Narcotic and non-narcotic analgesics: a list of medications to relieve pain in the bone structures of the back. Tablets and folk remedies for pain relief for back and lower back pain

The main drugs used for eradication pain in the lower back are non-steroidal anti-inflammatory drugs (NSAIDs), mainly their resorptive forms and muscle relaxants. The effectiveness of therapy becomes higher with the external use of NSAIDs and warming, and sometimes local anesthetics. An important place in complex therapy belongs to high-dose products based on chondroprotectors and B vitamins.

But still the main place in back pain treatment allocated to non-steroidal anti-inflammatory drugs, which are divided into non-selective cyclooxygenase (COX) inhibitors and selective cyclooxygenase COX-2 inhibitors.

The group of non-selective COX inhibitors is very numerous. The mechanism of action of COX is based on the suppression of mediators in the body inflammatory reactions And .

Effective tablets against back pain

Among the few NSAIDs approved for sale without a doctor's prescription are Ibuprofen and Nurofen. Regular forms of this drug for back pain are taken up to four times a day, but slow-release ibuprofen (Solpaflex) can be taken only twice a day. Ibuprofen is taken after a meal because peak concentrations of the drug in the blood are reached three times faster than when taken on an empty stomach. Ibuprofen is also produced in the form of a cream (Ibalgin) or gel (Nurofen). Means apply for back pain, provoked by inflammatory phenomena in the joints of the spine and back muscles, as well as in case of ligament damage, sports injuries and sprains.

Ketoprofen can be used for back pain not only orally, but also in the form of injections, as well as rectally. The drug is also approved for sale without a prescription. Ketoprofen is classified as an NSAID with the fastest rate of absorption in the gastrointestinal tract; it is almost the most powerful anti-inflammatory in its group. Like ibuprofen, Ketoprofen is also available in the form of extended-release tablets (Ketonal retard), which are taken twice a day.

Strong anti-pain pills

Diclofenac also exhibits a powerful anti-inflammatory effect, which can be produced in the form of two different salts - sodium (Ortofen) and potassium (Rapten Rapid). The potassium modification is absorbed faster and healing effect comes earlier.

Retard modifications of this drug (Voltaren retard) are characterized by their duration of action, so it is enough to use them once a day. However, all forms of diclofenac are prescription medications.

Another non-selective COX inhibitor, which has oral (including long-acting - Metindol), rectal (Rx) and external (OTC) forms, is an old but very strong NSAID indomethacin.

Selective COX-2 inhibitors are distinguished by the fact that they do not exhibit an inhibitory effect on COX-1, therefore gastropathy and other side effects when using them are much less pronounced.

Among selective NSAIDs the most widely used are meloxicam, celecoxib and nimesulide.

Celecoxib (Celebrex) is no worse in its effectiveness than other NSAIDs: a clear reduction in pain is observed within half an hour.

Meloxicam, along with its strong anti-inflammatory effect, is also characterized by its duration of action.

Powerful anti-inflammatory and analgesic effect is also inherent in nimesulide, but this drug should be used internally in a minimal amount effective dose and as short a course as possible.

People have known about back pain for a very long time, so ethnoscience knows a lot effective methods combating this unpleasant symptom, most often localized in the lumbar region. Therefore, instead of tablets, you can use popularly proven recipes for rubbing, compresses and baths, which are in many ways more gentle on the body when compared with regular drug therapy. Just remember that you can get rid of pain forever only after the cause has been established, and therefore you should see a doctor as soon as possible.

Common causes of pain in the lower back and lower back

The causes of back pain are quite varied and can be accurately determined by a neurologist. It is caused by certain medical problems:

Mechanical. They lie in the movements of the spine, discomfort when taking a certain position. The most common situation is that the discomfort is due to degeneration of the intervertebral discs, meaning that they wear out with age. In this case, the discs lose their shock-absorbing capabilities, which is the reason for the occurrence of pain with back tension. Another reason is the grinding of the facet joints, which connect the vertebrae and are the largest. Others mechanical reasons– these are muscle rigidity, spasms, ruptured discs, also called herniated intervertebral discs.
Damage. Sprains or various fractures are spinal injuries that cause permanent or temporary pain in the back. Vertebral fractures occur most often due to osteoporosis, which makes bones brittle and porous. A sprain is a rupture of the ligaments that support the spine, which occurs when suddenly lifting heavy objects or bending. Back pain in some cases is the result of more serious injuries caused by a fall or accident.
Acquired diseases and disorders. A considerable number of diseases stimulate the appearance of discomfort in the back. It is most often caused by: scoliosis, which contributes to the appearance of vertebral curvature and does not appear for many years; spinal stenosis, a narrowing of the spinal canal that contributes to the appearance of spinal pressure, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis. At the same time, osteoporosis, which does not lead to back pain, often causes vertebral fractures. Other causes include: kidney infections and the presence of stones in them, pregnancy, endometriosis, characterized by ectopic growth of uterine tissue, as well as fibromyalgia, which causes weakness and muscle pain.
Neoplasms and infections. Common reasons the occurrence of pain in lumbar region and the back they do not protrude, but infections can cause pain when they touch the vertebrae, which occurs with osteomyelitis, or when affecting the intervertebral discs, which occurs in a disease called discitis. Neoplasms rarely cause pain. There are cases of their formation in the back, but much more often they arise due to malignant tumors spreading from various parts bodies.

Despite the fact that pain is most often physical, its duration and strength are also directly influenced by the emotional component. Stress can have an effect on the body, causing tension in the back muscles, which leads to discomfort. Lack of sleep and insomnia also contribute to the appearance of back pain.

When any discomfort in the back first appears, you must pay attention to it and remember where it appeared and after what movement, which will later help in diagnosing and eliminating the causes of its occurrence.

The occurrence of various pains in the back and lumbar region due to certain diseases

Each disease causes a certain type of back pain. Based on the symptoms a person experiences, the cause of the pain can be determined.

Reasons for the development of severe pain syndrome

The following diseases usually result in severe pain that can spread throughout the body.

Osteochondrosis

Its presence is characterized nagging pain which radiate to the leg and are aggravated by sneezing, coughing, or moving heavy objects. The duration of painful sensations can reach several hours. The cause of the disease is a violation of such body functions as: mineral metabolism, meaning a discrepancy between the need for minerals and their intake, as well as blood circulation in the spine due to a sedentary lifestyle.

Intervertebral hernia

Discomfort appears as a result of stress on the internal disc substance, causing it to swell and pierce the outer hard membrane, and the disc itself becomes deformed. In addition, compression of nearby nerves occurs, which further increases the pain. When the membrane ruptures due to subsequent activity or any injury, the disc substance is capable of putting pressure on the spinal cord and the nerves radiating from it, which is accompanied by the appearance of incredible pain. Often, such cases occur in the lumbar region, among which there are also those that do not cause pain. The main cause of the disease is a decrease in the supply of nutrients to the intervertebral discs, due to which their strength decreases over time. Its appearance is also influenced by heavy physical labor, being overweight, being tall and smoking.

Radiculitis

Appears due to an inflamed or deformed spinal root. It may well be the result of osteochondrosis, the appearance intervertebral hernia and other diseases leading to deformation of cartilage tissue. Characterized by aching unilateral pain, sometimes radiating to the thigh, leg, and increasing with changes in body position and walking.

Causes of acute pain syndrome

Among the main reasons for the formation of such discomfort are: lifting heavy objects, uncomfortable working positions for a long time, muscle strain, sudden movements, hypothermia, falls or blows. Sometimes it is the result of the following diseases.

Lumbago

People engaged in heavy physical labor are most prone to its appearance. The resulting pain syndrome, in most cases, goes away after a few days, but it is possible that its presence may increase to several weeks.

Spondylolisthesis

It is characterized by a shift of the vertebra forward or backward in relation to the other vertebrae. Perhaps as a presence acute pain, and painless course. The disease can be caused by: osteochondrosis, various injuries to the spine, sudden head movements in children, age-related structural changes in bones, vertebral defects leading to fractures of the vertebral pedicle, temperature changes, and sprains of the spine. It most often appears in people who move heavy objects, have had spinal surgery, or have congenital defects.

Lung diseases

They are recognized by the presence of pain in the chest, back, including under the shoulder blade, which gets worse when coughing. In addition, there are general weakness and temperature.

Diseases of the genitourinary system

There is pain in the lower back, in the abdomen, as well as high temperature.

Renal colic

It is characterized by the presence of severe acute pain in the abdomen and back, moving to the genitals.

Chronic pain

Chronic pain is caused by several diseases.

Spondylosis

Is a disease that is associated with deformation of the vertebrae through proliferation bone tissue on their surface, as well as degeneration with simultaneous narrowing of the openings of the spinal canal and between the vertebrae. Most often appears in people long time those who are in immobile positions, have any spinal injuries, impaired metabolism, or are elderly. The reasons leading to the occurrence of spondylosis include: age-related changes occurring in the body; large static loads; impaired metabolism; various spinal injuries. The pain that accompanies the disease is usually aching, and there may be discomfort in the legs, including numbness. Cervical spondylosis is characterized by pain in the back of the head, when turning the head, and in the shoulder area.

Ankylosing spondylitis

It is formed as a result of inflammation of the intervertebral joints, leading to their fusion, as a result of which the movements of the spine are significantly limited. The main reasons are considered: hereditary predisposition, stress; chronic, sexual intestinal infections, and various damages musculoskeletal system.

It's a dull pain

The cause is inflamed lower back muscles or myositis, which appears due to muscle strain or hypothermia. The painful sensations are not very strong and lasting, and the muscles at the site of their occurrence are always dense.

Pain spreading to the leg

The causes of such discomfort include inflammation of the sciatic nerve. The pain present is accompanied by partial muscle numbness or tingling. In addition, discomfort is present in the lower back, hip, and lower leg.

Relief from back and lower back pain

The best prevention, naturally, would be basic adherence to correct posture, short breaks during sedentary work, as well as physical exercise and exercise. All this keeps the body in good physical shape, strengthens muscle tone, normalizes blood circulation, thereby preventing the occurrence of any pain in the lower back and back.

If this could not be avoided, then when painful sensations appear, the first thing to do is lie on your back, thereby ensuring rest for the spinal and intervertebral muscles. This will give them the opportunity to relax, which will help the pain subside. Then you should treat the affected area with a product that has an anesthetic and warming effect. If after this the discomfort does not disappear, you need to take an anti-inflammatory drug that gives an immediate analgesic effect, but this should be done only as a last resort, when the pain becomes unbearable. Muscle relaxants - muscle relaxants - can help, but they can only be used under the supervision of a doctor.

In most cases, the discomfort disappears within two weeks, but even after it goes away, it is worth going to the doctor to find out the cause of the appearance, and if necessary, find out how to treat back pain in the lumbar region. It is also advisable to do this because until the factor causing discomfort is eliminated, the pain may return.

Drug treatment of discomfort in the lumbar and back areas is carried out exclusively on the recommendation of a doctor. Some reasons are eliminated surgically, others – physical therapy, manual therapy, acupuncture, but do not forget that the main means of preventing pain is maintaining correct posture.

If pain occurs due to spinal pathology, treatment includes taking medications, as well as massage, a set of special gymnastic exercises, and physiotherapeutic procedures.

The effect of physiotherapeutic procedures is aimed at strengthening the spinal muscles, improving metabolic processes, and stabilizing the spine. In most cases, electrophoresis with calcium, paraffin treatment, muscle electrical stimulation, and amplipulse are used. If you have chronic pain, treatment at mud resorts is indicated.

The effect of massage, like physical exercise, is beneficial for the back muscles and allows you to partially or completely eliminate pain. Massage procedures are prescribed only after the pain has stopped exacerbating, otherwise, instead of benefiting the person, harm will be caused, the back area will begin to hurt more.

The action of medications is aimed at pain relief, acceleration of metabolic processes, including the elimination of inflammation.

Pain-reducing medications

Painkillers, also called analgesics, are divided into:

Narcotic. Injected when the pain is caused by severe injury or swelling and is so severe that other treatments do not provide relief.
Non-narcotic. Includes non-steroidal anti-inflammatory drugs that suppress inflammation and pain, as well as immunomodulators, vitamins B and C.

Medications are selected based on the duration and intensity of pain, as well as its location.

It is necessary to understand that painkillers have a time-limited effect and are necessary to combine with the main treatment prescribed by the doctor; in addition, it must be taken into account that many of them have certain side effects, as well as contraindications. Below are the types of drugs, their names, descriptions of advantages and disadvantages:

Anti-inflammatory

Advantages of the drugs:

low price;
excellent analgesic effectiveness;
ease of administration: injections or tablets.

The disadvantages are their intolerance by some people, negative effects on the kidneys, liver, digestive system, as well as the inability to eliminate the real causes of back and lower back pain.

The most effective anti-inflammatory drugs:

"Naproxen." A drug that has an antipyretic and analgesic effect, belonging to the group of propionic acid derivatives. Used in the treatment of diseases of the musculoskeletal system, arthritis, osteoarthritis. Has side effects such as: nausea, weakness, drowsiness, slow reaction, headache and dizziness. Contraindicated in pregnant women, persons under 16 years of age and those who are intolerant to the drug or its components.
"Ketoprofen". It has a very high absorption rate, long-lasting analgesic and anti-inflammatory effects. The tablets are capable of providing long-term relief from the symptoms of arthritis, polyarthritis, and arthrosis. The medicine in the form of a gel can be used for minor injuries, for example: bruises of ligaments and muscles, swelling, sprains.
Ibuprofen and Nurofen. They are used for pain caused by injuries, osteoarthritis, radiculitis, as well as for inflammatory processes spinal muscles and spinal joints. Side effects include: nausea, constipation, headaches, insomnia, blurred vision. Data medications for pain relief are contraindicated for persons with optic nerve diseases, hypersensitivity to drug components, and children under 6 years of age.
"Diclofenac". Has a strong anti-inflammatory and antipyretic effect. Reduces pain in the joints, both in a quiet position and during movement, reduces their stiffness. It has 2 modifications: sodium and potassium. The potassium modification has a higher absorption rate, as a result of which the effect of its use occurs faster. It has some side effects: drowsiness, dizziness, irritability. Contraindicated for pregnant and breastfeeding women, those with kidney and liver diseases, and children under 6 years of age.

Muscle relaxants

These drugs help relieve muscle tension. If there is pain of a spastic nature, it can be eliminated by prescribing centrally acting drugs that affect those parts of the nervous system that are responsible for regulating muscle tone.

The most effective pain relief occurs when drugs of this type are combined with anti-inflammatory drugs. In this case, muscle relaxants must meet certain requirements:

the inadmissibility of the drug’s influence on human performance and high tolerability provided that it is taken for a long time;
high compatibility with other medications approved when drawing up a treatment regimen;
selectivity of the drug's action, aimed at reducing muscle excitability, excluding the suppression of nerve impulses that affect posture and muscle tone during movement.

The main advantage of such drugs is their exceptional effectiveness for pain caused by injuries. Side effects are leaps and bounds blood pressure, drowsiness.

The most common drug is Mydocalm, which has effects such as: relieving stress, mental tension, muscle tone; stimulation mental activity; demotion pain syndrome.

Advantages:

excellent compatibility with anti-inflammatory tablets;
no muscle weakness when consumed;
exceptional portability.

Contraindications:

individual intolerance;
pregnancy;
age restrictions;
lactation;
myasthenia gravis.

Synthetic drugs medical supplies. Such drugs are prescribed in some cases:

postoperative recovery;
chronic back pain;
insufficient effectiveness of taking anti-inflammatory drugs, as well as muscle relaxants.

These analgesics have an effect on the human brain, its nerve cells, reducing their sensitivity, which contributes to the disappearance of pain.

The most a strong drug This category is “Morphine”. Its high efficiency, however, has side effects:

risk of addiction;
drowsiness;
constipation;
allergy.

Despite this, sometimes situations arise when the prescription of such drugs is inevitable, but it is necessary to avoid their long-term use.

Corticosteroids

Designed to reduce pain and relieve inflammation. Drugs of this type are most effective for inflammation and are prescribed when the use of other medications has not eliminated pain in the lower back and back.

The most common is Methylprednisolone, initially used in large dosages, after which the amount of the drug is reduced and taken for 5 days. Side effects include: increased blood pressure, weakness.

Another way to relieve discomfort is assistive therapy. The reason for its use is due to the fact that lower back and back pain can often be caused by disruptions of the nervous system. Wherein psychosomatic factors they drive the back into a position in which the patient cannot get out of bed for a long time due to severe pain.

Drugs that help relieve pain caused by stress:

Antidepressants. The most common is Duloxetine, released exclusively for medical purposes. Sometimes chronic pain leads to the need to use stronger antidepressants, such as Amitriptyline, Nortriptyline, after taking which the patient’s condition improves significantly.
Antiepileptic drugs. Gabapentin is often prescribed. There are no pronounced side effects when taking the drugs. It is prohibited for children under 8 years of age to take it, as well as for persons who are hypersensitive to the components of the drug.
Injections of B vitamins. Help eliminate painful sensations in the back.
"Milgamma". A medicine that combines several vitamins, thanks to which it can replace a series of several injections with one injection.

The listed types and names of drugs for lower back pain are not a complete list of drugs that help get rid of it. A specific treatment is prescribed by the doctor after examination for each case individually.

Folk remedies for pain relief

Most methods of treatment with folk remedies are based on heating, which is sometimes combined with tinctures and decoctions of medicinal herbs.

The analgesic effect of heating is due to its ability to increase blood circulation in a certain area, which, in turn, leads to a decrease in pressure on the nerve endings and the elimination of pain. Considering that this method can be used for absolutely any disease of the spine, its popularity is quite understandable. It will not be possible to completely heal the affected area of the spine, but it is possible to temporarily relieve pain. If there are no serious injuries, then with mild pinched nerves or muscle strain, several warming procedures may well help get rid of the discomfort.

It is important before using any recipes to consult a doctor, who, if necessary, will recommend how to get rid of lower back pain using folk remedies to eliminate the possibility of causing harm to the body. Below are the most common methods and recipes for getting rid of lumbar pain.

Compresses

Most compresses have a warming effect, helping to eliminate inflammation and pain.

It should be remembered that warming compresses should not cause discomfort or burning.

Folk recipes for making compresses:

Sand. Quite simple and effective method warming up. Sand in the amount of several glasses is heated in a frying pan, which is then poured into a woolen bag and placed on the lower back. The main thing is that the sand does not turn out to be too hot.
Radish or grated horseradish. Before applying to the affected area, it is necessary to mix the resulting mass with sour cream, otherwise there is a risk of burning. After putting the product on the body, you need to cover it with a napkin, then tie it with a scarf or woolen scarf for better warming.
Hay. A small flax bag must be filled with fresh hay and tied well. After this, boil for 10 minutes, then squeeze out, cool slightly and put on the sore spot. Place a wool scarf on top of the bag.
Mustard powder dissolved in water. To prepare the compress, you need warm water (about 40 degrees), in which you dilute mustard powder until a creamy consistency is obtained. After this, the mixture is applied to the sore area of the back and insulated, kept for a period of time not exceeding 5 minutes, otherwise a burn may result.
Burdock leaves. You must first dry them, then pour boiling water over them and apply them to the lower back. The compress is covered with a woolen scarf and kept for 60 minutes.
Horse chestnut. A fairly common compress, in which horse chestnut, camphor oil, melted lard are mixed in equal quantities, after which the resulting mixture is applied to a piece of black bread and placed on the site of discomfort.
Garlic. The garlic infusion is diluted with lemon juice, after which a napkin is moistened with this solution and placed on the lower back for 20 minutes. With regular use of the procedure, the pain decreases.
Dough. To make a compress, you need sour dough, which is applied in a thick layer to the back, covered with gauze. The procedure is repeated every day before going to bed, and the general course of treatment lasts 9-10 days.
Honey. Periodically covering the lower back with a thin layer of honey helps accelerate blood circulation and increase muscle tone.

Rubbing

They are effective and at the same time easy to prepare. Famous recipes:

A bottle of Triple cologne is mixed with 2 bottles of iodine solution, 2 bottles of valerian tincture, 5 red peppers in a dark glass container, after which the resulting mixture is left to infuse for 24 hours. Before going to bed, you need to rub the tincture on your lower back or draw a mesh, then cover it with a warm scarf. This recipe is most effective for radiculitis.
Rubbing is effective for pain alcohol tincture Adam's root, burdock or eucalyptus.
A glass of lilac is infused with 0.5 liters of vodka for a week, after which it is used for rubbing. Allows you to increase blood circulation in the area of the sore spot, thereby helping to relieve pain.

The extreme and most desperate way to relieve the pain of radiculitis is to beat with nettles. A bunch of burning herb is carefully beaten on the sore area of the lower back, during which, along with the burning sensation, the painful sensations subside.

Mustard plasters

Common effective recipe to reduce lumbar pain. One tablet of “Furacilin” is dissolved in 50 ml of warm water, after which 1 tbsp is added to it. spoon of honey and mix thoroughly. Mustard plasters are dipped in the resulting mixture and placed on the sore spot. You need to hold them as long as you have enough patience, after which they are removed, and the compressed area is lubricated with oil or cream, covered with film and covered with a warm scarf or scarf.

Baths

Just like other folk recipes, baths are aimed at warming up the diseased area. Bath preparation options:

Bath with mustard. To prepare it, 200 grams of mustard is added to a bath of moderate temperature water. After taking it, you need to wipe yourself dry and go to bed, wrapping yourself in warm clothes before doing so.
Bath with mint. Immediately before cooking, 300 grams of dried mint must be boiled in 10 liters of water for 20-25 minutes, and then poured into a bath, which should be kept in until it cools completely.
Bath with pine. Dried pine buds in the amount of 1 tbsp. Heaped spoons are poured with 5-6 cups of boiling water and boiled over low heat for half an hour, after which the product is added to the bath.
Bath with chamomile. 100 gr. medicinal chamomile infuse for an hour with 2 liters of boiling water, after which it is poured into the bath.

Applying traditional methods treatment, as well as simply ignoring pain in the back or lower back, one should remember that they may indicate the presence of diseases in the body that can lead to serious consequences.

Medicines for lower back pain help relieve pain and inflammation and restore mobility to the patient. But you need to use medications only if you know exactly what the source of the symptoms is. The attending physician will prescribe appropriate medications. Treatment for the lower back will depend not only on the diagnosis, but also on the nature of the pain. To get rid of chronic and acute pain are used different drugs. First of all, external agents and oral tablets are used. If they do not help, injections and blockades are prescribed.

Severe lower back pain occurs for various reasons. Let's mention just a few of them:

Spinal column injuries;
Osteochondrosis in the lumbar region;
Osteophytes (bone growths);
Protrusions, prolapses and hernia.

Severe pain can also only be a manifestation of a large number of diseases of the digestive system, heart, and genitourinary system. After hard physical labor, the condition of the spine worsens, because all the activity of the body is concentrated in the spine. Pregnancy, excess weight and lack of physical activity also cannot pass without consequences for the back.

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Treatment

Modern medicine most often considers non-steroidal anti-inflammatory drugs (NSAIDs) as a remedy for back and lower back pain. These medications not only fight pain, but also treat its most common source - the inflammatory process. If the pain cannot be relieved, the doctor places a muscle block.

When the worst pain goes away, the patient should move as much as possible. Physical therapy, massage, and long walks are encouraged.

B vitamins are not an instant, but effective remedy for back pain. By restoring nerve tissue and normalizing metabolism, they relieve back pain. For back pain, they are used both separately and in the form of vitamin complexes. Vitamins do not cope well with chronic pain; they are used to prevent attacks.

If no analgesics help, doctors recommend injections. The patient lies down with his back up and the specialist begins to look for the points where the pain is most accurately localized. Novocaine solution is injected into them. Then the muscles are stretched a little and a warm compress is applied to the problem area. After removing the compress, the patient should move more to activate the diseased muscle tissue.

The purpose of such a blockade is to disconnect the nerve. For this reason, the injection point is sought as close as possible to the area where the nerves exit. Such blockades also make sense in the case of chronic pain, for example, during intervertebral hernias.

Pills

The main medicine that helps with back pain is non-steroidal anti-inflammatory drugs. By allowing the patient to get rid of inflammation, they reduce fever and help relieve lower back pain. Of this group of oral medications, the most popular are Ibuprofen and Diclofenac.

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Drugs of this type for back pain cannot be prescribed for too long a period, as they negatively affect the gastrointestinal tract. The maximum period of use is two weeks. Unfortunately, these drugs have the same side effects on the digestive system both when taken orally and intramuscularly. In the first case, they appear because they act through the mucous membranes of the stomach and intestines. With injections, the effect is similar, but only directly - through the blood.

Neurolidoquit combines vitamin complex and diclofenac. Muscle relaxants reduce muscle tension, due to which pinched nerves are released.

Vitamins

B vitamins are another answer to the question of how to treat pain. In the lower back and throughout the body, they change biochemistry, regenerating deformed nervous tissue. B 1 restores the condition of the nerves, B 2 will return the tissues to their former elasticity, improve the mobility of the back and lower back. Improves at 6 metabolic processes. B12 has a complex effect on nerves and metabolism. When your back hurts in the lumbar region, it is much better to combine vitamins with other medications than to treat only with anti-inflammatory drugs.

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When your back or lower back hurts, you should also pay attention to the lack of magnesium, calcium or vitamin D. These three components will help make stronger than bones and stabilize the back, accelerate metabolic processes in tissues, and make the patient more mobile. These substances are produced complexly in tablets and are available without a prescription.

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Injections

When your lower back hurts, injections will have the greatest effect on lower back pain. Medical solutions for lower back pain are injected into the most painful points, thereby relieving even the most severe pain syndrome. There are several types of substances that are used as painkillers.

Nonsteroidal anti-inflammatory drugs

NSAIDs cope well with inflammation and eliminate pain, which prevents the patient from moving and working.

Ketonal is a powerful analgesic, but often causes allergies and requires careful use in old age. Contraindications are oncological diseases and pathologies digestive system. Should be used with caution during pregnancy. Side effects may include nausea and vomiting, increased heart rate, and dizziness. The drug is not a prescription, ten ampoules cost less than 500 rubles.

Diclofenac copes well with pain in muscles and joints. At the same time, it affects the kidneys and liver worse than others. Also contraindicated for those with illnesses gastrointestinal tract, pregnant women and children. Quite an allergenic substance; in case of an overdose, bleeding, perforation of an ulcer, and pre-fainting are possible. It is very inexpensive and not a prescription, but we strongly advise you to consult a doctor.

Meloxicam has a complex effect, lowering temperature, relieving pain and inflammation in the muscles. The drug is potent, so when taking it you should avoid other NSAIDs - you can get poisoned. Contraindicated for people with stomach ulcers, asthma and allergies. The negative effect is weak, most often only on patients with allergies. Although not a prescription drug, it requires medical supervision in application. It costs about a hundred rubles.

Neurobion is suitable if the pain is concentrated in the joints. Not suitable during pregnancy and breastfeeding; the only side effects are allergies in the case of those who are individually sensitive. An exclusively prescription drug, one ampoule costs 100 rubles.

Trigamma has few side effects, but is nevertheless available by prescription. Suitable for regular use. Has the ability to reduce appetite.

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Steroid

Not for long, but quickly relieve pain. Have a large number of contraindications, are used only under medical supervision. They are placed in the form of a blockade, directly injected into the lumbar region where the pain is localized.

Hydrocortisone is a prescription drug and should not be used for more than a week. It can easily initiate swelling and temporarily worsen heart function. Do not use for gastrointestinal diseases.

Prednisolone blocks the immune system, which helps get rid of the inflammatory process (which is the body's reaction to irritants) and, as a result, back pain. It is administered intravenously and is available with a prescription. It's very cheap. Use cautiously during pregnancy and if the patient is a child. May cause nausea and increase blood pressure.

Betamethasone suppresses the production of leukocytes, which also eliminates inflammation. The injection can be given into muscles, veins and joints. Contraindicated in allergy sufferers and patients with viral infections dermatological diseases. Depresses the central system, not recommended for use if there is a risk of developing diabetes. Prescription, 100 rubles per ampoule.

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Flosterone is similar to Betamethasone. Also not allowed for use by patients with diabetes or stomach problems. Since the action is also based on suppressing the immune system, it can reduce resistance to bacteria and viruses. In case of overdose, it can greatly increase excitability. The drug is prescription, can cost up to 1000 rubles for 5 ampoules.

Diprospan changes processes in the adrenal glands. A very strong analgesic that can be addictive. Injections are intramuscular only. Not suitable for elderly and cardiac patients. In case of an overdose, the patient may begin to feel sick. A prescription drug can cost up to 700 rubles.

Muscle relaxants

These remedies relieve muscle tension. Use only under medical supervision. There is a danger of relaxing the muscles too much. Mydocalm relaxes skeletal muscle tissue and reduces pain sensitivity of the nerves. Not suitable for use by newborns. Caution should be exercised during lactation. From side effects- only allergies. Prescription, five ampoules for 500 rubles.

Norflex not only relaxes spasms, but also eliminates the inflammatory process of neurons. It is used intramuscularly. Contraindicated in patients with allergies, pregnant women, and cardiac patients. May cause nausea and dry mouth mucous membranes. Costs about 250 rubles, prescription.

Disipal is similar to Norflex, but acts faster due to third-party substances. Intramuscular. Inadmissible for use by patients with cerebral palsy and the mentally ill, because may initiate sharp changes moods. Attention deteriorates. Prescription, costs about 500 rubles.

Chondroprotectors

These substances regenerate cartilage tissue and improve the condition of the vertebrae. The stable position returns, due to which inflammation disappears and back pain goes away. Adgelon restores cartilage, which helps in the treatment of intervertebral hernias of the back. It should not be used by patients under twelve years of age, as it may have a negative effect on the growing body. The main contraindication is allergies. It costs about a hundred rubles per ampoule, prescription.

Alflutop not only restores the condition of cartilage, but also relieves pain and eliminates inflammation. Not suitable for children, patients with tuberculosis, HIV and STDs. It is well accepted by the body, only occasionally patients may begin to feel nausea. It costs from two hundred rubles, but it can be very difficult to find this drug on the shelves. Among other things, it is sold only by prescription.

Ointments

To do this at home, you can use:

Dolobene is an effective remedy that simultaneously relieves pain and inflammation;
, such as finalgon or capsicum, improve blood circulation and stimulate tissue metabolism. Painful lumbar region fills with blood and the pain subsides;
Chondroprotectors for external use, such as arthrocin, accelerate cartilage regeneration;
Traditional warming rubs can also be used to treat back pain, but they should be used with caution. If discomfort occurs, it is better to immediately abandon the method used.

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Probably, each of us at least once in our lives has been faced with the question of how to relieve back pain. There can be a lot of reasons for its occurrence: from physical activity and drafts, to diseases of internal organs.

Accordingly, treatment is individual in each case.

But often the use of painkillers for the back is simply necessary.

Depending on the cause of the symptom, the pain can be of a different nature: burning, long-lasting and paroxysmal, localized and radiating to other parts of the body.

It is possible to use painkillers for back pain, but it is not always safe, since pain is a beacon indicating a problem.

If you completely stop the discomfort, you can forget about the problem for a while, but start the disease instead of curing it.

Thanks to advances in pharmacology, we have a large selection of drugs. However, questions constantly arise around the problem of how to choose the right painkillers for back pain.

As a rule, there are three ways to eliminate pain in the back.

Non-drug therapy

The group includes therapeutic procedures and maintaining a gentle regime for the spine: application, rest, and so on.

Drug treatment

Painkillers for back pain are divided into three groups:

Narcotic and non-narcotic analgesics. Strict records are kept on opiates; they are used as a back pain reliever in rare cases and only with a doctor’s prescription. They have a lot of side effects and can be addictive. Non-narcotic drugs include non-hazardous drugs for oral administration, which are found in every home medicine cabinet.
Inhibitors are non-steroidal anti-inflammatory drugs (NSAIDs). They are divided into two subgroups: COX and COX-2. The first include tablet medications and a range of back gels. However, COX-2 is considered a safer subgroup, as it has fewer side effects from use. NSAIDs are considered the best pain relievers for back neuralgia.
Muscle relaxants and neurotropic B vitamins. Muscle relaxants relieve muscle spasm and suppresses work spinal nerves. The latter help nerves recover.

A good pain reliever for back pain is a combination of muscle relaxants and NSAIDs, which allows you to reduce the dosage without compromising the effectiveness of treatment, which makes it possible to partially reduce the side effects of the drugs.

Surgical intervention

Surgery is a last resort when the disease progresses and painkillers no longer help.

External back remedies

There is a whole range of gels, creams, balms and painkillers for back pain. Local preparations are aimed at reducing pain, some also have an anti-inflammatory effect. The effect of use is the weakest, but ointments cause fewer side effects.

They can be divided into several groups, depending on active substances they include:

homeopathic ointments for inflammatory processes;
in cases of osteochondrosis, spondyloarthrosis, or previous injuries; influence accelerated recovery damaged muscles and ligaments, and the metabolism in them, slow down the destruction of cartilage tissue;
pain-relieving ointments for the back, distracting and irritating; affect the dilation of blood vessels and blood flow to the sore spot, which causes an anesthetic effect;
NVPS group drugs have anesthetic and anti-inflammatory properties, long-term use not allowed as it may cause side effects;
combination back creams.

Injections for pain

There are a number of drugs intramuscular use for relief of back pain. They have the greatest effect and speed of action. Use is possible only after prescription by the attending physician.

If you don't know how to relieve back pain when...

Everyone knows that painkillers are not able to eliminate the cause of the appearance and cure back pain - they are used to alleviate the patient’s condition, to be able to resolve the problem. comprehensive examination, based on the results of which the necessary therapy can be prescribed. Temporary relief will help fight the underlying cause of the pain, for example, with the help of physiotherapy or exercise therapy. As a result of such treatment, the patient will be able to return to work after completion of rehabilitation.

There are many categories and types of drugs for back pain. Choice specific means depends on the intensity, duration, location of pain. The main thing when using these remedies is to remember that their effect is temporary (you need to use the effect and look for the cause of the pain), unwanted effects and side effects may occur. That is why the course of taking them should be minimal, and the drugs themselves should be prescribed by a doctor.

The first remedy that people most often use when their back hurts is non-hormonal anti-inflammatory drugs (hereinafter referred to as NSAIDs), available to all patients as they are available without a prescription. The most popular drugs are Naproxen and Ibuprofen. These are mild analgesics that are almost always used first. Less widely used drugs are Diclofenac, Celecoxib and Meloxicam. They are released strictly according to prescription. These tablets are quite effective, but they have side effects, which are more likely to occur if the patient uses them for a long period of time or in large dosages. Most often, there are digestive problems, a negative effect on the liver and kidneys, and possible inhibition of hematopoiesis.

Such pills for back pain should not be taken for more than three days without a doctor’s prescription, even with a known diagnosis. If the pain does not go away longer than this period, it means that you have a chronic form of the disease or complications have arisen, and treatment must be carried out strictly under the supervision of a doctor.

Muscle relaxants

In cases where painkillers do not bring the expected result, muscle relaxants are prescribed, that is, drugs whose action is aimed at relaxing muscles. Well-known drugs from this group: cyclobenzaprine, baclofen, tizanidine, carisoprodol and others. These drugs relieve muscle spasms that cause back pain. Medicines from this group are especially effective for pain caused by injury. Side effect These tablets cause drowsiness and unstable blood pressure.

Synthetic drugs

There is a category of people for whom the above drugs do not bring relief. This is especially true for people who have just undergone surgery. They are prescribed narcotic analgesics. They have an effect on nerve cells and the human brain, reducing their sensitivity, thereby eliminating pain. Lighter substances in this series are Vicodin and Tylenol with codeine, more strong effect has morphine.

Side effects from the use of these medications are:

risk of developing drug addiction; drowsiness;
problems with stool;
allergic reactions.

But despite this, in the most difficult situations taking narcotic drugs is inevitable, but the possibility of their long-term use should be excluded.

Corticosteroids

Corticosteroids reduce pain and have an anti-inflammatory effect. These back pain pills are the most effective anti-inflammatory drugs. They prescribe a course of treatment in cases where taking NSAIDs and muscle relaxants has not helped get rid of back pain. This great way to avoid chronic form inflammation. The most well-known drug is methylprednisolone, which is first taken in large dosages for several days, and then continued in reduced doses for five days.

Adjuvant therapy

Very often, pain in the spine is caused by nothing more than disturbances in the functioning of the nervous system. Therefore, doctors sometimes resort to using antidepressants such as duloxetine and anti-epileptic drugs (hapabentine). For chronic pain, a stronger antidepressant (nortriptyline, amitriptyline) is prescribed, which can improve the patient's condition and prescribe effective treatment for pinched nerves.

However, taking pills for back pain should be accompanied by other techniques, such as massage, physiotherapy etc. But, first of all, you need to consult an experienced specialist and undergo the examination prescribed by him. This will allow you to prescribe etiotropic treatment and eliminate the problem.

What tablets are the most effective for joint pain?

Treatment for joint diseases should be comprehensive. One of the main components of this complex is complete pain relief. Without injections and tablets for joint pain, it will not be possible to achieve the goals for which everything begins healing process. After all, pain accompanies absolutely everything pathological conditions musculoskeletal system and, having stopped it, you can count on the patient’s trust in further treatment measures.

Non-narcotic analgesics

The very first step towards ridding a person of excruciating joint pain, regardless of the causative disease, should be the prescription of non-narcotic analgesics. Drugs in this group have a fairly good analgesic effect with minimal harm to the body. Side effects are possible in case of long-term systematic use. The most common representatives of non-narcotic analgesics are the painkillers shown in the table.

Active substance and trade names	Features of application
Metamizole (Analgin, Sulpirin)	The tablets have a moderate analgesic effect. Injectable forms have good pain relief. The duration of the effect for mild pain is from 3-4 to 5-6 hours.
Ketorolac (Ketanov, Ketolong, Ketalgin, Ketoprofen)	Available in different dosage forms. Even painkillers are quite powerful analgesic effect. Their duration of action is about 6-8 hours. Severe pain syndrome may require more frequent use of drugs from this group.
Dexketoprofen (Dexalgin)
Lornoxicam (Xefocam, Larfix)	One of the most powerful non-narcotic analgesics for joint pain. They are relatively expensive, so they are prescribed only in cases of severe pain. Use in pediatric practice is sharply limited. The duration of the analgesic effect is about 8 hours.
Acetylsalicylic acid (Aspirin)	The analgesic effect is weak. Its duration does not exceed 2-3 hours. Indicated for the relief of mild pain.

Important to remember! Non-narcotic painkillers are the main group of analgesics for joint pain. Their use should be based on differentiated approach, which is associated with different efficiency, the likelihood of side effects and the severity of pain!

Non-steroidal anti-inflammatory drugs (NSAIDs)

In addition to treating pain, drugs in this group can affect the pathogenetic links of many diseases of the joint system. The clinical features of their use are such that long-term use of tablet forms causes irritation of the mucous membrane of the stomach and duodenum. Sometimes this side effect causes the formation of acute bleeding ulcers or exacerbation of chronic peptic ulcer. Therefore, pain relief with non-steroidal anti-inflammatory tablets should be combined with taking drugs that reduce gastric secretion (omeprazole, famotidine). This rule is of particular relevance in patients at risk.

Among the most common drugs it is worth noting:

Diclofenac and its analogues (dicloberl, ortofen, olfen);
Paracetamol (Panadol, Efferalgan);
Indomethacin (metindole, indolemine);
Ibuprofen (imet, nurofen, ibufen);
Nimesulide (nimid, nimesil, nimulide);
Meloxicam (Revmoxicam, Movalis);
Celecoxib (Celebrex).

Important to remember! Non-steroidal anti-inflammatory drugs are most effective for joint pain caused by inflammatory lesions!

Narcotic analgesics

All drugs that have an analgesic effect due to their effect on opioid receptors in the pain center of the brain are considered the most potent. If the joints hurt, they are used in extremely rare cases. An indication for this type of pain relief may be severe pain that cannot be relieved by any other means or methods. The peculiarity of pain relief with narcotic drugs is that addiction always occurs during administration. Therefore, it is best to use them in short courses in combination with non-narcotic painkillers and NSAIDs.

All narcotic drugs for pain relief are available in injection form. There are also tablets of some of them:

Tramadol (tramal);
Promedol.

Important to remember! Uncontrolled use of painkillers is unacceptable, especially for patients with chronic pain. Such actions can result not only in side effects, but also cause the ineffectiveness of the most potent remedies!

Drugs with opioid-like effects

Modern pharmaceutical companies have managed to create drugs that act on opioid receptors in the brain, but do not cause addiction or psychotropic effects. Their analgesic effect for joint pain is comparable to that of narcotic painkillers.

The only drawback of drugs in this group is the relatively high cost. Although, compared to potent drugs from the group of non-steroidal and non-narcotic drugs, it is even lower. There is currently only one medicine from this group on sale - nalbuphine. Dispensed exclusively as prescribed by a doctor based on a prescription.

Important to remember! Narcotic painkillers cannot be freely purchased in a wide pharmacy network. These drugs are subject to strict accounting and are sold only with a special doctor’s prescription!

Medicines of different groups

Joint pain can be caused by various pathogenetic mechanisms. Among them: inflammation, destruction of articular cartilage and bones, muscle spasm that occurs secondary. Therefore, in some cases it is necessary to resort to the use of drugs from different drug groups:

Medicines that relieve muscle spasms and tension (tizalud, sirdalud, mydocalm);
Glucocorticoid hormones (methylprednisolone, medrol);
Combined means. A typical combination is NSAIDs with myotropic antispasmodics (spasmalgon, renalgan, baralgetas).

Basics of differentiated selection of drugs for the treatment of joint pain

Treating joint pain is an art. Its main postulates are:

The selection of painkillers is carried out from weak to strong. The exception is cases of severe pain, when the ineffectiveness of weak painkillers is obvious in advance;
Severe pain is relieved injectable drugs or by performing a blockade with local anesthetics. Taking tablets is advisable in case of a good analgesic effect and should be of a preventive nature (the tablet is taken before the therapeutic effect of the previous dose ends);
Acute joint pain is most often of inflammatory or traumatic origin. It is most effective to stop them with NSAIDs;
Chronic joint pain. They are a real problem that accompanies all destructive processes. The selection of painkillers is used A complex approach. All existing symptoms are taken into account, since they can be summed up, increasing the intensity of pain. In addition to non-narcotic analgesics and non-steroidal drugs, muscle relaxants, glucocorticoids, therapeutic intra-articular and periarticular blockades are indicated.

Only knowledge of all possibilities modern pain management combined with differentiated use of methods can be the key to success in the fight against joint pain.

There are very few people these days who can boast that they have never experienced discomfort in the neck or lower back. Therefore, modern pharmacology uses a variety of painkillers for back and joint pain. Their use for spinal pathologies, arthritis, arthrosis, and injuries is simply irreplaceable. With the truly painful sensations that the patient feels at this time, it is almost impossible to do without strong analgesics.

An excellent result occurs when the drugs are quickly absorbed into the blood, their effect does not make the patient wait long, and the result of pain relief can last quite a long time.

Causes of pain

The causes of such back and joint pain can be very different. They can be caused by:

Osteochondrosis;
diseases of the spine;
spondylosis;
lumbago;
radicular syndrome;
intervertebral hernia;
myositis;
injury;
hypothermia;
pancreatitis;
renal colic, etc.

Each individual case requires different analgesics. If a serious illness is detected, then a whole complex of various drugs, physiotherapeutic treatment and exercise therapy is needed.

The drugs used most often have a symptomatic effect and are not capable of medical methods fight the cause of the disease. In addition, pathologies of the spine and joints are usually chronic and therefore require permanent treatment. However, by taking analgesics, it is possible to achieve stable remission, during which the person has sufficient for a long time will feel practically healthy.

Painkillers for back pain can also have very different purposes, depending on the cause of the disease. Usually, a strong doctor rarely prescribes only them. At the same time, muscle relaxants, antispasmodics, anti-inflammatory drugs, and neurovitamins are prescribed.

The need to see a doctor

Of course, all medications for back pain should be prescribed by a specialist. Self-medication is very dangerous. An osteopath or neurologist will conduct a diagnosis, clearly identify the causes and symptoms of the disease, and prescribe appropriate medicines.

Therefore, before receiving an exact prescription for any good pain medication, a person needs to visit for an examination:

Therapist;
surgeon;
neurologist;
osteopath;
urologist;
gynecologist;
gastroenterologist;
cardiologist, etc.

These doctors will carry out a whole complex diagnostic procedures. Usually prescribed clinical and biochemical analysis blood, radiography, ultrasound, ECG, CT, MRI.

Such actions make it possible to optimally select the required analgesic. In order to reliably anesthetize the patient, the doctor assesses the strength and duration of the pain, its location. Finds out whether it gives to neighboring areas.

In case of significant pain with extensive localization, injections, intravenous or drip infusions are more often prescribed.

For constant, not too severe pain, the doctor prescribes pills. During remission, ointments are more often used.

Back and joint pain is difficult to diagnose and treat. Therefore, the specialist must constantly correct the patient’s condition.

Analgesics are prescribed strictly individually, taking into account:

Patient's age;
his weight;
form of the disease;
the presence of allergic reactions;
accompanying illnesses;
possible contraindications;
the dosage form necessary for the most effective elimination of pain;
maximum doses;
duration of use;
options for canceling or replacing a pharmacological agent.

Tablets for back pain provide a whole list of diseases for which it is better to limit their use: acute stage peptic ulcer, liver and renal failure, pregnancy, feeding period, etc.

Main medications prescribed by doctors

Most often, specialists prescribe non-narcotic painkillers. As a rule, they also relieve inflammation and reduce fever.

These include:

This is a powerful analgesic that also has an anti-inflammatory and fever-relieving effect. Has a fairly fast effect. Contraindicated in case of individual intolerance, gastric ulcer, etc.

It costs about thirty rubles.

It has a fairly strong analgesic effect, but has less pronounced anti-inflammatory activity. Contraindicated for bleeding disorders.

The cost ranges around thirty-five rubles.

It is a strong analgesic and also has an antirheumatic effect. Also contraindicated for gastric and duodenal ulcers, colitis and enteritis.

Its price is approximately one hundred and fifty rubles.

Pain relievers for back pain may also belong to a group such as non-steroidal anti-inflammatory drugs. Now doctors most often prescribe them. These remedies provide excellent relief from pain and have long-term action and have many dosage forms that make them convenient for use different groups patients. They not only relieve the symptoms of the disease, but also have a therapeutic effect.

This NSAID has a decongestant effect and improves overall well-being. It should be used with caution, as it negatively affects the mucous membrane of the stomach and intestines.

The cost of the drug is 55 rubles.

It selectively reduces the body's production of cyclooxygenase-2, which makes it possible to actively combat back and joint pain. It is contraindicated for diseases of the cardiovascular system.

Its price in the pharmacy chain is from 200 rubles.

It is an analgesic with a powerful anti-inflammatory effect. It also has antipyretic effects. It is contraindicated in case of intolerance to the components acetylsalicylic acid, allergic reactions.

Its cost is 35 rubles

These products are used as tablets, injections, ointments.

Painkillers for back and joint pain can also be presented in the form of narcotic substances.

They are often prescribed to patients who have had major operations on the spine or joints. The mechanism of their action is such that they have direct influence to the central nervous system.

Its mechanism of action is that it reduces the sensitivity of pain receptors.

Contraindicated for allergy sufferers, people with chronic diseases intestines or organic damage brain.

Also good for coughs. It is usually prescribed by the attending physician.

This drug is contraindicated in people who already suffer from drug addiction or are mentally ill.

It can also have anticonvulsant effects.

Contraindicated in case of individual intolerance or pulmonary diseases.

Typically, these drugs are prescribed in a hospital setting and, although they have a very high cost, patients receive them through compulsory medical insurance.

Painkillers for back pain may belong to the group of corticosteroids. They relieve inflammation, eliminate swelling, and reduce pain.

This medicine for back pain is based on the biochemical reaction of inactivating special hormones - prostaglandins.

It relieves swelling and reduces the impact of autoimmune reactions. Its use may be contraindicated diabetes, endocrine diseases, oncology.

Its cost is about one hundred rubles.

It has pronounced anti-inflammatory and pain-relieving properties. Contraindications to its use are stomach ulcers, kidney, liver or heart failure.

Its cost is about two hundred and fifty rubles.

It has a powerful analgesic effect and is used for bursitis and other joint diseases. Contraindicated in case of bleeding disorders, severe osteoporosis.

The price of this drug is usually within a radius of three hundred rubles.

For them, there are dosage forms such as tablets, injections, ointments.

There is a special group of drugs against back pain. Their effect occurs very quickly, reliably and lasts for a long time.

Exacerbation of back pain can occur from any awkward movement and immediately become very intense. The patient simply freezes in one place, unable to even move. Therefore, the doctor must decide from the very beginning whether to prescribe medications in tablets or injections.

Its action is largely based on the suppression of prostaglandin synthesis.

Diseases may be contraindications to its use spinal cord, diseases of the gastric mucosa.

It costs from fifty rubles.

It is most often used to relieve pain in patients suffering from diseases of the musculoskeletal system. Contraindications to it are allergic reactions, pregnancy, and childhood.

Its price ranges around three hundred rubles.

It is very often used in the treatment of muscular and joint pathologies that cause severe pain. Contraindicated in case of individual intolerance, heart disease.

Its cost is usually 300 rubles.

They are prescribed in tablets, injections, ointments, and patches. These are quite expensive drugs, the cost of which ranges from 250 to 450 rubles.

Prophylactic use

Analgesics are used only strictly as directed and after providing a prescription written by a doctor.

For preventive purposes, drinking them makes no sense and is even dangerous. You need to know exactly the causes of pain and stop it for a given specific time. Moreover, many of these drugs are highly addictive, so their uncontrolled use leads to the fact that they completely cease to have any effect in severe pain.

For back pain, the tablets must precisely act on their source, reliably eliminating it. In the best way B vitamins can help prevent relapses of the disease. They affect the central nervous system, facilitate radicular syndrome, improve the functioning of nervous tissue.

In addition, they have a mild analgesic effect during remission. These drugs help especially well when the lower back suffers. By increasing nerve conduction, blood supply to ischemic tissues is activated, inflammation is reduced, sleep is normalized and general state patient.

However, with all the variety of different drugs, only the attending physician should prescribe them. It is very important to determine what phase the disease is in - acute or chronic. This greatly influences the choice of medications.

The underlying cause of pain is also of great importance.

Taking it into account, the specialist prescribes certain pharmacological substances. The contraindications that each patient has should be taken into account. This is a very important circumstance for the attending physician when he prescribes this or that medicine.

Most often this applies to people with stomach ulcers, liver pathology, hematological diseases, and blood incoagulability.

Thus, an effective remedy for back pain is selected individually. Often, the doctor changes medications due to their insufficient effect or undesirable effects on other organs and systems.

If there is an oncological process, then the main treatment takes place in a hospital setting with narcotic painkillers. In addition, most often a whole range of medications is then needed to effectively get rid of such a disease.

For back and joint pain, you cannot do without analgesics. The doctor decides how exactly they will be administered - using tablets, injections, droppers or external use. In addition, it is very important to maintain the correct dosage of medications to avoid side effects.