1Choosing effective injections and medicines for treatment of a hernia of the lumbar spine
- 1.1Drug therapy
- 1.2Basic injection method
- 1.3Non-steroidal anti-inflammatory drugs NSAIDs and NSAIDs
- 1.4Steroid preparations
- 1.5Muscle relaxants
- 1.6Additional injection therapy
- 1.8Hyaluronic acid
- 1.10Alternative methods of drug administration
- 1.11Drip therapy
- 1.12Epidural anesthesia
2How do I make injections with a hernia of the lumbar spine?
- 2.1Classification of injections
- 2.2The steroid group (BFG)
- 2.3Non-steroidal group
- 2.4Means restoring nerves
- 2.5Vitamin group
- 2.6Miorelaxant group
- 2.7Epidurial block
3What injections are prescribed with the intervertebral lumbar hernia?
- 3.1Types of injections
- 3.2What anti-inflammatory and analgesic drugs are used for injection?
4Injections with a herniated spine
- 4.1Types of injections in the treatment of intervertebral hernia
- 4.2Non-steroidal agents
- 4.3Steroid preparations
- 4.4Muscle relaxants
5What drugs to use for hernia lumbar spine
- 5.1Groups of drugs in the treatment of intervertebral hernia
- 5.3Non-hormonal anti-inflammatory drugs
- 5.5Muscle relaxants
- 5.8Alternative drug therapy
Choosing effective injections and medicines for treatment of a hernia of the lumbar spine
Often painful sensations in the back, we write off the fatigue or manifestations of osteochondrosis. But the problem can be more serious. Pain can cause various diseases of the spine.
One of them is the intervertebral hernia, at which the nerve endings are damaged.
Inflammatory process can occur anywhere in the spine,causing discomfort and severe back pain.
To treat and relieve pain symptoms at an early stage, doctors resort to conservative therapy.
It implies physiotherapy, a set of therapeutic and prophylactic exercises and medical treatment.
Droppers and injections with a hernia of the lumbar spine are the main means of fighting the disease.
Intervertebral hernia is formed due to a violation of the normal circulatory cycle in the spinal column.
The tissues receive insufficient amounts of nutrients, the intervertebral discs lose elasticity, begin to break down.
There is an inflammatory process, there is damage to the disc and the loss of the nucleus due to rupture of the fibrous ring. These processes are rather painful. The patient's condition worsens during this period, he suffers from back pain.
Do not self-medicate, contact a specialist neurologist. He will put the correct diagnosis and prescribe the injections that are necessary for your form of the disease..
Drug therapy is prescribed only after assessing the general condition of the patient.
Injections with intervertebral hernia of the lumbar spine are selected taking into account the phase of the disease, the degree of soreness, the number of hernias.
Also take into account the age of the patient, the presence of chronic and concomitant diseases. With special care, injections are prescribed for people with diabetes mellitus.
Basic injection method
With a hernia, pain in the back and neck are the main symptoms and treatment should be started immediately after diagnosis. What are the injections needed for acute and chronic illness? These can be the following groups of drugs:
Non-steroidal anti-inflammatory drugs NSAIDs and NSAIDs
Anesthetic injections with a hernia of the lumbar spine are used to relieve inflammation, swelling and pain syndrome.
There are two generations of these drugs:
- Diclofenac, Orthofen, Ibuprofen. These drugs have a good analgesic effect, stop the development of the inflammatory process. With all the merits, have the side effect - have a negative effect on the mucous membrane of the stomach. Side effects can be manifested by heartburn, spasms, pain in the epigastric region.
- Movalis, Xefokam, Celebrex, Meloxicam belong to the second generation of NSAIDs and NSAIDs. The improved formula has a stronger analgesic and anti-inflammatory effect. They are practically devoid of harmful effects on the digestive system and cartilage tissues of the joints.
Read the same: How to identify the symptoms of the development of a hernia of the spine
Non-steroidal anti-inflammatory drugs are administered intramuscularly. They put such injections from the hernia of the spine according to the prescription of the doctor. Usually the course of treatment of mild form of the disease is from 3 to 5 days.
Do 1 injection per day, dosage should not exceed 15 mg / day.
Contraindicated drugs of this group for children under 18 years of age, pregnant women and people suffering from cardiac and renal insufficiency.
The injections with a hernia of the spine with corticosteroid preparations are necessary in those cases when NSAIDs do not give a positive result.
Injections begin if there is a pinching of the endings of nerve fibers during inflammation of the tissues and the formation of an intervertebral hernia. The use of steroids is also indicated in patients with symptoms of protrusion, as well as lumbosacral arthrosis.
These are the most effective injections, they stop the inflammatory process and lead to a reduction in swelling. Also reduce pain.
The following injectable corticosteroids give a positive result in treatment:
The most effective method of treating steroids in vertebral hernia was transforaminal injection of the drug directly into the injured nerve. In 54% of cases of such treatment, patients felt considerable relief.
INTERESTING! Studies have shown that transforaminal steroid injections, in the future, can replace surgical intervention.
Steroid medicines can only be used in short courses. Duration of admission should not exceed 5 days. This group of drugs is capable of provoking complications in the form of development of some systemic diseases, causing addiction.
Among the dangerous side effects - the suppression of brain activity and the risk of mental disorders. Contraindicated in pregnant women, under-age children under 18 years.
Tuberculosis, gastric and duodenal ulcers, type I and II diabetes also belong to diseases in which steroid therapy is not recommended.
Assign in cases of severe disease. The analgesic effect is due to the relaxing effect that they have on the muscles.
As a result, spasm no longer exerts pressure on the roots of nerve fibers.
This allows to normalize the blood flow in the place of hernia formation, which also has a beneficial effect on the patient's well-being.
Read the same: Methods of treatment of intervertebral hernia in the cervical department
Among the preparations are the following names:
In the line of muscle relaxants, the most popular is Midokalm. In its composition there is an analgesic of local action Lidocaine, which strengthens the local anesthetic effect when injected into the affected area.
These injections from the intervertebral hernia can only be used as prescribed by the doctor. Often the pain passes after the first two injections. An incorrect dose can lead to various disorders of the nervous system, and an overdose leads to paralysis and death.
Contraindicated in cases of myasthenia gravis and allergic reaction to lidocaine.
Additional injection therapy
Treatment with intervertebral hernia, as well as with hernia of the cervical region should be comprehensive. For this purpose, experts prescribe not only anti-inflammatory drugs, but also injections for the restoration of cartilaginous tissues and for general strengthening of the body. These include:
Their action is based on stopping the process, destroying the tissues of the intervertebral discs. Preparations based on glucosamine and chondroitin strengthen and partially restore the cartilaginous structure.
Well-established in the treatment of such regenerative injecting drugs as:
To modern developments is the drug, whose name is Teraflex Advance. It is a combined combination of ibuprofen, glucosamine and chondroitin sulfate, which simultaneously relieves pain, inflammation and is involved in the regeneration of cartilage tissue.
Normalizes the properties of the synovial fluid of the affected joint, increases its elasticity and promotes the development of its own hyaluronate. This returns the lost lost functions to the disk and helps to relieve the pain.
Specialists prefer the following drugs of this group:
- Intraject Gialuform.
- The viscose.
Gilauronovye means to prick with a hernia is necessary by intraarticular injections. The therapeutic effect is manifested after 3-4 injections with an interval of 10 days, repeat every six months.
Their action is aimed at replenishing the shortage of various vitamins in our body, and to increase resistance to various pathogens. The vitamins of group B are especially necessary for the treatment of the lumbar and cervical spine.
Especially high demand for B3 and B12 - they help reduce the consequences of neurological disorders, restore the sensitivity of all tissues:
- A nicotinic acid.
Injections of these drugs, as well as vitamins A, C, E intramuscular. They are appointed for up to 10 days.
Alternative methods of drug administration
There is a method of administering drugs through a gradual drip infusion into the bloodstream.
A dropper is used only under conditions of inpatient treatment or with constant direct supervision by a qualified nurse.
Advantages of its use in that the drug is introduced for a long time, its concentration is constant and the absorption of the drug occurs in full. In addition, some drugs can not be administered intramuscularly.
Droppers with a hernia can quickly remove the patient's inflammation and pain. In order for the treatment to be successful and effective, the medicine is selected only by the attending physician, having a card with an anamnesis of the disease.
The composition of the solution for drip administration may include several drugs.
Apply a combination of an analgesic with a hormonal drug (a combination of Drotaverina, Dexamethasone and glucose). Droppers with a hernia are not a panacea and can not cure the disease.
They are used as a temporary remedy for symptom relief, and as one of the components of complex therapy.
When conventional injecting methods of treatment do not bring relief to the patient, you can rely on injections, which give almost 100% guarantee of an analgesic effect. This is a blockade or epidural anesthesia.
In severe illness or during an exacerbation, pain symptoms are especially pronounced, as the inflammatory process proceeds very intensively. Blockade of nerve endings with the use of anesthetics or corticosteroids gives the highest possible result.
Preparations for epidural administration:
Injections of these drugs are made directly into the hernia. Injections into the spine carry the medicine directly to the affected area.
Due to the effect on nerve fibers, an immediate analgesic effect is achieved.
Epidural anesthesia has no side effects, which allows it to be administered to any patient, even children..
Drug injection of intervertebral hernia should be complex. Having felt a pain in a back, necessarily address to the doctor. A qualified specialist will pick up for your case the correct injections and their dosage..
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A source: https://spinous.ru/diseases/rupture/vybiraem-effektivnye-ukoly-i-lekarstva-dlya-lecheniya-pri-gryzhe-poyasnichnogo-otdela-pozvonochnika.html
How do I make injections with a hernia of the lumbar spine?
Herniated spine is a serious disease characterized by rupture of the fibrous ring of the vertebral disc followed by the prolapse of the pulpous nucleus along the spinal cord.
This pathology causes an inflammatory process, accompanied by severe pain and subsequent deformation of the spine.
Modern methods of treatment include: massage, gymnastics and taking medications. No less effective are injections with a hernia of the lumbar spine.
Recommended injections in the light of the patient's health condition or possible contraindications. Assign nyxes in the hernia of the spine, to relieve spasms and pain.
Classification of injections
Most often, injections with hernia are used during the period of exacerbation of the disease, with a severe pain syndrome. According to the decision of the attending physician, the injection can be administered:
- Inner disk (for blockade of vertebral pain);
- Intramuscularly (injection is done directly in the back, next to the focus of inflammation or in the buttock).
Only after careful analysis of the patient's condition, the doctor prescribes this or that method. All preparations differ in the form of release, functionality and drug composition. So, what kind of injections do you have with a spinal hernia?
Classification of medicines prescribed for hernia of the spine:
- Steroid preparations of anti-inflammatory group (SPPG);
- Preparations restoring nervous activity;
- Preparations relieving spasms - muscle relaxants;
- Medicines for epiduria blockade;
- Infusion treatment (droppers).
It will also be interesting:medicamentous treatment of the intervertebral hernia of the lumbar spine.
The steroid group (BFG)
In the preparations of this group, the main active substance is a corticosteroid, which itself has a powerful analgesic and antispasmodic effect. They are prescribed in the late stages of hernia development in the lumbar spine. The most popular means are:
- Methyl Prednisolone;
The intake of these injections is topical, if a person's immune system is in increased activity, which leads to a gradual destruction of bone-cartilaginous tissue.
With the help of steroid drugs, the intervertebral or other herniation of the spine can not be cured.To make an injection it is necessary intravenously or intramuscularly, ideally, not far from the source of the disease, along the spinal column.
Long-term treatment with such drugs, threatens complications, so they are appointed short courses.
Contraindicated in pregnant women, patients with ulcerative disorders, diabetics and patients with tuberculosis. Causes systematic violations and addiction.
In addition to analgesic anti-inflammatory properties, non-steroidal medications relieve puffiness.
The injections are administered intramuscularly, the dosage and frequency of injections, is selected by the doctor strictly individually, depending on the nature and course of the disease.The most commonly used are:
- Ibuprofen or Diclofenac;
- Kitanov or Indometacil;
- Dexalgin or Dicloberyl;
- Revmoxicans or Movalis;
- Meloksikan or Texman.
Under the action of these drugs, inflammation of the nerves in the intervertebral region of the lumbar spine is removed. The main drawback of taking these drugs is an extensive list of contraindications, and this:
- Pregnancy or lactation;
- Tuberculosis or bronchial asthma;
- Erosion or bleeding of the stomach;
- Renal failure;
- Any liver disease.
One-time dosage should not exceed 15 mg, the course duration is up to 5 days. In the future, a mandatory transition to a tablet form of treatment, but the effect of injections is greater.
In the treatment of intervertebral hernias, a special role is assigned to chondoprotective preparations that promote the regeneration of bone-cartilaginous tissue of the intervertebral discs.
Complete remission by some hondoprotectors is not possible to achieve, but partial regeneration is complete.The injections are made directly in the muscle, which is located near the hernia.
The course is treated with 20 to 60 injections, progress is observed no earlier than 4 months later.
As a rule, appoint:
- Don or Amlutol;
Some of the above funds are additionally prescribed as ointments or capsules.
The effectiveness of treatment of herniated intervertebral zone, is due to the presence of an active substance - chondroitin sulfate.
The component acts as a "lubricant" in the osteoarticular system. The injections are done according to the scheme developed by the doctor, taking into account the personal characteristics of the patient's state of health.
- Necessarily esteem: ointments at a hernia of a lumbar department
Means restoring nerves
At the last stages of the hernia in the lower back, when the vertebral nerves are severely clamped and cause severe pain to the patient, intravenous medications that affect the nerve conduction are prescribed. These drugs include:
- Actovegin or Vinpocetine;
- Cavinton or Eufilinn.
The injections are administered intravenously, sometimes with the help of a dropper.
When treating / preventing spinal hernia, it is mandatory to use vitamin therapy, to improve the patient's immunity and rapid regeneration of bone-cartilaginous tissues. In medicine, vitamins B and C are used. Well-established Vitakson or Vitamol.
Herniated spine, characterized by extensive spasm of the muscles of the waist and back in general. In the presence of pain syndrome and inflammatory process, the muscles of the back tighten even more, squeezing the nerve endings, thereby disrupting the metabolic processes.
This leads to swelling and slowing down the natural regeneration of tissues.Injuries from the hernia of the spine with muscle relaxants, promote increased blood circulation, relieve swelling and spasms.
In some cases, vasodilator injections are used.
The most common drugs include:
- Sirdalut or Daditilin;
- Tizanidine or Metaxalone;
Miorelaxants are classified as high-speed drugs. The effect is felt after 5-10 minutes. It is strictly forbidden to prescribe such funds, some of them cause irreparable mental disorders, and an overdose is dangerous for life. The main contraindications include:
- Pregnancy or lactation;
- Any disturbance of the psyche or nervous system;
- Ulcer and gastritis of the stomach;
- Renal or hepatic insufficiency;
- Bronchial asthma and tuberculosis.
In acute stages of vertebral hernia, when the pain is so severe that the patient can not tolerate it, and other drugs do not have the necessary action, an epidural blockade is prescribed.
Injections from back pain with a hernia are administered locally, i.e., intervertebral.An experienced physician injects the drug directly into the intervertebral zone of the affected area.
The most often injected: Novocaine or Lidocaine.
- We advise you to read: how do the blockade of the lumbar region
The effectiveness of the drugs are the same - they have similar contraindications. In parallel, steroids or other anti-inflammatory agents are administered, for example:
- Cortisol or Flucine;
- Dexamethozole or Celeston.
Such a complex treatment is characterized by high efficacy and increased digestibility of the drug, regardless of individual characteristics and the course of the patient's illness.
If this treatment does not produce the desired effect, then antihistamines and anti-inflammatory blockades are used.
Great popularity, the blockade was due to the following advantages:
- Due to the direct introduction of the drug into the interdisk space of the spine, a maximum effect characterized by almost instantaneous removal of inflammation and pain syndrome, followed by removal swelling;
- A minimal list of contraindications makes these medicines available to virtually any patient;
- Almost complete absence of side effects, makes the introduction of the drug affordable, safe and effective.
A source: https://pozvonochnik.guru/gryzha/ukoly-pri-gryzhe-poyasnichnogo-otdela.html
What injections are prescribed with the intervertebral lumbar hernia?
Patients ask what nodules are prescribed for a hernia of the lumbosacral spine. Injuries or spinal injuries are accompanied by pain.
One of the consequences of injuries is the formation of herniated intervertebral discs. The most common phenomenon is the hernia of the lumbosacral spine..
Before the final diagnosis is made, it is advisable to relieve the patient's condition and prescribe painkillers..
Injections in the hernia of the lumbosacral spine do not eliminate the cause of the disease, but temporarily help relieve swelling and inflammation, which significantly alleviate the condition of a person.
Types of injections
What are the injections done with a spinal hernia? What kinds of anesthetics are used by doctors? Currently, 2 types of analgesics are used: narcotic and non-narcotic.
It should be considered in which cases these or other types of medications are used, since they are not all safe and are capable of inflicting more harm to the body than good.
Weak drugs include:
List of more powerful means:
Drugs are injected into the body by intravenous, intramuscular and oral routes. Injections with intervertebral herniation of the lumbar spine are more effective than tablets.
Non-narcotic drugs. These include steroid and non-steroidal anti-inflammatory drugs. At the initial stage of the problem with the spine, non-steroid drugs are used in injections. This is a lightweight treatment option that has the least amount of contraindications and side effects.
What anti-inflammatory and analgesic drugs are used for injection?
The most common analgesic:
The preparations of this group are pricked with acute pain in the cervical, lumbar and sacral parts. However, it should be noted that Ibuprofen and Diclofenac negatively affect the stomach, and Paracetamol on the liver.
Preparations from the group of non-steroidal, which directly affect the focus of inflammation:
They allow you to quickly remove the attack of pain in the hernia of the cervical spine, as well as sacral and lumbar.
Most of this concerns injuries to the cervical region, which are difficult to treat conservatively, and it is often necessary to use painkillers.
In this case, do not harm the entire body - the number one task.
To select effective injections from a hernia of a backbone with the least number of side effects the doctor should take into account contra-indications on health. Long-term result in the treatment of the cervical spine is achieved by the course of injections: usually from, to 3 months.
In critical situations, when the hernia of the lumbosacral spine is infringed, steroid injections are used:
The difference between these drugs in the time of exposure to the body is from 4 hours to 2 days. What kind of shots to do with a hernia of the lumbosacral department in such a situation, the doctor will determine.
Blockade. The fastest and lasting action is the method of blockade or relief of pain.
Blockade is a complicated manipulation performed by qualified experienced doctors under sterile conditions. In other words, it is an injection in the spine. Violation of the technique of implementation of the blockade entails a number of negative consequences:
- damage to soft tissues, nerve fibers, vessels;
- development of allergic reactions.
The blockade method has contraindications:
- pregnancy, breast-feeding;
- hemophilia or poor blood clotting;
- cardiac arrhythmia;
- infectious diseases for the period of the blockade;
Apply one two-and multicomponent blockade injections with hernias of the cervical, lumbar and sacral divisions. Most of them are local anesthetics.
To remove the pain, 1 injection is enough, but sometimes the treatment is conducted in courses, with a break of 4-5 days.
According to recent studies, such procedures should be conducted 2-4 times a year.
Medicines for blockade are selected by the doctor individually, depending on the severity of the patient's condition and his sensitivity to drugs. A test for allergens is mandatory.
For injections use:
Ideal analgesic for intervertebral hernia is Diprospan.
Additional drugs for treatment:
- Voltaren (prolongs the action of the main drug);
- Lidase (enzymatic action);
- Thrombolizine (splits protein fibrin);
- ATP (stabilizes metabolism);
- corticosteroids (reduce allergic reactions of the body to anesthetics).
Anesthetizing injections with a spinal hernia and auxiliary medications are individually selected by the attending physician.
Self-medication is dangerous to health and leads to serious complications: disorders of internal bodies, the inability to move independently, the violation of sensitivity, the need for urgent operation.
A source: https://OrtoCure.ru/pozvonochnik/gryzha/ukoly-ot-gryzhi.html
Injections with a herniated spine
Intervertebral hernia, which has arisen in any department, needs complex treatment.
The injections play an important role, because often it is only possible to deliver the necessary medicines to the damaged area.
With the help of injections anesthesia is carried out, inflammation and excessive muscle tension are removed, blood circulation and cartilaginous tissue are restored.
Prick with a hernia of the spine
In parallel with injections or after some time after they are prescribed taking pills, physiotherapy, therapeutic gymnastics..
To alleviate pain symptoms, relieve edema, improve blood circulation, the Almag apparatus is actively used. Its therapeutic effect is based on the use of an impulse field..
Together with traditional methods of therapy, non-traditional medicine works, for example, by treatment with copper, by applying copper to the hernia or herbs.
Types of injections in the treatment of intervertebral hernia
Medicines are prescribed only by a doctor. The choice of each of them depends on the degree of severity of the hernia, the presence of concomitant diseases, the possible occurrence of side effects. At different stages of the intervertebral hernia in the form of injections prescribed the following drugs:
- Nonsteroid (NSAIDs) - refer to the standard painkillers, which are assigned to patients in the first place.
- Steroid (GSP) - are prescribed if the non-steroid does not help, or are used for very severe pains for rapid withdrawal of the syndrome.
- Miorelaxants - have a relaxing effect on the muscles clamping the nerve, than relieve the pain.
- Chondroprotective agents are used after an acute attack and are designed to repair damaged cartilage tissue.
Remedy for symptom relief is administered intramuscularly, however, there is a special way to quickly deliver the right remedy to a sore spot. It is called a blockade and is of two types:
Our readers recommend
For the prevention and treatment of hernia, our regular reader applies the method of the treatment that is becoming popular and is recommended by the leading German and Israeli orthopedists.
Having carefully studied it, we decided to offer it to your attention.
- Paravertebral - injections are made between the ribs directly into the pinched nerve without affecting the neuromuscular bundle.
- Epidural - the medicine is injected into the locus of the onset of pain, while the needle penetrates into the gap between the sheath of the spinal cord and the periosteum.
In addition to these methods, intravenous fluid administration of medications or droppers are used.
Let us consider in more detail what injections are made with the intervertebral hernia.
These drugs have anti-inflammatory and analgesic effect, relieve swelling. They are divided into two generations. For example, the first include "Diclofenac" and "Ibuprofen".
Side effects include a negative effect on the gastric mucosa. "Diclofenac" with intervertebral hernia has a minimum of side effects and the maximum analgesic effect.
You can buy Diclofenac in a pharmacy.
Prick with a hernia of the spine
The latest developments include Movalis, Celebrex. Medicines of the second generation do not exert a destructive effect on the organs of the digestive tract and do not harm the cartilage tissue. Side effects include dizziness, shortness of breath, rash.
Particular attention is paid to the use of movalis in the hernia of the spinal column - the remedy has proved to be an excellent analgesic. The injections are put for 3-5 days with a maximum dose of 15 g, then tablets are prescribed.
Common contraindications are ulcer, gastritis, anemia, pregnancy.
Injections of corticosteroids with intervertebral hernia bring a quick relief from pain. They relieve swelling and inflammation, usually prescribed after NSAIDs. Used "Dexamethasone "Prednisone "Prednisolone "Diprospan".
It is inadmissible to use them for more than 5 days, since the agents negatively affect the gastric mucosa, cartilage tissues, and the body quickly becomes accustomed to them.
Of the side effects are dizziness, increased back pain, the emergence of diabetes, ulcers, depression.
Contraindications include pregnancy, ulcer, tuberculosis, diabetes.
Remove the muscle spasm that has arisen because of severe pain, and relieve the clamped nerve. These include "Midokalm which can be combined with an NSAID with an intervertebral hernia. Sometimes a few injections of Midokalm are enough to let the pain go.
In parallel with the injections of muscle relaxants, physiotherapy is carried out, the "Almag" apparatus is used, and massage is done.
Among the side effects are problems with the gastrointestinal tract, nervous excitability, allergies, convulsions.
You can not take this group if there are diseased kidneys, mental disorders, an ulcer, pregnancy.
Preparations of chondroprotective action are intended for restoration of cartilaginous tissue. In the form of pricks with a hernia of the spine, the "Chondrohard" is appointed.
The drug contains chondroitin sulfate, which stimulates the growth of damaged tissues, reduces the rate of their destruction during the disease. The drug has a slight analgesic effect, but even this can reduce the dosage of NSAIDs.
Chondroprotectors are discharged in the hernia of the spine after the pain syndrome is removed. The course of injections is 20-30 injections, and their effect lasts several months.
The same active substance contains "Teraflex which is available in capsules for oral administration.
In the modified drug "Teraflex Advance" additionally introduced ibuprofen, which provides a stronger and persistent anti-pain effect.
Such injections in vertebral hernia are done with very severe pain or ineffective treatment by other means. This method relieves pain most quickly. The injections affect either the strangulated nerve - the paravertebral block (near-vertebral), or the painful focus - epidural.
Injections are placed only by the doctor, while the epidural blockade requires anesthesia and procedure in a special room. It is considered very complex and can be performed only by a highly qualified specialist..
The error threatens with serious complications in the work of the musculoskeletal system.
The effect of the procedure lasts up to 3 weeks. Doing injections can be no more than 4 times per course and not more than 1 time per week.
To carry out blockades, novocaine, lidocaine or steroid preparations, such as dexamethasone, are used. Sometimes mixtures of these drugs are made, vitamin B1 is used.
Drop Drug Administration is used for:
- Maintain a constant concentration of therapeutic substance in the blood.
- Emergency help.
- If the agent can be administered only in this way.
Droppers with vertebral hernia have an analgesic effect, for example, using dexomethasone. For infusions, mixtures of analgesics, muscle relaxants, anti-inflammatory and decongestants are prepared. The second purpose is restoration of the blood supply of the strangulated nerve.
It often uses "Trental and it can be injected and simply into the vein. The duration and volume of infusion is determined by the physician. With pronounced symptoms of the disease, drip trental injection may last up to 24 hours. For these purposes, "Eufillin" is used.
A source: http://lechuspinu.ru/gryzha/ukoly-pri-gryzhe-pozvonochnika.html
What drugs to use for hernia lumbar spine
Osteochondrosis of the lumbar spine is often complicated by a hernia. At an early stage in the development of pathology, its further progression through complex therapy can be prevented. An important role in this is the medical treatment of a hernia of the lumbar spine.
Groups of drugs in the treatment of intervertebral hernia
Medication for the intervertebral hernia of the lumbar region includes the following drugs:
- non-hormonal anti-inflammatory drugs;
- drugs restoring cartilaginous tissue;
- Pharmaceuticals that reduce spasm of muscle tissue;
- injections, restoring local blood circulation;
- complex of vitamins of group A, B, C.
Non-hormonal anti-inflammatory drugs are designed to reduce the inflammatory process and reduce pain. Strengthen their effects of analgesics.
To drugs that can repair damaged cartilage discs include chondroprotectors.
This is a fairly safe group of drugs, most often including connective tissues of animal origin.
Chondroprotectors with a hernia of the lumbar spine should be used for a long time for the appearance of a positive effect.
Reduce the spasm in the muscles affected by hernias, possibly with muscle relaxants.
Improve the local circulation and start the recovery process with angioprotectors.
B vitamins are used to increase the effectiveness of angioprotectors.
The patient may be prescribed the following analgesics:
Tablets of this group are able to stop pain, but only onshort time.
These medications are not recommended for a long period because of serious complications and adverse reactions.
Analgesics have a large list of contraindications, which include:
- gastritis and stomach ulcer during an exacerbation;
- bleeding in the gastrointestinal tract;
- disorders in the work of the kidneys;
- impaired blood clotting;
- bronchial asthma.
It should be noted that some of the drugs in this group are incompatible with non-hormonal anti-inflammatory drugs.
Non-hormonal anti-inflammatory drugs
As the anti-inflammatory therapy, the following drugs are prescribed for the treatment of a hernia of the lumbar spine:
«Indomethacin"Is available in the form of tablets for oral administration, as well as in the form of an ointment and gel for topical application.
The drug contributes to the relief of pain and the reduction of inflammation in the affected tissues.
As a means for oral administration, it is not prescribed for people suffering from gastritis and ulcer in the acute stage, cardiac insufficiency, high blood pressure, internal bleeding and hypersensitivity to the main medical component - indomethacin. It is not recommended to combine the medicine with "Diflunizal since the risk of internal bleeding in the gastrointestinal tract increases many times.
«Ibuprofen»Less faint anti-inflammatory non-hormonal medication. Assign it with moderate pain and inflammation. The drug can be used in the form of capsules, tablets and gel.
The greatest therapeutic effect it has when ingestion. The use of the drug should be denied to patients with bronchial asthma and hypersensitivity to acetylsalicylic acid..
With hemophilia, kidney failure and gastrointestinal bleeding, "Ibuprofen" is also contraindicated..
«Diclofenac a powerful medication from a group of anti-inflammatory drugs. It is produced in tablet form, in the form of ointments and solution for the preparation of injections.
Ointment with a hernia can be used as an additional means to enhance the effect. "Diclofenac" is prescribed when other medicines do not show the desired result.
He has all the same contraindications as the pharmaceuticals described above.
Before you start taking it, you should carefully read the instructions, since the drug has a lot of cross-interactions with other medications and a large list of adverse reactions against its background. reception.
«Orthophene"Refers to the analogues of" Diclofenac since it has in its composition all the same remedy.
«Revmoxicam The main active substance of which is meloxicam, is used for the same purpose as the above-described drugs.
The preparation has different forms of release: solution, capsules, suppositories.
It contains a similar list of adverse reactions and contraindications as other drugs of this group.
For the restoration of cartilaginous tissue, the following medicines are prescribed for a hernia of the lumbar spine:
- "Hondroflex" (capsules);
- "Artronflex" (tableted form);
- "Rumalon" (solution);
- "Chondrolon" (powder for solution);
- "Chondroxide" (ointment).
«Hondroflex"Has in its composition glucosamine and chondroitin - components responsible for the formation of cartilaginous tissue.
It is well compatible with non-steroidal anti-inflammatory drugs, but is able to reduce the bioavailability of semisynthetic drugs of the penicillin group.
"Hondroflex" is usually well tolerated and rarely causes any side effects. To its direct analogues are "Teraflex" and "KHONDRONOV".
«Arthronflex"Contains in its composition a semisynthetic active component of glucosamine hydrochloride. Like all chondroprotectors, it is not toxic.
The duration of therapy depends on the severity of the pathology and is determined directly by the attending physician.
The effectiveness of the "Arthroflex" is able to increase the diet and the intake of a complex of vitamins.
«Rumalon chondroprotektor, released as a solution for the preparation of injections. The form of release determines the high effectiveness of the drug substance, in contrast to the chondroprotectors, produced in the form of tablets and ointments.
The main active biological component is glycosaminoglycan, which is extracted from connective tissue and bone marrow of cattle. The average course of treatment for Rumalon is 1 month.
The effectiveness of medication treatment can last up to a year.
«Chondrolon»Is issued in the form of a powder for the preparation of a solution, the main component of which is glucosamine.
The drug is not recommended for use with thrombophlebitis and increased bleeding.
«Chondroxide"Is available in the form of an ointment, which includes chondroitin.
It is used as a supplement to oral medications.
In the complex of therapeutic therapy, the following muscle relaxants are prescribed for hernia:
«Midokalm"With a hernia helps to remove the pathological tone of muscles and spasm. The drug helps to speed up the recovery process of the patient. Also, "Midokalm" with hernia helps relieve pain, enhancing the effect of analgesics and anti-inflammatory drugs.
The use of medication is contraindicated in autoimmune neuromuscular pathologies. Usually "Midokalm" is well tolerated, but in some cases it can still provoke the appearance of allergic reactions and cause hypotension.
The analogue of the muscle relaxant is Tolperizon.
«Baklosan muscle relaxant, the main therapeutic element of which is baclofen.
In contrast to "Midokalm he has an impressive list of contraindications, among which you can isolate mental disorders, epilepsy, Parkinson's disease, gastric ulcer, intolerance lactase.
Also, the muscle relaxant of this group has many side effects, so it is prescribed less often. Its direct analogue is Baclofen.
«Tizanil"Refers to muscle relaxants, of which tizanidine is used. The drug has good bioavailability and is quickly absorbed into the blood..
In case of serious malfunctioning of the liver, it is not used. It should also be noted that it is completely incompatible with fluvoxamine. A well-known substitute for muscle relaxant is "Sirdalud"..
To start a faster recovery process are helped with injections with such drugs as Pentoxifylline, Actovegin, Trental, Flexitale.
Medicines for lumbar hernia of this group increase blood flow and provide timely delivery of nutrients and oxygen to damaged tissues, which determines their relevance in therapy.
The use of angioprotectors is inappropriate with myocardial infarction, arrhythmia and low blood pressure.
As a supplement to the main drug therapy, vitamins are used for oral administration or for intramuscular administration.
The most popular drug is "Milgamma" and its substitutes - "Vitagamma "Kompligam V "Vitakson". They include vitamins B1, B6 and B12.
Contraindication to their reception is heart failure.
Alternative drug therapy
If the above drugs for the treatment of intervertebral herniation of the lumbar spine have not had the desired effect, glucocorticoid preparations are prescribed as a treatment. One of the most popular is "Diprospan" and its analogue "Flosteron".
Medicinal products refer to hormonal medicines obtained by a synthetic route. They are able at the cellular level to suppress the inflammatory process in the affected tissues.
The hormones of this group can be used for intramuscular injection and as a blockade.
Do not use glucocortiodes in systemic mycoses. With caution apply such drugs for diseases of an infectious and parasitic nature, pathologies of the cardiac system, gastrointestinal tract, endocrine system and severe hepatic defeats.
Glucocorticoids are capable of provoking a number of adverse reactions on the part of the work of all internal organs, especially with prolonged admission.
In the period of exacerbation with pronounced pain, the patient is also shown to receive tricyclic antidepressants, which contribute to the regulation of the pain syndrome and the improvement of the emotional-mental patient's condition. These are very potent drugs, which have a number of contraindications and side effects. They are appointed exclusively by a doctor, and are only given on prescription.
In any case, the medical treatment of a lumbar spine herniation should be under the supervision of a specialist and include only that list of drugs that he has prescribed.
A source: https://poyasnica.com/bolezni/gryzha/kakie-preparaty-primenyat.html