Droppers with osteochondrosis

Droppers with osteochondrosis

Who did not encounter osteochondrosis? Perhaps, everyone is familiar with aching pain in the back. It is no accident that he occupies a leading position in the incidence of diseases. Avoid its severe consequences allow effective methods of treatment. To date, there are a large number of them. The greatest effect is produced by droppers with osteochondrosis. Particularly, the administration of drugs with the help of a dropper for acute pain.

Is osteochondrosis dangerous?

The disease is a natural aging of the spine. Do not think that this is a disease of the elderly. To date, the age of the sick has significantly decreased. Already in 20-25 years, its first signs appear. Scientists associate this with a bad ecology, an incorrect way of life, hard working conditions. Disease is dangerous because it lasts for a long time almost unnoticeably, then it quickly makes itself felt already with multiple complications.

How to recognize osteochondrosis? At the first manifestations of pain or discomfort in the back is to turn to specialists. It is also important to pay attention to the description of the disease: "Under the influence of daily loads on the spine, the ligaments are gradually broken down. The intervertebral discs are displaced, which leads to the appearance of bony proliferation. They, in turn, touch the nerve endings of the spinal cord and gradually injure them. This is the main cause of the pain syndrome. Depending on where the nerve endings have suffered, and distinguish the main types of this disease:

  1. With the defeat of the cervical spine;
  2. With lesion of the lumbosacral spine;
  3. Thoracic;
  4. With multiple simultaneous lesions of the spine. "

The most uncommon is the breast form of the disease. But the cervical is the most common kind. Can occur even in adolescence.

Osteochondrosis is curable!

This diagnosis is not a verdict! Do not think that painful suffering will accompany you all your life. You can help the spine "look younger."Modern medicine allows you to completely get rid of the disease. But the treatment will be effective only in case of timely treatment to a specialist and diagnosing the disease at an early stage. Only a qualified doctor can advise you how to cope with osteochondrosis.

There are many methods of treating the disease. But they are all divided into 2 categories:

  • Medicamentous. Medicines are used.
  1. An effective therapy is the administration of non-steroidal anti-inflammatory drugs and hormonal agents. They are designed to relieve the pain of osteochondrosis. Since it is very important for the disease to eliminate it as quickly as possible, it is recommended to use drugs subcutaneously or intramuscularly. When the drug is injected, the drug penetrates the blood as quickly as possible and facilitates the patient's condition. Droppers with osteochondrosis are indicated with the manifestation of the most acute pain.
  2. To ease the condition will help painkillers tablets. They have no therapeutic effect. Are indicated for mild manifestations of the disease.
  3. If pain becomes unbearable, blockade injection is used. The medicine is injected directly into the lesion.
  4. Medications in the form of various creams, ointments, etc. can remove the inflammatory process. Buying an ointment or gel for the treatment of osteochondrosis independently, it is worth paying attention to the contraindications and consult with your doctor.
  5. For the removal of muscle spasms, treatment with muscle relaxants is prescribed.
  6. To support and improve the condition of the spine, vitamins of the B group are allowed. Therefore, it is important to take them in a timely manner both as a prophylaxis of the disease and in its treatment.
  • Treatment without medication.

The treating physician may prescribe alternative, non-medicated therapies. Sometimes they are more effective ways to combat the disease.

octeohondroz.ru

Nyxes in the treatment of osteochondrosis: drug delivery exactly to the target

Exacerbations of osteochondrosis are almost always accompanied by pain, and so strong that the patient is almost literally "chained" to bed. When the slightest movement - turning, tilting, not to mention getting up from the bed, causes a pain attack - it is necessary to take the most urgent measures. No ointments and tablets in this state, as a rule, do not help.

Only anesthetic injection can quickly relieve suffering, as the medicine will go straight to the blood and immediately begin to act. Injections with osteochondrosis - one of the most effective methods of treatment.

Prick is less pleasant than eating a pill, but it is usually more effective

Benefits of injections before taking the medication inside

There are several reasons why the injectable form of medication administration is preferable to the rest. Why?

  • Rapidity of the drug. Directly into the blood, the medicine immediately reaches the "target" - nerve endings, and the swallowed tablet takes time to dissolve in the stomach, pass through the digestive tract, suck in the blood and only after half an hour - an hour to begin to act.
  • Accuracy of dosage. With the injection form, the therapeutic effect is exerted by the entire amount of the drug that was administered, while the active substance of the tablets is partially destroyed in the digestive tract under the influence of enzymes.
  • Direct impact on the lesion. With exacerbation of osteochondrosis, a blockage of the patient's spine with an anesthetic is performed, for example, from cervical osteochondrosis, the injections are placed directly under the skin of the neck in the region of the exit of the roots of the vertebral nerves, and the drug does not affect the entire body.
  • Prolonged administration of uniform doses of the drug( intravenous drippers) in many cases gives a much better effect than taking tablets.

Types of injections for osteochondrosis

Most often in the form of injections for osteochondrosis prescribe painkillers, non-steroidal anti-inflammatory drugs, hormonal drugs and vitamins. What means and in what combination are applied - the doctor decides. The most effective are combinations of injections, oral( taken through the mouth) and topically acting( ointment) drugs.
In case of an acute attack, the pain syndrome is usually removed by injecting the medication intravenously - through a dropper. Along with this, intramuscularly and subcutaneously several times a day injections of anti-inflammatory and restorative action are put. And finally, a good and fast effect is obtained from blockades - local administration of the drug.

Typically, the following substances are prescribed for injection:

  • Diclofenac, Voltaren are proven anti-inflammatory and analgesic agents. Give a quick effect of reducing pain and swelling.
  • Milgamma is a complex multivitamin preparation of group B. It improves the trophism of nerve fibers that suffer from osteochondrosis, thereby reducing inflammation and pain.
  • Ketonal and Ketorolac are effective non-steroidal anti-inflammatory drugs that quickly relieve pain, swelling and inflammation.
  • Mydocalm is a drug that relieves muscle spasms. Helps to quickly relax the constrained muscles around the focus of the disease, reducing pain and increasing mobility.
  • Dona, Alflutop, Elbona - drugs-chondroprotectors, often prescribed for osteochondrosis. They contribute to the restoration of the cartilaginous tissue of intervertebral discs.
  • For the blockade, a local anesthetic is usually used in combination with an anti-inflammatory agent.

Alflutop - a chondroprotector for injection by

Blockades in osteochondrosis

Blockades, as mentioned above, is the introduction of the drug directly into the source of the disease. And the pain syndrome with osteochondrosis is a direct indication for their conduct. Most often, patients easily tolerate this procedure, since the effect of it comes instantly, as they say, "at the tip of the needle."The mechanism of curative action of blockades is:

  • "cutting off" painful impulses from the pathological focus;
  • removal of muscle spasm;
  • improvement of blood circulation in the problem area;
  • anti-inflammatory effect.

Blockades can be performed by a single drug, for example, an anesthetic( novocaine, lidocaine, etc.), or several - for example, in combination with hydrocortisone( hormone), non-steroidal drugs, antispasmodics and others.

Local anesthetic injections for cervical osteochondrosis are combined with the immobilization of the cervical spine by the collar of Shants( an orthopedic device that excludes the ability to move the head) for several days to improve the outcome of the treatment.

Despite the fact that blockades allow to achieve good and fast results, there are contraindications for their conduct. These are:

  • allergic reactions to local anesthetics;
  • pustular skin diseases at the site of the blockade;
  • deformation of the spine, expressed so much that excludes the technical possibility of blockade.

The blockade can almost immediately remove the pain syndrome

When acute osteochondrosis - treatment: injections, pills and other means should not be assigned to yourself. The maximum that you can afford is to take an anesthetic and contact a doctor as soon as possible. After all, uncontrolled use of drugs will smear the clinical picture, and the doctor will not be able to recognize the terrible complication, if it arises. Therefore, the main thing is attention to one's health and no experiments on it.

SustavZdorov.ru

Exacerbation of osteochondrosis is almost always accompanied by pain, and so strong that the slightest movement - turning, tilting, rising - causes a new attack of pain. The person literally turns out to be "chained" to bed. Tablets and ointments do not help with such conditions. Therefore, to remove the pain syndrome, injections are applied, which begin to act immediately.

Advantages of injections before tablets

  • Rapidity of the drug. When you go directly to the blood, the medicine immediately reaches the goal - nerve endings, and when taking the tablets it takes time for the tablet, after passing through the digestive tract, to dissolve in the stomach and begin to be absorbed into the blood.
  • Accuracy of dosage .When injected, the amount of the drug administered has a therapeutic effect in its entirety, while the tablets are partially destroyed in the digestive tract under the influence of enzymes and lose part of the active substance.
  • Direct exposure to the disease site. With exacerbation of osteochondrosis, the diseased part of the spine is beaten by anesthetics in the exit zone of the roots of the vertebral nerves. So, with cervical osteochondrosis, the injections are placed directly into the neck region subcutaneously, and the drug does not affect the entire body.
  • Prolonged administration of the drug at regular doses of ( intravenous drippers) gives in many cases a significantly greater effect than the intake of tablets.

Types of injections for osteochondrosis

In the form of injections for osteochondrosis, anesthetics, non-steroidal anti-inflammatory drugs, hormonal drugs and vitamins are prescribed. What kind of medicines and in what combinations - the doctor determines. Injections can be administered intramuscularly, subcutaneously and intravenously. In acute attacks, medications are administered intravenously via a dropper.

Injection of NSAID .Nonsteroidal anti-inflammatory drugs:

  • relieve pain,
  • reduce inflammation in the focus of pain,
  • reduces edema.

In most cases, apply Diclofenac, Ibuprofen, Ketonal and Ketorolac, Voltaren. The best ratio of price and quality is Ketorolac. The NSAID should be used only during periods of exacerbations. After a strong pain syndrome passes, you should stop taking drugs. Ambien is effective from steroid( hormonal) preparations. However, steroid drugs can cause persistent addiction and have a number of side effects.

Analgesics( painkillers ).Of these, Metamizol sodium( Analgin) and Baralgin are used. These drugs stop the pain syndrome without having any therapeutic effect on the pathological process. They are used for minor pain, in the absence of other drugs. Choosing between NSAIDs and analgesics, you should give priority to NSAIDs.

Myotropic antispasmodics .With osteochondrosis, a good effect is provided by Miodocalm - a drug that relieves muscle spasms around the focus of the disease, reduces pain and increases mobility in the affected department. Temporary improvement of the condition helps restore normal muscle tone and includes the body's own reserves in the fight against the disease.

Hondoprotectors .These drugs contribute to the restoration of cartilaginous tissue of intervertebral discs. With osteochondrosis, Dona, Alflutop, Elbona are used as adjunctive agents in complex therapy.

Blockade injection.

A blockade is the introduction of a drug directly into the focus of a pathological process. Blockade injections are given in the case of very severe and intolerable pains, as well as contraindications for the use of other drugs. Pain syndrome in osteochondrosis is a direct indication for the blockade. Most often, this procedure is easy to transfer, because the effect of it comes instantly. The mechanism of curative action of the blockade is:

  • , arresting painful impulses carried out along the affected nerve from the pathological focus;
  • removal of muscle spasm;
  • elimination of the inflammatory process;
  • improvement of blood circulation in problem areas.

A blockade can be performed by any one anesthetic drug( most often used are Novocain or Lidocaine) or several drugs at the same time. Widely used to enhance the effect of a combination of analgesics with corticosteroids( hormones) prolonged action, for example, Novocaine with Dexamethasone. The main active substance is a hormonal drug, which has a strong anti-inflammatory effect. Also, analgesics can be used in combination with nonsteroidal drugs, antispasmodics, etc.

Blockades are conventionally divided into two types:

  • Paravertebral blockade of .With this kind of blockade, the active substance is injected along the branches of the spinal nerves, into the area of ​​the supramaxillary and interstitial ligaments. This category also includes articular( joint) blockades, when the drug is injected directly into the cavity of the intervertebral joint or into the surrounding tissue of the tissue.
  • Epidural blockades of the .In this case, the drug is injected into the epidural space of the spinal canal or directly into the intervertebral disc. These are the most difficult blockades.

Blockades are the most effective way to relieve pain. Doing it yourself at home is strictly prohibited. This procedure can only be performed by a specialist with a higher medical education, nurses are not allowed to conduct such injections.

Vitamin preparations. In the treatment of osteochondrosis, vitamins PP and group B. Milgamma, Combinipen - complex preparations of vitamins of group B - restore trophic of nerve fibers, nicotinic acid( vitamin PP) improves blood supply of damaged tissues.

The defeat of the cervical spine is often characterized not only by the pain syndrome, but also by dizziness due to a pinch from one or two sides of the cervical artery, which provides nutrition to the brain.

Injections for cervical osteochondrosis, as a rule, are done intravenously, using medicines that are aimed at correcting blood supply to the brain. Most often used Actovegin and Pyracetam.

Pricks for osteochondrosis are prescribed by a doctor and strictly according to the indications, depending on the clinical picture of the disease.

Contraindications for Injection

Use NSAIDs with caution in gastric ulcer and gastritis. When administered intramuscularly, drugs are absorbed into the bloodstream and also have an effect on the gastric mucosa, like tablets, so they can provoke an aggravation of these chronic diseases. Perhaps increased pressure and swelling of the legs due to the delay of sodium ions in the body. In this case, drugs such as Meloxicam( cyclooxygenase1 type) are used. They have less side effects, but less pronounced analgesic effect.

Contraindications for blockade:

  • severe deformity of the spine, technically excluding the possibility of blockade:
  • pustular skin diseases at the site of the blockade;
  • allergic reactions to local anesthetics.

Reviews

  • Periodically, my husband and I after intensive work at the cottage have exacerbations of osteochondrosis. For their treatment, we use three drugs. This treatment regimen was prescribed by a neurologist, and she helps us very well.1) Anesthetic drug - 1 injection a day for three days. Previously, used Movalis, and now I found it inexpensive domestic analogue "Arthrosan".It also well anesthetizes and does not affect the stomach.2) Midokalm - 1 injection a day for 5 days. It relaxes tense muscles.3) Vitamin preparation Kombilipen, very good and safe. My husband and I stabbed Movalis for three days, and Midokalm and Kombilipen for five days intramuscularly. And then only Midokalm and Kombilipen five more days in tablets. And exacerbations of osteochondrosis are rarely disturbed.
  • At the husband half a year back the hand began to grow dumb and hurt or be ill; be sick, and also pains in a neck have appeared. I did not want to go to the doctor. I bought Milgamma, a package of 10 ampoules. After several injections, my husband passed everything, there were no side effects.

bolivspine.com

Drugs for cervical osteochondrosis

The use of these medications not only relieves the pain syndrome, but also helps to stop inflammation. The intake of these drugs is prescribed usually in tablets and injections, ointments and solutions for droppers.

In order to actively combat inflammatory processes and to remove painful edema, Mydocalm and Naproxen are usually prescribed. If the effect of admission is weakly expressed, then they can additionally prescribe carrying out novocain blockades.

The last group of medicines that participate in the complex treatment of osteochondrosis include drugs that repair cartilaginous tissue. The common name for this category of drugs is the term "chondroprotectors".This includes: Structurm, Arthru, Piascladin, Glucosamine and Chondroetin Sulfate.

Control of concomitant disorders

The development of the osteochondrosis of the cervical region takes place against the background of increased irritability of the patient. This is perfectly normal, since most of the symptoms interfere with normal functioning and cause a strong sense of discomfort. For example, for the majority of patients with advanced forms of osteochondrosis, the usual turn of the head to the left and to the right is a big difficulty. In addition, with osteochondrosis, sleep usually deteriorates, the patient is in a state of chronic fatigue, and even against a background of constant pain syndrome.

To restore mental equilibrium and remove irritation from the nerve roots located in the zone of inflammatory processes, prescribe sedative( sedatives) drugs. In some cases, when a patient has a sleep disorder, a sedative is prescribed. For mild cases, doctors usually use herbal remedies - valerian, motherwort and various herbal preparations.

If nervous irritation develops into prolonged depression, more serious drugs may be prescribed: Gidazepam, Donormil and Barbovale.(And also: Cavinton with cervical osteochondrosis).

If the patient develops partial numbness and muscle spasms, then relaxing medications are prescribed to combat these minor manifestations of cervical osteochondrosis. With their help in the clamped muscles there is a relaxation and restoration of blood circulation. To this group of medicines include Cyclobenzaprine, Tizanidine and Baclofen.

When the arteries are squeezed, there is a sharp disruption of normal blood supply due to which there are malfunctions in the operation of internal organs. To correct the situation, the patient is prescribed the reception of vasodilators. With their help, blood circulation is restored, the pain syndrome weakens, inflammation and swelling pass.

The importance of vitamins in osteochondrosis of the cervical department

Osteochondrosis of the cervical department is considered to be one of the most insidious diseases. With its development, the body is depleted, which causes the person to become sluggish and open to new diseases. To restore immunity and fill the body with useful nutrients, doctors in addition to drugs to combat the main symptoms prescribe the intake of vitamin complexes. In addition, many of the vitamins are involved in the restoration of natural regeneration processes, and some of the vitamins( group B) helps to calm nervous irritation, normalize the natural metabolism of calciferol and contribute to the elimination of swelling.

Auxiliary preparations

The main drugs for the treatment of cervical osteochondrosis are given above. Nevertheless, not only with the help of injections and tablets is the disease cured.

It is extremely important! Use the following methods to get rid of cervical osteochondrosis should be done only after consultation with the attending physician. The degree of beneficial influence of many of the above methods to the end of science has not been studied!

The following are known from the most effective auxiliaries.

  1. Application of compresses with analgesics.
  2. Medical plasters, which are attached directly to the affected area.
  3. Application of the method of oriental medicine - acupuncture, which directly affects the nerve centers.
  4. Use of magnets. Despite the fact that Western medicine does not recognize this method of treatment, many patients use it for treatment with the symptoms of osteochondrosis.

The first two methods still have some kind of scientific justification, and they are often prescribed within the therapeutic complex, which helps quickly eliminate unpleasant symptoms with exacerbations of the cervical osteochondrosis. At the same time, the last two methods are considered to be rather extreme and do not always bring a positive result, so do not rely heavily on them and, at the same time, one should not believe anyone who promises to conduct a quality acupuncture session.(And also: signs of osteochondrosis of the cervical spine).

Traditional treatment will be more effective, the complex of which consists of taking medications, undergoing massage courses, performing exercises of a sports and medical complex, and so on. All these components are prescribed by the doctor after he has studied the features of the structure of the patient's body and the specific features of developing osteochondrosis.

In addition, it will help to make a daily routine so that there is a place for charging and a simple warm-up during working hours.

In the fight against osteochondrosis, one can expect quick recovery only when all the prescriptions of an experienced specialist are observed in the strictest manner. In this case, the entire course of treatment should take place under the slogans "permanence" and "regularity".If there are breaks in the course of treatment or it will be abandoned at the first improvement in physical condition, a new exacerbation of the disease can soon be expected.

Due to the specificity of the cervical osteochondrosis, which is capable of very rapid progression, one should not delay the initiation of treatment if there are characteristic symptoms of the disease. Here it is necessary to remember that sometimes after the appearance of the first signs the disease tends to calm down, but this does not mean that it has passed.

When starting treatment, it is not necessary to independently change the dosage of drugs or to add or exclude them from the list of compulsory medicines. In addition, it is necessary to monitor your reaction to all drugs, since some of them are capable of causing allergic reactions.

One can not forget for a moment the importance of human health. As a result, fear and laziness, because of which the trip to the doctor is delayed, should be discarded. After all, the osteochondrosis of the cervical section can lead to a disability or even death in the transition to a severe form, so it is very important to take it!

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Gel "Grandfather's Secret" - the first Russian drug, which makes it possible to restore cartilaginous tissue in joints without surgical intervention and injections.

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mypozvonok.ru

treatment of osteochondrosis of lumbosacral

Irina

Watching what chondrosis. At me intervertebral disks at two vertebrae are erased. There were two violent attacks last year in September and December, accompanied by sciatica nerve inflammation.
The neurologist has prescribed a treatment regimen:
intravenous saline with "Actovegin" 5 times every other day, intramuscularly Ketorol + Midokalm + Nicotinic acid every day gradually with increasing doses, and then decreasing( as "herringbone").Scheme I do not remember. This is about 9 days of treatment, give a sick leave.
Massage, analgesic and anti-inflammatory tablets Dexalgin and Naise.
The third day after the dropper was much better - left aching pain in the spine. Since then, there have been no seizures, the pain has gone and has not returned. The state of health is excellent.
For prophylaxis, I'm just doing therapeutic gymnastics( found on one of the sites), do not make any sudden movements, do not wear more than 4-5 kg. Actually, you still need to massage 2 times a year, but this year it did not work out, so next year you'll have a bad massage with a massage)))

KENT

The most important gymnastics in the form of a bridge is just the other way on your stomach and holding your hands and feet withtop over your head! !!I myself am afraid!

marjam

hoho, if they did not go to the doctors, then, perhaps, everything would be even worse!need to find a very good manual and not to leave.well, and the massage is there, swimming, hard mattress. .

Sergey Chistyakov

Massage the lumbar spine using a cream with bee venom.
At each aggravation. Once I was helped by indomethacin. The second time it did not work out.

Irin Constantine

tried massage, needles, physio and tablets.and it ended with an operation because it is better to live without pain than to tolerate it every day.

neuron

Want to change the doctor, but do not harm yourself with folk remedies.

Eugene Kostritsky

to remove the pain you need and then traditional medicine. Sirdalud, ksefokam - for 10 days, strict bed rest for 3-4 days, then walk with support. Be healthy.

wais

Osteochondrosis is a degenerative damage to the intervertebral cartilage. Distinguish between osteochondrosis of the cervical, thoracic and lumbar spine.
Symptoms: Cervical involvement is characterized by pain in the neck, neck, limitation of neck mobility, numbness in the fingers. In chest osteochondrosis, the patient is noted for fatigue, pain along the spine, the inability to stay in a vertical position for a long time. The osteochondrosis of the lumbar region is manifested by pain in the lower back, pains with sharp movements, initially minor, then strong.
Traditional methods of treatment: Reduced exercise, bed rest in acute period, analgesia, drugs that reduce reflex muscle tension( Fastum-gel, Capsicum), physiotherapy procedures, massage. In some cases, a surgical operation is indicated.
Unconventional and folk methods of treatment:
1) An anesthetic action is a compress of grated raw potatoes with honey in a ratio of 1: 1, which is kept in a sore spot for 2-3 hours.
2) Prepare a mixture of 0.25 cups of vodka, 0.5 cups of honey, 0.75 cup finely grated radishes and 2 tablespoons of salt. Apply it as rubbing 2 times a day and inside 1 teaspoon before meals 2 times a day with exacerbation.
3) Ginger powder to fry on melted butter and mix in a ratio of 1: 1 with garlic, mashed into a gruel. Ointment rubbed with lumbago or lumbago( a disease characterized by acute pain).It is useful to tie on the back of grated garlic, it should be removed when it is burned.
4) A handful of finely chopped oregano grass pour 0,5 l.sunflower or olive oil, insist 6-8 hours and strain. The remaining grass is well pressed. Rinse your back with oil.
5) Brew 1 tablespoon chopped strawberry leaves or 1 tablespoon dried strawberry fruit 1 cup boiling water, like tea. Insist 10 minutes. Drink 2-3 glasses a day for the prevention of osteochondrosis.
6) Tear 1 tablespoon chopped hop cones with 1 tablespoon unsalted lard or fresh butter. Lubricate ointment painful places with osteochondrosis.
7) Mix and crush thoroughly for 10gr.grass sweet clover, grass hops and herbs of St. John's wort( all sold at the pharmacy).Add 50gr. Vaseline and carefully grind. Ointment rub in sore spots with osteochondrosis.
8) Add 250 gr.crushed root of ara 3L.cold water, bring to a boil and insist for 2 hours, drain the broth into a bath. Take a bath with broth daily until the pain disappears completely.
9) Wipe the washed celery roots and squeeze the juice. Take 1 teaspoon of juice 3-4 times a day for prevention.
10) Pour 15 washed and dried horseradish leaves( or rhizomes) 10L.steep boiling water, insist in a sealed container for 5 hours. Pour into the tub 3L.infusion, add warm water and take a bath for 3 days for 20-30 minutes.
11) Chop laurel leaves and juniper needles( pine, spruce, fir).Mix 6 parts of laurel leaf powder and 1 part of cone needle powder. Add 12 parts of fresh butter and grate it well. Rub the ointment in painful places.
12) Massage with pure fir oil( sold in a pharmacy).Such a massage painfully relieves pain, and if carried out 2-3 times a year, then it is an excellent prophylaxis of osteochondrosis.
13) Add 10gr.herb thyme( sold at the pharmacy) 1 glass of boiling water, insist 30 minutes and strain. Take 1 tablespoon 3 times a day to prevent osteochondrosis.
14) Radish rub, put in a cotton stocking and put on a sore spot for several hours.

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