Ointments and gels for pain in joints and muscles: which are better?
Ointment for pain in the joints is an excellent medicine of a local character. Preparations in this form help quickly eliminate pain, remove puffiness, remove redness and other local symptoms. Some of them help with muscle pain. Of course, they can not completely cure the disease, but they are the most effective as an auxiliary treatment. In addition, not only ointments, but also gels with a similar therapeutic effect are developed.
Types of joint ointments according to the mechanism of action of
There is a large number of medications in this form that help to eliminate pain in the joints. However, there are so many of them that without the help of an experienced doctor it is very difficult to choose a suitable substance for the treatment of an illness. Depending on where the joint hurts, and also from the reasons that caused such phenomena, the doctor can prescribe absolutely different medications that are produced as ointments.
For example, there are several types that are designed to treat the knee joint. The first group includes warming medicines for treatment. Most often, the formulation of such medicines includes animals and plant components. They help to provoke the flow of blood to the place where the joint is damaged. So comes the warming effect. Due to this, the pain very quickly disappears, and recovery is more active. It is better not to use such ointments in pain during the first moments after the trauma was received, or in the early stages of the inflammatory process. This can lead to burns or an allergic reaction.
To check the medicine and the body's reaction to it, you can apply a small amount to the elbow, to the place in the back near the armpits or to the fold of the brush. If there was no negative reaction, then the medicine can be used for other joints. If the knees ache, then drugs based on capsaicin can be used. It is included in the composition of red pepper and creates such a burning effect.
Finangel, balm "Golden Star"( or just all the known Soviet "Zvezdochka"), Kapsin, Espol, Nikoflex and others have proved to be among such preparations. In addition, there are drugs that contain salicylic acid. For example, known drugs such as Viprosal, Nizvysal, Bom-Benge, Efkamon and others.
The second group of medications that eliminate joint and muscle pain include agents with anti-inflammatory effects. They are fighting against inflammatory processes in the joints. Such means can be divided into usual classical and hormonal. The main task of such means is to eliminate the inflammatory processes in the area of damage. The formulations are different, but in any case they include an effective potent remedy that helps to anesthetize.
Voltaren, Diclofenac and Fastum-gel are non-hormonal. Among the non-steroidal anti-inflammatory drugs, the most effective ointment is Nyz, Finalagel, indomethacin and Ketonal. They can be used without the permission of a doctor. When the disease becomes more severe, the doctor prescribes hormones. Their action is more powerful, however it is forbidden to use hormonal preparations for a long time from pain of joints and muscles.
Allocate and the third type of funds that have a cooling effect. Due to this, they are well suited for pain relief. They very quickly anesthetize if the joint was injured. Such drugs are safe for the patient, so they are allowed to use without the appointment of a doctor. But if there are open wounds or burns, then this is forbidden to be applied to this place.
In addition, this classification can include chondroprotectors in the form of ointments. These drugs are used not only for the removal of inflammatory processes, but also for the restoration of cartilaginous tissue in the joints after its destruction due to injuries or diseases. However, the use of such drugs is allowed only after consulting a doctor.
Contraindications to the use of external means
For different groups of drugs that are used for pain in joints, there are different contraindications. However, there are similar factors, in the presence of which it is forbidden to use funds from pain in the joints. For example, if a patient or a doctor suspects that the cause of the pain was infectious or purulent, it is better to refrain from using them.
The same applies to the pathological changes in the joints, which are caused by inflammatory processes. In this case, it is necessary to consult a doctor. When accumulating fluid in the joint cavity, you also need to abandon their use. Allergy to various components is another contraindication. In addition, if the general condition of the patient is severe, then the doctor can cancel the use of such funds for the joints. The same applies to stroke, heart attack and some other diseases. At pregnancy too it is necessary to refrain from use, tk.in general, the effect of these drugs has not been studied in such conditions. Many drugs will be dangerous for a woman during lactation. For example, those medicines that contain ketoprofen, snake and bee venom are completely banned.
For example, if the drug has an irritant effect, then if the patient's susceptibility to the various components that make up the drug is increased, it should be discarded so that there is no damage to the skin.
Diclofenac is not allowed to be used by people who suffer from allergic rhinitis, dermatitis from aspirin or NSAIDs, and from bronchospasms. In addition, one must use very cautiously all NSAIDs to people who suffer from ulcerative diseases, kidney disease, liver, asthma and have problems with the work of the heart and blood vessels. For children under 6 years, all drugs that are classified as NSAIDs are completely banned.
Side effects of
If the ointment is used with an incorrect dosage, the patient may experience various side effects. For example, with NSAIDs, itching, burning, rashes and redness on the skin occur. In addition, there may be nausea, vomiting, dizziness, headaches, puffiness, as well as digestive problems and increased blood pressure.
Some products based on snake and bee venom can cause an allergic reaction.
All non-steroidal anti-inflammatory drugs are enhanced by ultraviolet radiation.
By the way, scientists and doctors believe that the molecules of NSAIDs and chondroprotectors are very large in size, so it is difficult for them to pass through the cell membrane. Scientists have calculated that the medicinal substances of such drugs come only in an amount of 5-7% of the total volume. To enhance the effect, ultraviolet radiation is used.
Some ointments can reduce the effect of a diuretic drug, from drugs that should stabilize blood pressure.
Ointments that help fight joint pain are excellent medicines that help to eliminate inflammation, remove puffiness, remove redness and pain. In addition, some of them can repair cartilaginous tissues. In addition, ointments for muscles with a similar action have been developed. However, all medications in the form of ointments should be used very carefully and only after consulting a doctor to avoid the side effects of such treatment.
Effective warming and anesthetizing ointments for the treatment of osteochondrosis
After thirty years, many begin to get back ache, sometimes it makes itself felt only after a considerable load, and quite often after sleeping in an uncomfortable pose shoots the neck. All this is a manifestation of osteochondrosis, that is, the pathology of the cartilaginous tissue of the spine, accompanied by the destruction of the intervertebral cartilage. And, of course, we are lazy to do warm-ups in the mornings and strengthen the muscles of the back, that would somehow prevent such a rapid process of aging. It is much easier to anoint the sore spot with ointment. Everything passed, and we all forgot until the next time.
Classification of ointments used for osteochondrosis
Anti-inflammatory ointmentsThese ointments usually contain preparations of the NSAID group( non-steroidal anti-inflammatory drugs).They stop pain and have a pronounced anti-inflammatory effect. Anesthesia with the use of ointment from this group is associated with the suppression of the inflammatory process and the elimination of the phenomena of edema. Nonsteroidal anti-inflammatory drugs reduce stiffness of muscles and restore mobility in the joints. This group includes such drugs as Ibuprofen Ointment, Voltaren Emulgel, Nurofen Ointment, Ketonal, Indomethacin Ointment and others.
Complex action ointments
Ointments of this group have not only analgesic, but also anti-inflammatory, regenerating, antimicrobial, and antithrombotic effects. This includes such ointments as Dolobien and Fitobene. The therapeutic effect of these ointments is achieved by the rapid penetration of active substances into the tissues through the skin, while thrombi in the subcutaneous capillaries dissolve and microcirculation improves. Thanks to this, the cartilaginous tissue quickly regenerates. Inflammatory processes regress, the pain syndrome is fixed, and mobility in the joints is restored.
Heating and pain relieving ointmentsSuch ointments in osteochondrosis improve local blood circulation and stimulate trophic and metabolic processes in tissues. Due to their warming effect, they relieve spasm from strained back muscles. After application of warming ointments, redness of the skin appears, local temperature increases and metabolism in the affected areas becomes more active.
With the expressed therapeutic effect such ointments are applied at a cervical osteochondrosis. Already after the first application the pain is significantly reduced, and active movements are restored, to enhance the effect, a warm scarf is wound around the neck.
Because of the pronounced tonic effect on the nervous system, ointments of this series are prescribed only in the afternoon. If the disease worsens, rub it heavily with ointment, apply a thin layer on the affected area. In the stage of remission of osteochondrosis, these ointments can be used for preventive purposes in massage.
The ointments of this group include Finalgon, Turpentine Ointment, Capsicum, Nicoflux.
Chondroprotective ointments and gels for osteochondrosisThese ointments have an analgesic effect indirectly, by eliminating inflammation and stimulating the regeneration of cartilage tissue. Thanks to the substances that make up the ointments of this group, the normal structure of the connective tissue is restored. Chondroprotectors, in addition to all described, also stimulate the synthesis of articular fluid, which also contributes to reducing pain in the joints. They bind calcium and accelerate, thus, the restoration of bone tissue, participate in the restoration of the smooth surface of the joints and articular bags. The use of chondroprotectors significantly slows the development of osteochondrosis. The ointments of this group are Chondroxide, Chondroitin and Chondroart.
These ointments are made on the basis of vegetable and mineral components and have an analgesic, anti-inflammatory and regenerative effect. They practically do not cause side effects. It is necessary to apply these ointments carefully, as there is a high probability of development of allergic reactions. Homeopathic ointments are presented on pharmacy counters in a wide range. This is the purpose of T, and Traumeel C, and the Liver, and Sabelnik and preparations containing bee and snake venom.
What ointment to treat osteochondrosis, you should advise the doctor. The ointment is selected taking into account the side effect and the severity of the symptoms in the patient. Whether this or that drug will work effectively in each case, it is difficult to foresee, therefore the best ointment for osteochondrosis is the one that suited you.
Anesthetic tablets, ointments and gels for pain in joints
Anesthetic tablets for pain in joints are prescribed according to pathogenetic mechanisms that lead to the formation of pain syndrome. Pathology develops with arthritis, arthrosis, traumatic injuries, tumors, systemic diseases.
Each nosology has its own duration, intensity, sensitivity of pain.
Anesthetics for pain in joints
Most non-steroidal anti-inflammatory substances are prescribed for most types of bone nosology. Common representatives of the group:
Mechanism of action of non-selective non-steroidal anti-inflammatory drugs - blocking the enzyme of cyclooxygenase type 1, 2, which leads to disruption of prostaglandin formation, a decrease in the severity of the inflammatory reaction. Inhibition of 2-cyclooxygenase in the intestine leads to a violation of mucus discharge, exacerbation of the stomach ulcer, the probability of erosion, colitis, enterocolitis, gastritis.
Selective NSAIDs selectively block 1-cyclooxygenase, so they do not affect the functioning of the gastrointestinal tract. Representatives of the group are nimesulid, niz. The creation of such medicines was supposed to solve the problem of the possibility of prolonged use of anti-inflammatory drugs for pain relief of joints, but other negative reactions were revealed - the destruction of hepatocytes with the increase in liver size against the background of prolonged use of medicines.
Statistically, anti-inflammatory drugs are regularly taken for about 30 minutes by the world's people. Another 300 million use these funds periodically. The share of the pharmaceutical market that occupies NSAIDs in Russia is 30%.We will not talk about the fact that these painkillers for pain in joints are prescribed daily by the therapist to patients "packs".Elderly people are well acquainted with diclofenac, ibuprofen, ketorolac, used to relieve pain in diseases of the joints, spine.
What pain relievers for joint pain: osteoarthrosis
Osteoarthritis is a joint disease characterized by the destruction of interosseous articular cartilage, decreased bone density, bone growths, damage to surrounding muscles, ligaments, tendons.
The disease is indicative for the analysis of the effectiveness of the use of anti-inflammatory drugs and chondroprotectors. Therapy of osteoarthritis of 2, 3 degrees is carried out by NSAIDs. At 4th degree, surgical treatment is necessary.
Diclofenac for pain in the joints is prescribed for 10 days followed by a break for the removal of inflammation of the elimination of pain syndrome. The popularity of the appointment of the remedy is due to the presence of anti-inflammatory, antipyretic, analgesic effects.
Local anesthetic - pain reliever tablets
Local anesthetics are used to inject non-nutritional information into the central nervous system. Allow to reduce the severity of pain sensitivity. Preparations normalize microcirculation in the pathological area, which allows improving metabolism, to remove the inflammatory process.
Local anesthetics are a group of substances that cause a temporary loss of tissue sensitivity due to prolapse of nerve impulses. They are used for regional, infiltration, superficial anesthesia in surgical and dental examinations. For pain in the joints, the following local anesthetics are used:
Anticonvulsants, anticonvulsants are used to irritate nociceptors, stimulate the peripheral nerves, which contributes to the development of hyperalgesia. The drugs block the impulse of the central and peripheral neurons. At the forefront of pathology are the following drugs:
Drugs in this category are selected by a doctor. They are released by prescription.
Strong anesthetic for pain in the joints is prescribed for osteoarthritis of 3-4 degrees, fractures. For anesthesia, opioids are used.
All pain relievers for joint pain
The huge commercial offer of various means for joint pain does not mean quality treatment. The authors of the site made an attempt to classify the existing drugs for the treatment of inflammatory articular changes:
- Nonsteroidal anti-inflammatory drugs;
About the NSAIDs described above, but arrange the drugs according to the degree of decrease in anti-inflammatory effect:
- Ketanov( ketorolac, ketalgine;
Graduation according to the degree of extinction of anti-inflammatory action:
Selective non-steroidal anti-inflammatory drugs only work in therapeutic dosage.
Coaxibs possess a high degree of selectivity in the blocking of cyclooxygenase-2:
Pharmaceutical studies have shown that the use of drugs results in a negligible effect on the gastrointestinal tract, which excludes a side effect on the intestine.
The classification of NSAIDs can be based on the application point:
- Primary accumulation in peripheral tissues, joints - indomethacin, diclofenac;
- Anti-inflammatory with central activity - paracetamol;
- Simultaneous effects on the central nervous system and periphery - arthoxan( tenoxicam).
All sources describe the adverse effects of non-steroidal anti-inflammatory drugs on the gastrointestinal tract, but one can not ignore the toxic effects of non-steroidal anti-inflammatory drugs on the kidneys, liver, and serious allergic reactions. Anesthetic pills from joints with osteoarthritis should be taken throughout life, as the disease causes irreversible violations.
To prevent the negative effect of anti-inflammatory drugs, we recommend that you follow certain important principles:
- Combination of drugs with proton pump inhibitors( omeprazole, omez), H2-histamin blockers, gastroprotectors;
- Use of enteric-soluble forms;
- Parenteral, rectal, topical administration for different purposes. Do not combine different forms of NSAIDs at the same time;Rectal ointments can reduce the general toxic effect. At their reception anesthesia of joints is reached in 20 minutes.
There are 2 forms of diclofenac on the market - rapid, retarded.
Retard( revedin, diclobber) is slowly released, which allows to form a prolonged effect when taken 1 time per day.
The form of rapid( voltaren) provides a therapeutic effect after 15 minutes. It allows you to quickly remove joint and other types of pain.
Pain relief ointments for joints
For joint diseases proposed by WHO, 4 groups of products for external use are presented:
- Preparations based on the hot pepper capsaicin: nicoflex, capsin, balm "golden star", finalgon, capsicum, espal;
- Salicylic acid-based medicines: Ben-gay, Bomb-Benga, Viprosal, Efkamon, Nizavisal;
- Homeopathic ointments for joints;
- Local forms of chondroprotectors.
Studies on the effectiveness of ointments for joints and muscles have not been carried out, and therefore one can not evaluate the rationality of the use of these agents.
Classification of anti-inflammatory ointments:
- Bystrumgel, ketonal gel, fastum gel. They are made on the basis of ketoprofen. Effective analgesia is recommended for the action of these drugs;
- Doblene gel based on dimethyl sulphoxide;
- Dolgit, a religion using ibuprofen. In addition to anti-inflammatory has warming properties.
Anti-inflammatory drugs are used on the basis of snake and bee venom.
Heating and vasodilating ointments for joint pain
List of warming ointments for joint pain:
Anesthetic ointments: with a warming or cooling effect, list.
Anesthetic ointments contain analgesics with pronounced analgesic effect. During the application of these drugs, a person feels the influx of heat to the affected area and the slow loss of pain. An increase in the intensity of blood flow in the aching area minimizes the development of pathological conditions.
Anesthetics and anti-inflammatory drugs have an effective effect in neuralgia, back pain, knee joints, rheumatism, etc. These drugs should be applied in small dosages in order to avoid the occurrence of side effects.
Types of ointments with analgesic effect
Anesthetics are effective for preventive purposes and in the treatment of various injuries and diseases, they are usually divided into warming and cooling.
Fresh trauma, bruising or stretching of tissues should be cooled. To apply a warming ointment to a sore spot at this moment is impossible, because it can negatively affect the recovery process: lead to hyperemia and increased heat exchange due to the constituents of capsaicin and methyl salicylate contained in bees, snake venom and hot pepper. Very often ointments can be found in ointments, but all because it increases the permeability of the capillaries.
Warm up ointment is used during rehabilitation, it helps to remove swelling, cope with pain and bruises, and also creates optimal conditions for fast healing of the diseased area. Warmers are successfully used in the treatment of diseases such as rheumatism, bursitis, neuritis, bronchitis, etc. In addition, they are effective for chronic ailments.
No less effective are warming ointments used to prevent injuries, prevent pain in the joints and lower back, while warming up the muscles before serious and intense loads on the locomotor system. It is useful to rub warming aids and conduct a good workout before outdoor activities in cool weather, this avoids possible injuries.
Since these preparations contain irritant substances like capsaicin, it is necessary to familiarize yourself with the application guide before use to avoid allergic reactions. Before applying the product, a novelty, it must be tested on a small area of the skin, for example, at the elbow bend or in the popliteal zone.
With the acute injury just obtained, it is recommended to use a gel with a cooling effect, it will help to remove the inflammation, will numb the damaged area, reduce the bruise and hematoma, improve blood flow and promote tissue regeneration. Many of these drugs have anti-inflammatory effect. When applying gel to the affected area, a feeling of cold is created, while the temperature of the skin does not change. These agents contain active ingredients such as alcohol, menthol, essential oils, heparin and other substances by which analgesia is achieved.
A small amount of cooling gel is applied to the damaged area. You can not rub it, so as not to provoke flushing. It is better to allow the means to absorb itself. For this reason, cooling agents are often produced in the form of a gel, because due to its structure, it penetrates better into the skin and releases active substances faster.
The best analgesic ointments for joints and muscles
If there was a complete separation of the ligament, then there is excessive mobility of the joint - looseness. This is due to the fact that the joint is broken, and it can move in any direction.
Do not confuse rupture of ligaments with fracture of bones. In the latter case, there is severe pain in the state of rest and lack of control over limb movement.
Tendon tendons can be of varying severity:
- At the first degree, there is slight discomfort in the joint area and slight pain during movement.
- The average degree is characterized by painful sensations not only during movement, but also at rest, as well as bruising and swelling of the tissues.
- The third degree is characterized by severe pain, shock, joint loosening and extensive hematoma. In this case, there is a complete rupture of the fibers of the bundle or its detachment from the attachment site.
Sprains of the first and second degrees can be treated with ointments and compresses. With complete rupture of ligaments, hospitalization and surgical intervention are necessary. Rehabilitation of the damaged joint may take up to 5 months, depending on the severity of the injury. The resumption of sports training is possible only six months after the injury.
Assisting in stretching ligaments at home
In case of injury, the patient should provide first aid:
- If the ankle is damaged, the leg should be released from the shoe, as this will be difficult to do in the future because of the swelling.
- Secure the damaged joint with a bandage or special elastic bandage.
- Limit the movement of the limb.
- Apply a cold compress.
- If the skin at the site of the injury has turned pale and there is acute pain, it is urgent to call an ambulance.
In case of joint dislocation, ice or a cold object should be applied to the damaged area. This will prevent the appearance of bruising and swelling.
When stretching and dislocations, you can not take a hot bath and visit the sauna in the first 4-6 days. Heating procedures strengthen the inflammatory process in damaged tissues. Also, massage and rubbing are contraindicated, since they can lead to increased swelling of the injured area.
The final diagnosis can only be made by a doctor after a thorough examination and an X-ray examination. For the treatment of injuries of the first and second degree, the following methods are used:
- treatment of the affected area with special ointments and gels;
- use of medications that relieve inflammation and pain;
- physiotherapy: UHF, electrophoresis( starting from the 4th day after injury);
- at the end of treatment - exercise therapy to restore the motor functions of the injured organ.
What ointments are used for dislocations and sprains
With oedemas and pain syndrome, ointments from stretching muscles and ligaments are good. They are:
As mentioned above, immediately after the injury to the affected area should be applied something cold. In this case, a cooling cream or ointment is well suited for treating injured joints of elbows, ankles and knees. These funds do not reduce body temperature, but only create a cooling effect. The main components of such drugs are:
The use of cooling agents is the first aid for trauma. They relieve pain and hamper the development of the hematoma. However, in severe injuries, their use is not recommended, so as not to cause even more swelling.
Among the ointments that reduce edema, there are known such as "Nikoven" and "Heparin ointment".
Heating ointments create a thermal effect on the affected area. They include bee or snake venom, which contributes to the expansion of blood vessels, so that the medicinal components quickly penetrate into the blood. The therapeutic effect is provided by such components as:
- extract of red pepper;
- methyl salicylate.
Warming ointments should not be used in the first days after injury, as they increase heat transfer in the tissues and blood flow in the joints. They are used during rehabilitation after tissue healing. Warming ointments can also be used as preventive measures before sports competitions.
To warming ointments are: "Dolpik", "Nikofleks", "Kapsoderma".
Anesthetic ointments are used throughout the treatment period while the pain syndrome persists. Anti-inflammatory and analgesic drugs are made on the basis of diclofenac and ibuprofen. The most popular are such products as: Diklak, Traumel S, Lyoton, Fastum-gel, Ketonal cream.
Before using medical products, you should consult a doctor. Self-medication can be fraught with undesirable consequences, since ointments contain biologically active substances that in individuals can cause allergic reactions and other side effects.
Folk methods of treatment of sprains and muscles of the muscles
People's methods can be of great help in damaging ligaments and muscles.
- Potato mask. To make it, you need 2 grated potatoes, which are placed in the refrigerator for 15 minutes, after which the cooled mass is applied to the sore spot. Above, the potato mixture is covered with a food film and left for 20 minutes. Potato compress has a cooling and soothing effect.
- Mask from baked onions perfectly removes pain. To do this, the middle bulb is placed in the oven, after which a tablespoon of sugar is added inside the baked tuber. The softened vegetable is applied to the damaged joint, covered with a film and left for half an hour.
- Aloe has long been known for its healing properties, and with stretches and swelling it is simply irreplaceable. Leaves of the plant should be crushed and wrap the resulting gruel into gauze, after which the prepared compress is applied for half an hour to the sore spot.
- A good remedy for swelling and bruising when the ligaments and muscles are damaged is a body spasm. For the preparation of medicinal product 2 tablespoons of a dry mixture, which can be purchased at a pharmacy, is bred in 100 grams of boiled water. The resulting mixture is applied to the swollen area.
Stretching of muscle fibers and tendons is very common. With fast and qualified care and thanks to the use of medicinal ointments, you can completely get rid of the painful sensations and restore the integrity of the tissues.