Severe pain in the back area can indicate dysfunction of the musculoskeletal system, pinched nerve, etc. Therapy often includes injections, which, by choosing the right treatment, can quickly eliminate pain in the back and lower back and significantly alleviate the patient's condition.
This article compiles the optimal injections by group and medical condition. If you want to know which injections are for back and low back pain, this material is a list of the best injections.
How are medications selected?
Back pain can be recorded at any age in all clinical groups of patients. Usually this is not an independent pathology. As a general rule, pain syndrome is a concomitant symptom of certain disorders of the body.
The doctor prescribes injections for back pain and low back pain after collecting the complete information for the anamnesis. After identifying existing diseases, you can prescribe a treatment that will help stop pain, eliminate inflammation, relieve swelling, and activate recovery. What injections for back and lumbar pain can alleviate the patient's condition?
Non-steroidal anti-inflammatory drugs (NSAIDs)
Most of the time, NSAID injections are used to relieve pain in the spine, because they very quickly affect the focus of inflammation, eliminating excruciating pain, stiffness, swelling, and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following pathologies:
- pain in the lower back of a prolonged and wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic back syndromes;
- intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections for back pain have several contraindications. To reduce side effects, it is recommended to use modern NSAIDs - COX-2 inhibitors.
Ketorolac
This medicine is very popular as an injection for back and lumbar pain. Ketorolac is a powerful non-steroidal anti-inflammatory substance.
You should not use this drug in case of hypersensitivity to ketorolac, as well as during the waiting period for a child, lactation and children under 16 years of age.
Ketoprofen
A medicine based on ketorolac tromethamine. Ketoprofen has a strong analgesic effect. In order 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 host of side effects. It should be used only as directed by a doctor.
Tenoxicam
Injections are not recommended for patients with hypertension, diabetes mellitus, diseases of the liver and gastrointestinal tract.
Diclofenac
The so-called "golden mean" between similar drugs with analgesic activity. In one injection, you can eliminate back and lower back discomfort associated with muscle contraction and overexertion. However, it has quite a few contraindications. Among them, it is worth highlighting individual intolerance, gastrointestinal diseases, heart pathologies, etc.
Meloxicam
This tool includes movalis. The drug is state-of-the-art, which means it has minimal side effects. These are believed to be good injections for back pain and low back pain. It is well tolerated and has a fairly long-lasting effect.
Dexketoprofen
Relieves back and lumbar pain with pinched nerves and various diseases of the musculoskeletal system. The course of injections is no more than 5 days.
Muscle relaxants
Most often, back pain is formed as a result of muscle spasms. Generally, there are two different types of etiology:
- spasticity resulting from damage to brain activity;
- muscle aches and spasms due to musculoskeletal disorders.
Muscle relaxant injections are prescribed to enhance the effect of NSAIDs and steroids. Injections should be done according to the rules of dosage and administration.
Tolperisone
Relaxes the muscles of the spine, blocks nerve endings and relieves lower back and lumbar pain. Tolperisone provides a local anesthetic effect. It can cause allergies in patients with intolerance to lidocaine.
Hydroxyzine
This drug 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 the 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 and neurotic pain in the back. The effect is similar to that of Atarax, as it is a derivative of piperazine. It should be taken with caution in patients with renal impairment.
Tizanidine
The main substance is tizanidine. Reduces the sharp tone of skeletal muscles, eliminates back spasms, decreases muscular endurance during inert movements, increases the power of free contractions. It can have side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tones, lumbar and lower back pain of different etiology, providing an analgesic effect.
Steroid drugs
Hormonal drugs create a vivid anti-inflammatory effect, but at the same time they have a large number of side reactions. Steroid injections for back and low back pain are prescribed for the following conditions:
- spinal intervertebral hernias;
- progressive sciatica;
- ankylosing spondyloarthritis;
- Rheumatoid arthritis.
Betamethasone
Contains a glucocorticosteroid. Injections are used mainly for severe forms of diseases of the musculoskeletal system, when non-steroidal drugs have no effect. The dose 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 health status with the contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. It is prescribed for back pain and low back pain, diseases of the spine of various kinds. It has a large number of side effects. The dose is prescribed by the doctor as directed.
Triamcinolone
It 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 of this group are prescribed for the faster restoration of connective tissue, for the regeneration of the structure of the spine and the 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 injections, inflammation and pain in the lower back pass, and joint mobility is normalized.
Bioactive concentrate of small marine fish
The injections are given intramuscularly to relieve back and low back pain. Included in the list of the best chondroprotectors. Regenerates cartilage, fights herniated discs.
Medicines that improve blood microcirculation in the body.
What injections are given for back pain? As a general 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 pain relievers.
Vitamin complexes
In modern medicine, B vitamins are an important component in relieving back and lumbar pain. Vitamins strengthen the exhausted body, improve immunity, nourish bone tissues and intervertebral space.
Epidural block
This is a medication to relieve back pain, as well as other neurological symptoms. Helps relieve pain in case of pinched spinal nerves in no time. Injections of the drug are administered in the painful focus, including the epidural.
Triad punctures
To eliminate pain in the back, an injection of a triad is used, the functional means of which are diphenhydramine, metamizole sodium and papaverine. The drugs are mixed into one dose and injected intramuscularly. The injection quite effectively eliminates severe pain in the lower back, 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 adheres to the surface of the skin of the back and lower back, allowing the active substance to fixate on the skin and penetrate into the subcutaneous tissue, muscles and nerve endings. The most popular dressings that can produce pain relief, for example, pepper and lidocaine.
Pain Relief Pills
Tablets are prescribed for mild pain to alleviate the symptoms of the disease. As a general rule, these are pain reliever medications:
- idomethacin;
- ketoprofen and others.
They are used for mild low back and low back pain. They are used 3 times a day.
Combination pain relievers
After completing a cycle of injections for back and lumbar pain, the patient may be prescribed other forms of drugs: ointments, tablets, suppositories. These drugs will have a supportive effect and will prevent the development of possible complications.
Dealing with back pain is a long and difficult process. Pain relievers give good and long-lasting results, but they should only be used under medical supervision.