause. The medicinal composition will ease muscle spasms, so that the pain will go away. If doctors choose injections for back pain with a hernia, they often stop at antispasmodics. Of the popular names, Spazmoton is worth mentioning.
What else to try?
When studying what injections are given for back pain, it is worth paying attention to painkillers based on papaverine, diphenhydramine, analgin. Mostly modern effective drugs contain all three components at once in a balanced dosage. The first positive effect can be seen within a third of an hour after receiving the injection.
Not without weaknesses here too: although these are good injections for back pain, proven over many years of medical practice, they provoke negative consequences. Due to the presence of diphenhydramine in the composition, the medicines show a sedative effect, the patient is drawn to sleep. However, if there is nothing more suitable at hand, such a negative consequence of use is a relatively small price to pay for getting rid of severe pain.
What will help?
Since it is extremely difficult to choose which injections for back pain are good and which are not very difficult, you should take the help of a doctor. If possible, you need to make an appointment with a neurologist. Another option is to come to the appointment with the local therapist and describe the disturbingmanifestations. The doctor will write a referral to a highly specialized specialist, perhaps he will immediately give recommendations on the tests that need to be taken.
Neurologist - a doctor who specializes in the work of the spinal column, the nervous system. It is he who will reveal why the back hurts, what means should be used in a particular case, which application program will be most effective. The doctor will tell you the names of injections for back pain that are suitable for the patient. And also advise what gymnastics to practice.
If a person chooses for himself when his back hurts, what injections to do, there is a high probability that the remedy will not show a result. To avoid such an outcome, you need to use medications strictly under the supervision of a doctor. If the remedies prescribed by the doctor do not help, you need to come for a second appointment, describing in detail what the sensations are before and after the injection. The specialist will analyze the information and write out other, more suitable options.
There is a way out
There are many drug formats designed for people with back pain. What injections, ointments, tablets to try in a particular case, the doctor can say. If the doctor recommends stopping on injections, you should take his advice: even if you can buy tablets or ointments in pharmacies under the same name, the patient needs injections. They show the effect more efficiently and faster, provoke less negative consequences. It so happened that many are afraid of injections, but in this case it is important to be able to overcome your fear - the effectiveness of the course depends on this.
In addition to the antispasmodics and non-hormonal drugs mentioned above for the relief of inflammatory processes, the doctor may prescribe:
- local painkillers;
- joint protection products.
It is impossible to mention any one name of injections for back pain, effective in any case. It all depends on the nature of the process. In addition, doctors usually prescribe a comprehensive course. To stop acute pain, non-hormonal agents are administered, blockade of muscle fibers is made. As soon as it is possible to alleviate the condition, bed rest is replaced with gymnastics, physiotherapy exercises, physiotherapy. Maximum mobility is the key to a successful recovery.
To make the analgesic effect of the course more significant, painkillers are prescribed vitamin complexes, mainly from group B. These compounds allow you to normalize metabolism, restore the activity of the fibers of the nervous system.
Novocaine blockade
If even the best injections for back pain do not show a pronounced result, a combination of injectable medications and stretching can be resorted to. First, the patient lies on his stomach, and the doctor on his back identifies the places of localization of maximum muscle tension. Novocaine is injected into these areas, a hot compress is made. As the compress is removed, active movement is necessary in order to develop the affected muscle.
According to reviews, injections for back pain in combination with this stretching method can achieve a good and quick result. Due to the introduction of novocaine, the patient does not suffer from severe pain at the momentdevelopment of muscle fibers. The procedure brings the best results if the drug is injected as close as possible to the nerve areas that need to be blocked.
Non-hormonal: fast and effective
List of most commonly used NSAID injections for back pain:
- Diclofenac.
- Voltaren.
- Ketorol.
- Ketonal.
- Meloxicam.
- "Trigamma".
- Neurobion.
Let's take a closer look at popular remedies.
Ketonal
Means belongs to the group of analgesics, has a wide range of effectiveness. The drug is intended for injection into muscle tissue. A single dose is 10-30 mg. Specific indicators are selected by the doctor, based on the weight, age of the patient, the strength of pain. The duration of the course is five days.
Ketonal has a fairly wide list of contraindications. The manufacturer lists all possible restrictions in the instructions for use of the medication. You can not resort to such a drug if you are worried about asthma, cholecystitis, the kidneys or urinary organs do not work properly. Against the background of the use of funds, there is a risk of nausea and vomiting, a failure in the speed and frequency of the heartbeat. Some patients experience dizziness and headaches.
Diclofenac
This name of an anesthetic injection for back pain is known to many - the remedy is one of the most commonly used in modern medical practice. Diclofenac showsa pronounced effect, often just one injection is already enough to stop the inflammatory process and relieve pain. If the patient's condition is assessed as moderate or severe, the drug is prescribed in a course of three to five days. The agent is used once a day, between injections strictly observe breaks of 24 hours.
"Diclofenac" is forbidden to use under the age of six. The drug is not intended for persons suffering from diseases of the liver, kidneys, digestive organs. Before initial use, it is necessary to check for a possible allergic reaction. Of the advantages, it is worth noting the affordable price, so Diclofenac is applicable for people with a wide variety of income levels. In addition, it can be easily bought in pharmacies in almost any locality in our country. But you need to be careful: the remedy can cause gastric upset, bleeding. Some feel sick and dizzy, while others get sick and vomit after receiving injections.
Meloxicam
This is the name of the medicine for back pain - injections "Meloxicam" - known to many who at least once suffered from severe back pain. The tool shows a pronounced analgesic effect. Its correct use alleviates the condition of the back, relieves swelling, inhibits foci of inflammation and lowers the temperature. Since the likelihood of general poisoning of the body is increased, Meloxicam should not be used in combination with other non-hormonal anti-inflammatory drugs. The duration of the treatment program is three days, the frequency is one injection per day. Wait between injectionsintervals of 24 hours. The maximum dosage is 15 mg.
It is unacceptable to use "Meloxicam" if asthma, allergy to the components of the drug, violations of the functionality of the digestive organs are detected. The tool can provoke side effects, including quite severe ones - insufficiency of the kidneys in an acute form. There is a risk of increased heart rate.
Neurobion
The tool has a fairly strong analgesic effect. Used in severe conditions. Widely used when necessary muscle blockade. One dose of "Neurobion" is dissolved in novocaine, injected directly into the diseased area. Soon after this, the patient ceases to feel pain, which makes it possible to continue the course with physiotherapeutic procedures. Since "Neurobion" allows you to stop the pain, you can continue the course with drugs in tablet form.
"Neurobion" is categorically unacceptable for pregnant women. If conception is established, instead of the remedy, you will have to choose a safer analogue. It is known that the drug can provoke a severe allergic response of the body.
Trigamma
The remedy is relatively safe, especially in comparison with the popular "Ketonal", "Diclofenac". It is prescribed for long courses (up to 10 days), using with 24-hour breaks between procedures. You can not use the medication during pregnancy. It is unacceptable to use "Trigamma" under the age of six.
As shown in clinical trials, "Trigamma"can provoke side effects, but in comparison with other drugs from the group of non-hormonal anti-inflammatory drugs, it leads to them quite rarely. More often, patients noted a violation of appetite, weakness, general poor he alth. More severe negative responses of the body are possible, but in practice they are very rare.
Ketorol
Injections for back pain "Ketorol" are quite popular because the tool is effective, works quickly. Its main component is ketorolac, that is, an anti-inflammatory substance from the nonsteroidal category. "Ketorol" has proven itself well for pain syndromes of varying severity, of various origins. It is allowed to use this medication if the pain is caused by malignant neoplasms.
You can not resort to "Ketorol" if hypersensitivity of the patient's body to ketorolac is revealed. The drug is not intended for the treatment of pregnant and lactating women. The manufacturer warns about the lack of official data on the safety and effectiveness of the drug for persons under the age of sixteen, therefore, it recommends refraining from using Ketorol to alleviate the condition of such patients.
Hormonal drugs
If the pain is severe, prolonged, affects the quality of life, it is necessary to make a blockade. A simplified version is the use of novocaine, a more complex one is a combination of an analgesic and steroid drugs to stop inflammatory processes. This therapy is not suitable for everyone, becausehas a wide range of contraindications. GCS for back pain is used strictly under medical supervision. With the blockade method, pain can be eliminated, and the course of treatment will take 2-6 weeks. They take into account that injections can only stop the symptoms, but they will not eliminate the root cause of the pain. As the effectiveness of the drugs introduced during the blockade weakens, the syndrome becomes stronger again.
Preparations based on flosterone, betamethasone, prednisolone have proven themselves well. In some cases, doctors recommend stopping on medications, the main component of which is hydrocortisone. All of these steroid drugs can cause side effects. Metabolism, the immune system, the heart and blood vessels suffer more often. Negative consequences of treatment for the nervous system are possible. The procedure can only be performed by an experienced doctor, otherwise there is a high risk of harming the patient. The choice of drugs is carried out only after an accurate diagnosis and analysis of the effectiveness of different groups of drugs. GCS is injected either into the area of pain or at certain points on the body - the doctor knows how and where to inject.
Chondroprotectors
Means from this class are designed to activate regenerative processes, that is, to some extent, the effect is on the root cause of the pain syndrome. Chondroprotectors are designed to affect cartilage cells, but the components included in the medication also help to stop the activity of inflammation foci. There are several popular remedies that have proven themselves in medical practice.
If identifiedhernia, the doctor may recommend the drug "Adgelon". Cases of rather strong allergic response are known. Use the medication only after consulting a doctor and conducting special tests to determine the safety of the remedy for a particular patient.
The drug "Alflutop" has a good reputation. It is recommended if a hernia, osteochondrosis is detected. The drug is effective in other degenerative processes in the musculoskeletal system. Usually the drug is well tolerated, rarely stimulates negative reactions of the body. The exception is nausea. Some patients complain that they feel dizzy during treatment. True, if you use this remedy without first consulting a doctor and making an accurate diagnosis, there is a high probability that there will be no benefit for the patient's condition at all, but the negative effects will manifest themselves unpredictably severe.
Pharmaceutical Features
Non-hormonal drugs work according to approximately the same logic. Such substances stop the activity of cyclooxygenase, an enzyme necessary to maintain the inflammatory process. In the human body, this compound is present in two forms, conditionally called "first", "second". One of them is responsible for the production of various components necessary for the normal functioning of internal systems and organs. The second type of cyclooxygenase is responsible for the production of prostaglandins, inflammatory mediators that maintain the activity of this focus. It's under theminfluence increases pain.
Up to half of all patients treated with non-hormonal agents for the relief of inflammatory foci experienced side effects of these medications. Most of the drugs known to people from the class of NSAIDs equally inhibit the activity of both types of cyclooxygenase, which explains the variety of negative consequences of use. Prolonged use can cause ulcerative processes in the intestines, stomach.
Types and species
It is customary to divide drugs into selective and non-selective. The classification is based on the ability to inhibit cyclooxygenase of one type or two at once. Diclofenac, which is currently widely used, belongs to non-selective ones - on the basis of this substance, a wide variety of drugs have been created that have gained popularity due to their effectiveness. Non-selective drugs should not be used for patients under the age of six, as well as those suffering from ulcerative processes, pregnant women, nursing mothers. In addition to diclofenac, this class includes the active ingredients ibuprofen, indomethacin.
The selective NSAIDs are newer and more effective, safer and more modern means. They are able to stop the activity of only the second type of enzyme, which means that they are less likely to provoke negative consequences. Of the compounds on which drugs are prepared, meloxicam and nimesulide deserve special attention. All NSAIDs of this group are contraindicated in adolescents and children, mothers during breastfeeding, carrying a childwomen. With ulcerative processes in the gastrointestinal tract, especially during an exacerbation, it is not recommended to resort to them, but in some cases the doctor may make an exception. Against the background of the use of such drugs, allergic reactions, fatigue are possible. Sometimes he wants to sleep, some patients feel weak. May have a stomach ache.
Duration of using NSAIDs of any type - no more than a week. It is recommended to receive injections after a meal, this will prevent the occurrence of some negative effects. The doctor does not always recommend the use of drugs injectively: sometimes a combined course is prescribed, in which medicines are injected for the first time, then they gradually switch to tablets or ointments, gels.
He alth Vitamins
If your back hurts, vitamin complexes come to the rescue. Compounds from category B are most useful. You can take them in the form of tablets, but injectable agents have proven to be more reliable and useful. There are several popular medicines from this group. The choice in favor of a particular one is best left to the doctor. The doctor will analyze the features of the condition, possible side effects, and also warn the patient what the negative consequences of the course may be.
Combilipen is a fairly popular vitamin remedy. It allows you to supply vitamins of group B to the body locally, which means that the effectiveness of the use of the drug is as high as possible. True, it cannot be used with hypersensitivity to the components, as well as when carrying a child, feedingbreast. "Combilipen" is not intended for persons suffering from acute insufficiency of the functioning of the heart muscle.
One of the most popular vitamin complexes for injective administration can safely be called the medicine "Milgamma". It is often used in the treatment of neurological diseases. The drug shows a pronounced effectiveness in violations of the functionality of the nervous system. It has an analgesic effect, which makes Milgamma effective in diseases of the spinal column. However, even here it was not without a “fly in the ointment”: the injections are quite painful, and it is frankly not easy to endure a course of at least a dozen injections.
Muscle relaxants
These remedies show the most pronounced result if the soreness is due to muscle spasm. Medicines based on tolperizole have proven themselves well. This remedy has a peripheral effect. But if it is necessary to influence the central nervous system, it is necessary to prefer drugs containing baclofen, tizanidine.
