Back pain is a very common symptom at any age. Often, it indicates failure of various systems - musculoskeletal, respiratory, digestive. Do not self-medicate when you have back pain. Only a doctor can quickly determine the cause and treatment strategy.
back pain
Back pain is very different. It may be related to eating or coughing, psycho-emotional experiences. The causes of this symptom are gastroduodenitis and cholecystitis, bronchitis and pneumonia, angina pectoris and acute coronary syndrome. However, these disorders are often accompanied by other characteristic complaints that allow physicians to correctly make the differential diagnosis.
More often, back pain is a sign of damage to the musculoskeletal system. It occurs in the following diseases:
- Osteochondrosis (thoracic, lumbar, or common).
- Scoliosis.
- protrude.
- Intervertebral hernia.
- Spinal stenosis.
Pain is rarely present in these degenerative diseases themselves. However, as the pathology progresses, nerve roots and fibers are involved in the process. Their aggression, compression leads to the appearance of neurological symptoms:
- Back, chest, lower back pain.
- Unusual sensations - burning, tingling, numbness.
- Movement disorders.
Back pain can be chronic or acute. Often, in musculoskeletal disorders, discomfort is clearly related to physical activity, movement, or breathing. To remove them, doctors prescribe creams, pills, and pain relievers.
treat
Injections for back and lower back pain are a very effective treatment. Often, pain syndrome treatment begins with them, especially if the patient's discomfort is very pronounced.
Sometimes, in addition to injections, other forms of anti-inflammatory drugs are used:
- Gels and ointments.
- Tablets, capsules, powders.
- Rectal suppository.
Many times, the same drug is offered in different forms. The doctor will choose the best option for the patient to reduce pain based on the patient's characteristics, tolerance and comorbidities. Some people can't stand injections because they are afraid of pain, and panic when they see a sharp needle. Conversely, others distrust native forms, arguing that they are not effective enough.
More often, however, injections for lower back or chest pain are the most popular and best-selling medications.
injection
Anesthetic injections for back pain are used for moderate and severe disorders of the musculoskeletal system. It is also prescribed when a very quick or long-term stable effect is required.
Anti-inflammatory needles will be prescribed as pain relievers after surgery. The following medicines are available as injections:
- Non-steroidal anti-inflammatory drugs (NSAIDs or NSAIDs).
- Steroids.
- Muscle relaxant.
- vitamins.
NSAIDs
NSAIDs are a broad and very popular group of drugs that are popular among physicians across all specialties. NSAIDs are widely used in the following fields of medicine:
- Rheumatology;
- Traumatology
- orthopedics;
- treat.
The most common signs of their appointment are:
- osteochondrosis;
- Herniation and intervertebral hernia;
- Intercostal neuralgia;
- various radiculopathy;
- Bruises and sprains.
Steroids
Steroid hormones are a special class of drugs. They have a pronounced anti-inflammatory effect. But these drugs have many side effects.
Hormone injections are used to treat back pain from hernias, rheumatoid arthritis and Bechterew disease, radiculopathy. The main signs of their appointment are:
- Severe pain syndrome.
- Intense inflammatory processes, especially autoimmune and allergic inflammation.
- A stable analgesic effect is required.
Hormones are available in tablets, but for pain in the spine, back, and joints, they are prescribed intramuscularly and intravenously. This allows you to quickly reduce pain and stop inflammation.
Steroid hormones can be used with NSAIDs, but this combination requires careful monitoring of the patient's health.
muscle relaxant
Recently started using muscle relaxants for back pain. However, because of their high efficiency, they have established themselves on physicians' prescription lists for musculoskeletal disorders and degenerative diseases.
The mechanism of action of muscle relaxants is quite different from that of NSAIDs. They do not affect the inflammatory process in any way, do not eliminate pathological edema and the pain associated with it.
As the name suggests, these drugs relax muscles. The mechanism of low back pain is quite complex. It does not only differentiate between neuropathic components associated with nerve root damage. Of great practical importance are muscle spasms, which are reflex responses to degenerative processes in the spine and joints. Not only is it accompanied by severe pain itself, but it can also exacerbate inflammation at the site of the lesion.
That's why using muscle relaxants and NSAIDs can help you stop pain syndrome in less time. What muscle-relaxing injections do doctors usually prescribe?
vitamins
The vitamin preparation itself is not a pain reliever. However, therapists and neuropathologists almost always prescribe it for back pain. What are the reasons for these recommendations?
The truth is that pain in the chest or back - between the shoulder blades and in the lower back - with degeneration is always related to the involvement of the nerve roots. It is their infringement that causes unpleasant symptoms. However, not only is the compression of nerve fibers fraught with pain, but their sheaths are also affected. As this process progresses, the nerve itself is destroyed and the manifestations of radiculopathy are exacerbated.
Group B vitamins have a repairing effect on nerve fibers.
Group B
This group of vitamins is available in the form of tablets, dragees and injections. During the acute phase, neuropathologists typically prescribe injections according to an established protocol - usually 10 days, and in the future they recommend switching to the oral form. They should be taken within a month.
Previously, such vitamins were present in three separate injections - B1, B6, B12. The administration of this cocktail caused a great deal of pain to patients, given that each injection itself was painful.
However, today pharmacies offer a large number of combination preparations, one of which already contains all the necessary B vitamins.
Today, B vitamins are an important part of established treatment regimens for a variety of radiculopathy and neuropathies. That's why these injections always appear on prescription lists for acute back pain along with NSAIDs and muscle relaxants.
gels and ointments
Although anesthetic injections provide quick and effective relief of discomfort, many patients prefer topical medications. These include gels, creams and ointments.
These products do not require special skills to use - even children can apply the gel to the affected area. Also, the topical form is safer because the active substance is not actually absorbed through the skin. This means that the risk of systemic side effects of the drug is minimized.
This is especially true for NSAIDs, which have an impressive array of toxic effects.
When it comes to mild illnesses, ointments, gels, and creams often help relieve back pain. They are also preferred when:
- in children and elderly patients.
- Bruises and sprains of ligamentous organs.
- Accompanying pathology - diseases of the coagulation system, diseases of the gastrointestinal tract, bleeding hemorrhoids.
Complications are rarely associated with the use of NSAIDs and gels, even when they are used uncontrollably. This is often the sin of older patients with chronic pain and severe forgetfulness. In this case, the safest anti-inflammatory drug becomes the drug of choice.
Tablets, Capsules, Powders
Tablets and capsules are an excellent alternative to back pain injections. Drug names can be the same or different.
Most NSAIDs are available in oral and injectable forms. In addition, there are a large number of medicinal analogs. That's why you shouldn't change your medication yourself if it suddenly doesn't work, because there's always the chance to buy a medication with the same active ingredient, but in the form of an injection or a different name.
Tablets are the most common oral anti-inflammatory drug. Almost all nonsteroidal medicines are available, including tablets. They are easy to use, divide and dose. Tablets are suitable for patients of any age group except children under 4-6 who may choke.
Oral forms of NSAIDs are the first choice for spinal disorders because they are more convenient to use.
Also, some drugs are sometimes as powerful as injections.
rectal suppository
Rectal suppositories containing an anti-inflammatory drug in the composition are widely available in any pharmacy. They can replace oral forms and injections for back pain.
This release form provides faster pain relief than tablets and capsules. This is due to the accelerated absorption of analgesic substances in the rectum. At the same time, however, their effects develop more slowly than intramuscular and intravenous injections. Although rectal suppositories are much more portable.
Doctors usually prescribe this form for mild and moderate spinal injuries after surgery to get the effect of anesthesia.
Due to the nature of the application, rectal suppositories are not suitable for all patients, however, they remain a safe, effective and popular pain reliever.
The choice of drug form to treat back pain syndrome is the prerogative of the physician. It is up to him to decide whether to support injections or tablets, gels or suppositories - depending on the patient's specific disease and comorbidities. In most cases, treatment is given according to a regimen — injections for acute pain relief on the first day of illness and pills or other forms — during the recovery phase.