Sciatica is a fairly common ailment. Painful symptoms of pathology can bother a person even in a state of complete rest. In the period of exacerbation, injections are considered the only treatment method. From radiculitis, drugs with anti-inflammatory and analgesic effects help. Consider the most popular medicines used to treat an ailment.
What is sciatica?
Radiculitis is not an independent disease. By this term is meant a whole group of certain symptoms that manifest when irritation (infringement) of the nerve roots extending from the spinal cord. At risk are those who have a history of degenerative-dystrophic changes in the spinal column: intervertebral hernia, protrusions, spondylitis, scoliosis, kyphosis and infectious and inflammatory processes.
The most common cases of lumbar radiculitis. It is this area of the spine that experiences the greatest load and wears out faster. When the first pain occurs, you should contact a specialist who can determine the exact cause of the syndrome. Treatment of radiculitis (lumbar) with medicines, injections must be combined with other methods. Physical therapy significantly improves the condition of patients, which helps to strengthen the muscle corset.
How to cope with an ailment?
With severe pain in the lumbar region caused by radiculitis, injections will bring quick relief. Injections are intended for intravenous, local, intramuscular and parenteral administration. Anti-inflammatory, vitamin, analgesic and muscle relaxing drugs will help relieve symptoms. Only a doctor can determine which injections for radiculitis should be prescribed to the patient.
For lumbar pain, the following drugs are indicated:
- Ketonal;
- Movalis
- Milgamma
- "Midokalm";
- Sirdalud;
- Voltaren;
- Diclofenac
- "Hydrocortisone";
- Prednisolone
- "Neurorubin."
Blockade with radiculitis
An effective method of stopping the syndrome with radiculitis is therapeutic blockade, the essence of which is the introduction of the drug directly into the focus of pain. This method is resorted to in cases of severe pain. Blockade can be used instead of narcotic analgesics.
One-component and complex blockades are distinguished depending on the amount of drugs administered. In single-component blockades, only anesthetic is used: Novocain, Lidocaine. To achieve a long therapeutic effect, complex injections from radiculitis are made (3 ampoules in the composition). Together with an anesthetic drug, the patient is injected with a hormonal drug, a vitamin of group B. Used in the composition of blockades and drugs with a resolving effect.
Movalis: injections for radiculitis
The name of this non-steroidal anti-inflammatory drug is familiar to many patients suffering from various diseases of the musculoskeletal system. During an exacerbation of the disease, experts recommend the use of the Movalis preparation in injections to relieve a pain attack.
The active component in the composition of the drug is meloxicam (10 mg in 1 ml). The substance has anti-inflammatory properties due to the fact that it inhibits some enzymes that trigger inflammatory processes (COX-2). Only 1 ampoule of the drug is allowed to be administered to the patient per day. The solution can be administered only intramuscularly. Apply for treatment "Movalis" in the form of injections should be within 2-3 days. In the future, injections must be replaced with tablets or rectal suppositories.
Indications for the appointment of a non-steroidal anti-inflammatory drug are such ailments as osteoarthritis, radiculitis, rheumatoid arthritis and spondylitis. Already 15-20 minutes after the administration of the medication, significant relief of the pain syndrome occurs. In addition to eliminating the symptoms of radiculitis, the drug helps prevent the development of complications and worsening conditions.
Contraindications
"Movalis" (injections) from radiculitis is prescribed to patients only in the absence of the following contraindications:
- hypersensitivity (or intolerance) to meloxicam, auxiliary components;
- a history of asthma;
- severe heart, liver failure;
- ulcerative colitis, Crohn's disease;
- gastric bleeding after treatment with non-steroidal anti-inflammatory drugs;
- the presence in the nasal cavity of polyps;
- bleeding disorder;
- age to 18 years.
Meloxicam has a negative effect on the body of a pregnant woman and a developing fetus. The drug can provoke the development of severe congenital pathologies and therefore, during the period of gestation, the baby is not prescribed.
Side effects
Treatment of diseases of the musculoskeletal system is impossible without the use of non-steroidal anti-inflammatory drugs. However, with prolonged use, such drugs can provoke serious side effects. A common serious drawback of all NSAIDs is damage to the mucous membrane of the stomach and intestines.
From the digestive tract, negative reactions to the use of the drug "Movalis" are manifested most often. This manifests itself in the form of symptoms such as nausea, dyspepsia, constipation, diarrhea, and vomiting. Rare side effects include the development of gastroduodenal ulcers, colitis.
The nervous system can also suffer if the drug or its dosage were not selected correctly. Such cases are characterized by the appearance of dizziness, tinnitus, drowsiness, severe headache.
"Midokalm" - an effective cure for radiculitis
Injections, the action of which is aimed at relaxing the skeletal muscle tone, are also used to eliminate pain during exacerbations of lumbar radiculitis. "Midokalm" - a drug from the group of muscle relaxants.
The medicine has two active components - tolperisone and lidocaine. The first effectively blocks nerve impulses and improves peripheral blood circulation. Lidocaine is used as a local anesthetic.
When is it prescribed?
Attacks of lumbar radiculitis, accompanied by shooting pain and numbness of the lower extremities - a direct indication for the use of injections "Midokalma". A muscle relaxant is able to relieve muscle cramps of various etiologies. Most often, it is prescribed to patients with neurological disorders, muscle hypertonicity against the background of spondylosis, lumbago and other pathologies of the musculoskeletal system.
Other indications for prescribing Midokalm include diseases such as encephalomyelitis, angiopathy, spastic paralysis, myelopathy, multiple sclerosis, Raynaud's disease, autoimmune ailments, trophic ulcers. The drug has a mild analgesic effect and inhibits the sensitivity of nerve endings.
Injections
The drug treatment regimen depends on the severity of the pain syndrome. Injections for radiculitis (lumbar, cervical) can be administered both intramuscularly and intravenously. In the first case, the dosage is usually 200 mg of tolperisone twice a day. With the intravenous administration of Midokalm, the dose is reduced to 100 mg once a day. It should be borne in mind that muscle relaxant must be administered very slowly.
The duration of therapy is determined by the doctor. In addition to drug exposure, the specialist prescribes physiotherapy, massage, physiotherapy exercises to the patient. With a significant excess of the recommended dosage of tolperisone, patients may experience ataxia, shortness of breath, and convulsive seizures.
Patient Reviews
The treatment of radiculitis should be started with the determination of the causes of the inflammatory processes in the nerve root area. To alleviate the symptoms, severe pain syndrome, the patient is prescribed medication. Pills, ointments, injections from radiculitis help to quickly cope with pain, but at the same time they do not completely relieve the initial cause of the pathological condition.
When choosing drugs for the treatment of radiculopathy, attention should be paid to the etiology of the disease. With persistent pain syndromes that respond poorly to therapy, it is recommended to make drug blockades. This method can be called emergency care, the effect of which lasts no more than a few hours.
In the treatment of radiculitis, many patients are faced with the problem of insomnia and depression. In this case, it is necessary to additionally take sedative medications or antidepressants.