Severe pain in the back area may indicate dysfunction of the musculoskeletal system, pinched nerve, etc. The therapy often includes injections, which, when choosing the correct treatment, can quickly remove back and lower back pain, and significantly alleviate the patient's condition.
This article compiles the optimal injections by group and medical condition. If you want to know what injections are for back and lower back pain, then 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 groups of patients. This is usually not an independent pathology. As a rule, pain syndrome is a concomitant symptom of certain disorders of the body.
Injections for back pain and lower back pain are prescribed by the doctor after collecting complete information for the anamnesis. After establishing the existing diseases, you can prescribe a treatment that will help stop pain, remove inflammation, relieve swelling and activate recovery. What injections for back and lower back pain can relieve the patient's condition?
Non-steroidal anti-inflammatory drugs (NSAIDs)
Most often, NSAID injections are used to relieve pain in the spine, because they very quickly affect the inflammation focus, removing unbearable pain, stiffness, swelling, and fever.
Non-steroidal anti-inflammatory drugs are prescribed for the following pathologies:
- pain in the lower back of a long-term and wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- back traumatic syndromes;
- intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections for back pain have a number of contraindications. To reduce side effects, it is recommended to use modern NSAIDs - COX-2 inhibitors.
Ketorolac
This drug is quite popular as an injection for back and lower back pain. Ketorolac is a potent anti-inflammatory, non-steroidal substance.
You should not use this medication in case of hypersensitivity to ketorolac, as well as during the waiting period for a child, breast lactation and children under 16 years of age.
Ketoprofen
A medicine based on ketorolac trometamol. Ketoprofen has a strong analgesic effect. To avoid the manifestation of side effects, the dosage shown in the annotation should 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 doctor.
Tenoxicam
Injections are not recommended for patients with hypertension, diabetes mellitus, liver and gastrointestinal tract diseases.
Diclofenac
The so-called "golden mean" among similar drugs with analgesic activity. In one injection, you can eliminate discomfort in the back and lower back associated with muscle contraction and overstrain. Nevertheless, it has quite a few contraindications. Among them, it is worth noting individual intolerance, gastrointestinal diseases, cardiac pathologies, etc.
Meloxicam
This tool includes movalis. The drug is of the latest generation, which means it has minimal side effects. It is believed that these are good injections for back and lower back pain. It is well tolerated and has a fairly long lasting effect.
Dexketoprofen
Relieves back and lower back pain with pinched nerve and various diseases of the musculoskeletal system. The course of injections is not more than 5 days.
Muscle relaxants
Quite often, back pain is formed as a consequence of muscle spasms. Usually there are two different types of etiology:
- spasticity resulting from damage to brain activity;
- muscle pain and spasms due to musculoskeletal disorders.
Muscle relaxant injections are prescribed to enhance the effect of NSAIDs and steroid medications. Injections should be carried out in full compliance with the dosage and administration rules.
Tolperisone
Relaxes the muscles of the spine, 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 drug is a piperazine derivative. Intramuscular injections relax the vertebral and smooth muscles of the back with a moderate effect on the gastrointestinal tract.
Contraindications - pregnancy, hypersensitivity to components, arrhythmia and renal failure.
Baclofen
The main therapeutic component is baclofen, which helps to reduce the excitability of sensitive nerve endings and impulses, relieving pain in the lower back and back. Contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and component intolerance.
Hydroxyzine
The active ingredient is hydroxyzine. The injections help relieve muscle tone in the lower back, neurotic pain in the back. The effect is similar to Atarax, since a piperazine derivative. It must be taken with caution in patients with renal insufficiency.
Tizanidine
The main substance is tizanidine. Reduces the acute tone of the skeletal muscles, removes spasms in the back, lowers muscle resistance during inert movements, increases the power of free contractions. May have side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, lower back and back pain of various etiologies, providing an analgesic effect.
Steroid drugs
Hormonal drugs create a vivid anti-inflammatory effect, but they also have a large number of side reactions. Steroid injections for back and lower back pain are prescribed for the following diseases:
- spinal intervertebral hernias;
- progressive sciatica;
- ankylosing spondylitis;
- rheumatoid arthritis.
Betamethasone
It contains a glucocorticosteroid. Injections are used mainly 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 should be indicated by the doctor, individually, comparing the patient's state of health with contraindications.
Prednisone
A drug from the group of glucocorticosteroids. It is prescribed for back pain and lower back pain, diseases of the spinal column of various nature. Has a fairly large number of side effects. The dosage is prescribed by the doctor as directed.
Triamcinolone
Contains triamcinolone acetonide in its composition. It is used in the form of injections for various arthrosis, relieving inflammation and back pain. Has side effects.
Chondroprotectors
Medicines of this group are prescribed for the fastest restoration of connective tissue, for the regeneration of the structure of the spine and reduction of inflammation in the back.
Chondroitin sulfate
The active substance in the form of chondroitin is directed to eliminate the destruction of bone and cartilage tissue. During the course of injections, inflammation and pain in the lower back pass, and joint mobility is normalized.
Bioactive concentrate from small marine fish
Injections are given intramuscularly to relieve back and lower back pain. Included in the list of the best chondroprotectors. It 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 tissues. They are prescribed in addition to analgesics.
Vitamin complexes
In modern medicine, B vitamins are an important component for relieving back and lower back pain. Vitamins strengthen the depleted body, enhance immunity, nourish the tissues of bones and intervertebral space.
Epidural block
This is a medication for pain relief in the back, as well as other neurological symptoms. It helps to relieve pain in case of pinching of the spinal nerves in a very short time. Injections of the drug are given into the painful focus, including the epidural.
Triad pricks
To eliminate pain in the back, an injection of a triad is used, the functional means of which are diphenhydramine, metamizole sodium and papaverine. Medicines are mixed in one dose and injected intramuscularly. The injection quite effectively removes severe back pain, both from diseases of the musculoskeletal system and from post-traumatic syndrome.
Pain Relief Patches
The patches are related to local medications. Unlike creams, the patch has a dense carrier that attaches to the skin surface of the back and lower back, which allows the active substance to be fixed on the skin and penetrate into the subcutaneous tissue, muscles and nerve endings. The most popular plasters that can produce anesthetic effect, for example, pepper and lidocaine.
Pain Relief Pills
Tablets for minor pain are prescribed in order to relieve 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 pain relievers
After completing a course of injections for back pain and lower back pain, the patient may be prescribed other forms of medication - ointments, tablets, suppositories. These drugs will have a supportive effect and prevent the development of possible complications.
Dealing with back pain is a long and difficult process. Painkillers give good and lasting results, but they should only be used under medical supervision.