Various types of ointments for back pain and their effects in treatment. Pain-relieving ointments for pain in the back and lower back: types, application

Everyone has experienced back pain at least once in their life. And with age, this possibility increases, as degenerative changes in bone and cartilage tissue develop. Pain can be associated with muscle strain or strain, pinched nerve roots, herniated discs, or trauma. Depending on the cause of the pathology, a method of treatment is chosen, of which there are a lot. But for back pain, pills are used most often, as they allow you to quickly feel relief and return the ability to move normally.

Why does back pain occur?

A person can experience such sensations with inflammation of the muscles, ligaments, joints, with a pinched nerve, with an injury or various diseases spine. Usually, back pain greatly reduces performance, often leading to complete immobility of the patient. Moreover, this condition occurs at any age, although older people are most often subject to pain. This is the main symptom in diseases such as osteochondrosis, sciatica, arthritis, spondylarthrosis, spondylitis, spondylolisthesis, herniated disc, myositis, tumors and some others. Pain may also appear in healthy person for these reasons:

Features of the treatment of back pain

The main task of therapy for all diseases of the spine and soft tissues of the back is, first of all, the removal pain symptom. And then methods are already applied aimed at restoring the functioning of the joints, discs and muscles.

Painkillers in the treatment of back pain are a mandatory step in treatment. Their peculiarity is that they do not treat these pathologies. But pills for back pain with osteochondrosis and sciatica are still needed. After all, it is impossible to cure these diseases quickly by any means, and pain can be very strong.

But you should not drink pills for back pain on your own, which were advised by friends or a pharmacist. Indeed, in each case, the patient's condition has individual characteristics. In addition, often without eliminating the cause of the pathology, it is impossible to get rid of pain, for example, when a nerve is pinched. Therefore, you can take only those drugs that are prescribed by a doctor.

Groups of drugs for the treatment of back pain

There is no such medicine that would relieve pain in any case. Therefore, drugs are used different groups depending on the strength of the manifestation of the symptom, the place of its localization and other features. When using such drugs, it should be borne in mind that you can drink them for a short time, and their effect is temporary. All painkillers used for back pain can be divided into several groups.

• Non-narcotic analgesics are the weakest means. They help only with mild pain, not accompanied by an inflammatory process. These are "Analgin", "Tempalgin", "Baralgin" and others.
• Non-steroidal anti-inflammatory drugs are the largest group of drugs. It is these drugs that are most often used for back pain, as they also relieve inflammation and swelling. The most effective are Ketorol (tablets), Diclofenac, Indomethacin and others.
• Corticosteroid hormones have a stronger analgesic and anti-inflammatory effect. They are used in short courses only as directed by a doctor. It can be "Prednisolone", "Hydrocortisone" and others.
• In severe cases, when the pain becomes excruciating and nothing helps, narcotic painkillers are used - Codeine, Morphine, Tylenol and others. They can only be purchased with a doctor's prescription.
• Often back pain occurs due to muscle spasm. In such cases, antispasmodics and muscle relaxants, for example, Mydocalm, help well.
• Additionally, drugs can be used to help the patient relax, calm down, for example, antidepressants. In addition, vitamin complexes often help relieve pain.

Analgesics

This group includes only a few common drugs. Now they are used less and less, as there are more effective means. The most popular for many years is the inexpensive drug "Analgin". Its price is not more than 60 rubles, but it also helps only with mild pain. Its analogues are a little more expensive: "Baralgin", "Tempalgin", "Spazgan". They will help with muscle spasms, pain associated with overwork. But such pills are not effective for back and lower back pain caused by degenerative processes in the joints and discs.

Non-steroidal anti-inflammatory drugs

Medicines from this group are most often used for back pain. Their advantages include the fact that they relieve not only pain, but also inflammation. In addition, they are affordable for every patient and most of them can be purchased at a pharmacy without a doctor's prescription. The disadvantages of these drugs is the presence of contraindications and side effects. Therefore, it is undesirable to use them in large doses and longer than 3 days in a row. In addition, they do not eliminate the cause of pain, so in many cases they cannot be the only treatment.

On sale now there are a large number of drugs from the group of non-steroidal anti-inflammatory drugs. But in fact, many of them are synonymous, as they contain the same active ingredients. The main drugs in this group are:

The best drugs

Among non-steroidal anti-inflammatory drugs, there are those that are especially effective in diseases of the musculoskeletal system.

"Diclofenac" (tablets): instructions for use

The price of this drug makes it one of the most common means. After all, it costs no more than 80 rubles. This medicine has all the properties that are characteristic of most non-steroidal anti-inflammatory drugs used for back pain. Therefore, on its basis, it is possible to consider the features of their application. Cannot be used during pregnancy childhood up to 12 years, as well as people with impaired organ functions gastrointestinal tract. With great care, such drugs are prescribed to those who have allergic attacks, there are bronchial asthma or blood disorders.

Drink "Diclofenac" and other similar drugs should be 1 tablet 2-3 times a day for no more than 3-5 days in a row. With an overdose, misapplication or if contraindications have not been taken into account, the medicine may cause such side effects:

Hormonal remedies

They are often prescribed for back pain. Tablets containing corticosteroid hormones have a strong analgesic and anti-inflammatory effect. They help to avoid complications and are usually used for chronic diseases. The most common is the drug "Methylprednisolone". Its peculiarity is that you need to drink it according to a special scheme. And in general, everything hormonal agents require very precise individual dosing. They can cause addiction and side effects, so they are used only under the supervision of a doctor.

Often prescribed such pills for pain in the back and lower back: Diprospan, Dexamethasone, Supromethyl, Predpol, Hydrocortisone.

Narcotic painkillers

In some cases, the pain is so severe that no remedy helps. This most often happens with injuries, tumors, after surgical interventions. In this case, there is usually no inflammatory process. Therefore, it is better to use tablets based on back pain in this case. narcotic substances. They affect the central nervous system by reducing the sensitivity of nerve endings.

Such drugs can only be purchased with a doctor's prescription, as they cause drug addiction and other side effects. The safest of these are Tylenol, Vicodin, Acetaminophen, Tramadol, and Codeine. More serious drugs used in the most severe cases are "Fentanine", "Morphine", "Hydrocodone". These drugs are quite expensive, costing from 500 rubles and more.

back pain pills

Sometimes pain occurs not in the spine, but in the surrounding soft tissues. This can be with spasms and injuries of the muscles or ligaments. Often, anti-inflammatory drugs do not help relieve pain. In these cases, and often as ancillary treatment muscle relaxants are used. They help to achieve rapid muscle relaxation, which alleviates the patient's condition. After all, muscle spasms are often a provoking factor in back pain. The most commonly used drugs are: Mydocalm, Tizanidin, Carizopradol, Baclofen, Cyclobenzaprine and others. They may have the side effect of drowsiness and weakness due to excessive muscle relaxation, as well as fluctuations in blood pressure.

What other drugs help relieve pain

Sometimes back pain is neurological in nature. If they are associated with nervous disorders, stress, worries, then conventional painkillers may not help. In this case, antidepressants that promote relaxation are effective. The patient calms down, and this leads to the disappearance of pain. The most commonly used antidepressants are Duloxetine and Amitriptyline. Sometimes antiepileptic drugs are also prescribed that help to relax, for example, Gabopentin. The prescription of vitamins of group B is also effective for back pain. The complex preparation "Milgama" is also often used.

Features of the use of such drugs

Sometimes you have to use painkillers without a doctor's prescription if the pain caught unexpectedly. Usually, non-steroidal anti-inflammatory drugs or analgesics are used in this case, because drugs from other groups can only be purchased by prescription. It is very important to know the basic rules for the use of such drugs so as not to harm your health:

• be sure to carefully read the instructions, since such drugs have many contraindications;
• strictly observe the dosage;
• do not take tablets more than 3 times a day and for more than 3 days in a row;
• when side effects stop taking the drug;
• to reduce the possibility of side effects and to enhance the effect, take the medicine after meals with water.

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Ointment for pain in the back and lower back is the most convenient option for medicines. Topical application of drugs is not very large therapeutic efficacy however, the side effects are significantly reduced.

Ointments for pain in the back and lower back

There are 4 types of anesthetic ointments for the back:

1. Anti-inflammatory.
2. With irritating effect.
3. Homeopathic.
4. Chondroprotectors.

The types of these ointments have varying degrees efficiency and safety.

Selection of the right medicinal ointments the doctor is doing.

However, everyone should know the principle of action of these drugs.

Useful homeopathic remedies

These ointments improve metabolism. This reduces the destruction of cartilage tissue. It also recovers quickly.

Ointments include anesthetics that relieve pain. Effective means of this group are - Zell T, Traumeel S.

Target T is used for the phenomenon:

• osteochondrosis;
• rheumatoid arthritis;
• polyarthrosis.

Substances in the composition of the ointment strengthen ligaments, stimulate the restoration of bone and cartilage tissues. The ointment is used three to five times a day, it is possible to apply the product to the bandage.

Traumeel C relieves pain, stops inflammation and restores tissues. The drug is prescribed for inflammatory processes (lumbago).

The ointment is applied up to 3 times a day. Treatment lasts up to 4 weeks.

What are chondroprotectors

They stimulate metabolic reactions, stop the destruction of cartilaginous tissue, saturate the paravertebral ligaments and muscles with the necessary substances.

The active substance of these ointments is chondroitin sulfate.

Chondroprotectors are used for pain in:

• back
• lower back;
• joints;
• shoulder blades.

Chondroitin sulfate is prescribed for symptoms of osteochondrosis and osteoarthritis. It has anesthetic and anti-inflammatory properties, has a fibrinolytic effect.

Available as a gel. Rub up to 3 times a day. Treatment up to 3 months.

Teraflex M has a similar effect. In addition, it dilates blood vessels, restores blood circulation and relieves pain.

Means with a local irritant effect

This type includes:

• Finalgon;
• Kapsikam;
• Apizatron.

Finalgon is the most effective drug from this group. Thanks to the active substances with analgesic action (nicoboxil and nonivalide), the lumen of the vessels expands and blood flow to the site of inflammation increases.

The result is better saturation. nutrients tissues and improve metabolic reactions.

The use of ointment is indicated for:

• pain symptoms in the back, lower back;
• many types of injuries;
• lumbago disease.

Effective anti-inflammatory ointments

The effectiveness of anti-inflammatory ointments is achieved quickly. After all, the main action of these drugs is to eliminate pain.

Only drugs have a therapeutic effect latest generation, the action of which is aimed at eliminating the disease itself. In case of illness with a symptom of dorsalgia, anti-inflammatory ointments are indicated.

The action of anti-inflammatory ointments:

• Elimination of edema.
• Anesthesia.
• Relief of inflammation.

The removal of edema and inflammation is the elimination of the cause of dorsalgia. The disappearance of the edema releases the pinched nerve.

The most effective anti-inflammatory drugs are:

• Diclofenac;
• Fastum gel;
• Ketoprofen.

These medications the "youngest" generation.

These drugs have side effects:

• from the gastrointestinal tract;
• blood clotting;
• bleeding is possible.

The use of combined formulations

These include Dolobene gel:

• relieves pain;
• has regenerative and thrombolytic properties;
• removes the inflammatory process.

Dolobene is widely used due to the relief of back pain (consequences of injuries) with existing edema and bruising. The gel is also used for symptoms of scapulohumeral periarthritis.

Video

characteristic pain syndromes

Back pain due to existing osteochondrosis is relieved with painkillers and anti-inflammatory drugs (ointment, gel, rubbing).

Active substances:

• act on skin receptors and subcutaneous tissue;
• increase blood flow;
• improve metabolic reactions;
• have a distracting irritating effect.

For an improved effect of ointments on the skin, the sore spot is rubbed, washed, after which the drug is applied and wrapped in a woolen scarf.

Before treatment with ointments for pain in the back and lower back, you should consult your doctor to avoid allergic reactions to the drug. In extreme cases, you can ask the pharmacist about the composition and effect of drugs.

efficient therapeutic effect have ointments based on poisons (snake and bee). Their effect on inflammation and pain has not been fully studied.

However, it is assumed that they have a specific effect on receptors, due to which biogenic substances are released and then absorbed into the site of inflammation. Bee venom has active substances that trigger the immune function of the body.

Effective ointments based on poisons:

• Viprosal;
• Vipratox;
• Apizatron;
• Virapin.

There are contraindications from many systems, so consultation is required.

As an irritating and distracting means, they use "Vietnamese golden star". It is effective for rubbing painful areas, thanks to the essential oils in its composition.

Definitely say which ointment is better for the back is impossible. After all, there is an individual intolerance to the drug. Depending on where the pain is localized - in the muscles or joints, the right ointment is selected.

Associated leg pain

With back pain, unpleasant pain in the legs can be noted. The use of ointments for pain in the legs is carried out depending on the reason for which an unpleasant symptom occurs.

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Pain in the back can knock you out of your usual way of life, take you out of emotional balance and even lead to depression. Its cause may be a progressive disease or sprain.

Every third inhabitant of the planet is faced with one of the types of this disease. Its essence is to change the structure of the vertebrae and their location.

As a result, osteochondrosis may worsen or. can also cause back pain.

Only complex and competent therapy will completely eliminate this annoying discomfort, but for local impact to at least temporarily get rid of pain in the back and lower back are used various ointments- analgesics.

Groups of drugs for local effects on the spine

To find out the cause of back pain, you should consult a specialist. After diagnostic procedures and making a diagnosis, the doctor will prescribe a complex therapy, in which this or that cream or ointment will definitely be present.

These medicines are designed to reduce pain or even completely stop it, but only a few of them can completely eliminate the focus of the inflammatory process. There are several groups medicinal ointments, which differ in composition and method of exposure to the affected area of ​​the back:

Do right choice in favor of a particular group of ointments can only be a competent specialist, may indicate serious illness, therefore, without consulting a doctor is indispensable.

Ointments with a warming effect

Warming ointments for the back are presented in pharmacies with a wide variety. Their "hot" effect is explained by the components included in the composition. The tissues around the focus of inflammation are filled with decay products.

Warming gels cause local irritation, due to which cellular "garbage" is removed and leaves the body. Blood flow to the affected area is increased, helping tissues regenerate and diseases recede.

The main indications for the use of such funds:

The main component of the warming ointment can be: bee or snake venom, red pepper extract, methyl salicelate, dimethyl sulfoxide and others. The secondary ingredients are vanillinamide, camphor and turpentine oil.

Popular and effective local warming agents include:

• Apizatron;
• Viprotoks;
• Mellivenon;
• Dolpig and others.

If the cause of discomfort in the back lies in a recent injury, then warming drugs can be used only during the rehabilitation period. The first 1-2 days after injury, it is necessary to apply only, on the contrary, coolants.

Some moderate warming ointments can be used to prevent sprains and injuries. This is true for athletes and people who experience daily high physical exercise.

The scheme of application is indicated in the instructions for the drug, but usually the first dose is recommended at night. In case the next morning will be felt positive effect and side effects do not appear, then the frequency of application increases to three per day.

Strong gels and ointments, such as, and Dolpig should be applied with extreme caution. One dose should not exceed the size of a grain of rice. The drug forms a film on the skin, so before each subsequent application, thoroughly wash the affected area of ​​\u200b\u200bthe body and wipe it dry.

It is necessary to exclude the possibility of contact with mucous membranes. Wash hands thoroughly with soap after use.

Painkillers

Most back gels and ointments are designed to relieve pain. achieve this effect they are helped by a special composition. The medication can warm the affected area or cool, blocking painful discomfort. There are also combined means affecting the inflammatory process.

Indications for use are neurological diseases, degenerative-dystrophic diseases of the back, sprains and injuries.

An anesthetic ointment for the back should contain such active ingredients as: ibuprofen, nimesulide, heparin, ketoprofen, capsaicin, methyl salicelate and others. They have miscellaneous action, but one goal - pain relief.

Popular local analgesics:

For selection specific means you should contact a specialist. There are ointments used for prophylactic purposes, but they should not include non-steroidal anti-inflammatory drugs. Long-term use of the gel should be agreed with the doctor. The frequency of administration varies from 2 to 4 times a day, depending on the active substance.

Not all local medicines are suitable for children. From the list presented for small patients, Solcoseryl and Fastum gel are suitable.

They provide moderate pain relief and, due to their composition, have a low likelihood of an allergic reaction. Despite this, it is necessary to carefully study the instructions before use.

Non-steroidal anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs (NSAIDs) of local action are indicated for almost all diseases of the back, the symptom of which is pain. These drugs have a number of contraindications and are not recommended for use over 14 days. Due to the deep effect on the focus of inflammation, discomfort disappears within minutes after application.

Anti-inflammatory ointment for the back is used in the following cases:

• and soft tissue injury.

Pain-relieving ointments based on NSAIDs may contain active substance: diclofenac, indomethacin, ibuprofen, nimesulide, oxicam and others. In tandem with one of these substances, the composition may contain heparin, menthol, essential oil plant origin or ketoprofen.

Effective ointments of the NSAID group:

• Nise gel.

The use of NSAID gels and ointments during pregnancy is prohibited. These drugs penetrate into the deep layers of the epidermis and into the blood, so they can harm the body growing in the womb. The use of children under 3 years is also contraindicated.

It is recommended to apply the gel in a strip of 5 to 10 cm and rub in a circular motion into the affected area. If itching and redness appear, remove the remnants of the substance with a dry cloth and consult a doctor. Frequency of application - 2-4 times a day.

Do not exceed the indicated multiplicity, as an overdose may occur. It is recommended that you familiarize yourself with the list of medicines that are not combined with taking local NSAIDs.

Homeopathic local preparations

Local preparations belonging to the homeopathic group are full of variety. They reduce pain by special action to the site of inflammation. The essence of homeopathy is the treatment of "similar-similar", but in smaller doses.

Many doctors question the effectiveness of such remedies, and even the concept of "homeopathy" is called unscientific. Despite this, this group is in demand because it really helps in the fight against back pain.

There are many indications for use: fractures, injuries and others.

As part of any homeopathic ointment there is a matrix tincture. It is an aqueous or alcoholic extract from plant or animal raw materials.

Thanks to a special production technology and the right proportions, such drugs are combined with absolutely all methods of therapy and medical devices. The basis of the ointment is lanolin or petroleum jelly. Often the composition complements one or another essential oil.

On the pharmacy shelves you can see the following means this group:

• Fleming's ointment;
• Bryony;
• Ledum and others.

They have detailed instructions, but contraindications to receive a minimum. Such a tool can be used even for children, but pregnant women should first consult a specialist.

You need to apply a thin layer and a strip up to 10 cm in length. You need to rub with massage movements until completely absorbed. Frequency of use - up to 5 times a day.

Chondroprotectors

Chondroprotective ointments are used to stop the degenerative process in the cartilaginous tissue and to accelerate its regeneration. By reducing inflammation, improving blood flow and metabolic processes, pain is reduced.

This drug group, in the first place, aims to stop the destruction of cartilage and stimulate its restoration, if it is still possible. Anesthesia occurs as a result of tissue repair, so the pain will not disappear from the first dose.

This drug group is used for all degenerative-dystrophic diseases, such as:, and others.

As part of any hodroprotector there is. This substance penetrates into tissue cells and restores in them metabolic processes. Minor ingredients include camphor, glucosamine hydrochloride and lanolin.

Popular chondroprotectors include the following ointments:

• Toad stone;
• Teraflex M;

The course of treatment is usually 14 days and repeated again a week later. The effect of therapy will be noticeable after 3-5 months. Most of these ointments are contraindicated in children under 15 years of age. During pregnancy, the reception is also undesirable, although relevant studies, as a rule, simply have not been conducted.

The frequency of administration varies from 2 to 4 times a day. Chondroprotectors are applied in a thin layer and do not require thorough rubbing.

Massage balms, gels and ointments

Massage can reduce pain and improve emotional condition sick. This method is applied in complex therapy in the fight against back pain. There are no contraindications for massage.

Massage gels usually contain essential oils, extracts of useful plants and camphor. Herbal tinctures and aroma oils are also used. The basis is vaseline or lanolin.

Popular massage gels:

• We weigh;
• Orthophyte;
• Muravivit;
• massage balm Valentin Dikul for the spine and back.

They can be used by children from three years old and pregnant women. The frequency of admission is set individually, but usually it should not exceed 5 times a day.

A light massage with the presented products will not only reduce pain in the inflamed area, but also relieve tension from the body, invigorate and improve overall well-being.

Combined funds

Many ointments are difficult to attribute to any particular group, since they act on the disease from several sides at once, i.e. combined. Indications for use are osteochondrosis, bursitis, neurological diseases, rheumatism, sciatica and others.

The composition of such funds usually includes ibuprofen, ketotifen or nimesulide. These are non-steroidal anti-inflammatory drugs. In addition to them, lidocaine, methyl salicelate and red pepper extract may be present.

Components of plant origin, such as: "live" mustache extract, cinquefoil extract, royal jelly and others. - These are the regenerating components of some combined ointments.

Among the best, the following drugs should be distinguished:

• Dolobene;

The course of application should not exceed 14 days. Combined ointments, which include NSAIDs require special care. They penetrate the bloodstream, which means that excessive use can cause unpleasant side effects.

The use of children under 7 years of age and pregnant women is contraindicated. Applied to clean skin thin strip 5 cm long. Distribute the substance should be a thin layer, not achieving complete absorption. Before next application the skin needs to be cleansed.

Point of view

A couple of reviews on ointments for the back, which may help to draw a conclusion.

An old injury (displacement of the vertebrae as a result of an accident) periodically makes itself felt to me. From the wild pain in the back I escape exclusively with ointment.

This is a "thermonuclear" irritant that must be used with caution. A drop is enough to take. The effect is literally in 15 minutes. It will warm up and the pain will subside.

Leah K

I can say for sure that the ointment should be selected with the attending physician, and not independently. Depending on the injury or illness, a specific drug is selected. Once I got a knee injury - I helped Dolobene. When I tore my back, I saved it, but not from osteochondrosis better means than Diclofenac!

Oksana A

Topical medications can help relieve back and lower back pain, but the choice should be taken seriously.

Only a specialist can prescribe the best treatment option. In diseases of cartilage and bone tissue, it is required complex treatment, which is not limited to the use of ointment.

Without consulting a specialist, only homeopathic and massage gels and balms are allowed. They have a minimum of contraindications, but severe pain they are unable to buy.

Often, with back pain, patients try to self-medicate, choosing the most effective ointment "for all occasions." However, the use of ointments should in most cases be agreed with the doctor, and when choosing the drug yourself, a number of conditions must be taken into account.

What should be considered when choosing an ointment for back pain?

Obviously, the effectiveness of any medicinal product depends on two factors: the suitability of the drug for the disease being treated and the patient's susceptibility to the drug. Therefore, when choosing a drug for back pain, it is necessary to take into account the patient's tendency to allergic reactions and intolerance to certain active substances and exclude the use of ointments containing such components.

It is best that the patient use the ointment for back pain on the recommendation of a doctor, and not guided by their own choice. A professional will be able to accurately determine the diagnosis and prescribe the most effective drug.

Irritating and analgesic ointments for back pain

Local tissue irritation is produced using plant extracts (for example, red pepper) or chemical substances. In any case, such an effect is designed to increase blood flow in the affected area. Intensive blood circulation promotes the flow of oxygen and substances that promote healing and regeneration to damaged tissues.

In addition, with intensive blood circulation, all metabolic processes are normalized. Many irritant ointments stimulate vasodilation, which is an additional measure to stimulate blood circulation. To effective drugs this category includes: "Apizatron", "Capsikam", "Finalgon", "Nicoflex", etc.

Most irritating ointments can relieve pain, which is facilitated not only by intensive blood supply, but also by the inclusion of analgesic components in the preparations.

Anti-inflammatory ointments for back pain

Anti-inflammatory ointments are effective if back pain is caused by hypothermia. The composition of such drugs as active ingredients includes ketoprofen, ibuprofen, nimesulide, diclofenac, etc. One of the most famous and effective means this series - ointment "Fastum-gel".

Chondroprotective ointments for back pain

ondroprotectors are able to relieve inflammation, however, the main purpose of these drugs is to restore cartilage tissues and stop the destructive processes in them. Chondroprotectors are prescribed for arthritis and arthrosis. For back pain, chondroprotectors are used if the pain is caused by osteochondrosis. One of the most effective and very affordable chondroprotectors is an ointment "Chondroxide".

Combined action ointments for back pain

Often one drug combines several types of effects. The most common is the practice of adding analgesics to the active substances of the ointment, which relieve pain. At the same time, there are ointments, creams and gels for external use, the spectrum of action of which is very wide. Yes, gel. "Dolobene" can stimulate the regeneration of damaged tissues, treat inflammatory processes, as well as cope with blood clots and stagnant processes. With the help of Dolobene gel, you can also get rid of hematomas.

Herbal remedies and homeopathy for back pain

Herbal medicines and homeopathic remedies for back pain have similar usual medical supplies directions of influence (anti-inflammatory, analgesic, irritating, etc.). There are also means of this category of complex action. hallmark homeopathic remedies is low content active substances, which should stimulate the mobilization of internal resources of the body. In phytopreparations, all types of effects are carried out not with the help of chemicals, but due to the properties of juices, extracts and extracts from plants.

When can and when not to use ointments for back pain

Self-administration of an ointment for back pain without consulting a doctor is permissible in cases where it is a chronic disease, and the appropriate treatment has already been recommended by a physician and has given positive result. On your own, you can cure a minor cold (“blew” your back) or a slight muscle strain during physical exertion.

The appearance of pain in the lumbar region prevents a person from performing daily activities and disrupts the usual rhythm of life. To fix this, you need to remove unpleasant symptoms, and gels and ointments cope with this task most effectively. Inexpensive funds help almost instantly, relaxing the muscles of the back and increasing blood circulation, eliminating inflammation and warming up the skin, which relieves spasms and reduces pressure on nerve tissues.

Causes of back pain

To understand what and when to treat low back pain, you must first become familiar with the common causes that cause it.

Age

The human body does not get younger every year. Over time, all organs and tissues undergo aging. On the skin, it becomes noticeable immediately - it becomes thinner, wrinkles appear. But the internal organs are not visible to the eye, so when diseases associated with aging appear, a person is not ready for them.

Men still try to lead the same way of life: transporting a sofa to and from the dacha. Women do not stop carrying heavy bags of groceries from the store. But the human spine after 45-50 years is not the same.

Elastic discs located between the vertebrae are designed to soften movements, allowing a person to bend down into different sides. With age, the hard shell of the disc breaks down, and its jelly-like contents thicken. The disc loses its shock absorber properties, the vertebrae move closer to each other. The range of motion in the spine is reduced, and any excessive flexion causes pain.

These completely natural changes in the spine are exacerbated by osteoporosis - a decrease in the amount of calcium in the bones of the spine. This is especially true for older women, due to hormonal changes. Bones become thinner and more brittle, causing aching and drawing pains loins.

infections

Quite a few internal organs, with the development of infection in them, can cause back pain. In particular, this applies to the kidneys and bladder. If they are infected, for example, hemorrhagic fever with renal syndrome, then the edematous tissue of the kidneys presses from the inside on its capsule and causes pain in the lower back.

Infection can also be in the intestinal cavity - E. coli, salmonella, shigella. These microbes cause severe spasms of the intestines. Such strong contractions cause pain in the abdomen, sides and lower back.

Back pain can be caused by an infection such as tuberculosis. It affects the bones of the spine, causing aching, dull pain back.

Inflammation

Myositis is an uncommon but common disease of the back muscles. In fact, it is inflammation of muscle tissue cells.

1. The cause of myositis can be hypothermia - then myositis will accompany SARS.
2. There is also autoimmune myositis - when inflammation in the muscles is caused by an attack of one's own immunity.
3. Sometimes, the cause of myositis is a long back position. This is observed in pianists, drivers.

Lumbar myositis is the most common among all. With it, the muscles of the lower back become inflamed, they are hot and tense to the touch, and when the lower back moves, soreness appears. Myositis often occurs in young people, this is its difference from osteochondrosis and disc herniation, which usually affects the elderly.

Quite often, especially among men, exorbitant load can lead to back pain:

• excessive exercise;
• lifting and carrying weights;
• too sudden movements when carrying objects.

The most common cause of soreness after exercise is sprains or muscle strains. They arise due to wrong actions when lifting weights. Often, excessive muscle tension during physical work or exercise becomes a source of pain. This can be avoided if you first knead the lumbar spine with gymnastics.

Lifestyle

Mass computerization, an abundance of work with remote access, elevators and transport have led to little mobility. The lack of movement in the muscles of the back leads to their gradual weakening. Thin, untrained muscle fibers are easily damaged. In addition, they are weak and cannot support the back frame. But it is precisely the lumbar bend of the spinal column that holds the entire weight of the body in correct position. Weak muscles backs are directly the cause of pain both at rest and at the slightest load.

Excess weight

Excess body weight places excess stress on all bones. First of all, this affects the spine, because its dimensions depend on the height of a person, and not on his weight. Each overweight masses put excessive pressure on the intervertebral discs. This accelerates their destruction, leading to faster aging of the intervertebral joints. Eventually chronic pain will accompany any movement of an obese person.

What diseases can cause back pain?

Now we list the most common diseases that manifest themselves unpleasant sensations in the back and lumbar region.

Osteochondrosis

it chronic illness which affects almost all older people. Especially contribute to the development of osteochondrosis:

• low physical activity;
• lifting too much weight;
• violation of posture;
• smoking;
• overweight;
• heredity.

Over time, under the influence of excessive load or injury, the nutrition of the cartilage between the vertebrae deteriorates. Smoking also affects this process - vasoconstriction caused by nicotine reduces blood flow. If the back muscles are poorly developed, then this also affects the blood supply to the spine.

The intervertebral disc gradually dries out, becoming more dense. The vertebrae approach each other, the ligaments that ensure their normal mobility begin to sag excessively. This condition can be accompanied by rapid injuries - subluxations of the vertebrae. Most often, osteochondrosis of the lumbar spine occurs, accompanied by acute or aching pain in the lower back.

radiculopathy

Previously, this disease was commonly called "sciatica", that is, inflammation of the nerve roots. But now it has been proven that in nerve fibers it is more likely not an inflammatory process, but another. Therefore, the term "radiculopathy" is used, meaning a generalized root disease.

Radiculopathy occurs as a complication of osteochondrosis or a sharp injury. The nerve fiber is clamped between adjacent vertebrae, causing unpleasant, painful sensations. Discomfort will be localized in the lower back when the roots of the lumbar spine are pinched spinal cord. In parallel with this, the person is worried about soreness and numbness of the leg.

disc herniation

It develops as the most unfavorable outcome of osteochondrosis. hard shell intervertebral disc collapses from the fact that the vertebrae begin to put pressure on each other. The nucleus of the cartilaginous disc, in turn, presses on the shell. Once, most often against the background of an injury or weight lifting, the cartilage shell cracks and the nucleus pulposus literally “falls out”.

The fallen piece of cartilage puts pressure on the nerve fibers. This causes severe lower back pain as well as numbness and soreness in the leg. The limb may stop moving and bend.

Bechterew's disease

This is a chronic inflammatory disease. Its symptoms are very similar to osteochondrosis, but if with chondrosis the cause of pain is the gradual destruction of cartilage, then with ankylosing spondylitis there is inflammation in the joints. The causes of this inflammation are considered a kind of failure in the immune system.

They are the first to be struck small joints spine. Inflamed joint surfaces cause pain and fluid accumulation. Gradually, any inflammation is replaced by a new tissue - fibrous. It is a dense, non-stretch tissue that fills the joint space. It does not perform the functions that cartilage does.

Such fibrous tissue does not allow bending in the joint, which means that the movements in the spine are limited. A person feels severe pain in the lower back, all over the back. Tilts forward, back do not work. Decreased human height.

Tumors

Tumors of the spinal cord or vertebrae are infrequent diseases. The causes of all tumors are:

• radiation;
• viruses;
• immunity problems;
• some chemicals.

The formation of a vertebra is an osteoma or osteoblastoma. It is made up of cells similar to bone tissue. One or more vertebrae may be affected. Such a tumor is accompanied by aching pain in the lower back, if the lumbar vertebrae are affected. Often there are fractures of the vertebra at the site of the tumor with the slightest injury.

Sometimes a hemangioma is found - a vascular tumor of the vertebra. It does not cause fractures and is often diagnosed by chance - during MRI for osteochondrosis. Pain in hemangioma is small, pulling.

The tumor can also be in the spinal cord - neurinoma, meningioma. In addition to lower back pain, it will cause neurological problems: impaired sensation in the legs, numbness of the legs. In the worst cases, paralysis of the legs can occur and pathology from the bladder and rectum can develop: involuntary urination, constipation.

Metastases

In addition to their own tumors of the spine and spinal cord, tumors of other organs can give complications here. This phenomenon is called metastasis. The spine has a very good blood supply. Therefore, individual cells of malignant tumors of other organs (uterus, ovaries, prostate) with blood can come here and form a new tumor. If education appeared in lumbar spine, it will manifest itself as pain in the lower back.

Pyelonephritis

The inflammatory process in the kidneys is most often caused by coli. This bacterium has special structural features. They allow her to get from the soft tissues of the perineum along urethra in bladder and then to the kidneys. This is facilitated by some congenital anomalies of the kidneys.

Painful sensations in pyelonephritis most often manifest themselves on one side of the lower back. They are associated with high temperatures and frequent urination. Pyelonephritis without treatment quickly becomes chronic, worsening several times a year and causing nagging pain in the lower back.

Urolithiasis disease

Sometimes hard crystals - stones - can form in the kidneys or ureters. The reasons for their formation are different:

• metabolic disorders;
• the use of water with high mineralization;
• congenital anomalies of the kidneys;
• infections.

Stones block the flow of urine and cause the strongest pain syndrome. Discomfort is felt throughout the lower back, radiates to the stomach, groin, and hips. It is difficult and painful for a person to urinate. There may be blood in the urine.

Atypical location of appendicitis

The appendix is ​​a process of the caecum, usually located in the right side. But for some people, its location may change. it congenital feature person. With inflammation of the appendix, pain will occur at its location - in the lower back. A person may have liquid stool, vomiting, temperature.

It is important to diagnose appendicitis in time, as its treatment consists in urgent surgery.

Basic treatments for common diseases

All methods of treating back pain can be divided into several groups.

Medical method

If the cause of pain in the back is an infection, then antibacterial drugs(Ciprofloxacin, Azithromycin, Amoxiclav). These are medicines with very strong action on the whole body, have many side effects and contraindications, so only a doctor should prescribe them.

Some inflammatory diseases(Bechterew's disease, myositis) require the use of anti-inflammatory drugs. In Bechterew's disease, due to the role of immunity for the development of the disease, steroidal anti-inflammatory drugs are used: hormones. These are hydrocortisone, prednisolone, dexamethasone - the strongest drugs in their effect on the immune system. They can cause problems with their own hormones and must be strictly dosed by a doctor.

For myositis, non-steroidal anti-inflammatory drugs are used: diclofenac, nimesulide, meloxicam. They relieve swelling and inflammation from the tissues. In addition, non-steroidal anti-inflammatory drugs provide pain relief. Therefore, they are used for osteochondrosis and disc herniation.

Osteochondrosis and hernias require the appointment of vitamins, especially group B - they have a great effect on the nervous tissue. These are drugs such as Kombilipen, Milgamma.

Folk methods

You can use funds traditional medicine to eliminate pain, for example, rubbing and compresses from:

• marshmallow herbs;
• chamomile;
• oregano;
• birch leaves;
• calendula flower;
• hell.

From these herbs you can make infusions - pouring them hot water and insisting for 3 days. Infusions are actively used as part of a compress. If the plants insist on alcohol or vodka, then you can get an excellent grinding. Rubbing it several times a day will reduce inflammation and swelling.

Herbal remedies should be used with caution, they are often the cause of allergies.

Physiotherapy

Physiotherapy methods well relieve chronic pain. These methods are safer than drugs. But they also have some contraindications, so the appointment for physiotherapy procedures should be prescribed by a doctor:

1. Acupuncture - it is believed that by acting on biologically active points, it is possible to achieve back pain relief.
2. Electrophoresis with medicinal substances- with painkillers, anti-inflammatory drugs perfectly relieves inflammation and soreness.
3. Magnetotherapy - especially good for myositis, when the source of pain is located superficially.
4. Electrotherapy - impact electric field improves blood circulation in the muscles, due to which the inflammatory process goes away faster.
5. Laser therapy - well anesthetizes and relieves swelling and inflammation from the affected back muscles.
6. Ultraviolet irradiation - has an anti-inflammatory effect, slightly relieves pain.

Exercises

All gymnastic exercises for pain in the lower back are aimed at strengthening the muscles and improving the blood supply to the back. Excellent results can only be achieved with regular practice. It is worth noting that the following complex is not suitable for exacerbation of osteochondrosis, hernia or myositis: first you need to slightly reduce inflammation and pain with the help of drugs.

The original posture is the same. Extend your arms to both sides. In turn, turn your legs bent at the knees to the right and left. When tilted to the right - right leg should touch the floor, when tilted to the left - vice versa. The shoulders must be motionless. This exercise with regular repetition will quickly strengthen the muscles of the lower back.

Surgical treatment

Some causes of lower back pain require surgical intervention. For example, large hernias that compress spinal cord. In this case, the affected disk is removed. Sometimes the disc may be replaced with a prosthesis to maintain mobility.

Modern surgery tries to injure the patient less. Many variants of this operation have been created, which are carried out through small incisions. After such a small intervention, a person quickly returns to his former life.

Quick ways to relieve pain symptoms

Common Ways effective cupping pain syndrome should be studied in order to apply them as first aid.

Blockade with drugs

This is the most radical relief from pain. With blockade, drugs - anesthetics, hormones, anti-inflammatory drugs - are injected directly next to nerve fiber. By numbing the nerve, the medicine removes the soreness in the area that this nerve controlled.

After the blockade, the patient feels relief instantly, with the introduction of the drug. Usually, with pain in the lower back, up to 20 ml of drugs are injected at one point. For the blockade, novocaine or lidocaine, local anesthetics, are often used. They often cause allergic reactions, so blockade cannot be considered. in a safe way get rid of pain.

In addition to allergies, blockade can be complicated by:

• trauma in case of damage to the vessel with a large needle for blockade;
• toxic reaction to novocaine or lidocaine;
• inflammation of the bone or nerve sheath if sterility is not observed.

Administration of drugs intramuscularly and in the form of tablets

Non-steroidal anti-inflammatory drugs and vitamins can be administered in this way. Intramuscular administration you can achieve the effect faster than if you drink a pill or capsule. However, both ways of using drugs are fraught with side effects. First of all, these are problems from the gastrointestinal tract. Doctors call it:

• NSAID-gastropathy;
• NSAID enteropathy.

Anti-inflammatory drugs have an irritating effect on the mucous membrane of the stomach and intestines. Their effect is to block prostaglandins (peculiar substances responsible for inflammation). However, prostaglandins can also be "good" - those that protect the stomach. NSAIDs, blocking these prostaglandins, too, provoke the formation of large ulcers of the stomach and intestines.

The danger of such ulcerative formations is in their complications. Doctors call ulcers formed due to the use of anti-inflammatory drugs "silent ulcers." They rarely hurt, but are manifested by sudden bleeding from erosions.

Signs of bleeding: vomiting blood or black, black stools, weakness, dizziness, low blood pressure. If such symptoms occur while taking non-steroidal anti-inflammatory drugs, you should go to the hospital as soon as possible. Non-steroidal anti-inflammatory drugs also affect the overall blood clotting, can cause either thrombosis or bleeding.

Among the huge group of anti-inflammatory drugs there are:

• more dangerous for the stomach - diclofenac, ketorol, indomethacin;
• less dangerous - meloxicam, nimesulide, celecoxib, etoricoxib.

But both groups are fraught with complications for people who once had problems with the gastrointestinal system.

Medicines in the form of an ointment

All side effects of anti-inflammatory drugs taken orally or injected into the muscle are leveled when it comes to ointments or gels. The drug is absorbed only locally, at a specific point of rubbing. So, there will be no negative impact on the stomach and intestines.

Using an ointment or cream for acute back pain can relieve the condition within 20-30 minutes after rubbing. Absorbed into the muscles of the lower back, the funds exert all their effects in this place: relieve inflammation, swelling and anesthetize. This is the safest and fast way get rid of the pain syndrome.

Types of ointments by composition

Before choosing a suitable ointment, you should familiarize yourself with their main classification, based on active ingredients.

Non-steroidal anti-inflammatory drugs

This is the most effective and widespread group. These include ointments or gels for back pain containing as the main active remedy non-steroidal anti-inflammatory drugs. List of ointments that help with severe pain:

• indomethacin;
• nurofen;
• ketoprofen;
• nimesulide;
• butadione.

These are strong remedies that should not be used for longer than 10-14 days. It can be used as a massage cream, rubbing into the lumbar region, and as a compress, placed on the affected area. Anti-inflammatory drugs block inflammatory mediators - substances that cause swelling and redness. Edema tissues no longer compress the smallest nerve endings, pain disappears.

Chondroprotectors

These are ointments or creams aimed at restoring damaged cartilage. They contain chondroitin sulfate and glucosamine sulfate. These substances are able to improve the condition of the affected cartilage in osteochondrosis, disc herniation, and age-related changes in the spine. There are not as many representatives of these ointments as in the previous group:

• Chondroitin;
• Chondroxide;
• Arthro active.

Their analgesic effect is not so strong, it is rather a “reserve” treatment. Therefore, in the case of pain syndrome, it is preferable to use these agents as a combination with physiotherapy (electrophoresis) or with anti-inflammatory drugs.

Combined

Such ointments and creams for back pain are quite effective. They contain: analgesic, anti-inflammatory, regenerating, soothing components. Creams include:

• Teraflex forte (meloxicam + chondroitin);
• Chondroxide forte (meloxicam + chondroitin);
• Dicloran plus (diclofenac + methyl salicylate + flax oil);
• Deep relief (ibuprofen + levomenthol).

homeopathic

• Traumeel S;
• Bryony;
• Ledum.

Types of ointments by type of action

Ointments aimed at eliminating pain in the spine are also distinguished by the method of their effect on tissues. human body.

Painkillers

These drugs have an analgesic effect. Such creams quickly relieve pain, alleviating the condition. Their use during acute pain almost always leads to a rapid disappearance of discomfort. These are drugs such as:

• Voltaren gel;
• Fastum-gel;
• Nise gel;
• Nurofen gel.

Anti-inflammatory

These ointments and creams are practically the same as in the previous group: they contain the same non-steroidal anti-inflammatory drugs. This includes creams such as:

• Amelotex gel;
• Teraflex forte;
• Dolobene;
• Diclofenac;
• Quick gel.

These remedies relieve swelling and inflammation of the muscles, alleviating the condition of a sore back.

Warming

The effect of warming ointments is provided by its constituent components (bee or snake venom, red pepper). Such heating acts in two ways - it distracts a person from pain and improves blood circulation due to an irritating effect on the skin. Name of warming ointments:

• Kapsikam;
• Finalgon;
• Apizatron.

Warming ointments are best used at night, carefully avoiding contact with eyes or mouth. These products cause a burning sensation, so it is advisable to wash your hands thoroughly after.

The most popular ointments

With such a wide choice, it is not easy to decide which ointment is best to help alleviate the condition. The names of anti-inflammatory drugs are widely known to everyone. List of some of the best of these ointments:

• Amelotex gel;
• Teraflex forte;
• Nise.

The most effective among them is Teraflex forte. This is a combined drug:

• relieves inflammation;
• anesthetizes;
• restores damaged cartilage.

Other combined ointments are often used:

• Dolobene - anesthetizes, improves blood flow, relieves inflammation, resolves hematomas. Its use is good for injuries, after physical exertion.
• Artrocin - restores destroyed cartilage, anesthetizes and reduces inflammation. These effects are especially good during exacerbation of osteochondrosis.

If we talk about which ointments help quickly and at the same time are not the most expensive, then it is worth mentioning creams with diclofenac, nurofen, butadione, piroxicam:

• Voltaren gel;
• Finalgel;
• Nurofen;
• Butadion.

Their price ranges from 150-200 rubles.

Among non-steroidal you can choose and inexpensive ointment, which will have an analgesic effect. True, a little less strong than its more expensive counterparts:

• Diclofenac;
• Indomethacin;
• Ketoprofen.

It makes sense to use the above ointments for severe pain syndrome: they will perfectly cope with discomfort in the lower back. Indicated for myositis, disc herniation, ankylosing spondylitis, exacerbation of osteochondrosis, radiculopathy.

If the pain is not so pronounced, but there is chronic osteochondrosis, age-related changes spine, then you should use creams with chondroprotectors (chondroitin and glucosamine):

• Chondroxide (more expensive);
• Artro-active (inexpensive analogue).

Warming ointments have their own niche of use. These are the consequences of injury or hypothermia, a slight pain syndrome during exacerbation of osteochondrosis or after exercise. By improving metabolism and blood flow, the human condition will become easier:

• Finalgon (more expensive);
• Kapsikam (inexpensive option).

Homeopathic remedies should be used if there are no other options: their role in pain relief is very small.

Side effects and contraindications

All ointments and creams, despite the fact that they act only locally, have a lot of contraindications and undesirable effects. Therefore, before using them, be sure to consult a doctor.

1. If there are rashes, wounds, burns, irritations on the lower back.
2. Children up to 12 years old.
3. Pregnant and lactating women.
4. People with attacks of "aspirin" asthma.

With caution - in small courses and rarely - you can use ointments:

1. If there are erosions or ulcers in the stomach.
2. With a strong decrease in the functions of the kidneys, liver.
3. If there are problems with clotting: a tendency to bleed, hemophilia.
4. To old people.
5. With severe chronic heart failure.

Warming ointments should not be used by people with sensitive skin– prone to irritation and allergies.

Side effects of anti-inflammatory ointments can be divided into rare and frequent. Very rarely occur:

• rash all over body;
• strong allergic manifestations- urticaria, Quincke's edema;
• attacks of suffocation, asthma.

Local adverse reactions are much more common:

• redness;
• dermatitis - itching and swelling at the site of application of the ointment;
• rash;
• sensitivity to light.

The likelihood of side effects increases dramatically if the ointment is used on large surface body. The amount of absorbed substance increases in proportion to the area to which the cream was applied. Using a large number gel, unwanted effects can be very dangerous: nausea, vomiting, bleeding.

A wide variety of ointments and creams for lower back pain due to their rapid effect and relative safety. Undoubtedly they cause much less adverse reactions than drugs in the form of tablets or injections. But even in the form of an ointment, drugs are not safe - when self-medicated, they can cause severe allergic reaction throughout the body or an attack of suffocation.

The causes of back pain are as varied as the ointments used for them. Only a doctor, after examining a person, specifying the symptoms, associated pain, and other manifestations, can decide on treatment. Including, to advise which ointment is better to cope with painful sensations.