Medication for osteochondrosis of lumbar spine
Lumbar spine afflicted with osteochondrosis is pain, stiffness in movements, inability to lead a normal life and the threat of developing more serious diseases. Pathologies of the spine, caused by osteochondrosis, is called a "disease of civilization", because most of them are directly related to the upright. It is the stresses experienced by a person's spine on walking - the main cause of problems with intervertebral discs and vertebrae themselves. Almost every adult person knows what pain this disease causes. It is worthlessly lifting the weight, making an awkward movement, and a sharp pain pierces the lower back. Unfortunately, to get rid of the pain and even just straighten out will only come after the introduction of the medicine. Let's talk about medicamentous therapy of osteochondrosis of the lumbar department. We also stipulate that self-medication with osteochondrosis is unacceptable.
How to treat the lower back with osteochondrosis
Drug treatment is an important stage in the fight against the disease. But osteochondrosis alone can not be overcome by medications alone. Usually, drug therapy is combined with other methods of treatment and recovery: exercise therapy, massage, physiotherapy, acupuncture, diet. It is medicines prescribed by a doctor that make it possible to quickly stop pain, remove inflammation, and avoid the spread of infection throughout the body. Moreover, it is important to understand that there are a lot of medicinal forms, the purpose of which depends on the severity of the disease, the degree of tissue damage, the time that has passed since the onset of the disease. To remove the pain syndrome, warming up during the recovery period, pills, injections, gels, patches, ointments, etc. are used. The duration of the medication is very different: some are introduced only during an exacerbation, others are taken by a long course. When prescribing medicines, the doctor must solve a number of problems:
- Anesthetize the affected area, relieve the inflammation, make life easier for the patient.
- For this, drugs with symptomatic effect are used - analgin, baralgin, etc.;
- If the lesion is extensive, NSAIDs are prescribed that relieve inflammation and swelling in the lumbar region. However, this group of agents does not work for the cause of the disease that caused the osteochondrosis of the lumbar spine. Medications - non-steroidal anti-inflammatory drugs - are desindomethacin, diclofenac, butadione, ibuprofen;
- To relieve spasm in the muscles around the affected area will require muscle relaxants - they affect the reflex muscle spasm and act briefly. Without a search for the cause of lumbar disease, the compression of nerve endings will not be reduced;
- Taking diuretics is needed to reduce tissue swelling. This is also a temporary measure;
- Also used to remove the edema at the site of inflammation are drugs that affect the microcirculation - this is Cavinton, Trental, Actovegin. The reception of these funds helps to ensure the flow of blood to the affected area, which contributes to the enrichment of tissues with oxygen, nutrients, and the release of pathological microbial products.
- The second task of the doctor is to provide support to the affected intervertebral discs, to find a means that will help the cartilage tissue to recover by destroying enzymes that trigger degenerative processes in the cartilage.
- That is, you need to choose a chondroprotector, or, in other words, a medicine that improves cartilage nutrition. These drugs take long courses( 3 months or more), the frequency of which depends on the degree of degenerative changes that have already occurred in the discs;
- The intake of drugs containing vitamin-mineral complexes is also called upon to solve the second problem. Trace elements strengthen the influence of medicines, saturate the disks and the damaged area with the necessary substances.
- The third task of the doctor is to find the cause of the disease and medicate her. In addition, manual practices are used to release muscles and joints from blocks and relieve the nerve roots and blood vessels from squeezing. Medication at this time helps to remove acute manifestations of the disease. Perhaps the appointment of hormone therapy in severe disease.
Features of medicinal treatment of low back osteochondrosis
If you constantly remove symptoms( for example, uncontrolled drink NSAIDs), you can get a number of other troubles in addition to osteochondrosis, including stomach ulcers, gastrointestinal problems, etc. Therefore, you should always look for the cause of the pathology of intervertebral discs.
Surgical interventions without medication are indispensable. But in cases when a conservative way of treatment is chosen, medications without adequate complex support of the body with the help of exercise therapy, massage and diet can bring little benefit. The use of a set of procedures makes it possible to minimize the number of medications, and apply them only during periods of exacerbations.
Drugs are needed to stimulate blood microcirculation( these are nicotinic, trental, theonikol, actovegin, irreplaceable anti-inflammatory drugs - pantohematogen, rheoprin, ibuprofen, caripazim, nise, spasmolytic drugs-myolastan, sirdalud, baclofen, drotaverin, botox;it is difficult to do without analgesics, antioxidants - tioctic acid, mexidol, vitamin C, tocopherol, drugs that correct psychosomatic disorders and repair cartilage - glycosamin sulfate, hyaluronic acidacid, diacerin, piascladin, chondroitin sulfate, alflutop, estrogens
How to take out the blockade of
There is still such a method of medicinal anesthesia as blockade, but it is rarely prescribed by a doctor( only with unbearable pain and impossibility of normal treatment). It is often performed in emergency cases, injecting a novocaine-lidlokaine solution with the hormone hydrocortisone directly into the place where the nerve is squeezed in. The pain goes away for a couple of weeks, but there's nothing to be happy about: the risk of problems with the kidneys and the gastrointestinal tract is too high. With each new blockade its effectiveness will fall, and muscles and ligaments can atrophy. In addition, considering that he is healthy without feeling pain, a person can accidentally injure the lower back even more. For these reasons, it is necessary to treat the Novocain blockade very responsibly.
What drugs are prescribed for the treatment of osteochondrosis?
This disease, like osteochondrosis, manifests itself primarily in severe pain syndromes. And in the acute phase of the disease, the pain can be very strong and it is not so easy to eliminate them. In such cases, injections are given for osteochondrosis - diclofenac, milgamma, etc. It is the injections that are the fastest way to get rid of pain, but you can not abuse them, which any doctor will tell you.
When treating a disease such as osteochondrosis, injections are an important component that allows you to quickly change the situation for the better. There are several types of drugs that can be used in this situation. There are several main drugs that are used in this form: non-steroidal anti-inflammatory drugs, pain medications and medicines based on vitamin B.
In what cases are injections given?
Osteochondrosis of the spine is the cause of back pain in 80% of cases of
. As we have already said, injections are usually prescribed during the acute period of the course of the disease. But there is also one more condition - indications for the use of injections are strong, almost intolerable pain. That is why, in the diagnosis of "chest osteochondrosis", the treatment of the injection is not intended simply because with the development of the disease in this department of the spine, there are usually no serious pains. Accordingly, there is no sense in applying such treatment, it is usually enough to have tablets and ointments.
But the injections with cervical and lumbar osteochondrosis is a fairly common phenomenon, since in this case one often has to deal with very severe pain syndromes, which are hard enough to take under control. In this case, non-steroidal anti-inflammatory drugs are commonly used, which quickly relieve inflammation and swelling, thereby reducing the compression of nerve roots and pain.
A separate category is anesthetic injections. Analgesics can be used to relieve pain syndromes, but the patient must understand that the absence of pain does not mean recovery, in this case it is only a temporary effect of the drugs.
What drugs are used to treat osteochondrosis?
There are several most popular drugs. In particular, with a disease such as cervical or lumbar osteochondrosis, treatment often involves injections:
- of diclofenac;
- of vitamin B.
These drugs have already proven their effectiveness in the treatment of various diseases of the spine. In this case, the above drugs are non-steroidal anti-inflammatory drugs and vitamins.
Arguing about what nyxes are put for osteochondrosis, we should not forget about such a drug as novocaine, or more precisely - about novocaine blockades. This is an effective way to relieve pain, which consists in cheating novocaine of the affected area. The effectiveness of this method is quite high, and the effect lasts long enough. In this case, however, there are all the disadvantages of using an anesthetic - in fact it is not a cure, but simply a blockage of pain.
It should also be noted that the treatment of cervical osteochondrosis with pricks should be done with caution, which implies the very specifics of this department of the spine. It's not just about the risk of damaging blood vessels or serious nerve endings, it's all much more complicated. The fact is that the pain in cervical osteochondrosis simply tells the person that certain movements can not be done just to not hurt yourself even more. The disappearance of pain removes such a prohibition in the subconscious, which is why there is an additional risk of complications.
In addition, what has already been said, it makes sense to remember that you can not decide for yourself what kind of injections to do, for example, with cervical osteochondrosis. Obligatory is not just consulting a doctor, this is a serious enough disease and it requires a corresponding attitude.
This is why the injections from the cervical or any other osteochondrosis should be prescribed by the physician as part of the course of treatment, independent use of drugs with such a disease is unacceptable!
What are the injections prescribed for osteochondrosis?The main clinical manifestation of osteochondrosis is pain syndrome, which has a different character and intensity.
Patients describe pain in osteochondrosis as pulling, aching , constant in the affected area of the spine.
Pain can increase if you change the position of the body, as well as with sudden movements.
Unlike the period of exacerbation of osteochondrosis, the pain syndrome is not strong enough in the usual period, therefore, it does not worsen the patient's quality of life much.
With regard to the phase of exacerbation, the pain can be so intense that the patient has to take a protective pose and not move so as not to disturb the sick spine once again.
During this period, you need to work in several ways to get rid of the pain as soon as possible.Article on the treatment of coxarthrosis of the hip joint of all degrees. About the complex of exercise therapy for scoliosis in children and adolescents read in the article. It is important to prevent the development of scoliosis in time.
When are injections required for osteochondrosis?
To injections at an osteochondrosis resort at the moment of an exacerbation and in the first some days. The doctor can prescribe injections for acute pain caused by cervical, lumbar, thoracic and other types of osteochondrosis.
Just need to understand, this method is symptomatic treatment, that is, it is aimed only at relieving pain, but in no way is a pathogenetic therapy( treatment).
Assign injections for osteochondrosis only in the first days of exacerbation, and then apply more gentle methods of exposure, such as ointments and tablets medication.
What are the injections prescribed for the treatment of osteochondrosis?
Most often the injections are prescribed the following analgesic and anti-inflammatory injections:
- Vitamin B;
- to Milgamma.
Ketonal is a non-steroidal anti-inflammatory drug that has an analgesic effect and relieves inflammation.
This drug quickly removes the pain syndrome. But it should be noted that these injections have a side effect - the effect on the gastric mucosa.
Negative effects persist even if ketonal is used in the form of ointments. In any case, it is necessary to protect the stomach.
Most often, injections of ketonal are prescribed in the treatment of osteochondrosis of the lumbosacral department, in which the pain syndrome most often develops.
Preparation Milgamma belongs to a group of such combined drugs that not only have an analgesic effect, but are also able to normalize the blood flow, as well as the work of the nervous system. It is better to prescribe milgammu in the case when cervical osteochondrosis develops for the most part.
In the case of cervical osteochondrosis, the main thing is not the pain syndrome, but dizziness, as a result of squeezing the vascular-neural bundle.
After relief of pain, is prescribed as a vitamin B for relieving muscle tension and normalizing blood circulation.You can not in any case choose their own painkillers, even if they were advised in the pharmacy. Even the most, at first glance, harmless drug should be prescribed only by a specialist.
It must be remembered that all anti-inflammatory drugs, no matter in what form they are used, can only give an exacerbation of gastritis, besides they are contraindicated in ulcers of different localization.
In addition, the independent and uncontrolled use of analgesics may well lead to the erasure of the clinical picture of the disease. Osteochondrosis is dangerous by a number of bad complications, which can lead to disability of the patient and even to death.
In this regard, when the patient himself takes medications without consulting the doctor in advance, the doctor may miss the first symptoms of for the development of complications, which then will have to be treated more complicated and serious methods, and even surgical intervention is not ruled out.
Treatment with blockades
Not all patients with osteochondrosis know about the existence of so-called "blockades".And among the "experienced" patients, many do not understand the mechanism of this procedure, and only specialists know about them.
The blockade is a treatment method in which the administration of the active substance is performed by the directly into the pathological region of the .Such a targeted attack at the epicenter of the disease makes it possible to soothe pain very quickly and eliminate inflammation.This method of treatment is the most effective method of drug treatment for the causes of pain syndrome.
To date, when using blockades as drugs, a combination of an analgesic with a long-acting corticosteroid hormone is widely used. The main active substance is the hormone, which has the strongest anti-inflammatory effect.
Blockades can be conditionally divided into two categories:
- is first introduced in the course of the spinal nerves;
- the second - in the zone of the return branch in the spinal nerve, which innervates all the structures of the spine.
The first group includes paravertebral blockades , the active substance for which is introduced into the area of interaxis and neoplastic ligaments. In the same group articular( articular) blockades occur, under which the hormone itself is injected directly into the area of the intervertebral joint or into the tissue located around it.
The second category is the most complex blockade, in which the active substance is injected directly into the intervertebral disc or in the epidural region of the spinal canal.
At home, the blockade procedure can not be performed. Since this serious manipulation has the right to do only an expert with a higher medical education.
The above-mentioned arsenal for the treatment of acute pain in osteochondrosis has modern scientific medicine, and already as a supplement to injections it is possible to fully use tablets, ointments, and even folk recipes.
Pinched nerve in the lower back - how to get rid of this scourge? For effective exercises for coxarthrosis according to Bubnovsky read here: http: //osteocure.ru/bolezni/artrozy/ deformiruyushhij-artroz-koksartroz-tazobedrennogo-sustava-1-2-3-stepeni.html
For prevention of osteochondrosis, aalso excluding his exacerbations, it is recommended to observe several simple rules that will reduce the burden on the spine:
- always keep your back smooth;
- not to lift heavy objects( if it is absolutely necessary, then it should be crouching, not bending);
- move more, not letting the muscles atrophy;
- is more likely to hang on a horizontal bar;
- to go in for swimming.
Preparations for osteochondrosis of lumbar department
In general, all drugs of this category are aimed at:
- to eliminate pain and inflammation and foci;
- to improve blood circulation in those parts of the body whose tissues are most affected;
- to restore the cartilaginous tissue, as well as the mobility of the joints;
- to eliminate or relieve the depressive syndrome that occurs in the patient due to constant and debilitating pain.
Non-steroidal anti-inflammatory drugs
This group of drugs is prescribed to the patient to eliminate pain, swelling and inflammation. This includes various ointments of gels, tablets and injections. These are: Diclofenac, Ibuprofen, Indomethacin, Ketoprofen, Nimesil and others. These drugs are aimed at increasing the analgesic and anti-inflammatory effect of other analgesics.
Medications based on indomethacin act directly on the affected tissue and are considered more effective and effective than those of the groups "Diclofenac", "Ibuprofen".They are appointed specifically for the treatment of osteochondrosis of the lumbar region.
Treatment of osteochondrosis also includes vasodilator drugs. What is the principle of their operation? The fact is that pain syndrome and muscle tension gradually lead to narrowing of the blood vessels. As a result, there is oxygen starvation of tissues and disruption of the work and functions of certain internal organs. To prevent such consequences, specialists prescribe a number of vasodilator drugs for osteochondrosis of the lumbar region.
To restore blood circulation to expand blood vessels, the following drugs are prescribed: Pentoxifylline, Trental, Eufillin, Berlition, Actovegin. In addition, these medications are aimed at restoring peripheral circulation, disturbed skin nutrition, and vascular tone.
Osteochondrosis of the lumbar region is treated with muscle relaxants. They are designed to relax the muscles and provide a soothing effect, restore blood circulation, reduce pain, stabilize mobility, stimulate regeneration of affected tissues and areas. As practice shows, the process of recovery without muscle relaxants takes a long time and is not sufficiently effective.
However, it should be borne in mind that many tablets, for example, "Baclofen", "Midokalm", "Tizanidin", "Cyclobenzaprin" and others, although effective enough to relieve muscle spasm, have a side effect. It is for this reason that the use of these drugs is carried out under the strict supervision of a physician. In case of any negative manifestations, the doctor can either cancel the medication, or replace them with other, milder ones.
Preparations restoring cartilaginous tissue
One of the main goals in the treatment of lumbar osteochondrosis is the restoration of cartilaginous tissue. This approach requires the use of chondroprotectors and a complex of vitamins. The first, chondroprotectors, have an anti-inflammatory and restoring effect and are aimed at improving mobility in the joints. These are: "Osooartizi", "Teraflex", "Chondroxide", "Collagen Ultra".
As for vitamins, they are prescribed in order to improve calcium metabolism and maximally restore damaged tissues, ligaments and tendons. The vitamin complex contains vitamins B, C, D, E, A, as well as calcium and phosphorus. These are: Neurobion, Neuroplex, Milgama, Neurorubin and others that relieve pain, increase the sensitivity of the affected nerve fibers and improve the metabolic processes that were disrupted by the neglect of the disease.
Since in the osteochondrosis of the lumbar part of the patient is constantly worried about the pain, it is recommended that such sedatives that have a sedative effect. If you do not take these medicines, the patient may be in a state of nervous tension, stress and depression, which in turn causes ineffective and protracted treatment.
To avoid such problems, the patient is prescribed a tincture of valerian and motherwort, as well as a number of soothing herbal infusions. In parallel( in the case of pronounced disorders and painful sensations), antidepressants can be used. We are talking about "Gidazepam", "Eglonil", "Donormila" and others.
What do I need to know?
It should be noted that some of the above and listed drugs can reduce the effects of others. As a result, treatment can be protracted, and sometimes it does not give a positive result. Therefore, self-medication in such cases is not only inappropriate, but also contraindicated. Only a qualified specialist can correctly and accurately pick up a complex of medicines( ointments, gels, tablets, injections) and help the patient get rid of osteochondrosis of the lumbar spine.
Osteochondrosis of the lumbar region is characterized by pathological changes in intervertebral discs. Because of the inflammatory processes in the soft tissues around the affected disc, the nerve root becomes entangled, which results in acute pain symptoms. Being in constant pain, the patient is depleted not only physically, but also morally, which directly affects life activity and physical activity.
Modern medicine has not yet found effective medications that completely treat osteochondrosis not only in the lumbar region, but also in the spine as a whole. But there are a number of medications that help to get rid of pain, reduce swelling and inflammation in the lumbar region, stabilize metabolism and partially affect the regeneration of cartilage in the affected area.
Types of drugs for the treatment of osteochondrosis
Depending on the stage of the disease, a doctor or a vertebrologist may be assigned a number of drugs whose effect is of an individual nature, since the treatment of osteochondrosis takes place in different ways. If to consider medicines, then they can be divided into the following groups according to the type of their application:
Drugs analgesic action
This group of medicines is more symptomatic. The duration of the action is rather limited. Conditionally, these drugs can be divided into narcotic and non-narcotic analgesics. Conventional( non-narcotic) analgesics are designed to relieve the pain syndrome. Can be prescribed in the form of tablets, injections( injections) intravenously or intramuscularly, and suppositories( rectal route of administration).These include Tempalgin, Analgin, Baralgin, and others from the same group.
If conventional analgesics do not help, then drugs of narcotic action are used. A prominent representative is tramadol. These drugs are quite dangerous for mismanagement, so they are referred to a group of drugs that are prescribed only with a doctor's prescription.
Non-steroidal anti-inflammatory drugs
Medications of this group have only a local scope, since they eliminate only the cause of edema or inflammation, but do not treat the osteochondrosis itself. Since the disease is swelling in the affected area, non-steroidal drugs block the enzyme of inflammation - Cyclooxygenases. But to neglect them is quite dangerous, since prolonged use can lead to damage to the mucous membrane of the intestine, duodenum and stomach as a whole. Before using this group of drugs, you need to undergo a thorough diagnosis and get familiar with the side effects that the drug can cause. These include abdominal pain, general weakness and drowsiness.
Medications, depending on contraindications, are taken in various forms. In the form of tablets should be taken only after meals, as taking them on a hungry stomach can lead to all sorts of disorders. The injections are mainly taken only by intramuscular injection, if necessary, applied in the form of an ointment or gel.
This type of medication is very useful, so they affect the nutrition of cartilage tissues and the regulation of metabolism. They also allow to stop the process of destruction in bone and cartilage tissues. Depending on the form, chondroprotectors are in tablets and injections. Tablets are used for oral administration. They include Teraflex and Structum. The course of admission lasts about half a year( depending on the stage of osteochondrosis), the first results will be observed after three months. The effectiveness is quite large, since they do not have obvious contraindications. In the form of injections, they are used to form new cartilaginous tissues. Introduce the drug into the joint or directly into the muscle.
The main function of muscle relaxants is to reduce reflex muscle spasm and suppress the spinal reflex. The main representatives of this group are Baclofen and Tizanidine. Thanks to these drugs, there is an opportunity, in parallel with medical treatment, to apply exercise therapy and massage. But it must be remembered that the doctor appoints the course of reception, since incorrect application leads to complications of different nature. Before using, it is necessary to undergo a number of diagnostic procedures, since there are certain contraindications. These include pregnancy, psychological disorders, epilepsy, Parkinson's disease and renal or hepatic insufficiency.
Diuretics and drugs that improve microcirculation in the lumbar region
Drugs that have a temporary effect and are aimed at reducing edema in the affected area are considered diuretics. Such drugs as Trental and Cavinton have an anti-inflammatory effect, their use affects the improvement of microcirculation, the enrichment of oxygen with blood. This group is secondary for use, since it does not relieve the main symptoms of lumbar osteochondrosis.
Vitamins and minerals
Vitamins primarily improve metabolism and enrich the body with nutrients that effectively affect the healing process. These include B vitamins( restore the sensitivity of the skin) - used in the form of tablets or injections, D( in combination with calcium strengthen the bone tissue), A and E( antioxidants that affect the recovery process).
Steroids and biostimulants
Steroids are used for anti-inflammatory effect. Preparations of this group are introduced into the epidural region( between the spinal cord and the spinal canal) in order to remove pain in the lumbar region as soon as possible. Apply mainly in the form of injections. Biostimulators also have inherent anti-inflammatory effects, but they also affect the recovery process in the affected waist region.
Drugs of psychotropic action
These drugs are used in conjunction with other groups, for example, analgesics. They have an intensifying effect, cause a relaxation of the muscular musculature. Representatives are antidepressants( Prozac) and neuroleptics( haloperidol).