15 best injections for lower back pain

Preparations with tenoxicam, including Artoxan, are not so easy to find on sale, but those who managed to get the coveted package can forget about lower back pain for the near future. 3 injections are enough - 1 per day, so that the inflammatory process recedes along with painful sensations. The long duration of action, together with a short course, led to the increased popularity of the drug among the population.

Another plus means - good portability. According to reviews, the injection is not painful, the effect on the stomach is imperceptible, and the pain decreases immediately after the injection. Among the disadvantages is the lack of a tablet form and the need to mix substances - not everyone seems to find this procedure simple. The price is also not the lowest, but it is offset by the effectiveness and safety of the product (provided it is used for its intended purpose and in accordance with the instructions).

1 ampoule with an injectable form of "Dexalgin" contains 50 mg of the main agent - dexketoprofen. This substance was developed and brought to the market relatively recently, in 2002, and in Russia the medicine appeared even later, in 2008. It cannot be unequivocally stated that the remedy outperforms other NSAIDs in all aspects, but certain properties differ for the better : for example, the full analgesic effect occurs 30 minutes after administration and can last up to 8 hours.This duration of action allows the number of doses to be reduced to a minimum and thereby reduce the overall cost of effective treatment.

The fact that Dexalgin is a very strong analgesic has been scientifically confirmed. So, in the course of a study conducted by the Department of Pharmaceutical Technologies of Sechenov University (Moscow), it was found that after its administration, the maximum level of analgesia is achieved in comparison with other drugs. In addition, individual patients, as prescribed by a doctor, are allowed to simultaneously administer with opioid painkillers (morphine, pethidine) in order to reduce the dose of narcotic substances.

The powerful anti-inflammatory effect of Voltaren is due to the properties of diclofenac, a non-steroidal substance included in the list of vital drugs in Russia. There are about a dozen drugs with a similar composition in any pharmacy, and almost all of them will probably be cheaper than Voltaren. It would seem, why overpay? But in fact, Swiss medicines have always been famous for their unsurpassed quality: in this country, state control over the pharmaceutical industry is exercised, and research institutes are working to improve the formulas.

It is not surprising that doctors, when prescribing diclofenac to relieve back pain, recommend Voltaren-Novartis, since it has a better purification of the substance and has a more gentle effect on the body.User reviews confirm that the drug is able to reduce pain after the 2nd injection and bring complete relief after the 5th, while there are no negative effects such as stomach pain and discomfort in the liver area. However, the medicine is considered strong, so you should not resort to it uncontrollably.

The main active agent of the drug under the trade name "Ketonal" is ketoprofen. This is another effective NSAID, often prescribed in medical practice to relieve toothache, relieve inflammation and reduce body temperature during fever, as well as dorsalgia. Among similar means, it is distinguished by the best tolerance, expressed by a smaller number of negative reactions of the body to injections. In addition to the mechanism of action common to all non-steroidal drugs, ketoprofen has properties characteristic of it and has shown itself in studies to be a stronger analgesic than diclofenac, ibuprofen and aspirin.

The medicine is produced by the well-known international company Sandoz, whose products are presented in 140 countries of the world. In Russia, her products are trusted both in the professional and consumer environment, and in 2017 they became laureates of the People's Brand and the Russian Pharma Awards. As for Ketonal specifically, in the reviews it is praised for its effectiveness (the pain is muffled after 15 minutes) and the absence of discomfort after injections (subject to a well-made injection).

A good counteraction to severe back pain is the drug "Ketorol", the active substance of which is ketorolac. Its main feature is a mild antipyretic and anti-inflammatory effect and a powerful focus on the elimination of pain. According to the analgesic effect, Ketorol is compared with opiate analgesics, but at the same time it does not lead to drug dependence and does not have a sedative effect on the nervous system.

It is convenient that the solution in ampoules is already ready for use and does not require dilution with other substances. The drug in the form of a solution for injection is better tolerated than tablets, after which many patients complain of stomach pain. Relief comes, according to reviews, after 15-40 minutes. after an intramuscular injection and literally 1-3 minutes after injection into a vein. Neither epidural nor intraspinal administration is allowed. The maximum concentration is reached after about an hour and lasts from 4 to 6 hours. After this time, the procedure can be repeated, but do not exceed the frequency of 2-3 times a day. Thus, 1 pack of 10 ampoules worth just over 100 rubles is enough for 3-5 days, which is more than economical.

There are a lot of reviews posted on the Neuromultivit tablet network, and most of them describe the result of taking it as an improvement in the condition of hair, nails and general well-being. However, it is definitely impossible to take them in order to replenish vitamins B and, moreover, calm the nerves. The same rule applies to the injection solution: it has clear indications, and lower back pain is one of them.

The drug is a red liquid with a characteristic odor, enclosed in glass ampoules. They are opened quite easily, by pressing in the designated place without the use of improvised means. According to users, the drug copes with lumbar syndrome literally with the first injection, and this justifies the pain during injection. But still, it is recommended to administer the drug with the involvement of a professional nurse who, with the right actions, will be able to level the discomfort.

If the German "Milgamma" is the original drug, then "Combilipen" is its generic, i.e. a drug with identical pharmaceutical ingredients and effects. It is logical that a local pharmaceutical product is cheaper than a foreign analogue and cannot but arouse consumer interest.If you wonder how effective it is compared to the original, you can turn to the reviews for an answer. The vast majority of them claim that the remedy is of high quality, gives a positive result with properly prescribed and carried out treatment, saves from back pain without unpleasant consequences in the form of dyspepsia and other side effects.

For the relief of acute pain, 1 (maximum 2, according to medical indications) injection per day is enough, with a further transition to a tablet analogue. It is important that, unlike non-steroidal analgesics, the drug not only alleviates vertebral pain syndrome, but also really heals, affecting the underlying mechanisms of its occurrence. If the patient has concomitant neurological diseases, it is possible that their development can also be stopped, but medical supervision is important to achieve the desired effect - Kombilipen, like Milgamma, is far from a harmless vitamin.

One of the most relevant tools in the medical arsenal is the solution for intramuscular injections "Milgamma". It is a combination of cyanocobalamin (B12) with water-soluble forms B1 and B6: thiamine and pyridoxine hydrochlorides. In addition to them, excipients were introduced into the composition, in particular, a local anesthetic lidocaine, which ensures painless injection, and a stabilizer (potassium hexacyanoferrate), due to which the compatibility of the vitamin group is achieved. For acute pain in the lower back, the drug is prescribed 1 ampoule per day for a course of 5-10 days.It brings relief already on the 2nd day, which confirms its high analgesic properties.

According to some reviews, the injection, despite local anesthesia, brings patients a certain amount of discomfort. To avoid this, it is recommended that the medicine be stored in the refrigerator at a temperature of 2 to 8 °, about an hour before the procedure, and take it out and hold at room conditions. In addition, some people experienced the appearance of acne on the body, which disappeared after the end of the course of treatment. Such moments confirm the fact that Milgamma, for all its effectiveness, should not be taken as an element of general strengthening therapy and should not be prescribed to oneself.

The drug with baclofen, in addition to reducing pronounced muscle spasticity, can also have a moderate analgesic effect. It is used in cases where oral administration of muscle relaxants has been ineffective or has led to severe drowsiness and weakness.Delivery of the active substance is carried out directly into the space of the spinal cord by intrathecal administration, which makes it possible to achieve a clinical effect with minimal doses - at least 100 times less than oral agents.

Of course, such treatment is not required for everyone suffering from pain in the lower back. Its necessity is prescribed by a doctor, and safe and effective implementation is due to the experience of medical personnel. Nevertheless, the experience of using baclofen intrathecally developed over the past 15 years indicates its high effectiveness and positive effect on the quality of life of patients.

The solution for intravenous and intramuscular administration contains the same active substances as the popular Mydocalm - tolperisone and lidocaine. Accordingly, it has the same effect on the brain, giving signals to the appropriate areas to reduce the degree of muscle tension. Side effects, judging by both the instructions and the reviews, occur infrequently, there is also practically no feeling of drowsiness and deficiency.

What else is praised for "Kalmireks" is for trouble-free help with spasms in the lower back and other parts of the back of various etiologies. One or two injections are enough for a person to stop “climbing the wall” from pain, and five, in rare cases ten, for the pain syndrome to completely go away. The only but - the drug, although domestic, is not far from the foreign original in terms of cost. But the price is still a secondary factor, if only it helps, and this medicine copes with the tasks assigned to it.

The main advantages of Mydocalm are the absence of significant side effects and good interaction with non-steroidal anti-inflammatory drugs. The combination with NSAIDs allows you to reduce the dosage of the latter and reduce their negative impact on the body. Another important advantage of this muscle relaxant is that, provided that the dose is correctly selected, there is no sedation and muscle weakness that usually accompanies the use of similar drugs. This makes it possible to use when driving a car or in cases where it is required to maintain attention and reaction speed.

At the same time, the use of Mydocalm is considered effective and fully justified for painful muscle spasm in the lumbar region. The effectiveness of the active agent - tolperisone - has been proven by several blind studies: in one of them, two control groups received Mydocalm and Paracetamol for 14 days. After using special methods, the quality of life was measured and it was found that the group treated with a muscle relaxant objectively feels better and returned to normal life activity faster.

"Traumeel S" has proven itself among naturopathic doctors who prefer to use herbal medicines. Among its ingredients are arnica, calendula, chamomile, comfrey and a dozen other herbs with a healing effect. True, the concentration of extracts in a solution may alert someone: the degree of their dilution exceeds a hundred times (D2–D6), the total ratio of active substances is only 0.00046%. In fact, low-dose treatment is a fundamental principle of homeopathy, and Traumeel-S proves in practice that it works.

In pharmacies, the drug is presented in ampoule and tablet form, but injections are considered the most effective. They are easily tolerated (no mention of side effects was found), but they do not give a quick effect, like the previous drugs from this category - you need to be patient and ... money. Unfortunately, the remedy is quite expensive, it should be taken for a long time, so it is inaccessible for low-income families. However, it also does not help everyone. Maybe it's because of the fakes?

People often turn to homeopathy when all the pills are eaten and the injections are pricked, but the pain in the lower back remains. The drug "Tsel T" from the famous German company "Hil" was created just for them.It does not contain non-steroidal anti-inflammatory ingredients of chemical origin, as well as any other components that interfere with the vital processes of the body. The composition is exclusively animal and vegetable: pork cartilage, placenta, nightshade, comfrey, etc.

The consumers themselves speak about the effective use of the remedy - doctors are generally skeptical of it, they say, it is not necessary to expect either benefit or harm from it. But the reviews indicate the opposite - after the injections, both spinal and headache pains go, the inflammation gradually subsides, and the lower back disturbs much less often. However, due to the many herbal ingredients, it is necessary to start treatment with Zeel T very carefully - allergic reactions and individual tolerance can begin even after the best drug.

The appointment of "Chondrogard" usually has two goals - to reduce pathological symptoms and prevent the progression of degenerative processes. The mechanism of action is based on the properties of the main agent - chondroitin sodium sulfate. Chondroitin sulfates are specific components of cartilage that are able to retain water in their thickness, creating excellent shock absorption and reducing the shock load on the spine. The effect of using the product is cumulative and over time becomes apparent not only in the lumbar region, but also in all joints.

In the reviews, they often complain about the high cost of the drug, due to the duration of the course - at least 3 months with a possible repetition in six months. Injections should be done every day or every other day, an adequate selection of the dosage should be performed by the doctor.The remedy, as a rule, is well tolerated, there are few references to “side effects”, but it happens that on the 2nd day after the procedure, the injection site becomes painful. An instant result should not be expected, as the tissues of the spine are restored slowly and only under the condition of complex treatment.

The ampoules with Dona contain glucosamine, a substance that is produced by cartilage tissue and is a component of synovial fluid. The source of its production is a natural raw material - chitin, isolated from the shells of crustacean mollusks. Once in the body, glucosamine replenishes the deficiency, suppresses inflammation and promotes the restoration of cartilage. Due to the high degree of purification of chitin, Dona acts quite quickly, and after 2 weeks you can feel a significant improvement in the condition of the spine and joints.

About the drug, mostly respond positively. As an anesthetic, it helps weakly, but it does an excellent job with another task - the restoration of destroyed cartilage tissue. Doctors recommend using it in courses, 2 or 3 times a year, with severe back pain combined with anti-inflammatory drugs. A separate category of satisfied users are athletes, who often suffer from pain after injuries and due to increased wear and tear of the joints. However, there are also critical remarks that the results of clinical studies of this drug are too contradictory, and if there is no effect for a long time (6 months or longer), it can be stopped.