Is it possible to give an injection to a child safely and comfortably?

Our directions

Treatment room

Intramuscular injections

The most common method of administering drugs is intramuscular injection. It is done only in those areas where there is a noticeable layer of muscle and there are no large nerve nodes or endings.

Why choose us?

We will relieve pain and inflammation
All manipulations are absolutely safe

Experienced and experienced staff

Consultation with a doctor is free during treatment with us

• Prevention program as a gift
• Save on treatment up to 30%
• FAQ

How to give an injection to another person

The instructions are quite simple:

1. Make sure you have all the necessary items and materials - medicine (solution or powder and distilled water), medical alcohol, a syringe with a sterile disposable needle, disposable gloves, sterile cotton wool, a disposable towel.
2. Place all items on a table or in a tray so that everything is within reach.
3. Wash your hands with soap and dry with a towel.
4. Ask the patient to lie on his stomach and relax. There is no need to give an injection while sitting or, especially, standing - the muscles will be tense, which can cause severe pain.
5. Set up lighting.
6. Wear disposable gloves and moisten them with alcohol using a napkin or cotton wool.
7. If the medicine is available in powder form, prepare a solution. To do this, fill the syringe with distilled water in the required volume, pierce the rubber cap with a needle and inject the water into the bottle, shake several times until completely dissolved.
8. Completely bleed the air from the syringe by turning it upside down with the needle and lightly pressing the plunger.
9. Visually mark a cross in the center of the buttock.
10. Select the upper right corner (“northeast”) and lubricate the surface with a cotton swab and alcohol.
11. Take the syringe just like you would a dart or pen.
12. With a quick and confident movement (no need to be afraid), inject the syringe 2/3 of the way. In this case, the needle should be positioned clearly perpendicular to the surface of the skin (at a right angle of 90 degrees).
13. Gradually press the plunger and smoothly introduce the solution. This should be done as slowly as possible - 1 ml is injected over 7-10 seconds. It is this pace that provides the patient with maximum comfort.
14. In one motion, remove the needle and lubricate the injection site with a cotton swab and alcohol.
15. Don't forget to cap the needle so that no one gets pricked. Throw away the syringe - you won't need it anymore.
16. Wash your hands, dispose of unnecessary materials (medicine bottle, packaging, etc.).

Attention!

If the solution with the medicine is cold, it must be taken out of the refrigerator in advance. If you don’t have time, you need to hold the bottle in your hands to warm it to room temperature.

Painful sensations

Today, dentists use needles with a minimal diameter, so the moment they penetrate the gums is practically not felt by the patient. The damage to soft tissue is insignificant; many do not even notice that the procedure for administering the anesthetic has already been completed. That is why the issue of pain is more of a psychological nature.

Before injecting the drug into the gums, the doctor can calm or, conversely, slightly distract the person sitting in the chair. If the patient categorically refuses anesthesia, this may cause the termination of any intervention. This is explained by the fact that the slightest movements during treatment can lead to injuries and complications.

People who are prone to panic attacks or have a fear of needles may be offered treatment under general anesthesia. This will allow you to achieve the best result, because the patient will sleep, and at this time the doctor will be able to calmly carry out all the necessary manipulations in the oral cavity. You may also need to take additional sedatives, such as glycine or valerian tincture.

How to give an intramuscular injection yourself

In this situation, the injection is placed in a slightly different place. Moreover, it is more difficult to act, since there is practically no review. It is best to seek help from another person, but in extreme cases, you can give an intramuscular injection to yourself. The procedure is performed like this:

1. The preparatory work is exactly the same.
2. Before giving the injection, you need to sit on a chair and relax your leg.
3. The injection is placed in the upper thigh. To do this, three thirds are marked on the outer side of the thigh and the middle third is visually highlighted.
4. The injection is given with a quick, confident movement, as in the previous case.

Advice

If a person is thin, it is easier for him to make a fold of muscles in the thigh area, as if pinching the tubercle with his thumb and forefinger. The fold should be small, and you need to ensure that only fat remains in it, but not muscle.

Diagnosis of the causes of pain in the buttocks and their treatment

Most often, diseases in this area are dealt with by surgeons, orthopedists, neurologists, traumatologists, and dermatologists. Initially, you can contact a general practitioner - a therapist, who will refer you to the appropriate specialist.

To diagnose the cause of pain in the buttock, use:

• general analysis, biochemical blood test;
• tissue biopsy;
• examination of synovial fluid;
• physical examination;
• radiography;
• magnetic resonance imaging;
• computed tomography;
• ultrasonography;
• electromyography;
• testing reflexes and strength in the lower extremities;
• tuberculin test.

Based on the results of the selected diagnostic complex, the patient may be prescribed:

How to give a subcutaneous injection correctly

In some cases, injections must be given subcutaneously. Injections are allowed in different areas:

• the upper part of the left or right buttock;
• the back of the shoulder (another person gives the injection);
• thigh (middle third of the outer or anterior surface);
• stomach - any area, with the exception of a circle around the navel with a radius of 5 cm).

The preparation for the procedure and the execution of the injection are exactly the same. The injection is administered with a quick and confident movement, orienting the needle at a right angle to the surface of the skin. Moreover, when choosing a location, it is worth excluding those areas where there are redness, bruises, wounds, painful areas, stretch marks or scars.

As a rule, administering an injection intramuscularly or subcutaneously does not pose any danger to the patient. But sometimes complications may occur in the form of fever, swelling, redness, allergic reactions (itching, rashes) or other side effects. In this case, you should not hesitate - you need to immediately call emergency help.

Medical benefits from vaccination

As you know, a medical exemption (medical exemption) is a medical document that provides a temporary or permanent deferment from vaccination. There is no specific template for medical withdrawal; the certificate is issued in free form. Usually it contains the patient’s full name, his diagnosis, the period of contraindications for vaccination, the date and place of registration of the medical exemption.

The decision to issue a medical discharge is usually made by the medical commission of the local state (municipal) clinic. In some cases, a temporary medical exemption may be prescribed by a general practitioner or specialized specialist. Having information about the patient’s medical history and any contraindications he has.

Medical diversion can be temporary (usually for a few weeks) or permanent.

FAQ

Will the block help relieve pain in any type of vertebral hernia?

Yes, a blockade for a hernia can help, regardless of the type of protrusion. According to many patients, the procedure completely eliminates discomfort. In difficult situations, it significantly improves the patient's condition.

Does a blockade help if regular injections or medications do not help?

Yes, it helps. During the blockade, an injection is made directly into the lesion or in close proximity to it. This allows the medicine to immediately neutralize the pain. In the comments, doctors say that simple injections are not so effective, since the injection is given at a distance from the damaged vertebra, and the drug needs to reach it. On the road, the power of its action dissipates. For this reason, the effect of even one medicine is different.

What drugs are the most effective for hernia blockade?

According to doctors, the effect of the blockade lasted longer and was more powerful if analgesics were mixed with corticosteroids and B vitamins:

• painkillers - Novocaine, Lidocaine, Bupivacaine;
• anti-inflammatory drugs - Hydrocortisone, Dexamethasone, Depo-Medrol.

Themes

Intervertebral hernia, Spine, Pain, Treatment without surgery Date of publication: 10/14/2020 Date of update: 03/16/2021

Reader rating

Rating: 3.17 / 5 (6)

When a blockade should not be done

The medicine that will be used for injection always has contraindications, which may include the patient’s case. Then the blockade is not done or the drug is replaced. Medicines to which the patient is allergic are also prohibited. If the reaction to the drug is unknown, it is better to do a sensitivity test to the drug before the procedure.

Spinal block for hernia has contraindications

Other contraindications are:

• infectious diseases (influenza, ARVI), including chronic ones during the period of exacerbation;
• coagulopathy - a blood clotting disorder;
• taking indirect anticoagulants, low molecular weight heparins in the last 12 hours (used to treat thrombosis and blood microcirculation);
• increased intracranial pressure, with the exception of idiopathic intracranial hypertension;
• heart failure, recent myocardial infarction, severe aortic stenosis, complete AV block;
• volumetric brain lesions;
• unspecified severe neurological pathologies;
• oncological diseases of the spine at the progression stage;
• fainting, foggy consciousness;
• renal failure;
• diseases of the digestive system at the acute stage (ulcers, gastritis, pancreatitis), other conditions requiring surgical intervention;
• epilepsy;
• pregnancy.

Effect duration

The patient stops feeling pain a few minutes after the injection. The duration of anesthesia depends on the medication. For example, while the effect of Lidocaine lasts an hour, the combination with hormonal drugs prolongs the effect for a day.

If you inject regularly, as prescribed by your doctor, and follow all his instructions, the effect will last for several days. During this time, other methods of therapy will begin to work, and the pain will subside for a long time. If necessary, the blockade can be repeated after 1-2 weeks.

Where can I get a new medical outlet with a QR code?

The issuance of new medical certificates with a QUAR code will be carried out in clinics, where decisions on the issuance of medical certificates are made. Some Russian regions will begin issuing such certificates around November 22. This is due to a new type of information system, the study of the features of which will take some time.

In general, the all-Russian launch of the new format of certificates, including medical outlets with QUAR codes, is scheduled for February 1. Some regions launch such certificates earlier, since quar codes may be needed to travel on public transport. Accordingly, citizens who have contraindications to vaccination for medical reasons find themselves in an “ostracized” status and will not be able to get into most of the institutions they need.

Why does a herniated spine cause severe pain?

The cause of intervertebral hernia is the destruction of the disc, which articulates the vertebrae, softens shocks and shocks. It consists of a soft core located inside a durable shell - the fibrous ring. And its integrity is disrupted during a hernia, the nucleus protrudes outward and compresses the nerve endings, spinal cord, and blood vessels. This causes pain, which is the main symptom of a hernia.

Very severe pain with a herniated spine is caused by:

• Radicular syndrome. Since each nerve is responsible for the innervation of a certain part of the body, it can shoot in different directions - in the arms, legs, neck. For example, lumbago and pain in the lower back appear when the sciatic nerve is pinched.
• Inflammation in the damaged area.
• Swelling that puts pressure on nearby tissue.
• Myofascial syndrome. In response to changes in the discs, ligaments, and joints of the vertebra, a painful spasm appears. At first, muscle tension is of a protective nature, the purpose of which is to immobilize the affected segment. Then the spasm becomes the cause of pain, during which myofascial syndrome develops. Trigger zones form in the muscles - compactions, from which the pain diverges in different directions and intensifies when pressed.

Pain from a herniated disc rarely lasts 1-2 days. A person feels discomfort for at least 2-3 weeks and even several months. The pain can be so severe that it is difficult to straighten your back, turn your torso or neck, bend over, or raise your arm. This negatively affects the quality of life and causes a lot of inconvenience. Blockade helps to get rid of this condition.

What drugs are used for blockade

The blockade for a hernia is carried out with multicomponent compositions, the main one of which is an anesthetic drug - Novocaine, Lidocaine, Bupivacaine. Substances that prolong the effect of anesthesia and improve the characteristics of the solution are usually added to them:

• corticosteroids (Hydrocortisone, Dexamethasone, Depo-Medrol) - hormonal agents that have a powerful anti-inflammatory effect;
• B vitamins – normalize the functioning of the nervous system;
• chondroprotectors – strengthen cartilage tissue, restore strength and elasticity.

What types of intervertebral hernias are most difficult to treat?

4 stages of treatment for intervertebral hernia

Preparations for multicomponent formulations

Novocaine is most often used as a base. The active ingredient is procaine, one of the oldest anesthetics in the world. It stops the transmission of impulses along nerve fibers and relieves spasms. Medicine:

• improves metabolic processes in tissues;
• reduces the permeability of vascular walls;
• reduces myocardial excitability and motor activity of the cerebral cortex.

Novocaine is considered one of the safest anesthetics and has few side effects. Action time: 30-50 minutes.

Spinal block drugs

For multicomponent compositions, the following are often used:

1. Lidocaine.
   Like Novocaine, Lidocaine blocks impulse transmission, but the effect lasts longer - an hour and a half. The drug begins to act within a few minutes, reaching a maximum after 10-20 minutes. Lidocaine also relieves spasms, dilates blood vessels, reducing pressure on the heart, and calms the myocardium.
2. Bupivacaine.
   Bupivacaine is a long-acting anesthetic. Its analgesic effect is 4 times stronger than lidocaine and lasts from 2 to 5 hours. When sensitivity returns, the pain-relieving effect remains for some time. The drug also dilates blood vessels and slows the heart rate in hypertension.
3. Hydrocortisone.
   Hormonal drug, an analogue of the hormone cortisol. Relieves inflammation and swelling, suppressing the migration of immune cells to the source of pain. Due to its vasoconstrictor properties, it prolongs the effect of anesthetics several times.
4. Dexamethasone.
   One of the most powerful hormonal drugs that have an anti-inflammatory effect. It suppresses the immune system, relieving allergies, and improves protein and lipid metabolism. In combination with analgesics, it significantly prolongs the analgesic effect.
5. Depo-Medrol.
   The hormonal drug Depo-Medrol is used to block soft tissues. The product is not recommended for epidural procedures, as it can cause inflammation of the medial membrane. The active ingredient, methylprednisolone acetate, reduces the inflammatory response, improves carbohydrate and fat metabolism, and accelerates the breakdown of proteins in muscle tissue.

Multicomponent drugs

To block a hernia, you can use ready-made multicomponent medications:

• Milgamma, Kombilipen - combine lidocaine with B vitamins.
• Neuromultivitis - contain B vitamins, but no lidocaine. The doctor may use it to add another analgesic.