Severe back pain may indicate dysfunction of the musculoskeletal system, tight nerve, etc. Therapy quite often includes injections that, by choosing the right treatment, can quickly eliminate back and lower back pain and significantly alleviate the patient's condition.
This article collects optimal injections according to group and health condition. If you want to know which injections are for back and lower back pain, this material presents a list of the best injections.
How are drugs chosen?
Back pain can be reported at any age in all clinical groups of patients. It is usually not an independent pathology. Pain syndrome is usually an accompanying symptom of certain disorders in the body.
Injections for back and lower back pain are prescribed by a doctor after collecting complete history data. After recognizing the existing diseases, you can prescribe treatment that will help stop the pain, remove the inflammation, alleviate the swelling and activate the recovery. What injections for back and lower back pain can alleviate the patient's condition?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
NSAID injections are most often used to relieve back pain, because they very quickly affect the focus of inflammation, removing unbearable pain, stiffness, swelling and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following pathologies:
- lower back pain of long-lasting and wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- spinal traumatic syndromes;
- intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections for back pain have numerous 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 potent 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 children, breastfeeding and children under 16 years of age.
Ketoprofen
A drug based on ketorolac trometamol. Ketoprofen has a strong analgesic effect. To avoid manifestations of side effects, the dose shown in the note should be strictly adhered to.
Lornoxicam
Relieves back and back pain with a large number of side effects. It should be used only according to the doctor's instructions.
Tenoxicam
Injections are not recommended for patients with hypertension, diabetes mellitus, liver and diseases of the gastrointestinal tract.
Diclofenac
The so-called "golden mean" among similar drugs with analgesic action. 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 mentioning individual intolerance, gastrointestinal diseases, heart pathologies, etc.
Meloxicam
This tool includes movalis. The drug is 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 fairly long lasting effect.
Dexketoprofen
Relieves pain in the back and lower back with a pinched nerve and various diseases of the musculoskeletal system. The course of injections is not longer than 5 days.
Muscle relaxants
Back pain often forms as a result of muscle spasms. There are usually two different types of etiology:
- spasticity resulting from impaired brain activity;
- muscle pain and cramps due to musculoskeletal disorders.
Muscle relaxant injections are prescribed to enhance the effect of NSAIDs and steroid medications. Injections should be performed in full accordance with dosages and rules of administration.
Tolperisone
It relaxes the muscles of the spine, blocks nerve endings and relieves pain in the back and lower back. Tolperisone provides a local anesthetic effect. May cause allergies in patients with lidocaine intolerance.
Hydroxyzine
This drug 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 the components, arrhythmia and renal failure.
Baclofen
The main therapeutic component is baclofen which helps to reduce the stimulation of sensitive nerve endings and impulses, relieving pain in the lower back and back. It contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and component intolerance.
Hydroxyzine
The active ingredient is hydroxyzine. Injections help to alleviate muscle tone in the lower back, neurotic back pain. The effect is similar to the effect of Atarax because it is a derivative of piperazine. It must be taken with caution in patients with renal insufficiency.
Tizanidine
The main substance is tizanidine. Reduces acute bone muscle tone, eliminates back cramps, reduces muscle resistance during inert movements, increases the strength of free contractions. It can have side effects in higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, lower back pain and back pain of various etiologies, providing an analgesic effect.
Steroid drugs
Hormonal drugs create a vivid 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 for 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 prescribed by the doctor, individually, comparing the patient's health condition with contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. It is prescribed for pain in the back and lower back, diseases of the spine of various natures. It has quite a number of side effects. The dosage is prescribed by a doctor according to the instructions.
Triamcinolone
It contains triamcinolone acetonide in its composition. It is used in the form of injections for various arthrosis, relieving inflammation and back pain. It has side effects.
Chondroprotectors
Drugs of this group are prescribed for the fastest restoration of connective tissue, for regeneration of the spine structure and reduction of inflammation in the back.
Chondroitin sulfate
The active substance in the form of chondroitin is aimed at removing the destruction of bone and cartilage tissue. During the injection, inflammation and pain in the lower part of the back pass, and the mobility of the joint is normalized.
Bioactive concentrate of small sea fish
Injections are given intramuscularly to relieve back and lower back pain. Listed on the list of the best chondroprotectors. It restores cartilage, fights against 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 exhausted body, strengthen immunity, nourish bone tissues and intervertebral space.
Epidural block
This is a medicine to relieve back pain as well as other neurological symptoms. It helps relieve pain in case of spinal nerve constriction in a very short time. Drug injections are given into a painful focus, including an epidural.
Triad pricks
To eliminate back pain, an injection of triad is used, whose functional means are diphenhydramine, sodium metamizole and papaverine. The drugs are mixed in a single dose and injected intramuscularly. The injection is quite effective in removing severe pain in the lower back, both from diseases of the musculoskeletal system and from post-traumatic syndrome.
Pain relief patches
The patches are associated with topical medications. Unlike the cream, the patch has a thick carrier that attaches to the surface of the skin of the back and lower back, which allows the active substance to be fixed on the skin and penetrate the subcutaneous tissue, muscles and nerve endings. The most popular patches that can relieve pain are, for example, pepper and lidocaine.
Pain relief tablets
Minor 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 pain relievers
After completing the course of injections for pain in the back and lower back, 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. Pain medications give good and lasting results, but they should only be used under medical supervision.