Severe pain in the back area may indicate a dysfunction of the musculoskeletal system, a pinched nerve, etc. Therapy quite often includes injections, which, when choosing the appropriate 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 by medical condition. If you want to know what are the injections for back pain and lower back pain, a list of the best injections is presented in this document.
How are the drugs selected?
Back pain can be recorded at any age in all clinical patient groups. It is usually not an independent pathology. As a rule, pain syndrome is a concomitant symptom of certain disorders in the body.
Injections for back pain and lower back pain are prescribed by the doctor after collecting complete information for the history. Having identified the existing diseases, you can prescribe treatment that will help stop pain, remove inflammation, relieve swelling, and activate recovery. What injections for lower back and back pain can relieve the patient's condition?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Most often, injections of NSAIDs are used to relieve pain in the spine, as they very quickly affect the focus of inflammation, eliminating the unbearable pain, stiffness, swelling and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following pathologies:
- pain in the lower back of a long, wavy nature with a pinched nerve;
- radiculopathy and osteochondrosis;
- intercostal neuralgia;
- traumatic syndromes of the back;
- intervertebral hernia, etc.
Treatment with NSAIDs is external, while injections of pain relievers 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 very popular as an injection for back pain and lower back pain. Ketorolac is a potent nonsteroidal 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, breastfeeding and children under 16 years of age.
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 annotation should be strictly observed.
Lornoxicam
Relieves back pain 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, diseases of the liver and gastrointestinal tract.
Diclofenac
The so-called "golden mean" among similar drugs with analgesic activity. With just one injection, you can eliminate back and lower back discomfort associated with muscle contraction and overwork. Nevertheless, it has some contraindications. Among them it is worth noting individual intolerance, gastrointestinal diseases, heart pathologies, etc.
Meloxicam
This tool includes movalis. The drug is latest generation, which means that it has minimal side effects. They are believed to be good injections for back pain and lower back pain. It is well tolerated and has a fairly long-lasting effect.
Dexketoprofen
Relieves back pain and lower back pain with pinched nerve and various diseases of the musculoskeletal system. The duration of injections does not exceed 5 days.
Muscle relaxants
Quite often, back pain is formed as a result of muscle spasms. There are generally two different types of etiologies:
- 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 steroids. The injections must be carried out in strict compliance with the rules of dosage and administration.
Tolperisone
Relaxes spinal muscles, blocks nerve endings, and relieves back and lower back pain. Tolperisone has a local anesthetic effect. May 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 components, arrhythmia and renal failure.
Baclofen
The main therapeutic component is baclofen, which helps reduce the excitability of nerve endings and sensitive nerve impulses, thereby relieving pain in the lower back and back. Contains contraindications for patients with Parkinson's disease, muscle cramps, epilepsy and intolerance to the components.
Hydroxyzine
The active ingredient is hydroxyzine. Injections help relieve muscle tone in the lower back, neurotic pain in the back. The effect is similar to that of Atarax, since 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 acute tone of skeletal muscles, removes spasms in the back, decreases 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 tone, lumbar and back pain of different etiologies, 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 lower back and back pain are prescribed for the following diseases:
- vertebral intervertebral hernias;
- progressive sciatica;
- ankylosing spondylitis;
- rheumatoid arthritis.
Betamethasone
It contains a glucocorticoid. Injections are mainly used for severe forms of diseases of the musculoskeletal system, when nonsteroidal 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 kind, including rheumatic and intervertebral hernias. The dosage should be indicated by the doctor, individually, comparing the patient's state of health with contraindications.
Prednisolone
A drug from the group of glucocorticoids. It is prescribed for back pain and lower back pain, diseases of the spine of various kinds. 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 osteoarthritis, relieving inflammation and back pain. Has side effects.
Chondroprotectors
Drugs of this group are prescribed for the fastest 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 intended to eliminate the destruction of bone and cartilage tissue. During injections, inflammation and pain in the lower back and joint mobility are normalized.
Bioactive concentrate from small marine fish
The injections are given intramuscularly to relieve back pain and lower back pain. Included in the list of the best chondroprotectors. It regenerates cartilage, fights herniated discs.
Medicines that improve blood microcirculation in the body
What injections are given for back pain? Typically, 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 analgesics.
Vitamin complexes
In modern medicine, B vitamins are an important component in relieving back pain and lower back pain. Vitamins strengthen the depleted body, strengthen immunity, nourish bone tissue and intervertebral space.
Epidural block
This is a drug for the relief of back pain, as well as other neurological symptoms. It helps relieve the pain of pinched spinal nerves in a very short time. Injections of the drug are given into the painful site, including the epidural.
Triad bites
To eliminate back pain, an injection of a triad is used, the functional means of which are diphenhydramine, sodium metamizole and papaverine. The drugs are mixed into a single dose and injected intramuscularly. The injection quite effectively eliminates severe pain in the lower back, both due to diseases of the musculoskeletal system and post-traumatic syndrome.
Pain relief patches
The patches are linked to local drugs. Unlike creams, the patch has a dense backing that attaches to the surface of the skin of the back and lower back, which allows the active substance to attach to the skin and penetrate into the subcutaneous tissue, muscles and nerve endings. The most popular dressings that can relieve pain, 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 pain and lower back pain. They are used 3 times a day.
Combined analgesics
After completing a series of injections for back pain and lower back pain, the patient may be prescribed other forms of drugs - 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 relievers give good and long-lasting results, but they should only be used under medical supervision.