Severe back pain may indicate musculoskeletal dysfunction, pinched nerve, and more. Therapy often includes injections, which, when chosen with the right treatment, can quickly eliminate back and lower back pain and significantly alleviate the patient's condition.
This article compiles the optimal injections by groups and medical conditions. If you want to know what are the injections for back and lower back pain, then in this material is a list of the best injections.
How are drugs chosen?
Back pain can be reported at any age in all clinical groups of patients. This is usually not an independent pathology. As a rule, the pain syndrome is a concomitant symptom of certain disorders of the body.
Injections for back and lower back pain are prescribed by your doctor after collecting complete information about your medical history. After identifying existing diseases, you can prescribe treatment that will help stop the pain, eliminate inflammation, relieve swelling and activate recovery. What injections for back and lower back pain can alleviate the patient's condition?
Non-steroidal anti-inflammatory drugs (NSAIDs)
NSAID injections are most often used to relieve back pain, as they very quickly affect the focus of inflammation, eliminating unbearable pain, stiffness, swelling and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following pathologies:
- pain in the lower back with a long and wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic syndromes of the back;
- intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections for back pain have a number of contraindications. To reduce side effects, the use of modern NSAIDs - COX-2 inhibitors is recommended.
Ketorolac
This medicine is quite popular as an injection for back and lower back pain. Ketorolac is a powerful anti-inflammatory, non-steroidal substance.
You should not use this medicine in case of hypersensitivity to ketorolac, as well as during the waiting period for a child, breastfeeding and children under 16 years of age.
Ketoprofen
Ketorolac-based drug trometamol. Ketoprofen has a strong analgesic effect. To avoid side effects, the dose shown in the annotation must be strictly adhered to.
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 diseases.
Diclofenac
The so-called "golden mean" among similar drugs with analgesic activity. With one injection you can eliminate the discomfort in the back and lower back associated with muscle contraction and overexertion. However, there are many contraindications. Among them it is worth noting individual intolerance, gastrointestinal diseases, heart disease, etc.
Meloxicam
This tool includes movalis. The drug is of the latest generation, which means that it has minimal side effects. These are considered to be good injections for back and lower back pain. It is well tolerated and has a very 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. There are usually two different types of etiology:
- spasticity as a result of 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 drugs. Injections should be performed in full compliance with the dosage and rules of administration.
Tolperisone
It 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 medicine is a derivative of piperazine. Intramuscular injections relax the spinal 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 reduce the excitability of sensitive nerve endings and impulses, relieving pain in the lower back and back. Contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and intolerance to components.
Hydroxyzine
The active ingredient is hydroxyzine. The injections help to relieve muscle tone in the lower back, neurotic back pain. The effect is similar to Atarax as a piperazine derivative. It should be used with caution in patients with renal insufficiency.
Tizanidine
The main substance is tizanidine. Reduces the sharp tone of skeletal muscles, eliminates spasms in the back, reduces muscle resistance to inert movements, increases the strength of free contractions. There may be side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, low back and back pain of various etiologies, providing an analgesic effect.
Steroid drugs
Hormonal drugs create a pronounced anti-inflammatory effect, but at the same time have a large number of side effects. Steroid injections for back and lower back pain are prescribed for the following diseases:
- spinal intervertebral hernias;
- progressive sciatica;
- ankylosing spondylitis;
- rheumatoid arthritis.
Betamethasone
Contains glucocorticosteroid. Injections are mainly used in severe forms of diseases of the musculoskeletal system, when non-steroidal drugs have no effect. The dosage is chosen 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, especially rheumatic and intervertebral hernias. The dosage should be determined by the doctor, individually, comparing the patient's health with contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. It is prescribed for back and lower back pain, diseases of the spine of various natures. There are quite a number of side effects. The dosage is prescribed by the doctor according to the instructions.
Triamcinolone
It contains triamcinolone acetonide. It is used in the form of injections for various arthrosis, relieving inflammation and back pain. There are side effects.
Chondroprotectors
Drugs from this group are prescribed for the fastest recovery of connective tissue, to regenerate the structure of the spine and reduce 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. Inflammation and low back pain pass during the injections and joint mobility is normalized.
Bioactive concentrate of small marine fish
Injections are given intramuscularly to relieve back and lower back pain. Included in the list of the best chondroprotectors. Regenerates cartilage, fights disc herniation.
Drugs that improve blood microcirculation in the body
What injections are given for back pain? As a rule, vascular injections are used for the waist 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 exhausted body, strengthen immunity, nourish bone tissue and intervertebral space.
Epidural block
It is a medicine for relieving back pain as well as other neurological symptoms. Helps relieve pain in case of pinching of the spinal nerves in a very short time. Injections of the drug are placed in the painful focus, including the epidural.
Triad prick
To eliminate back pain, a triad injection is used, whose functional agents are diphenhydramine, metamizole sodium and papaverine. The drugs are mixed in a single dose and injected intramuscularly. The injection quite effectively removes severe pain in the lower back, both from diseases of the musculoskeletal system and post-traumatic syndrome.
Patches for pain relief
The patches are associated with topical medications. Unlike creams, the patch has a thick carrier that attaches to the surface of the skin on the back and lower back, allowing the active substance to attach to the skin and penetrate the subcutaneous tissue, muscles and nerve endings. The most popular plasters that can cause pain relief, such as pepper and lidocaine.
Pain relief pills
Mild pain pills are prescribed 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 painkillers
After completing a course of injections for back 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.