Severe pain in the back area may indicate dysfunction of the musculoskeletal system, oppressed nerve, etc. Therapy often involves injections, which, when choosing the right treatment, can quickly relieve pain in the back and lower back and significantly alleviate the patient's condition.
This article compiles optimal injections according to group and medical condition. If you want to know what injections are for back and lower back pain, then a list of the best injections is presented in this material.
How are medicines selected?
Back pain can be recorded at any age in all clinical groups of patients. This is usually not an independent pathology. As a rule, pain syndrome is an accompanying symptom of certain disorders of the body.
Injections for back pain and low back pain are prescribed by the doctor after gathering complete information about the anamnesis. After identifying existing diseases, you can prescribe treatment that will help stop the pain, remove the inflammation, relieve the swelling, and activate the recovery. What injections for back and lumbar pain can alleviate the patient's condition?
Non-steroidal anti-inflammatory drugs (NSAIDs)
Most often, NSAID injections are used to relieve back pain because they very quickly affect the focus of inflammation, removing excruciating pain, stiffness, swelling and fever.
Non-steroidal anti-inflammatory drugs are prescribed for the following pathologies:
- pain in the lower back of a long-lasting and wavy nature with a stuck nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic back syndromes;
- intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections for back pain have a number of contraindications. To reduce side effects, it is recommended to use modern NSAIDs - COX-2 inhibitors.
Ketorolac
This medication is quite popular as an injection for back and lower back pain. Ketorolac is a powerful anti-inflammatory, non-steroidal substance.
You should not use this medicine in case of hypersensitivity to ketorolac, as well as during the period of waiting for a child, lactation and children under 16 years.
Ketoprofen
A drug based on ketomolac trometamol. Ketoprofen has a strong analgesic effect. To avoid the occurrence of side effects, the dosage indicated in the note should be strictly adhered to.
Lornoxicam
Relieves back and back pain with a large number of side effects. It should only be used as directed by your doctor.
Tenoksikam
Injections are not recommended for patients with hypertension, diabetes mellitus, liver and gastrointestinal tract diseases.
DICLOFENAC
The so-called "golden mean" among drugs similar in analgesic activity. In one injection, you can eliminate discomfort in the back and lower back accompanied by muscle contraction and overload. However, there are plenty of contraindications. Among them, it is worth mentioning individual intolerance, gastrointestinal diseases, cardiac pathologies, etc.
Meloxicam
This tool includes movalis. The drug is of the latest generation, which means that it has minimal side effects. It is believed that these are good injections for back and lumbar pain. It is well tolerated and has a fairly long lasting effect.
Dexketoprofen
Relieves back and lower back pain with crushed nerve and various diseases of the musculoskeletal system. The course of injections is not more than 5 days.
Muscle relaxants
Very often, back pain is formed as a result of muscle spasms. There are usually two different types of etiology:
- spasticity resulting from impaired brain activity;
- muscle pain and spasms due to musculoskeletal disorders.
Relaxing muscle injections are prescribed to enhance the effect of NSAIDs and steroid medications. Injections should be performed in full compliance with the dosing and administration rules.
Tolperisone
Relaxes the muscles of the spine, blocks the nerve endings and relieves back and lumbar pain. Tolperisone provides a local anesthetic effect. May cause allergies in patients with lidocaine intolerance.
Hydroxine
This drug is a piperazine derivative. Intramuscular injections relax the vertebral and smooth muscles of the back with a moderate effect on the gastrointestinal tract.
Contraindications - pregnancy, hypersensitivity to the components, arrhythmia and renal failure.
Baklofen
The main therapeutic component is baclofen, which helps to reduce the excitability of sensitive nerve endings and impulses, relieving pain in the lower back and spine. Contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and intolerance to the components.
Hydroxine
The active ingredient is hydroxin. Injections help relieve muscle tone in the lower back, neurotic pain in the back. The effect is similar to Atarax, since it is a derivative of piperazine. It should be taken with caution in patients with renal insufficiency.
Tizanidine
The main substance is tizanidine. Reduces acute skeletal muscle tone, relieves spasms in the back, reduces muscle resistance during inert movements, increases the strength of free contractions. There may be side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, back and back pain of various etiologies, providing an analgesic effect.
Steroid drugs
Hormonal drugs create a vivid anti-inflammatory effect, but at the same time they have a large number of side effects. Steroid injections for back and spine pain are prescribed for the following diseases:
- spinal intervertebral hernia;
- progressive sciatica;
- ankylosing spondylitis;
- rheumatoid arthritis.
Betamethasone
It contains a glucocorticosteroid. Injections are mainly used for severe forms of diseases of the musculoskeletal system, when non-steroidal drugs have no effect. The dosage is chosen individually, taking into account the severity of the disease and the patient's response to treatment.
Hydrocortisone
Intravenous injections are prescribed for back pain of any nature, in particular rheumatic and intervertebral hernias. The dosage should be indicated by the doctor, individually, comparing the patient's health condition with the contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. It is prescribed for back pain and back pain, spinal diseases of various nature. There are quite a number of side effects. The dosage is prescribed by the doctor according to the instructions.
Triamcinolone
Contains triamcinolone acetonide in its composition. Used in the form of injections for various osteoarthritis, relieving inflammation and back pain. There are side effects.
Chondroprotectors
Drugs of this group are prescribed for faster restoration of connective tissue, for regeneration of the structure of the spine and reduction of inflammation in the back.
Chondroitin sulfate
The active substance in the form of chondroitin is directed to eliminate the destruction of bone and cartilage tissue. During the course of injections, inflammation and pain in the lower back pass and joint mobility is normalized.
Bioactive concentrate from small marine fish
Injections are given intramuscularly to relieve back and lumbar pain. It is included in the list of the best chondroprotectors. Regenerates cartilage, fights disc herniation.
Drugs that improve blood microcirculation in the body
What injections are given for back pain? As a rule, vascular injections are used for the lower back and back, improving microcirculation, improving blood flow and metabolism in bone and cartilage tissues. They are prescribed in addition to analgesics.
Vitamin complexes
In modern medicine, B vitamins are an important ingredient for relieving back and lower back pain. Vitamins strengthen the depleted body, increase immunity, nourish bone tissue and the intervertebral space.
Epidural block
This is a medicine for relieving back pain as well as other neurological symptoms. Helps relieve pain in case of spinal nerve constriction in a very short time. Medication injections are given to the painful focus, including the epidural.
Triads of snakes
To eliminate back pain, a triple injection is used, the functional means of which are diphenhydramine, metamizole sodium and papaverine. The drugs are mixed in one dose and injected intramuscularly. The injection quite effectively relieves severe pain in the lower back, both from diseases of the musculoskeletal system and from post-traumatic syndrome.
Patches for pain relief
The patches are related to local medicines. Unlike creams, the patch has a dense carrier that sticks to the surface of the skin of the back and lower back, which allows the active substance to be fixed to the skin and penetrate the subcutaneous tissues, muscles and nerve endings. The most popular plasters that can produce pain relief, for example, pepper and lidocaine.
Pain relief tablets
Tablets for minor pain are prescribed in order to relieve the symptoms of the disease. As a rule, these are analgesic drugs:
- idometakina;
- ketoprofen and others.
They are used for mild back and lumbar pain. They are used 3 times a day.
Combined pain relievers
After completing a course of injections for pain in the back and lower back, the patient may be prescribed other forms of medication - oils, tablets, suppositories. These drugs will have a supportive effect and prevent the development of possible complications.
Dealing with back pain is a long and difficult process. Painkillers give good and lasting results, but they should only be used under medical supervision.