The back pain and the low back can occur at any age. To quickly choose the treatment and get rid of the discomfort, you need to install the source of the pain. This can often be the consequences of hypothermia, vertebral hernia, the result of injuries and ACCIDENTS, the breach of the sciatic nerve or diseases of the musculoskeletal system. Mounted correctly the diagnosis and the conclusion of the doctor, will be the beginning of an effective treatment and prevent the development of disease and complications to other organs.
To begin, you must pass a comprehensive examination of the whole body, to obtain the opinion of the doctors. In some cases, back pain is a signal of the presence of inflammatory processes in the body and diseases of internal organs. For their elimination, it is recommended that you pass an examination by a gynecologist, a urologist, and a gastroenterologist. After you have identified the cause of the pain, the doctor prescribes a drug treatment. On the basis of their character pain syndrome and its symptoms, the chosen individual complex of drugs.
Injections of painkillers
When the back pain and the low back, the doctor prescribes a series of pain medications, including anti-inflammatory drugs (NSAIDS) and a complex of vitamins of group b, Which not only eliminate pain, but also help heal the inflammatory processes, have a soothing effect on the affected area in the back.
Please note! During the pharmacological treatment of pain, doctors recommend to keep the physical activity of the patient. In parallel with the injections, is given a course of massage treatments and preventive exercises.
Vitamins B1, B12, B6 relieves pain and have a good action. This group of drugs has a positive influence on the processes of metabolism in the body, improves the functioning of the nervous system, restore the nerve endings damaged. Injections of vitamins helps to fight acute pain, chronic manifestation of the syndrome painful those injections are ineffective. The treatment lasts on average 12-14 days, after that comes the improvement of the condition of the patient.
If the administration of pain medications is not visible results, doctors have resorted to the method of injection, and stretching. The procedure makes the doctor, the patient is lying on his belly, and in the most pain, and the gasket is injected with a solution of novocaine. After the injection, it is necessary to have a bit of stretch the affected area on the back and do a hot compress. After the procedure, the patient is advised to perform active movements and to increase the load on the painful muscle. In this way, he developed his mobility.
For the pain, dull pain, it is necessary to identify the type of central unit and reflected. On the basis of the types of pain syndrome and the possibility of the occurrence of adverse events of the GASTROINTESTINAL tract and кардиоваскулярных complications, chose the optimal list of drugs. In most cases, looks like this:
- in dyspepsia to prescribe Nimesulide, Ibuprofen or their pharmaceutical (Diclofenac, Naproxen, Meloxicam);
- in the absence of pain in the upper part of the abdomen, it is possible to apply any medication anti-inflammatory;
- with the risk of GASTROINTESTINAL bleeding in collaboration with the FANS breaking down, proton pump inhibitors (Omeprazole);
- in the case of diseases of cardio-vascular complications in the composition of the injection are opioid, Paracetamol, Nimesulide (there is a compulsory measurement of blood pressure);
- in the presence of chronic diseases of the DIGESTIVE tract and heart disease diseases Omeprazole and Nimesulide combined with Aspirin.
With the right beginning of the treatment, the pain diminishes as early as a week after the start of treatment. In order to avoid a relapse, it is necessary to go through a complex full injection to full relief of pain.
Important! If, after the bites of the pain relievers do not get the relief, there is the diagnosis of the body for the elimination of tuberculosis, gonorrhea, syphilis and other diseases that affect the spinal column and joints.
Injections anti-inflammatory
The back pain is often accompanied by inflammation of the internal organs and tissues, to get rid of them, it is necessary to proceed to the treatment of pain. Used for the treatment of inflammation, NSAIDS are divided into two major groups, which differ not only therapy composition, but also the action on the organs of the GASTROINTESTINAL tract.
There are two groups of NSAIDS: selective and nonselective inhibitors of COX. Non-selective contribute to inhibition of the enzymes cyclooxygenase, that are involved in the formation of mediators of inflammation. But such medicines do not go along with the internal organs of the gastro-intestinal tract, which can cause the formation of gastric ulcers.
Selective NSAIDS and more gently affect the stomach, not have any side effects and does not affect articular cartilage. Drugs of this type you can take much longer, violating the normal functioning of internal organs.
One of the non-selective NSAIDS is Diclofenac or its analogs Ortofen, Voltaren, Naklofen. The medication is used for back pain, arthritis, osteoarthrosis, ankylosing spondylitis, pain of gout, during the post-operative pain and discomfort after a trauma. The standard dosage is one vial per day (75 mg), while the acute pain — 150 mg per day. The injection is injected in the gluteal muscle.
Contraindications to the use of Diclofenac:
- pregnancy;
- the period of breast-feeding;
- the age of the children (up to 18 years of age may be exceptions, and individually selected dosage);
- ulcers in the stomach;
- diseases of the liver.
The most common on nonselective NSAIDS considered Movalis (Meloxicam, Amelotex, Artrozan). The drug is used in the form of chronic polyarthritis, ankylosing spondylitis, rheumatoid arthritis, a severe form of osteoarthritis. Administered via intramuscular injection in the early stages of the disease, or when the acute pain. Further on you pass on a tablet.
Contraindications for use:
- pregnancy;
- the period of breast-feeding;
- heart failure;
- children up to the age of 15 years;
- ulcers in the stomach;
- the tendency to bleeding of the GASTROINTESTINAL tract and other organs.
Relieve the pain and help to eliminate inflammation drugs containing b-group vitamins are Extremely effective in the acute phase of the disease. Among these Milgamma component of which is pyridoxine hydrochloride (vitamin B6), thiamine hydrochloride (B1), cyanocobalamin (B12), lidocaine hydrochloride with the complex of auxiliary components. The injection is made intramuscularly once a day for 2 ml. To maintain the result and the prevention of relapse, when the acute pain is fixed, put 2 ml of the drug up to three times a week.
Milgamma is assigned in the case of muscular pains, neuritis, neuralgia, weakness and polyneuropathy. Contraindication to injection serves:
- pregnancy;
- breast-feeding:
- the patient's age up to 16 years;
- heart failure.
An injection of three drugs
For the relief of back pain you apply the sting of the three drugs, the active ingredients are diphenhydramine, inflammatory of analgin and papaverine. Drugs combine in a single injection and that are introduced intramuscularly. Injection relieves acute pain, caused by like diseases of the musculoskeletal system and injury and post-traumatic complications. Moreover, the injection has the property of lowering the temperature.
Increases the puncture resistance, blocks these peripheral receptors, and has a sedative effect. Papaverine is considered to be an antispasmodic drug, which affects the smooth muscle of the blood vessels. Inflammatory of analgin is used as a pain reliever.
The dosage is assigned by the treating physician based on the type of pain and individual tolerability of drugs. Standard injection comprises 1 ml of 1% dimedrol, 2 ml, 2% Papaverine, and 2 ml of 50% solution inflammatory action of analgin.
Please note! Inflammatory of analgin may cause allergic reactions. Allergies substitute to aspirin.
Injections for sciatica
Treatment of sciatica puncture takes place inside the muscle anti-inflammatory drugs and painkillers. In addition, the doctor may prescribe medicines that can help to relieve the swelling in the affected area of the back and improve the processes and trophic. Injections give a positive result long before the pills. To eliminate the back pain prescribed these drugs:
- Voltaren. Refers to the number of anti-inflammatory drugs used for the treatment of sciatica and rheumatic diseases. The injection is injected deep into the muscle, it is not possible to repeat the injections more than two consecutive days. To increase the effect, Voltaren may be combined with the tablets.
- Ketoprofen. The medication is in a group of nonsteroidal anti-inflammatory funds, and it is often assigned not only for the sciatica, but also other disorders of the spine and musculoskeletal system. Ketonal removes pain and prevents the excessive sensitivity of pain receptors.
- Injections of ozone. A new method to combat the back pain is considered to be an injection of ozone. It is safe to eliminate the back pain, but only applies one — time injection in the affected area on the back.
Injections of hernia
The treatment of the hernia doctor way includes mandatory injection for back pain and relaxation disadvantaged final. An injection of novocaine effectively quench the back pain and retains for a long time the result obtained. The procedure must pass only one specialist, incorrectly inserted solution can result in disorders of motor function of the spinal column and the nervous system of the patient. There are two types of novocaine block, which differ in mode of administration of the drug:
- injections between the ribs with a special needle (the doctor inserts novocaine solution the nerve is restricted, it is very important not to enter in the vessel-nerve bundle);
- epidural injections, which are inserted between the hard shell of the spinal cord and the periosteum of the spinal canal.
In addition novocaine block and epidural injections, a person requires a constant monitoring and maintaining a state of health. The doctor can assign NSAIDS, vitamin complexes, medicines for pain. An integrated approach to resolving the causes of pain, it will help you in the shortest possible time to get rid of discomfort in the back and lower back.
In modern medicine there are a number of medications that help to eliminate the pain and reduce the inflammation. Among these are the following medications:
- Traumeel. Treat anti-inflammatory drugs, painkillers. Is assigned in the case of a strong painful syndrome. Dosage for adults is one vial per day, with enormous injury to the back are possible injections of two vials. Children up to six years to introduce the fourth of the vial on the prescription of paediatrician.
- AIDS, HIV infection;
- multiple sclerosis;
- tuberculosis;
- leukemia;
- lupus and autoimmune disease of the connective tissue.
- Alflutop. The drug prevents the destructive processes in the tissue and repair the articular cartilage, has analgesic properties. The treatment course is twenty days, one ampule (1 ml) per day. The injection is injected intramuscularly.
- pregnancy;
- breast-feeding;
- hypersensitivity to components of the medication;
- children the age of the patient.
- Dexamethasone. The tool is assigned to the rheumatic diseases and diseases of the connective tissue. In conditions of poor painful syndrome, the patient is injected a vial per day. In the period of acute illness doctor individually named after the dosage, which may vary from 4 mg to 20 mg per day. The course of treatment is four days, then the patient is moved on a tablet.
- hypersensitivity to components of the medication;
- diseases of the GASTROINTESTINAL tract;
- children the age of the patient (with the exception of individually with dose reduction);
- infectious diseases;
- endocrine diseases;
- pregnancy.
- Diprospan. The drug is widely used in osteochondrosis, osteoarthrosis, post-traumatic syndromes. The drug is injected intramuscularly one ampoule per day. In a period of severe pain, you may increase the dosage.
- ulcers in the stomach;
- diabetes mellitus;
- tuberculosis;
- glaucoma;
- psychosis.
Contraindications it is:
If amazed at the large areas, the joints, the dosage can increase up to 2 ml per day. After completion of the full course of treatment, after a year and a half, it is possible to go through the re-use of the treatment.
The limitations refers to:
Contraindications:
Contraindications to the use:
If the pharmacological treatment of pain in the back and lower part of the back does not give the desired result, it is necessary to consult a doctor and undergo an examination of the body. If you do not identify the cause of the disease, the treatment will be ineffective.
Medicine is practiced, the combined treatment: medications combine with exercise and massage. The constant exercise aimed at traction of the spinal column will allow you to increase your mobility and relieve the feeling of "stiffness". If pharmacological treatment does not help, the only way to get rid of the pain is surgery.
The injections with back pain and life have a positive effect in case of timely start of the treatment. Running the disease of the spine require long-term treatment, and sometimes the operation.