Nyxes from the osteochondrosis of the cervical part
Osteochondrosis of the neck can manifest itself as a slight discomfort, which does not cause any harm at first to the person's working capacity, and sharp pains. As a rule, doctors do not prescribe an injection from the cervical osteochondrosis in an easy stage of the disease. Prevent further development of the disease can be, performing every morning a set of special exercises, to monitor the diet, for example, to give up high-calorie food. It is possible to use special ointments, which are quite effective in the mild form of the disease.
Medication for cervical osteochondrosis
Osteochondrosis can begin quite suddenly and be accompanied by acute pain. Often, many patients do not even understand, so that such an acute form of the disease could arise. You do not need to make conclusions on your own and guess what caused the reason, you should not also expect that the disease can be and will pass itself and especially you do not need to buy and take medicines yourself.
In cervical osteochondrosis, at any stage of the manifestation of the disease, only a qualified specialist will be able to provide you with competent help and prescribe the necessary treatment. As a rule, in those cases when osteochondrosis is accompanied by too much pain, one medical gymnastics will already be indispensable. Specialists in such cases prescribe medications, injections from cervical osteochondrosis, manual therapy, in some cases patients have to be hospitalized.
With pronounced painful sensations, when literally every movement is given with difficulty due to severe pain, taking medications is primarily aimed at:
- to reduce pain and relieve inflammation in the cervical spine;
- to restore blood circulation disturbed by pathological process;
- to relieve muscle tone.
For medicines that can significantly reduce pain, include analgesics, muscle relaxants( quite effectively relieve muscle tension), non-steroidal anti-inflammatory substances. To restore the affected tissue, use the B vitamins, which are often used intramuscularly.
The course of medications, as well as injections for cervical osteochondrosis, is prescribed by the specialist depending on how painful the syndrome is, at what stage the disease is, and also takes into account the individual characteristics of the patient's body, since there are contraindications to the use of any medication.
What is more effective than pills or injections?
In each case and for each patient, everything is strictly individual, because the organisms are completely different for all. For someone, it is enough to take a mild pain medication so that the pain passes, and even strong injections are not helped by someone. That is why it is desirable to consult specialists at the first signs of the disease.
During treatment, it is absolutely necessary to follow all the recommendations that the doctor prescribes. In addition, before taking any medicine, be sure to read the instructions, read the contraindications and study all possible side effects. Never take tablets above the permitted limits.
The injections with osteochondrosis are quite painful, so try to entrust the process to a qualified medical professional. Never ask to give you a shot of a person who has practically no experience in this area.
Treatment with osteoporosis of the cervical spine has several advantages from the medications that are used in tablets.
- Drugs that enter the body through the blood act much faster than the substances in the tablets.
- The possibility of directly affecting the inflamed part of the cervical region. In severe stages of the manifestation of the disease, specialists cut off with an anesthetic injections only the damaged area of the neck. In this case, the medicine does not affect the entire body as a whole.
- In some cases, specialists prescribe intravenous drippers to patients. Such treatment has a greater effect compared to tablets.
What are the injections prescribed for osteochondrosis?The main clinical manifestation of osteochondrosis is pain syndrome, which has a different nature 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.
In contrast to 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 quickly 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 pricks 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 medicamentous agents.
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 analgesic effect and relieves inflammation.
This drug quickly relieves pain. 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 capable of normalizing 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 for vitamin A in for relieving tension in muscles 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 exacerbate 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 beforehand, 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 along the spinal nerves;
- 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 of , the active substance in which it is introduced into the region 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 includes the most complex blockades, in which the active substance is injected directly into the intervertebral disc or into 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.
Pinch of the nerve in the lower back - how to get rid of this misfortune? 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 straight;
- not to lift heavy objects( if it is absolutely necessary, then it should be squatting, not bending);
- move more, not letting the muscles atrophy;
- is more likely to hang on a horizontal bar;
- to go in for swimming.
Injections from cervical osteochondrosis: indications, types and efficacy
Osteochondrosis of the cervical spine is a chronic disease with alternating periods of remission and exacerbation. And the aggravation of the situation may occur at the most unexpected moment. In such cases, treatment with tablets and ointments can not provide a quick and necessary analgesic effect, so the only correct choice is an injection with osteochondrosis of the cervical spine.
Such intensive therapy allows in the shortest possible time to effectively relieve the patient of unbearable pain and quickly return to everyday life, because with the help of injections the drug is delivered directly to the systemic bloodstream, from where it quickly reaches the desired point of application.
In this article we will talk about what kind of nyxes for cervical osteochondrosis are applied, their mechanism of action, indications and prohibitions to use.
Advantages of injections
Injection administration of medicines for osteochondrosis of the cervical spine has several advantages over tableted forms of drugs:
- High efficiency and quickness of action. When the drug is administered intramuscularly or intravenously, it quickly enters the systemic circulation and immediately reaches the nerve endings, muscles and other damaged tissues during osteochondrosis. If the patient takes a pill, then it must first pass through the gastrointestinal tract to the small intestine, where the absorption takes place. And not all the dose of the active substance gets into the blood and not immediately, for example, if you take a pill on a full stomach, then only 50% of the medicine will get into the blood. Thus, the effect occurs at least after 30-40 minutes, and it is not as pronounced as in injections.
- The dose can be accurately determined. All the amount of medicine in the injections will fall precisely at the destination, which can not be said about tablets.
- The introduction of drugs in injections does not cause side effects from the gastrointestinal tract, which is very important in patients with background gastroenterological pathologies.
- Intravenous injections allow the medication to be administered evenly over a long period of time, which ensures a therapeutic concentration of the substance in the blood at a constant level and well eliminates the symptoms of the osteochondrosis of the cervical spine.
The basic groups of injections
It is necessary to know that the treatment of cervical osteochondrosis with injections is only symptomatic and is used in the form of an ambulance for exacerbation of the disease. For permanent therapy, this technique is not appropriate.
Most often, with an exacerbation of the cervical osteochondrosis, injections from the following groups are used:
- is a non-steroidal anti-inflammatory;
- muscle relaxants;
- glucocorticoid hormones.
Analgesics are prescribed to all patients without exception with exacerbation of osteochondrosis, since no case proceeds without pain, and sometimes it is so strong that it is necessary to prescribe a short course even narcotic painkillers. It must be remembered that analgesics do not treat the disease itself, they only relieve pain, which is the main symptom of pathology.
Most often, analgesics are injected intramuscularly 1-2 times a day or more( this depends on the severity of the pain syndrome).The following drugs are used:
- Analgin 2 ml;
- Baralgin 5 ml;
- Dexalgin 2 ml.
All these injections are related to non-narcotic analgesics. Reduction of pain is noted already after 10-15 minutes after administration, reaches a maximum after 1 hour, and the effect persists for 4 to 8 hours.
Dexalgin - an effective analgesic tool
You can increase the effectiveness of analgesic injections, if you enter them not intramuscularly, but intravenously drip in the composition of the lytic mixture. Such a dropper is administered for 30-40 minutes, it alleviates pain very well.
NSAIDAnd still we recommend reading: Are there dizziness from cervical osteochondrosis
Nonsteroidal anti-inflammatory drugs are by far the most widely used in medicine. Practically there are no diseases in which they would not be shown. Although they are part of the OTC group, they should be prescribed only by a doctor, since there are many contraindications and side effects.
NSAIDs eliminate pain, similar to analgesics, but in addition, they affect the pathogenesis of exacerbations of osteochondrosis - have a good anti-inflammatory effect, which leads to the attenuation of inflammation in the area of damaged spinal roots and stabilization of the disease.
There are a lot of drugs from this group, but most often for relief of exacerbations of osteochondrosis apply:
- Diclofenac( Diclobarle, Diclac, Almiral, Voltaren);
- Meloxicam( Movalis, Revmoxicam);
- Aceclofenac( Aertal);
Important! The most common complication and side effect of drugs from the NSAID group is damage to the gastric mucosa and the development or exacerbation of peptic ulcer, and this does not depend on the fact that the medicine was injected in injections, and not in tablets. Therefore, patients with such problems should not use drugs from this group, so as not to provoke bleeding.
The administration of drugs that eliminate muscle spasm( in this case skeletal muscle) is pathogenetically justified. The fact is that any exacerbation of osteochondrosis is accompanied by a reflex spasm of skeletal musculature at the site of the inflammatory process( a kind of protective reaction of the organism that turns into a pathological one).Spasmodic muscles help to increase pain, increase swelling and inflammation, and worsen blood circulation. Therefore, having eliminated this factor, it is possible to help the patient to get back on his feet much quicker.
Midokalm effectively eliminates muscle spasm and reduces pain in osteochondrosis
For this purpose, injections are administered that are administered intramuscularly, capable of selectively acting on the right muscle groups. These drugs are different from all known antispasmodics, for example, no-shpas, because unlike them they relax not the smooth muscles of the internal organs, but the skeletal muscles.
The following drugs are used:
Effective dose - 1 ml, injections are administered 2 times a day, in the future you can switch to taking similar tablets.
Despite the fact that glucocorticoid hormones effectively eliminate pain and inflammation, the opinion about the appropriateness of their appointment among specialists differs. But, as practice shows, they are often prescribed as part of complex therapy, monotherapy is not applied. So Dexamethasone or Hydrocortisone is injected intravenously into the lytic mixture( along with anesthetics).
There are also complex preparations with the content of GCS, which do not need to be mixed. Attention should be paid to injections Ambien. The course of treatment consists of 3 doses of the drug, which are administered every other day. One dose is 2 injections( ampoules A and B).Sometimes this is enough to remove the most persistent pain syndrome and get rid of the exacerbation. Amben includes Dexamethasone, Lidocaine, Vitamin B12, Phenylbutazone, NSAIDs and water for injections. It can be said that in one dose of this medicine all the necessary medicines are present to eliminate exacerbation of osteochondrosis.
Ambene is a complex preparation in injections with exacerbation of cervical osteochondrosis
Preparations from this group do not eliminate pain and inflammation, but can accelerate the process of recovery. These include:
- B vitamins;
- homeopathic remedies.
If pain can not be eliminated with the injections described above, then anesthetic blockades are used, in which local anesthetics and other drugs are injected paravertebrally( into the focus of inflammation).Such a technique can effectively eliminate pain and improve the patient's well-being. What preparations prescribe for treatment of an 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 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 sufficient 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, one should not forget about such a drug as novocaine, or more precisely - about novocaine blockades. This is a fairly effective method of relieving pain, which consists in the scaling of the affected area with novocaine. 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 carried out with caution, which presupposes 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 to 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.
That's why injections from cervical or any other osteochondrosis should be prescribed by as part of the course of treatment, independent use of drugs with such a disease is unacceptable!
Drugs and injections and from the cervical and lumbar chondrosis
Chondrosis - this is how people call the symptoms of osteochondrosis. Prolonged and debilitating pains of the neck and lumbar spine are often his fault.
Pain in chondrosis depends on the stage of the disease and on the localization of the process. Most often, she has a aching, dull character, worries the patient even at night. With exacerbation, the pain becomes abrupt and often disrupts normal human movements.
Treatment of chondrosis basically reduces to the restoration of cartilage nutrition and improvement of local circulation, as well as to the removal of the pain syndrome.
When a patient is faced with a choice, what medicine to buy, injections come first. After all, everyone knows that the injections will most likely be lifted to their feet.
Which ones to choose? Certainly, those that the doctor will prescribe. After all, many of them are sold by prescription.
Why the doctor will write out the injections:
- First of all because they are fast acting. And this is an undoubted advantage in exacerbating the chondrosis of the back. Then, even with remission, the doctor will prescribe ointments and tablets.
- Injectable form of drug administration acts exactly on the place of pain. This concerns the implementation of neck and lumbar spine.
- When injected into the blood, the exact dose of the drug falls. It's the one that's needed. Unlike tablets, the medicine does not go through the intestines and does not lose part of the active substance there.
- If a person has digestive problems, some medications, in particular non-steroidal anti-inflammatory drugs( NSAIDs), can worsen the condition. In this case, the injections are an excellent way out.
When treatment with injections will bring the best effect
The chondrosis of the cervical or lumbar spine is accompanied by severe pain at the time of exacerbation of the disease.
In addition, the pain may be accompanied by symptoms such as dizziness, especially with cervical osteochondrosis, or the sensation of running through the skin "goose bumps" - paresthesia. There are drugs in pricks that can cope with this.
However, it must be remembered that pain relief is only a symptomatic treatment, it does not relieve the disease itself.
Groups of applied preparations
Preparations are divided into several groups:
- Medications that relieve pain and inflammation, the so-called non-steroidal anti-inflammatory drugs. Let us consider them in more detail.
Representatives of the NSAID group are ketorolac, ketorol, diclofen, voltaren.
Ketorolac, ketorol have a strong analgesic effect and are less anti-inflammatory. Most often used in the treatment of lumbar chondrosis.
However, with these drugs, you should be careful of people suffering from chronic gastritis, since they can provoke its aggravation.
Diclofen, voltaren can reduce inflammation, remove the swelling at the site of lesion of the nerve roots. These drugs also have the property of adversely affecting the gastric mucosa.
- Vitamins, which are needed for nutrition and better functioning of nerve fibers, as well as improving the blood supply to the affected spine. Of particular importance are B1, B6 and B12.B vitamins are prescribed in neurology to reduce muscle tension, improve blood circulation.
A drug such as milgamma is widely used. It is a multivitamin complex containing in a lot of vitamins of group B. It possesses an analgesic effect, it normalizes blood supply of nerves, muscles. Actively used in the treatment of chondrosis of the neck, intervertebral hernia, with neurological pathology in the background of diabetes mellitus.
Enter milgamma only intramuscularly.
- Chondrosis is incurable without chondroprotectors. They nourish cartilage and prevent premature destruction.
Alflutop, mucosate, structum, dona, teraflex restore the damaged cartilaginous tissue.
Chondroprotectors are not suitable for the treatment of acute conditions. Their effect accumulates gradually and the improvement can be noticed no earlier than six months after the start of therapy. In addition, they can help only in the early stages of chondrosis.
Long-term treatment of osteochondrosis with chondroprotectors can reduce the dosage of anti-inflammatory drugs.
The course of treatment is at least 4 months, but the analgesic effect also lasts 3-4 months. The doctor selects the necessary preparation and the scheme of application individually, proceeding from the symptoms and the stage of the development of the disease.
- Muscle relaxants. This group of drugs affects the reticular formation of the brain and provides relaxation of spasmodic muscles. Muscle relaxation leads to a reduction in pain, better circulation of blood.
The most commonly used meadocals. The drug is produced both in tablets and in injections. Despite the fact that this substance acts on the central nervous system, its application is relatively safe. It is also used in pediatrics.
Mydocalm works well with milgamma, especially with the so-called "cervical" syndrome, when the neck has painful sensations associated with the compression of the nerve roots and the deterioration of their blood supply. With the pathology of the neck, symptoms such as dizziness and headache are also associated.
Blockades in neurology are called manipulations, the essence of which boils down to the following. The drug is injected directly into the source of pain. That is, with cervical osteochondrosis, the medicine is injected into the neck, at the lumbar - into the waist. This method of introducing a substance is called paravertebral. Sometimes it can be injected directly into the intervertebral disc or epidural canal.
Often the injection contains a small dose of the hormone to prolong the analgesic effect.
This method of treatment is used as an ambulance for severe pain. After the blockade procedure, the pain subsides almost instantly. The injection allows to achieve removal of spasm of muscles, inflammation and edema, and also restoration of blood circulation.
In cervical osteochondrosis, this manipulation is combined with the subsequent immobilization of the cervical spine by the collar of Shantz. A few days later, the collar is removed and the head is allowed to turn unevenly.
Only a person with higher medical education can perform the procedure. Most often this is a neurologist, if he is not, an anesthesiologist can make a shot.
Whatever provoked an exacerbation of osteochondrosis, it is necessary to try to prolong remission. To do this, you need to carefully consider your health. Try not to supercool, do not make sudden movements, do not lift weights, and also give 20 minutes for recharging every day.