The pain in the dorsal region and the lumbar spine can occur at any age. To quickly pick up the treatment and get rid of the discomfort, you must install a primary source of starting point of the pain syndrome. This can often be the consequences of hypothermia, vertebral hernia, the total injuries and ACCIDENTS, violation of the sciatic nerve or diseases of the musculoskeletal system. Mounted correctly the diagnosis and the conclusion of the doctor, will be the start of an effective treatment and prevents disease progression and complications in other organs.
To begin with, you need to go through a comprehensive examination of the entire body, obtain medical advice. In some cases, back pain is a signal about the presence of inflammatory processes in the organism and the disease of the internal organs. For their elimination it is recommended that you pass the examination of a gynecologist, urologist, and gastroenterologist. After you identify the cause of the pain, the doctor assigns the drug treatment. Based on your character starting point of the pain syndrome and in the symptomatology, is chosen individual complex drugs.
Injections of analgesics
When the pain in the back and lumbar region, the doctor assigns a number of painkillers, including non-steroidal anti-inflammatory drugs (NSAIDS) and vitamin complex the group of В. They not only eliminate the strong pain that is caused, but also help to heal the inflammatory processes, take action soothing about the affected area back.
Pay attention! During the drug treatment of pain, the doctors recommend keeping the physical activity of the patient. In parallel with the injections, is assigned to a course of massage and the treatment and prevention of exercises.
Vitamins B1, B12, B6 relieves the pain and have good action. This group of medications has a positive effect on the transfer processes in the organism, improves the working of the nervous system, restore damaged nerve endings. Injections of vitamins help to combat the acute pain, in chronic manifestation of the starting point of the pain syndrome such injection ineffective. The course of treatment, on average, lasts 12 to 14 days, after which comes the improvement of the state of the patient.
If during long periods of reception of analgesics there are no visible results, the doctors resort to the injection method, and stretching. The procedure of a physician, the patient is in the position of lying on the stomach and the places of greatest pain and the seal is introduced a solution новокаина. After the injection needs a little bit of stretch the affected area back and do hot compress. After the procedure, the patient is recommended to perform an active movement and increase the load on the painful muscles. Thus, it is designed for your mobility.
Chronic nagging pain, it is necessary to identify your type: the central and reflected. Based on the kind of the starting point of the pain syndrome and the possibility of occurrence of side effects side GASTROINTESTINAL and cardiovascular complications, is chosen as the best list of medicines. In most cases, it looks like this:
- when dyspepsia prescribe Nimesulide, Ibuprofen or its equivalent (Diclofenac, Naproxen, Meloxicam);
- in the absence of pain in the upper part of the stomach, you can use any anti-inflammatory medicine;
- when the risk of GASTROINTESTINAL bleeding (gi) in conjunction with NSAIDS split the proton pump inhibitors (Omeprazole);
- when cardio vascular complications in the composition of the injection includes the opioids, Paracetamol, Nimesulide (it is mandatory to measure blood pressure);
- when there are chronic diseases, gastrointestinal and vascular diseases pathologies Omeprazole and Nimesulide combine with the Aspirin.
When properly beginning of the treatment, the pain weakens already a week after the start of treatment. To avoid relapse you need to go through the full injection full hit the starting point of the pain syndrome.
Important! If, after injections of pain-killers does not come to the relief, it is performed the diagnosis of the body for the elimination of tuberculosis, gonorrhea, syphilis, and other diseases that affect the spinal column and joints.
Back pain, often accompanied by inflammation of internal organs and tissues, get rid of them, need to start the treatment of pain. Are used to treat inflammation NSAIDS are divided into two major groups, which are not only медикаментозным composition, but and the action the organs of the digestive tract.
There are two groups of NSAIDS: selective and inhibitors non-selective COX. Non-selective contribute to the oppression of the enzyme cycle-oxygenase, are involved in the formation of mediators of inflammation. But such drugs bad affects internal organs of the gastrointestinal tract, they can cause the formation of ulcers of the stomach.
Selective NSAIDS more gently affect the stomach, does not have side effects and does not affect articular cartilage. Medicines of this type can take much more time, without interrupting the normal operation of the internal organs.
One of the non-selective NSAID is Diclofenac or its counterparts Ortofen, Voltaren, Naklofen. The drug is used when a pain in the spine, arthritis, osteoarthrosis, ankylosing, pain of gout, when the post-operative pain and discomfort after transferred of injury. The standard dosage is one ampoule per day (75 mg), when the acute pain — 150 mg / day. The injection is injected into a muscle gluteus.
Contraindications for use use of Diclofenac:
- the period of lactation;
- children (under the age of 18 years may be exceptions, and individually sober and dosage);
- a stomach ulcer;
- disease of the liver.
The most common nonselective NSAIDS is considered to be Movalis (Meloxicam, Amelotex, Artrozan). The drug use chronic in the form of полиартрита, ankylosing, rheumatoid arthritis, acute form of arthritis. It is injected intramuscularly in the early stages of the disease, or when the acute pain. Next the transition to the pill.
Contra-indications for use:
- the breast-feeding period;
- heart failure;
- children of age up to 15 years;
- a stomach ulcer;
- the tendency to GASTROINTESTINAL bleeding and other organs.
Remove the pain that is caused and resolve the inflammation help you medicaments containing vitamins of the group В. Extremely effective in the acute phase of the disease. Among them Milgamma component which is the hydrochloride of pyridoxine (B6), hydrochloride of thiamine (B1), cyanocobalamin (B12), hydrochloride of lidocaine with a complex of components auxiliary. The injection is performed intramuscularly once a day for 2 мл. To maintain the results and prevent a recurrence, when the acute pain is resolved, it is injected 2 ml of the drug up to three times per week.
Milgamma is assigned muscle aches, неврите, neuralgia, weakening and полинейропатии. Against-indication to the injection serves:
- the patient's age up to 16 years;
- heart failure.
The bite of three drugs
To lessen the pain in the back apply to a sting is of three drugs effect substances are diphenhydramine, analgin and papaverine. Medicines are linked in a single injection and are introduced intramuscularly. The bite effectively relieves pain, спровоцированную as system diseases skeletal muscle, and посттравматическими complications. In addition, the stab has the property of low temperature.
The diphenhydramine in the composition of the injection blocks the receptors in the periphery and has a sedative effect. Papaverine is considered спазмолитическим a drug that affects the smooth muscle of the blood vessels. Analgin is used as an analgesic.
The dosage is assigned to a health care provider by type of pain and individual portability of drugs. The standard stick is made up of 1 ml of 1% димедрола, 2 ml of 2% Papaverine and 2 ml of 50% solution of analgin.
Pay attention! Analgin can cause allergic reactions. People allergic substitute it for aspirin.
Shots when радикулите
The treatment rods implemented by the sting to within the muscle anti-inflammatory drugs and painkillers. In addition, the doctor may prescribe medicines that help to relieve the swelling in the affected area back and improve the trophic processes. Injections give a positive result much sooner than pills. To resolve the pain back prescribed such medicines:
- Voltaren. Refers to the number of anti-inflammatory drugs used for the treatment of rods and rheumatic diseases. The injection is inserted deeply into the muscle, it is not possible to repeat the shots over two consecutive days. To strengthen the effect, Voltaren can combine with the pill.
- Кетонал. Medicine registered in the group of non-steroidal anti-inflammatory drugs and, many times, is attributed not only to the радикулите, but also of other pathologies of the spine and the musculoskeletal system. Кетонал removes the pain and prevents the excessive sensitivity of pain receptors.
- The injection of ozone. The new method of dealing with back pain is considered to be one bite of ozone. It is eliminate the back pain, but only applies once again — to inject in the affected area back.
Injections when the hernia
The treatment of hernia медикаментозным the method includes the mandatory injection for back pain relief and relaxation ущемленных endings. Sting with novocaine, effectively quenches the pain in the back and they delight in keeping the result. The procedure should only be a specialist, properly inserted, the solution can cause disturbances of motor function of the spinal column and the nervous system of the patient. There are two types of novocaine blockade, which differ in the way the administration of the drug:
- the shots between the ribs special needle (the doctor inserts novocaine solution ущемленный the nerve, the important thing is to not get into a crisis vaso-beam nervous);
- эпидуральные injection, which are introduced between the hard shell of the spinal cord and the periosteum of the vertebral canal.
In addition to novocaine blockade and эпидуральной injection, the man requires constant monitoring and maintenance of the state of health. Your doctor can assign NSAIDS, vitamin complexes, medicines for pain killers. Integrated approach to the solution causes the starting point of the pain of the syndrome, the possible help to get rid of the discomfort in the back and lumbar region.
In modern medicine, there are a number of медикаментозных tools that will help you eliminate the pain and relieve the inflammation. Among them are the following medications:
- Traumeel. Referring to an anti-inflammatory, analgesic medicines. It is attributed to the strong болевом syndrome. The dose for adults is one bottle a day, when the huge damage back are possible for the injection of two ampoules. Children up to six years of age introduce the fourth part of an ampoule by appointment of the pediatrician.
The counter-indications is:
- AIDS, HIV infection;
- multiple sclerosis;
- the lupus and autoimmune disease of the connective tissue.
If you be amazed with the great extensions of the joints, the dose can be increased up to 2 ml per day. After completing the full course of treatment, through the floor of a year can pass re-treatment.
- idiosyncrasy components of the drug;
- child age of the patient.
- hypersensitivity to the components of the medicine;
- diseases of the digestive system;
- children in the age of the patient (exceptions are made individually, with the decrease of the dosage);
- infectious diseases;
- endocrine disease;
Contraindications to the use of:
- a stomach ulcer;
- diabetes mellitus;
If drug treatment of pain in the back and the lumbar does not give the desired result, it is necessary to consult a doctor and go through an additional examination of the body. If you do not reveal the cause of the disease, the treatment is ineffective.
Medicine is practiced the combined treatment: drugs combine with physical activity and a massage. Permanent exercises aim at вытяжение of the spine help to increase your agility and relieve the sensation of "stiffness". If drug treatment does not help, the only way to get rid of the pain is the operational intervention.
Injections when the pain in the back and lumbar region give a positive effect when the time for the beginning of the treatment. The execution of the diseases of the spine require long-term treatment, and sometimes the operation.