Severe pain in the back area may indicate musculoskeletal system dysfunction, pinched nerve, etc. Therapy often includes injections, which, by choosing the right treatment, can quickly remove back and lower back pain and significantly alleviate the patient's condition.
This article compiles the ideal injections by group and medical condition. If you want to know what injections are for back pain and lower back pain, a list of the best injections is presented in this material.
How are medicines selected?
Back pain can be recorded at any age in all clinical patient groups. It is generally not an independent pathology. As a rule, the pain syndrome is a concomitant symptom of certain body disorders.
Injections for back pain and lower back pain are prescribed by the doctor after collecting complete information for the anamnesis. Once you've identified existing illnesses, you can prescribe a treatment that will help stop the pain, remove inflammation, relieve swelling, and trigger recovery. What injections for back and lower back pain can alleviate the patient's condition?
Non-steroidal anti-inflammatory drugs (NSAIDs)
Most of the time, NSAID injections are used to relieve back pain because they affect the focus of inflammation very quickly, removing excruciating pain, stiffness, swelling and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following conditions:
- lower back pain of a long, wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic back syndromes;
- intervertebral hernia, etc.
NSAID therapy is external, whereas analgesic injections for back pain have several contraindications. To reduce side effects, the use of modern NSAIDs - COX-2 inhibitors is recommended.
Ketorolac
This medication is very popular as an injection for back and lower back pain. Ketorolac is a potent non-steroidal anti-inflammatory substance.
You should not use this medication in case of hypersensitivity to ketorolac, as well as during the waiting period of a child, lactation and children under 16 years.
Ketoprofen
A drug based on ketorolac trometamol. Ketoprofen has a strong analgesic effect. To avoid the manifestation of side effects, the dosage indicated in the note must be strictly observed.
Lornoxicam
Relieves back and back pain with a large number of side effects. It should only be used as directed by a physician.
tenoxicam
Injections are not recommended for patients with hypertension, diabetes mellitus, liver and gastrointestinal diseases.
diclofenac
The so-called "middle ground" between similar drugs with analgesic activity. With an injection, you can eliminate back and lower back discomfort associated with muscle contraction and overexertion. However, it has some contraindications. Among them, it is worth highlighting individual intolerance, gastrointestinal diseases, cardiac pathologies, etc.
meloxicam
This tool includes movalis. The drug is state-of-the-art, which means it has minimal side effects. These injections are believed to be good for back and lower back pain. It is well tolerated and has a very long lasting effect.
Dexketoprofen
It relieves pain in the back and lower back with nerve compression and various diseases of the musculoskeletal system. The course of injections is not longer than 5 days.
muscle relaxants
Back pain is often formed as a consequence of muscle spasms. There are usually two different types of etiology:
- spasticity resulting from damage to brain activity;
- muscle pain and spasms due to musculoskeletal disorders.
Injections of muscle relaxants are prescribed to increase the effect of NSAIDs and steroid medications. Injections must be administered in full compliance with the dosing and administration rules.
tolperisone
It relaxes back muscles, blocks nerve endings and relieves back and lower back pain. Tolperisone provides a local anesthetic effect. May cause allergies in patients with lidocaine intolerance.
Hydroxyzine
This medicine is a derivative of piperazine. Intramuscular injections relax the vertebral and smooth muscles of the back with a moderate effect on the gastrointestinal tract.
Contraindications - pregnancy, hypersensitivity to components, arrhythmia and renal failure.
Baclofen
The main therapeutic component is baclofen, which helps to reduce the excitability of nerve endings and sensitive impulses, relieving pain in the lower back and back. Contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and component intolerance.
Hydroxyzine
The active ingredient is hydroxyzine. The injections help relieve lower back muscle tone and neurotic back pain. The effect is similar to Atarax, as it is a derivative of piperazine. It should be taken with caution in patients with renal failure.
Tizanidine
The main substance is tizanidine. It reduces the acute tone of skeletal muscles, removes back spasms, decreases muscle resistance during inert movements, increases the strength of free contractions. May have side effects at higher doses.
Sirdalud
Tizanidine derivative. Relieves various muscle tones, lumbar and back pain of different etiologies, providing an analgesic effect.
steroid drugs
Hormonal medications create a vivid anti-inflammatory effect, but at the same time have a large number of side reactions. Steroid injections for back and lower back pain are prescribed for the following conditions:
- spinal intervertebral hernias;
- progressive sciatica;
- ankylosing spondylitis;
- rheumatoid arthritis.
Betamethasone
It contains a glucocorticosteroid. Injections are mainly used for severe forms of diseases of the musculoskeletal system, when non-steroidal drugs have no effect. The dosage is selected individually, taking into account the severity of the disease and the patient's response to treatment.
hydrocortisone
Intravenous injections are prescribed for back pain of any nature, in particular rheumatic and intervertebral hernia. The dosage must be indicated by the physician, individually, comparing the patient's health status with the contraindications.
Prednisolone
A drug from the glucocorticosteroid group. It is prescribed for back pain and lower back pain, spinal disorders of various natures. It has quite a number of side effects. The dosage is prescribed by the doctor as instructed.
triamcinolone
Contains triamcinolone acetonide in its composition. It is used in the form of injections for various osteoarthritis, relieving inflammation and back pain. It has side effects.
Chondroprotectors
Drugs in this group are prescribed for faster connective tissue restoration, regeneration of the spinal structure and reduction of inflammation in the back.
Chondroitin sulfate
The active substance in the form of chondroitin is aimed at eliminating the destruction of bone and cartilage tissue. During the course of the injections, inflammation and pain in the lower back and joint mobility are normalized.
Small marine fish bioactive concentrate
Injections are given intramuscularly to relieve back and lower back pain. Included in the list of the best chondroprotectors. Regenerates cartilage, fights herniated discs.
Drugs that improve blood microcirculation in the body
What injections are given for back pain? As a rule, vascular injections are used for the lower back and back, improving microcirculation, improving blood flow and metabolism in bone and cartilage tissue. They are prescribed in addition to pain relievers.
Vitamin complexes
In modern medicine, B vitamins are an important component for the relief of back and lower back pain. Vitamins strengthen the depleted body, increase immunity, nourish bone tissue and the intervertebral space.
epidural block
It is a medication for the relief of back pain as well as other neurological symptoms. Helps relieve pain in case of spinal nerve compression in a very short period of time. Injections of the drug are given in the painful focus, including the epidural.
triad bites
To eliminate back pain, an injection of a triad is used, whose functional means are diphenhydramine, metamizole sodium and papaverine. Medicines are mixed into one dose and injected intramuscularly. The injection very effectively removes severe pain in the lower back, both from diseases of the musculoskeletal system and from post-traumatic syndrome.
Pain Relief Stickers
The patches are related to local medicines. Unlike creams, the patch has a dense carrier that sticks to the surface of the skin on the back and lower back, which allows the active substance to stick to the skin and penetrate the subcutaneous tissue, muscles and nerve endings. The most popular patches that can produce pain relief, for example, pepper and lidocaine.
Pain Relief Pills
Mild pain pills are prescribed to alleviate the symptoms of the disease. As a rule, these are analgesic drugs:
- idomethacin;
- ketoprofen and others.
They are used for mild back and lower back pain. They are used 3 times a day.
Combined analgesics
After completing a series of injections for back and lower back pain, the patient may be given other forms of medication - ointments, pills, suppositories. These drugs have a supportive effect and prevent the development of possible complications.
Dealing with back pain is a long and difficult process. Analgesics have good and lasting results, but should only be used under medical supervision.