Severe back pain may indicate a musculoskeletal disorder, a pinched nerve, etc. Therapy often includes injections, which, choosing the right treatment, can quickly eliminate pain in the back and lower back, and significantly relieve the patient's condition.
This article compiles the optimal injections by group and medical condition. If you want to know what injections are for back and lower back pain, this material has a list of the best injections.
How are drugs selected?
Back pain can be recorded in all clinical patient groups at any age. This is usually not an independent pathology. As a rule, the pain syndrome is an accompanying symptom of certain diseases of the body.
Injections for back pain and lower back pain are prescribed by the doctor after the medical history has been fully taken. After identifying the existing diseases, you can prescribe treatment that will help stop pain, remove inflammation, relieve swelling and activate recovery. What injections for back pain and low back pain can relieve the patient's condition?
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
NSAID injections are most commonly used to relieve pain in the spine, as they very quickly affect the focus of inflammation and remove excruciating pain, stiffness, swelling and fever.
Nonsteroidal anti-inflammatory drugs are prescribed for the following pathologies:
- Lower back pain of a long-term and wavy nature with a pinched nerve;
- Radiculopathy and osteochondrosis;
- Intercostal neuralgia;
- back traumatic syndromes;
- Intervertebral hernia, etc.
NSAID therapy is external, while analgesic injections have a number of contraindications for back pain. 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 and lower back pain. Ketorolac is a powerful anti-inflammatory, non-steroidal substance.
You should not use this drug in case of hypersensitivity to ketorolac, as well as waiting for a child, breastfeeding and children under 16 years of age.
Ketoprofen
A drug based on ketorolac trometamol. Ketoprofen has a powerful analgesic effect. In order to avoid the occurrence of side effects, the dosage indicated in the note should be strictly observed.
Lornoxicam
Relieves back pain with a variety of side effects. It should only be used as directed by a doctor.
Tenoxicam
Injections are not recommended for patients with high blood pressure, diabetes mellitus, liver and gastrointestinal diseases.
Diclofenac
The so-called "golden mean" among similar drugs with analgesic effects. One injection can help relieve back and lower back discomfort associated with muscle contraction and overexertion. However, there are some contraindications. Individual intolerances, gastrointestinal diseases, heart diseases, etc. should be mentioned among them.
Meloxicam
This tool includes movalis. The drug is of the latest generation, which means that it has minimal side effects. These are believed to be good injections for back and lower back pain. It is well tolerated and has a relatively long-lasting effect.
Dexketoprofen
Relieves back and lower back pain with pinched nerves and various diseases of the musculoskeletal system. The course of injections is no more than 5 days.
Muscle relaxants
Very often back pain develops as a result of muscle cramps. Usually there are two different types of etiology:
- Spasticity due to damage to brain activity;
- Muscle pain and cramps due to musculoskeletal disorders.
Muscle relaxant injections are prescribed to increase the effects of NSAIDs and steroid drugs. Injections should be performed in full compliance with the dosage and administration instructions.
Tolperisone
Relaxes the muscles of the spine, blocks nerve endings and soothes back and lower back pain. Tolperisone has a local anesthetic effect. May cause allergies in patients with lidocaine intolerance.
Hydroxyzine
This drug is a derivative of piperazine. Intramuscular injections relax the spine and smooth back muscles with moderate effect on the gastrointestinal tract.
Contraindications - pregnancy, hypersensitivity to components, arrhythmia and kidney failure.
Baclofen
The main therapeutic component is baclofen, which helps reduce the excitability of sensitive nerve endings and impulses, and relieve pain in the lower back and back. Contraindications for patients with Parkinson's disease, muscle spasms, epilepsy and component intolerance.
Hydroxyzine
The active ingredient is hydroxyzine. The injections help relieve lower back muscle tone and neurotic pain in the back. The effect is similar to Atarax because it is a piperazine derivative. It must be taken with caution in patients with renal insufficiency.
Tizanidine
The main substance is tizanidine. Reduces the acute tone of the skeletal muscles, eliminates spasms in the back, reduces muscle resistance during sluggish movements, increases the strength of free contractions. Can cause side effects at higher doses.
Sirdalud
Derived from tizanidine. Relieves various muscle tone, lower back and back pain of various etiology and provides an analgesic effect.
Steroid drugs
Hormonal drugs have strong anti-inflammatory effects, but at the same time have a variety of side effects. For the following diseases, steroid injections are prescribed for back pain and lower back pain:
- spinal intervertebral hernias;
- progressive sciatica;
- Ankylosing spondylitis;
- Rheumatoid arthritis.
Betamethasone
It contains a glucocorticosteroid. Injections are mainly used in severe forms of musculoskeletal disorders when nonsteroidal drugs are ineffective. 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, especially rheumatic and intervertebral hernias. The dosage should be specified by the doctor individually, comparing the patient's state of health with contraindications.
Prednisolone
A drug from the group of glucocorticosteroids. It is prescribed for back pain and lower back pain, diseases of the spine of various kinds. Has quite a 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 types of osteoarthritis, relieves inflammation and back pain. Has side effects.
Chondroprotectors
Drugs of this group are prescribed for the fastest restoration of connective tissue, regeneration of the structure of the spine and reducing inflammation in the back.
Chondroitin sulfate
The active ingredient in the form of chondroitin is said to eliminate the destruction of bone and cartilage tissue. In the course of the injections, inflammation and pain appear in the lower back, and joint mobility is normalized.
Bioactive concentrate made from small marine fish
Injections are given intramuscularly to relieve back and lower back pain. Included in the list of the best chondroprotectors. It regenerates cartilage and fights herniated discs.
Drugs that improve the microcirculation of blood in the body
What injections are there for back pain? Typically, lower back and lower back vascular injections are used to improve microcirculation, improve blood flow and improve 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 the intervertebral space.
Epidural block
This is a drug used to relieve back pain and other neurological symptoms. It helps relieve spinal nerve pinching pain in no time. Injections of the drug are given into the painful focus, including the epidural anesthesia.
Triad stitches
To get rid of back pain, a triad is injected, the functional agents of which are diphenhydramine, metamizole sodium and papaverine. Medicines are mixed in one dose and injected intramuscularly. The injection is very effective in relieving severe pain in the lower back, both in diseases of the musculoskeletal system and in post-traumatic syndrome.
Pain relieving plasters
The patches relate to local medication. In contrast to creams, the plaster has a dense backing that adheres to the surface of the skin of the back and lower back, which means that the active ingredient is fixed on the skin and can penetrate the subcutaneous tissue, muscles and nerve endings. The most popular patches that can relieve pain are, for example, pepper and lidocaine.
Pain Relieving Pills
Mild pain pills are prescribed to relieve symptoms of the disease. As a rule, these are analgesics:
- 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 an injection regimen for back and lower back pain, the patient can be prescribed other drugs - ointments, tablets, suppositories. These drugs are supportive and prevent the development of possible complications.
Dealing with back pain is a long and difficult process. Painkillers give good and lasting results, but should only be used under medical supervision.