How are medications selected?
Back pain can occur at any age in all clinical groups of patients. Usually this is not an independent pathology. As a rule, pain is a concomitant symptom of certain disorders of the body.
Injections for pain in the back and lower back are prescribed by the doctor after collecting complete information for the medical history. After identifying existing diseases, you can prescribe treatment that will help stop pain, remove inflammation, relieve swelling and enhance recovery. What injections for back and lower back pain can alleviate the patient’s condition?
Compatibility of B vitamins in injections
B vitamins are antagonists, therefore, if you are prescribed drugs separately, and not in a complex, ready-made drug, they should be injected every other day. Otherwise, their effectiveness is lost. It is for this reason that B vitamins cannot be mixed in one syringe. Complex solutions work a little differently. Currently, pharmaceutical companies have learned to produce complex preparations of B vitamins, which contain special stabilizing substances that prevent the antagonists in the ampoule from being destroyed.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Most often, NSAID injections are used to relieve pain in the spine, because they extremely quickly affect the source of inflammation, removing unbearable pain, stiffness, swelling, and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following pathologies:
- low back pain of a long-term and wave-like nature due to a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic syndromes in the back;
- intervertebral hernia, etc.
NSAID therapy is external in nature, 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.
Ketorol
This medicine is quite popular as injections for back and lower back pain. Its main component is ketorolac, which is a strong anti-inflammatory non-steroidal substance.
This medication should not be used if you are hypersensitive to ketorolac, as well as during pregnancy, breast lactation, and children under 16 years of age.
Ketoprofen
A medicine based on ketorolac trometamol. Ketoprofen has a strong analgesic effect. To avoid side effects, you should strictly follow the dosage shown in the annotation.
Xefocam
The main component of this medication is lornoxicam. Relieves pain in the lower back and back with a large number of side effects. Should be used only as prescribed by a doctor.
Texamen
This pain reliever contains tenoxicam with additional components. Injections are not recommended for patients with hypertension, diabetes, liver and gastrointestinal diseases.
Diclofenac
The so-called “golden mean” among similar drugs with analgesic activity. With one injection you can eliminate discomfort in the back and lower back associated with muscle contraction and overstrain. However, it has quite a few contraindications. Among them it is worth noting individual intolerance, gastrointestinal diseases, cardiac pathologies, etc.
Meloxicam
This product contains movalis. The medicine is of the latest generation, which means it has minimal side effects. It is believed that these are good injections for back and lower back pain. It is well tolerated and has a fairly long-lasting effect.
Dexalgin
The main component of this drug is dexketoprofen. Relieves back and lower back pain due to pinched nerves and various diseases of the musculoskeletal system. The course of injections is no more than 5 days.
B vitamins in the form of injections
B vitamins can be taken by mouth or orally, as well as parenterally or by injection. In order for the body to take the maximum dose of vitamins, neurologists recommend injecting them. Injections are usually performed in the gluteal muscle. You should know that vitamin injections are somewhat painful, so it is best to do them in a medical clinic. The treatment course of vitamins is 10-20 injections.
If you have such an opportunity, it is best to take vitamins by injection for medicinal purposes, since their bioavailability or absorption by the body is higher when administered by injection.
For neurological problems, it is vitamin injections or droppers that are used, since it is necessary that the maximum possible amount of the drug enters the body and immediately begins to act by combining with blood proteins. As already noted, the most important vitamins for spinal health are B1, B12, B6 and B9. To prevent diseases of the central nervous system with food, a person can consume them if he adds the following products to his diet:
- B1 (thiamine) is found in chicken, liver and grains.
- B6 (pyridoxine) is found in eggs, shrimp, oysters, tuna, ham, chicken, minced beef and lamb, liver, cottage cheese, cheese, and nuts.
- B9 (folic acid ) contains greens, bananas, avocados.
- B12 (cyanocobalamin) contains salmon, liver, lamb, shrimp, sardines, cod, tofu, kelp.
Muscle relaxants
Quite often, back pain occurs as a consequence of muscle spasms. There are usually two different types based on etiology:
- spasticity resulting from damage to brain activity;
- muscle pain and spasms due to musculoskeletal disorders.
Injections of muscle relaxants are prescribed to enhance the effect of NSAIDs and steroid medications. Injections should be carried out in full compliance with the dosage and administration rules.
Mydocalm
Relaxes the spinal muscles, blocks nerve endings and relieves back and lower back pain. Contains an active substance - tolperisone, which provides a local anesthetic effect. May cause allergies in patients intolerant to lidocaine.
Atarax
This drug is a piperazine derivative. Intramuscular injections relax the vertebral and smooth muscles of the back with a moderate effect on the gastrointestinal tract.
Contraindications: pregnancy, hypersensitivity to components, arrhythmia and renal failure.
Baclofen (Baklosan)
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 the components.
Hydroxyzine
The active ingredient is hydroxyzine. Injections help relieve muscle tone in the lower back and neurotic pain in the back. Its effects are similar to Atarax, since it is a piperazine derivative. Should be used with caution in patients with renal failure.
Tizanidine
The main substance in the composition is tizanidine. Reduces the aggravated tone of the skeletal muscles, removes spasms in the back, reduces muscle resistance during inert movements, and increases the power of free contractions. May have side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, lower back pain of various etiologies, providing an analgesic effect.
Vitamin B12 in neurology
A person should especially monitor the level of vitamin B12 in his body. The fact is that it is an important metabolic substrate for various biochemical reactions in the body. For example, this vitamin serves for the synthesis of red blood cells, enzymes, methionine acid, nucleic acids, and activation of blood clotting. The body takes vitamin B12 from food, and some of it is also produced by special bacteria in the intestines. The body's daily need for this vitamin is very small, but it is essential for the process of hematopoiesis and the healthy functioning of the central nervous system. B12 has the ability to accumulate in the human liver in reserve, so its deficiency is a very serious symptom of diseases such as anemia, damage to nerve tissue or polyneuropathy, stroke due to excess homocysteine in the blood. If a person, for one reason or another, begins to lack vitamin B12, he suffers from systematic weakness, shortness of breath, loss of sensation in the limbs, a limping gait, “cotton leg” syndrome, memory deteriorates, and chilliness in the arms and legs may occur. Often the tongue is an indicator of a lack of vitamin B12 in the body. In a patient in such a situation, the doctor may observe a smooth, bright crimson, varnished tongue with atrophy of the papillae. In neurology, B12 deficiency leads to the fact that the nerve roots of the spine do not receive enough nutrition, and degenerative changes occur in the myelin sheath of the nerves. Due to a lack of vitamin, the membrane is poorly formed, the nerves begin to transmit information incorrectly, that is, they conduct impulses poorly, as a result of which a person loses sensitivity in the legs and arms. The consequences of an acute lack of vitamin B12 can lead to the development of paresis and complete paralysis. These are of course extremes, but still... Insufficient levels of vitamin B12 can also lead to stroke. This occurs due to excess levels of homocysteine in the blood. As a result, the inner linings of the arterial vessels begin to collapse, and cholesterol begins to integrate into these lacunae, forming an atherosclerotic plaque. As a result of this, blockage of first small and then large vessels occurs, thrombus formation and, as a final result, myocardial infarction or stroke.
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Steroid drugs
Hormonal drugs create a strong anti-inflammatory effect, but at the same time they have a large number of side reactions. Steroid injections for back and lower back pain are prescribed for the following diseases:
- spinal intervertebral hernias;
- progressive radiculitis;
- ankylosing spondylitis;
- rheumatoid arthritis.
Flosteron
It contains a glucocorticosteroid. Injections are used mainly for severe forms of musculoskeletal diseases, when non-steroidal medications do not have an effect. The dosage is selected individually, taking into account the severity of the disease and the patient’s response to treatment.
Diprospan
The potent substance in betamethasone is a broad-acting steroid hormone. It has a large number of side effects, which the attending physician should warn about. Negatively affects the functioning of the adrenal glands. May be addictive if used frequently.
Hydrocortisone
Intravenous injections are prescribed for back pain of any nature, in particular rheumatic and intervertebral hernia. The dosage should be determined by the doctor individually, comparing the patient’s health status with contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. Prescribed for back and lower back pain, diseases of the spinal column of various types. It has a fairly large number of side effects. The dosage is prescribed by the doctor as prescribed.
Kenalog
Contains triamcinolone acetonide. It is used as injections for various arthrosis, relieving inflammation and back pain. Has side effects.
special instructions
Before prescribing a spinal block, you should familiarize yourself with some precautions:
- With regular treatment with platelet inhibitors (Aspirin or non-steroidal anti-inflammatory drugs), there is a high risk of bleeding, so spinal blockade should not be performed.
- If you have a hypersensitivity or an allergic reaction to certain medications, side effects may develop to the medication used to set the blockade. The patient must definitely inform the doctor about the drugs to which he is allergic.
- If there are concomitant pathologies, the patient should talk to the doctor about the risks of a spinal injection. For example, if you have diabetes, the level of glucose in the bloodstream may increase after the administration of Cortisone. People diagnosed with congestive heart failure, kidney failure, hypertension or other heart problems may experience problems due to the effect of fluid retention a couple of days after the blockade.
Chondroprotectors
Medicines in this group are prescribed to quickly restore connective tissue, regenerate the structure of the spine and reduce inflammation in the back.
Chondroitin sulfate
The active substance in the form of chondroitin is used to eliminate destruction of bone and cartilage tissue. During the course of injections, inflammation and pain in the lower back go away, and joint mobility is normalized.
Alflutop
Injections are given intramuscularly to relieve pain in the back and lower back. Included in the list of the best chondroprotectors. It regenerates cartilage and fights intervertebral hernia.
Combined painkillers
After completing a course of injections for back and lower back pain, the patient may be prescribed other forms of medications - ointments, tablets, suppositories. These drugs will have a supporting effect and prevent the development of possible complications.
The fight against back pain is a long-term and complex process. Anesthetic injections give a good and lasting result, but they should only be used under the supervision of a doctor.
