If you start to suffer severe back pain, injections can help - but how to choose the right remedy? A huge variety of items are presented on pharmacy shelves, and the prices vary from several tens of rubles to many hundreds. Is it worth taking the most expensive tool? Or maybe the most advertised? Or reliable, cheap, long known? Let's try to figure out what injections are for back pain.
Start 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 created 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. It’s best to determine why your back hurts, maybe a doctor. The doctor will prescribe special tests and instrumental studies, analyze the information received and make a diagnosis, based on which it will be possible to choose suitable injections for back pain. Unfortunately, not everyone has the opportunity to seek qualified medical help, and yet you should not indulge in self-medication: there is a high risk of harming yourself, and the damage can be irreparable.
Most modern injections are designed to relieve pain, but they can not fight the root cause. This means that treatment of a sore back should include a set of techniques and approaches aimed at restoring health to tissues and organs - otherwise you will have to constantly complain of back pain in the lower back. The injections complement the procedures that can be practiced at home, although some require hospital conditions.
What will help?
What are the most commonly prescribed injections for back pain? Perhaps the most popular class is non-hormonal compounds for stopping the activity of foci of inflammation - NSAIDs. In addition to alleviating the condition as a whole, they also have additional therapeutic effects, making the course of treatment more effective. NSAIDs are also injections of a blockade against back pain, that is, they relieve muscle spasm.
If you can achieve relaxation of the vertebral muscle tissue, 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 soon as it stops, they continue therapy without injections. To support the effect of injections for pain in the back and lower back, the patient is sent for physiotherapy, prescribed therapeutic exercises and massage. The key to success of the program is the abundance of unsharp movements.
NSAIDs are not the only type of commonly used drug. What injections for back pain can doctors prescribe? For example, it can be means that locally affect the nerve roots. If it turns out that the cause of the pain syndrome is the swelling of these organs, it is possible to alleviate the condition of the patient by using means that affect strictly the nervous system.
Categories and box office
So, the most popular medications for back pain are injections of non-steroidal medicines. In a predominant percentage of cases, they resort to it. Of the popular names, it is worth noting "Diclofenac", "Ketorolac". The drugs are intended for introduction into muscle tissue. A noticeable relief is observed within 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, you should not expect too much from NSAIDs: these drugs for back pain are injections that alleviate the condition, but do not cure the root cause. And you can’t use them for too long. NSAIDs provoke side effects - you need to be prepared for this.
Another type of injections for pain in the back and lower back is 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 cramps, so the pain will pass. If doctors choose injections for back pain with a hernia, they often stop on spasmolytic ones. Of the popular names, Spazmoton is worth mentioning.
What else to try?
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.
There were some weaknesses here: although these are good injections for back pain that have proven themselves over many years of medical practice, they provoke negative consequences. Due to the presence of diphenhydramine in the composition of medicines, they 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 fee 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, it is worthwhile to use the help of a doctor. If possible, you need to make an appointment with a neurologist. Another option is to go to the local GP and describe the harassing manifestations. The doctor will write a referral to a highly specialized specialist, perhaps immediately give recommendations on the tests that need to be passed.
Neurologist - a doctor specializing in the work of the spinal column, 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 the back pain injections that are appropriate for the patient. He will also advise which gymnastics to practice.
If a person chooses for himself when his back hurts, what injections to take, it is highly likely that the remedy will not show a result. To avoid this outcome, you need to use medicines strictly under the supervision of a doctor. If the funds 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 an exit
There are many drug formats designed for people who have a backache. What injections, ointments, pills to try in a particular case, the doctor can say. If the doctor recommends focusing on injections, you should use his advice: even if you can buy pills or ointments in pharmacies of the same name, the patient needs injections. They more effectively and quickly show the effect, 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 above antispasmodics and non-hormonal drugs for the relief of inflammatory processes, the doctor may prescribe:
- local painkillers;
- joint protection products.
It is impossible to mention one name for injections for back pain, effective in any case. It all depends on the features of the process. In addition, doctors usually prescribe a comprehensive course. To stop acute pain, non-hormonal drugs are injected, muscle fibers are blocked. As soon as it is possible to alleviate the condition, bed rest is replaced by gymnastics, physiotherapy exercises, and physiotherapy. Maximum mobility is the key to a successful recovery.
In order for the analgesic effect of the course to be more significant, vitamin complexes are prescribed for painkillers, mainly from group B. These compounds normalize metabolism and restore the activity of the nervous system fibers.
Novocain blockade
If even the best injections for back pain do not show a pronounced result, you can resort to a combination of injectable medications and sprains. First, the patient lies on his stomach, and the doctor on the back reveals the location of the maximum muscle tension. Novocaine is injected into these areas, a hot compress is made. As the compress is removed, an active movement is necessary in order to develop the affected muscle.
According to reviews, injections from back pain in combination with this method of stretching can achieve a good and quick result. Due to the introduction of novocaine, the patient does not suffer from severe pain at the time of development of muscle fibers. The procedure brings the best results if the drug is injected as close as possible to the nerve sites that need to be blocked.
Non-Hormonal: Fast and Effective
The list of injections for back pain from the NSAID class, which are most widely used:
- Diclofenac.
- Voltaren.
- Ketorol.
- Ketonal.
- "Meloxicam."
- "Trigamma."
- "Neurobion."
Consider popular tools in more detail.
Ketonal
The tool belongs to the group of analgesics, has a wide range of effectiveness. The drug is intended for introduction into muscle tissue. A single dose is 10-30 mg. The doctor selects specific indicators based on the weight, age of the patient, and the strength of the soreness. 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 asthma, cholecystitis, kidneys or urinary organs are working incorrectly. Against the background of the use of funds, there is a risk of nausea and vomiting, a failure of the speed and heart rate. Some patients feel dizzy and sore.
Diclofenac
This name is an analgesic injection for back pain is known to many - the tool is one of the most often used in modern medical practice. "Diclofenac" shows a 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 as a course - from three days to five. The tool is used once a day, between the injections, strictly breaks of 24 hours are observed.
"Diclofenac" is forbidden to use at the age of less than six years. The drug is not intended for people suffering from diseases of the liver, kidneys, digestive organs. Before initial use, a check should be made for a possible allergic reaction. Of the advantages, it is worth noting the affordable price, so "Diclofenac" is applicable for people with the most varied income levels. In addition, it can easily be bought at pharmacies in almost any locality in our country. But you need to be careful: the tool can cause stomach upset, bleeding. Some have headaches and dizzy, while others receive injections, they feel sick and vomit.
Meloxicam
This is the name of the medicine for back pain - injections "Meloxicam" - known to many who have at least once suffered from severe back pain. The tool shows a pronounced analgesic effect. Its proper use alleviates the condition of the back, relieves swelling, inhibits foci of inflammation and lowers temperature. Since the likelihood of general poisoning of the body is increased, "Meloxicam" is unacceptable to use in combination with other non-hormonal anti-inflammatory. The duration of the treatment program is three days, the frequency is one injection per day. Between injections it is necessary to maintain intervals of 24 hours. The maximum dosage is 15 mg.
It is unacceptable to use "Meloxicam" if asthma, an allergy to the components of the drug, or a violation of the functionality of the digestive system are detected. The tool can provoke side effects, including quite severe ones - insufficient kidney function in acute form. There is a risk of increased heart rate.
Neurobion
The tool has a fairly strong analgesic effect. Used in severe conditions. It is widely used if necessary muscle blockade. One dose of "Neurobion" is dissolved in novocaine, injected directly into the affected area. Shortly 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 means it is necessary to choose a safer analogue. It is known that a medication can provoke a severe allergic response of the body.
"Trigamma"
The product is relatively safe, especially in comparison with the popular Ketonal, Diclofenac. It is prescribed in long courses (up to 10 days), using with 24-hour breaks between procedures. You can not use the medication during pregnancy. The use of Trigamma under the age of six is not permitted.
As clinical trials have shown, Trigamma can provoke side effects, but in comparison with other drugs from the group of non-hormonal anti-inflammatory drugs it rarely leads to them. More often, patients noted impaired appetite, weakness, and general poor health. More severe negative responses of the body are possible, but in practice they are very rare.
Ketorol
Ketorol injections for back pain are quite popular because the remedy is effective and acts quickly. Its main component is ketorolac, that is, an anti-inflammatory substance from the non-steroid category. "Ketorol" has proven itself in pain syndromes of varying severity, of different genesis. It is allowed to use this medication if the pain is caused by malignant neoplasms.
You can not resort to "Ketorol" if an increased sensitivity of the patient's body to ketorolac is detected. 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 medication for people under the age of sixteen, therefore, it recommends abstaining from the use of Ketorol to alleviate the condition of such patients.
Hormonal drugs
If the pains are strong, prolonged, affect the quality of life, it is necessary to block. A simplified option is the use of novocaine, a more complex one is a combination of analgesic and steroidal agents for stopping inflammatory processes. Such therapy is not suitable for everyone, since it has a wide range of contraindications. GCS for back pain is used strictly under medical supervision. Using the blockade method, pain can be eliminated, and the course of treatment will take 2-6 weeks. Take into account that injections can only stop symptoms, but they will not eliminate the root cause of pain. As the effectiveness of the drugs introduced during the blockade decreases, the syndrome becomes stronger again.
Preparations based on phlosterone, betamethasone, prednisolone proved to be quite good. In some cases, doctors recommend staying with medications, the main component of which is hydrocortisone. All of these steroid drugs can cause side effects. Metabolism, the immune system, heart and blood vessels are more likely to suffer. Negative effects of treatment on 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 administered either in the area of pain or at certain points on the body - the doctor knows how and where to give the injection.
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 stop the activity of foci of inflammation. There are several popular remedies that have proven themselves in medical practice.
If a hernia is detected, the doctor may recommend the drug Adgelon.Cases of a sufficiently strong allergic response are known. Use the medication only after consulting a doctor and conducting special tests to establish the safety of the drug for a particular patient.
«». , , . - . , . – . , . , , , , .
Pharmaceutical Features
. , , . , «», «». , . , , . .
Up to half of all patients who used non-hormonal drugs for the treatment of inflammatory foci for treatment experienced side effects of these medicines. Most of the drugs known to people from the NSAID class equally inhibit the activity of cyclooxygenase of both types, which explains the variety of negative consequences of use. Prolonged use can cause ulcerative processes in the intestines and stomach.
Types and Types
It is customary to divide drugs into selective and non-selective. The classification is based on the ability to inhibit cyclooxygenase of one species or two at once. Diclofenac, widely used at present, belongs to non-selective ones - on the basis of this substance a wide variety of agents have been created that have gained popularity due to their effectiveness. Non-selective drugs should not be used for patients younger than six years of age, as well as suffering from ulcerative processes, pregnant women, nursing mothers. In addition to diclofenac, this class includes the active components of ibuprofen, indomethacin.
Selective NSAIDs are newer and more effective, safe and modern. 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, nimesulide, deserve special attention. All NSAIDs of this group are contraindicated in adolescents and children, mothers during breastfeeding, and women bearing a child. In case of ulcerative processes in the gastrointestinal tract, especially during the period of 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 is drawn to sleep, some patients feel weak. The stomach can hurt.
The duration of use of NSAIDs of any type is 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, within the framework of which the drugs are injected for the first time, then gradually switch to tablets or ointments, gels.
Health Vitamins
If your back hurts, vitamin complexes come to the rescue. The compounds of category B are most useful. You can take them in the form of tablets, but injectable drugs have established themselves as more reliable, useful. There are several popular medicines from this group. The choice in favor of a particular is best left to the doctor. The doctor will analyze the characteristics of the condition, possible side effects, and will also warn the patient what the negative consequences of the course may be.
The drug "Kombilipen" is a fairly popular vitamin product. It allows you to supply the body with B vitamins locally, which means that the effectiveness of using the medication is maximally high. True, it can not be used with hypersensitivity to the components, as well as when carrying a child, breastfeeding. "Combilipen" is not intended for persons suffering from insufficiency of the functioning of the heart muscle in acute form.
One of the most popular vitamin complexes for injective administration can be safely called the drug "Milgamma". It is often resorted to in the treatment of neurological diseases. The drug shows pronounced effectiveness in impaired functioning of the nervous system. It has an analgesic effect, which makes Milgamma effective in diseases of the spinal column. However, this was not without a fly in the ointment: injections are rather painful, and it is frankly difficult to endure a course of at least a dozen injections.
Muscle relaxants
These funds show the most pronounced result, if the pain is due to muscle spasm. Well-established medications based on tolperisole. This tool has a peripheral effect. But if necessary, affect the central nervous system, it is necessary to prefer drugs containing baclofen, tizanidine.