Injections For Back Pain, A List Of Medications, How To Treat?

2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43

Injections for back pain, a list of medications, how to treat?

The first step in successfully dealing with back or lower back pain is to correctly identify the cause of its occurrence. The reason for the provision of specialized care may be lumbodynia and lumbago against the background of hypothermia, lumbago, entrapment of the sciatic or other peripheral nerves, herniated discs. To exclude other possible causes, it is better to be examined in full early after the onset of lumbar pain, including examination by a neurologist, orthopedist, gynecologist or urologist, therapist and gastroenterologist.

Only having comprehensive information about the body of a patient with back pain, the attending physician will be able to correctly assess the situation and, accordingly, prescribe the correct complex treatment:

• NSAIDs (non-steroidal anti-inflammatory drugs);
• Glucocorticoid hormones;
• Decongestants;
• B vitamins;
• Chondroprotectors of synthetic and homeopathic origin.

Content:

• What are the drugs that relieve back pain in injections?
• Blockages and manual therapy
• Effectiveness, contraindications and side effects of NSAIDs
• Hondoprotectors

What are the drugs that relieve back pain in injections?

Modern medical approaches to back pain management differ significantly from the concepts that were previously adopted. This is due to the differences in the arsenal of medications. The basic first-line drugs in the fight against back pain are NSAIDs (diclofenac, rheumoxicam, movalis, melbek, ketanov, dexalgin), simple analgesics (aspirin, analgin, paracetamol), paravertebral muscle blockade of pain points with local anesthetics against the background of fixation of the spine with a corset. As soon as the pain and muscle spasm decrease, massage, manual therapy and exercise therapy are prescribed.

The second basic and quite effective remedy was the use of vitamin preparations. The best gradual analgesic effect was observed against the background of injection of cyanocobalamin (vitamin B12). Other preparations of vitamins of this group (B1 and B6) have an additional neuroprotective effect in the fight against back pain. It has been established that only these vitamins are capable of influencing metabolic processes and the structure of nerve fibers, synaptic mediators, normalizing the normal innervation relationships between muscles and the irritated nerve. These data confirmed more than 90 large studies that showed the high analgesic ability of B vitamins, both in isolation and in enhancing the effect of NSAIDs.

Modern preparations of B vitamins are complex and contain all their representatives (B1, B6, B12) in combination with lidocaine (milgama, neurobex, neurobion, neurobionin). This enhances their analgesic effect, both general and local. It is best to prescribe them only for acute pain in the form of injections in combination with NSAIDs for a two-week course. After its completion, it is advisable to switch to taking tablets with a total duration of up to one month. Chronic back pain is less sensitive to therapy with combined B vitamins.

Blockages and manual therapy

With the ineffectiveness of anesthetic drugs, there are indications for the use of injections of anesthetics around the spine (paravertebral blockade), elimination of spinal segment deformities and muscle tension by manual therapy and post-isometric relaxation. For blockades, solutions of local anesthetics are used (novocaine, lidocaine, longocaine, marcaine), one of them in isolation, or a combination of the two.

The injection technique involves advancing the needle perpendicularly through the skin at pain points around the spine. Usually, its end is in the muscles, where the anesthetic is injected. Immediately after this, manual therapy techniques are performed. The treatment session is completed by applying a warming compress to the painful area. In no case should such procedures be carried out independently or by people without appropriate training. Only a qualified specialist can fully and correctly perform them.

Effectiveness, contraindications and side effects of NSAIDs

NSAIDs and analgesics for back pain are symptomatic drugs. They only partially provide pathogenetic treatment, influencing the mechanisms of pain occurrence, but not eliminating the underlying cause of its occurrence. A large number of side effects have been noticed against the background of long-term use of fairly common drugs from the group of NSAIDs and analgesics (paracetamol, aspirin, dicloberl, etc.)

Studies that have examined the comparative efficacy and side effects of all pain relievers have found that there is no one drug that reliably reduces back pain more intensely than others. Even the most expensive ones have proven to be completely useless in some clinical situations. It all depends on the individual characteristics of the pathology and the susceptibility of the patient's body to a specific NSAID. The only thing that is common to all of them is the side effects from the gastrointestinal tract.

According to the recommendations of the researchers, the least toxic manifestations were observed against the background of the use of drugs based on ibuprofen (ibuprom, nurofen). Even selective COX-2 inhibitors (celebrex) didn't look as safe as ibuprofen. Therefore, when choosing an anesthetic drug, you need to be guided by common sense, scientific facts about the real effectiveness and frequency of possible side effects, as well as the price side of each drug.

In the treatment of severe back pain, doubling the dose or constantly changing from one NSAID to another when they are ineffective will not give noticeable improvement. This can only achieve an increase in side effects. Real improvement is possible when using the same active ingredient in different dosage forms (injections, ointment tablets).

Hondoprotectors

Author of the article: Sokov Andrey Vladimirovich | Neurologist

Education: In 2005 completed an internship at the IM Sechenov First Moscow State Medical University and received a diploma in Neurology. In 2009, completed postgraduate studies in the specialty "Nervous diseases".