Severe pain in the back area can indicate a dysfunction of the musculoskeletal system, pinched nerve, etc. Therapy quite often includes injections, which, when choosing the correct treatment, can quickly remove pain in the back and lower back and significantly relieve the patient's condition.
This article collects the optimal injections by group and medical condition. If you want to know what injections are for back pain and low back pain, a list of the best injections is presented in this material.
How are the drugs selected?
Back pain can be recorded at any age in all clinical patient groups. This is usually not an independent pathology. As a rule, pain syndrome is a concomitant symptom of some ailments of the body.
Injections for back pain and back pain are prescribed by the doctor after collecting complete information for the medical history. Having identified the existing diseases, you can prescribe a treatment that will help stop pain, remove inflammation, relieve swelling and activate recovery. What injections for back pain and low back pain can alleviate the patient's condition?
Non-steroidal anti-inflammatory drugs (NSAIDs)
Most often, NSAID injections are used to relieve pain in the spine, as they very quickly affect the focus of inflammation, removing unbearable pain, stiffness, swelling and fever.
Non-steroidal anti-inflammatory drugs are prescribed for the following pathologies:
- pain in the lower back of a long-term, wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic back syndromes;
- intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections for back pain have a number of contraindications. To reduce side effects, it is recommended to use modern NSAIDs - COX-2 inhibitors.
Ketorolac
This drug is very popular as an injection for back pain and low back pain. Ketorolac is a powerful anti-inflammatory and non-steroidal substance.
You should not use this drug in case of hypersensitivity to ketorolac, as well as during the waiting period for a child, breastfeeding and children under 16 years.
ketoprofen
A medicine based on ketorolac trometamol. Ketoprofen has a strong analgesic effect. To avoid the manifestation of side effects, it is necessary to strictly observe the dosage shown in the annotation.
Lornoxicam
Relieves back and back pain with a large number of side effects. It should only be used as directed by a doctor.
tenoxicam
Injections are not recommended for patients with hypertension, diabetes mellitus, liver and gastrointestinal diseases.
Diclofenac
The so-called "golden mean" among similar drugs with analgesic activity. In a single injection, you can eliminate the back and lower back discomfort associated with muscle contraction and overload. However, it has some contraindications. Among them, it is worth noting individual intolerance, gastrointestinal diseases, heart pathologies, etc.
Meloxicam
This tool includes movalis. The drug is of the latest generation which means it has minimal side effects. These are believed to be good injections for back pain and low back pain. It is well tolerated and has a fairly long lasting effect.
dexketoprofen
Relieves back pain and low back pain with pinched nerve and various diseases of the musculoskeletal system. The course of injections lasts no more than 5 days.
Muscle relaxants
Quite often, back pain forms as a result of muscle spasms. There are usually two different types of etiology:
- spasticity resulting from damage to brain activity;
- muscle aches and spasms due to musculoskeletal disorders.
Injections of muscle relaxants are prescribed to enhance the effect of NSAIDs and steroid drugs. Injections must be carried out in full compliance with the rules of dosage and administration.
tolperisone
It relaxes the muscles of the spine, blocks the nerve endings and relieves back pain and low back pain. Tolperisone provides a local anesthetic effect. It can cause allergies in patients with lidocaine intolerance.
hydroxyzine
This drug is a derivative of piperazine. Intramuscular injections relax the vertebral and smooth muscles of the back with a moderate effect on the gastrointestinal tract.
Contraindications - pregnancy, hypersensitivity to the components, arrhythmia and renal failure.
Baclofen
The main therapeutic component is baclofen, which helps reduce the excitability of sensitive nerve endings and impulses, relieving pain in the lower back and back. Contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and intolerance to components.
hydroxyzine
The active ingredient is hydroxyzine. Injections help relieve muscle tone in the lower back, neurotic pain in the back. The effect is similar to Atarax, as a derivative of piperazine. It should be used with caution in patients with renal insufficiency.
tizanidine
The main substance is tizanidine. Reduces the acute tone of skeletal muscles, removes spasms in the back, lowers muscle resistance during inert movements, increases the power of free contractions. It can have side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, lumbar and back pains of different etiology, providing an analgesic effect.
Steroid drugs
Hormonal drugs create a vivid anti-inflammatory effect, but at the same time have a large number of side reactions. Steroid injections for back pain and low back pain are prescribed for the following diseases:
- spinal intervertebral hernias;
- progressive sciatica;
- ankylosing spondylitis;
- rheumatoid arthritis.
betamethasone
Contains a glucocorticosteroid. Injections are used mainly for severe forms of diseases of the musculoskeletal system, when non-steroidal drugs have no effect. The dosage is selected individually, taking into account the severity of the disease and the patient's response to treatment.
hydrocortisone
Intravenous injections are prescribed for back pain of any nature, especially rheumatic and intervertebral hernia. The dosage must be indicated by the doctor, individually, comparing the patient's state of health with contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. It is prescribed for back pain and back pain, diseases of the spine of various kinds. It has a fairly large number of side effects. Dosage is prescribed by the doctor as directed.
Triamcinolone
Contains triamcinolone acetonide in its composition. It is used in the form of injections for various osteoarthritis, relieving inflammation and back pain. It has side effects.
Chondroprotector
Medicines of this group are prescribed for the fastest restoration of connective tissue, for the regeneration of the structure of the spine and the reduction of inflammation in the back.
Chondroitin sulfate
The active ingredient in the form of chondroitin is aimed at eliminating the destruction of bone and cartilage tissue. During the course of the injections, inflammation and pain in the lower back pass and joint mobility normalizes.
Bioactive concentrate of small marine fish
The injections are given intramuscularly to relieve pain in the back and lower back. Included in the list of the best chondroprotectors. Regenerates cartilage, fights disc herniation.
Drugs that improve blood microcirculation in the body
What injections are given for back pain? As a rule, vascular injections are used for the lower back and back, improving microcirculation, improving blood flow and metabolism in bone and cartilage tissues. They are prescribed in addition to analgesics.
Vitamin complexes
In modern medicine, B vitamins are an important component in relieving back pain and low back pain. Vitamins strengthen the depleted body, improve immunity, nourish the tissues of the bones and the intervertebral space.
Epidural block
This is a drug for relieving back pain and other neurological symptoms. Helps relieve pain in case of pinching of the spinal nerves in a very short time. Injections of the drug are administered into the painful focus, including epidural.
triad stings
To eliminate back pain, an injection of a triad is used, the functional means of which are diphenhydramine, metamizole sodium and papaverine. Medicines are mixed in one dose and injected intramuscularly. The injection quite effectively removes severe pain in the lower back, both from diseases of the musculoskeletal system, and from post-traumatic syndrome.
Pain relieving patches
The patches are related to local medications. Unlike creams, the patch has a dense carrier that attaches to the skin surface of the back and lumbar area, which allows the active ingredient to settle on the skin and penetrate into the subcutaneous tissue, muscles and nerve endings. The most popular patches that can produce pain relief, for example pepper and lidocaine.
Pain relief pills
Minor pain tablets are prescribed to relieve the symptoms of the disease. As a rule, these are analgesic drugs:
- idomethacin;
- ketoprofen and others.
They are used for mild back and lumbar pain. They are used 3 times a day.
Combined painkillers
After completing a course of injections for back pain and low back pain, the patient may be prescribed other forms of drugs: ointments, tablets, suppositories. These drugs will have a supportive effect and prevent the development of possible complications.
Coping with back pain is a long and difficult process. Pain relievers give good and long-lasting results, but should only be used under medical supervision.