Treatment of pain in hernia with the help of pain medication

Painkillers with a hernia of the spine: tablets, ointments and injections

Hernias of the spine hurt patients. The resulting painful feelings disturb sleep, worsen the state of health, and limit the motor activity. To improve a person's condition, doctors prescribe him painkillers with a hernia of the spine.

Medications for anesthesia

There are many drugs for suppressing pain in the back. They are released in the form of tablets, gels, injections. With an extensive choice, a person does not really think how to remove the pain in the back. He simply buys an available tool and uses it.

However, drugs used without a doctor's appointment often aggravate the course of a dangerous disease and cause harm to health, giving side effects.

In vertebral hernia, the spinal canal and nervous processes in the affected area are jammed.

Pinching the nerve roots leads to a loss of sensitivity.

Remedies for pain relate to the category of potent medicines. They have negative side effects. They disrupt the functions of the liver, kidneys, hematopoiesis, other tissues and systems.

Therefore, anesthesia is performed in a complex way, prescribing to the patient drugs from different drug groups. Medications are prescribed individually with the dosage.

Kinds of anesthetics

For anesthesia appoint:

Voltaren relieves inflammation and pain in hernia

• drugs that relieve inflammation (Diclofenac, Voltaren);
• means, overwhelmingly painful (Ketanov, Baralgin);
• narcotic and non-narcotic analgesic medicines;
• muscle relaxants (Midokalm);
• hormonal agents (dexamethasone);
• sedatives.

Medicines are included in complex therapy. Along with them, the intervertebral hernia is treated with symptomatic drugs. The patient can use medications that reduce pressure, remove temperature, eliminate constipation and swelling.

Non-steroidal anti-inflammatory drugs

After the use of non-hormonal anti-inflammatory drugs, inflammatory processes pass, edemas subsiding, pain disappears. Thanks to them they eliminate excessive blood filling. To suppress pain, apply:

Indomethacin in the form of an ointment removes inflammation

• indomethacin;
• amidopyrine;
• fluibuprofen;
• diclofenac;
• ketoprofen;
• ibuprofen.

To reduce the harm of these drugs, they simultaneously use drugs that can protect organs.

Adverse Reactions

To use tableted painkillers with a hernia of the spine is recommended not for long and in minimal doses. This allows you to reduce the harmful effect on the body.

Side effects of non-steroidal medications are reduced if:

• they are consumed after eating;
• drink tablets in the shells, dissolution of which occurs in the intestines, and not the stomach;
• stick to a diet;
• use only one drug;
• Do not smoke or take alcohol.

Non-narcotic analgesics

Analgesic drugs that do not contain narcotic compounds block in the brain the zones that perceive the signals of the onset of pain. They are used to relieve pain. Pain syndrome is suppressed by:

Baralgin relieves pain syndrome

• a dicloberla;
• aspirin;
• paracetamol;
• indomethacin;
• baralgina.

These drugs have a pronounced analgesic and anti-inflammatory effect, due to which the disease is treated.

But analgesics have a toxic effect.

They damage the kidneys and circulatory system. They can not be used for long. The optimal dosage and duration of treatment by these medicines is determined by the doctor.

Narcotic Analgesics

Sometimes the pain with the intervertebral hernia is so unbearable that you have to use narcotic anesthetics. With unbearable pain, the doctor can write:

• codeine;
• tramadol;
• fentatin;
• morphine.

Such medications are used in exceptional cases, with debilitating pain. Because they cause dependence, they are used on a one-off or the lowest possible course.

The drugs stop the pain syndrome, allow the patient to relax, inject him into a narcotic sleep. Relaxed muscle tissues facilitate the condition, give the person a breather.

Muscle relaxants

With the help of muscle relaxants normalize blood circulation, and relieve spasms in the affected area. Muscles, relaxed, squeeze the nerve endings less. Normalized blood flow contributes to the decline of edema. As a result, pain disappears.

Muscle tension is eliminated by taking Medocals, Sirdalud, Baclofen or Sibazon. Preparations are available in the form of tablets and ointments.

Hormonal remedies

Corticosteroids effectively fight with inflammation and acute pain. They are used for severe disease, when non-steroidal anti-inflammatory drugs are powerless.

Assigning hormonal pain medication, the doctor accurately calculates the dose and composes the scheme of its reception. To suppress pain, Methylprednisolone and Decadron are prescribed.

They are trying to use for one-time emergency procedures, when a person is unable to endure acute pain. In the critical state of the patient, a novocaine blockade with corticosteroids is made.

Sedative medicines

Pain worsens the psychological state of a person. To remove anxiety, irritation, improve sleep help means with a sedative effect. Antidepressants reduce soreness, allow you to rest.

Injections

Intramuscular and intravenous injections with a hernia of the lumbar spine and its other segments relieve pain faster than tablets and gels. Patients feel better after the first injection.

Intramuscular injections relieve pain, swelling, inflammation and numbness in the hands or feet. For injections, painkillers with Novokain, Lidocaine, Movalis, and Midokalm are used. To remove swelling help Lasix or Furosemide.

Blockade

If the intervertebral disc strongly compressed the spinal canal and nerve roots, an unbearable acute pain occurs. To suppress it, the patient is given a blockade.

Novocaine, lidocaine and corticosteroids (hydrocortisone, prednisolone) are suitable for the procedure. The injection is done directly into the affected area. Painful sensations after the procedure quickly recede. Anesthesia is valid for 3 weeks.

They ease the condition of patients by performing epidural and paravertebral blockades.

Blockade of the nerve in acute pain syndrome

Ointments and Gels

The composition of local drugs include non-steroidal anti-inflammatory substances. Their use does not have a harmful effect on the gastrointestinal tract.

If the patient is contraindicated with painkillers, he is prescribed ointments or gels with a similar effect. External means suppress the pain syndrome for a long time.

When the intervertebral hernia is prescribed:

1. Fastum gel - the drug contains an active compound of ketoprofen. It struggles with soreness, swelling and inflammation.
2. Voltaren gel - a drug with diclofenac has a powerful anti-inflammatory effect, does not give adverse reactions.

Complex therapy

Medicines with the same active compound are produced in the form of tablets, injectable solutions, balms and ointments. They often bear the same name (for example, indomethacin is produced in tablets, injections and as ointments).

After using funds called Pentoxifylline (injections, pills and ointment), edemas fall, the inflammatory process dies down, blood circulation is restored, tissue nutrition is restored. Preparations with the general name Actovegin feed cells with oxygen and glucose, stimulate metabolism in affected areas.

Actovegin stimulates metabolic processes

Meloxicam is a combination of medications that help to relieve pain, fever and inflammation that occur with a spinal hernia.

Karipazim, appointed for the procedure of electrophoresis, splits dead tissue, dilutes thickened secrets, removes inflammation and soreness.

Immunomodulators and vitamins

In the treatment of the intervertebral hernia, emphasis is placed on strengthening immunity. Patients are prescribed immunomodulators and vitamins.

For the regeneration of cellular structures, medicines with aloe are taken. Fibs-preparations help to restore the damaged tissues. Imbalance of substances eliminates enzyme drugs.

Circulation of blood flow and tissue trophism is established by Pentoxifylline.

When a herniated spine should be taken:

1. Aevit (a combination of vitamins A and E). The vitamin complex has an antioxidant effect, improves metabolic processes.
2. Vitamins of group B help to anesthetize the affected area and restore sensitivity.
3. Vitamin D helps strengthen the ligaments and bones.
4. Calcium - a microelement has a beneficial effect on bones and cartilage, eliminates swelling.

Hernia of the spine is treated in 3 stages:

• suppress the pain syndrome;
• relieve the inflammatory process;
• restore cartilaginous structures.

Herniated spine is a dangerous pathological condition, accompanied by severe pain. They are so unbearable that they can not endure. To remove them, use painkillers.

A source: https://proods.org/pozvonochnaya/obezbolivayushhie-pri-gryzhe-pozvonochnika.html

Painkillers: stop hernia

Modern medicine recommends various painkillers with a hernia of the spine. The choice of medicines is so huge that the question of how to alleviate the patient's condition no longer occurs.

On the other hand, the choice of the right cure for hernia should be done absolutely consciously.

The experience of the treating physicians shows that the treatment of pain in the pathology of the spine at home can significantly damage the body.

Why does a hernia occur?

To correctly understand how to relieve pain with a herniated spine and choose more effective drugs, you need to understand why such phenomena occur.

The spine consists of 33-35 vertebrae, which are combined into 4 divisions - cervical, thoracic, lumbar and sacral. Normally, each vertebral bone is separated from the neighboring intervertebral disc.

It consists of a so-called pulpous nucleus, which is surrounded by a dense membrane - a fibrous ring.

If destructive processes begin to develop in the vertebra, the structure begins to collapse. Typically, this occurs against the background of injuries or as a result of prolonged physical impact on the spine (in hard work).

The sequence of stages of destruction of vertebral bones is as follows:

1. First, due to constant pressure, the contents of the nucleus begin to press on the fibrous ring.
2. When the ring receives significant damage and is deformed, a similar condition is called protrusion. This is not an intervertebral hernia, but if you do not take any measures, the destructive processes will continue.
3. When the content of the pulpous nucleus continues to press on the fibrous ring, the patient's condition in this case worsens - the affected area hurts very often, and symptoms can also develop on the part of others bodies.
4. Finally, if you leave it as it is, at a certain stage the pain in the lower back or in other parts of the spine will become unbearable. This is explained by the fact that the fibrous ring is destroyed in some part definitively. The contents begin to press already on the nerve fibers of the spine in which they pass.
5. The complete destruction of the ring is called the hernia of the spine. It can occur in any department - sacrum, lumbosacral, cervical, thoracic.

NOTE

The described processes pass gradually, therefore at the earliest symptoms one should immediately consult a doctor. If the patient often feels sharp pain in the lower back when the posture changes, as well as in other areas of the back, this is a signal for immediate examination.

How the hernia manifests itself

Read the same: Spine Extract: Will the hernia be cured?

Any violation with hernias manifests itself as palpable pain, which can be of a very diverse nature:

• sharp;
• burning, unbearable;
• aching;
• regular and non-systematic;
• giving in a hand, a leg;
• localized in a specific section of the spine or passing through the entire column (all the back hurts);
• associated with changing postures and not related;
• accompanied by other symptoms (eg, goose bumps in the leg, numbness of the hand) or not accompanied.

PLEASE NOTE - Description of the pain syndrome with a hernia of the spine is a very important point, since the diagnosis of the doctor begins with an external examination and collection of complaints. Therefore, it is better to reproduce your own feelings very accurately.

Before you understand how to relieve pain in the intervertebral hernia, it is important to determine the affected area. The state of the patient and the symptoms of the disease depend on which parts of the spine have undergone the pathological process.

So, with pain in the back of the cervical spine, the clinical picture is often very different from the one observed with intervertebral hernia in the lower back.

Accordingly, and the removal of the pain syndrome can be carried out by different methods.

affected spine	the most common symptoms
cervical	severe blood pressure jumps; dizziness and noise in the head; pain in the shoulder girdle and in the hands; pain in the head; a disorder of vision, hearing; loss of balance; numbness of the hands, especially of the fingertips.
thoracic	violations of internal organs: pneumonia, pleurisy of the lungs; angina pectoris, ischemic heart disease; tumors of internal organs; scoliotic or kyphoscoliotic disorder of posture.
lumbosacral	numbness in the groin; pains that give to the thighs and, more rarely, to the lower leg; numbness of toes; chronic low back pain (several months).

Diagnosis and treatment of hernia

Before you understand how to relieve pain in the hernia of the lumbar spine or any other, it is important to pass the diagnosis in the hospital, which almost always includes not only an external examination, but also the holding of instrumental Research:

• X-ray;
• MRI;
• CT scan.

After this, a specific diagnosis is made and treatment is assigned, aimed at the simultaneous achievement of several goals:

• how to remove pain (anesthesia with medication, massage and other methods);
• how to slow down inflammation;
• how to repair damaged tissue (in advanced cases with hernias developing for a long time, the question of surgery is raised).

Treatment is almost always complex:

1. Medications (preparations with a hernia of the spine for analgesia and anti-inflammatory).
2. Physiotherapeutic procedures.
3. Massage sessions.
4. Curative gymnastic exercises.
5. Operation (removal of a hernia).

Read the same: The rehabilitation period after removal of the intervertebral hernia

At the same time anesthetize the intervertebral hernia - this is the very first task. To do this, use drugs for hernia spinal different categories (they are good for back pain).

Nonsteroid preparations

One of the most common in modern medicine are the so-called non-steroidal anti-inflammatory drugs:

• ibuprofen;
• amidopyrine;
• ketoprofen;
• lyclofenac;
• fluibuprofen;
• indomethacin.

In fact, these are pain relievers with a hernia of the lumbar spine and other areas. As a rule, the course of treatment is short, because with prolonged use of the medicine negatively affect the stomach, intestines and liver.

Non-narcotic analgesics

Very powerful drugs with a spinal hernia - analgesics. Their mechanism of action is based on the inhibition of specific areas of the brain, which give rise to pain.

A similar agent is also available in tablets, the most common medicines are as follows:

• baralgin;
• paracetamol and aspirin;
• indomethacin;
• the diclubber.

With prolonged use can damage the processes of hematopoiesis and kidneys, so the dosage and duration of the course are determined exclusively by the doctor.

IMPORTANT

Do not replace these or other drugs with a spinal hernia on analgin. It gives many side effects on different organ systems.

Analgesics of narcotic series

Narcotic drugs - this is the most powerful anesthetic, which is prescribed only in extreme cases, when you need to remove the pain with vertebral hernia very quickly.They are released only by prescription:

• tramadol;
• morphine;
• codeine;
• fentatin.

The removal of pain in the spinal hernia with these medications causes a rapid adjustment, so they are often used only once, as an emergency.

Muscle relaxants

These drugs are aimed at removing the pain syndrome in the hernia of the spine due to relaxation of the muscles, which because of sharp cuts (spasms) press on the intervertebral disks and intensify the pain.

When hernias are most often used such medications:

• baclofen;
• midokalm;
• sibazon;
• sirdalud.

Hormonal preparations

Such a drug acts as an anti-inflammatory and effectively removes the pain syndrome in the hernia of the spine. They are used in severe cases, when non-steroidal preparations do not give the desired effect.

In this case, the development of pathogenic processes in the vertebral hernia in this case, as a rule, is accompanied by complications with which hormonal preparations also successfully cope:

• decadron;
• methylprednisolone;
• corticosteroids.

Antidepressants

Often, along with the question, how to anesthetize, doctors have to solve the problem of relaxing a person. Effectively calming the nervous system and providing the patient with complete rest help antidepressants that have a sedative (relaxing) effect.

Injections and blockades

If the question arises of how to relieve pain in the presence of severe edema due to intense inflammatory processes, patients are given injections (intramuscularly and intravenously) using such drugs:

• novocaine;
• midokalm;
• lidocaine;
• movalis.

Especially effective are the so-called blockades, when injections are injected pointwise - directly into the source of pain.

In this case, the patient is important not so much as to remove back pain in a hernia, how long duration of anesthesia.

Blockades allow you to stop the inflammation and remove discomfort for 15-20 days, which is enough for a full treatment.

Gels

Finally, if emergency care is needed at home, the most obvious answer to the question of how to relieve pain in the presence of not very strong symptoms is the use of ointments and gels:

1. Fastum gel not only relieves pain, but also significantly reduces swelling.
2. Voltaren emulgel has a strong anti-inflammatory effect, and thus does not give any side effects.

Folk remedies for pain relief

Along with these drugs, the question often arises of how to relieve pain at home.

To do this, you can use proven means of traditional medicine, for example:

1. Compress on the basis of horse fat (put on the night or a few hours a day).
2. Rubbing based on any vegetable oil. The oil of St. John's wort is especially effective.
3. Rinse with honey (4 tablespoons) and mummy (1 tablet). Before the procedure begins, rub the firry oil in the affected area, which is sold in any pharmacy. Then remove it with a clean cloth and apply honey with a previously crushed and stirred mummy. Back wrap in a warm cloth and hold for several hours.
4. You can prepare an alcohol tincture based on herbal ingredients (4 tablespoons each of them): the roots of elecampane, sabelnik, grass sweet clover and hemlock seeds (they can be taken for 2 tablespoons more). Raw materials are mixed with a half-liter of vodka and infused for 3 weeks, after which it is regularly rubbed into the affected area for several hours.

Thus, modern medicine has developed and successfully uses a lot of drugs for pain relief, cessation of inflammation and swelling.

However, every patient should keep in mind that simple self-medication does not replace a doctor's appointment.

And the success of treatment largely depends on timely diagnosis.

please select a piece of text and press Ctrl + Enter.

A source: https://spinous.ru/diseases/rupture/obezbolivayushhie-pri-gryzhe-pozvonochnika.html

Anesthetics with a hernia of the spine

Than to remove a pain in a back at a hernia of a backbone? Such a question is very acute not only for the sick person, but also for the developers of the corresponding drugs. Painkillers are constantly being improved, and they are able to effectively help a person.

The problem arises, as a rule, in side effects, which complicate the treatment of this dangerous and severe pathology.

When relieving pain during exacerbation of the intervertebral hernia, strong drugs are used, which means that their use should be carried out only according to the doctor's prescription.

Why there is a problem

The essence of the hernia of the spine, or intervertebral hernia, consists in squeezing the cartilaginous tissue of the internal pulpous nucleus beyond its anatomical boundaries.

This protrusion of cartilage is due to damage to the fibrous ring, through the cracks of which it seeps.

Pain syndrome manifests itself as a result of compression of nerve fibers with extruded elements.

Nerve endings leave the spinal cord in the zone of any vertebra.

Each department of the spine has its own pigmented nervous system responsible for its site.

With this in mind, the lesion of different vertebral parts causes different localization of the focus of the pain syndrome and, accordingly, its unequal character and irradiation.

When the cervical region is affected, pain occurs in the direction of the head, neck and shoulder girdle, i.e. can affect the uppermost part of the back, adjacent to the neck and shoulders.

.

With pathology in the thoracic vertebral part, pain sensations resemble cardiac pains and manifest in the chest.

.

In the hernia of the lumbar spine, the lower back and lower back suffer, and irradiation is felt in the lower extremities and buttocks. Often, this pathology causes numbness in the legs.

When a person complains of severe pain in the back, often it is a question of the defeat of the lumbosacral vertebral column.

During an acute attack a person is constrained in movement - he can not bend or straighten.

Principles of treatment

The main treatment of the disease is aimed at eliminating the destructive process and restoring damaged tissues. This is a long process associated with the application of complex effects.

At the same time, manifestation of pathology in the form of acute pain syndrome leads to loss of ability to work and real suffering of a person, which requires taking urgent measures to cut it.

How to relieve pain in the intervertebral hernia? This problem is worked out by specialists in many leading medical centers. To date, this symptomatic therapy is based on 2 basic principles:

1. Passive technique. It is based on ensuring a strict bed rest. Anesthetic tablets of non-inflammatory anti-inflammatory nature are prescribed, as well as physiotherapeutic procedures, therapeutic massage, special sports complex. Very severe pain in the hernia of the spine is stopped by blockade with the injection of pain killers directly into the affected area.
2. Active therapy. The removal of the pain syndrome is provided by the method of stretching the spine on special equipment. This technology allows you to eliminate the burden on the vertebrae and significantly reduce the pressure on the pulpous nucleus. Cramped nerve fibers are released, which gives the desired effect. The self-stretching exercise often leads to serious complications in the form of a disc fall out and the formation of a sequester. The procedure should be carried out under the strict supervision of a specialist.

Medical anesthesia

Remove the pain in the hernia of the spine can be given drugs that have analgesic abilities. Such drugs give only a temporary effect and, as a rule, do not treat the underlying disease.

They have a clear task: to quickly and effectively remove the pain syndrome.

This allows you to then conduct in a planned mode the necessary diagnostic studies and move on to systemic complex therapy.

In view of the foregoing, one can draw an important conclusion: do not abuse the analgesic effect, use it is allowed only if urgently needed.

Anesthetics with a hernia of the spine will not cure pathology, but they are potent substances that can cause various side effects.

Frequent reception of such agents creates an increased burden on the liver, kidneys, digestive organs; can affect the nervous system and hematopoiesis system.

.

Drug medications for eliminating back pain in herniated spine can be divided into several categories according to the principle of their effect on the body.

.

What drug can most effectively anesthetize in each case, the doctor should decide with regard to the localization of the outbreak damage, intensity, duration and nature of pain syndrome, individual susceptibility of the human body and its state.

To achieve this goal, drugs that anesthetize with a hernia of the spine are prescribed in different dosage forms. It can be:

• pills;
• solutions for injections;
• (intramuscular or intravenous injections, droppers, for blockade of the affected area);
• external means (ointments, gels, solutions for rubbing, compresses).

Medications

What drugs are most often used to eliminate back pain? The following groups of medicines can be distinguished:

1. Non-steroidal anti-inflammatory drugs. This category of drugs is used most often and can be used both in the form of tablets and by injection. The principle of their action is based on the inhibition of enzymes that provide the synthesis of prostaglandins (mediators of the inflammatory process). The duration of the effect can be divided into the following groups: short-lived effect - Ibuprofen, Orthofen, Indomethacin, Ketorolac, Naproxen; prolonged exposure - Cereberex, Ketoprofen, Piroxicam, Sulindak.
2. Muscle relaxants. A drug of this type relieves pain by reducing muscle tension. With a painful syndrome of spastic nature, funds are assigned that affect the departments of the central nervous system that regulate muscle tone. The most common muscle relaxant is Mydocalm. He is able to provide such effects: a reduction in pain, a decrease in muscle hypertrophy tonus, increased mental activity; elimination of nervous tension, stress and anxiety sensations.
3. Synthetic drugs of a narcotic nature. With very severe pain in the advanced stage of the disease, when the sick person loses mobility, these potent drugs are prescribed. The mechanism of the effect is associated with the effect directly on the cells of the brain and the central nervous system. The active substance in the preparation completely blocks the recognition of the pain signal by the brain, causes a so-called narcotic sleep. At the same time, all muscle systems are relaxed, which helps to alleviate the general condition. Such drugs are used only in cases when other drugs are powerless. The most powerful means is recognized by Morphine. Less potent medicines: Vicodin (Hydrocorone, Acetaminophen); Tylenol; Codeine. One of the main side effects is addiction, so narcotic drugs are prescribed only in very short courses or one-time.
4. Hormonal corticosteroids. These drugs are prescribed only in the severe course of the pathology, tk. have significant side effects. The most effective means of this type include Dexamethasone and Methylprednisolone.
5. Preparations of auxiliary therapy. In vertebral hernia, as a result of pinching of nerve fibers, neurological disorders occur. A strong pain syndrome causes a certain stressful state and a deviation in the psyche. To eliminate these effects, drugs that favorably affect the nervous system are used. First of all, antidepressants are prescribed: Gapabentin, Nortriptyline, Amitriptyline. Another area of ​​adjuvant therapy is the general strengthening of the body by injecting vitamins B. To do this, the Milgrammma is often used, which includes several important vitamins.

Application of external means

Internal injection of potent agents significantly affects the digestive system.

In the presence of pathologies in the GIT system, the pain syndrome is removed with the help of external means, which gives a positive effect if the hernia is not strongly triggered.

In these cases, non-steroidal anti-inflammatory drugs are used in the form of ointments and gels.

The most commonly used voltaren emulsifier and fastum gel.

Voltaren contains as an active substance diclofenac with anti-inflammatory and analgesic abilities. The basis of Fastum gel is ketoprofen.

In addition, substances with therapeutic effect are added - neroli oil and lavender, menthol.

Non-pharmacological methods of anesthesia

With pains in the back from the hernia in the lumbar spine, the techniques are often helped without the use of medication:

1. Massotherapy. It should be performed by a specialist, but it can not be performed in case of an acute attack. The massage procedure reduces muscle tension and reduces pain.
2. Rasirka honey composition. Recommended recipe: honey (100 g), mummy (one pharmacy tablet). First, the back rubbed with fir oil, after which it is processed by the prepared composition. After removing the rubbing cream is applied with a warming effect. The site where the procedure was carried out is wrapped in a blanket.
3. Razirka oily composition. For this purpose, you can use different oils, but the greatest effect is achieved with the use of St. John's wort oil.
4. Rinse with tincture of saber. Recommended recipe: root of the sabelnik and elecampane, sweet clover (100 g of each ingredient), seeds of steppe hemlock (150 g). The mixture is poured with vodka until the grass is completely covered and infused for at least 20 days.
5. Compress of horse fat.

To eliminate the pain syndrome, you can take advantage of the possibilities of physiotherapy. The most effective technologies are:

1. Exposure to diadynamic currents. The method is realized by applying a DC low-voltage current.
2. Acupuncture. The principle of the technique is based on the introduction of special needles in biologically active points.
3. Electrophoresis. The procedure allows the drug solution to enter through the skin by means of an electric current. The most commonly used drugs are caripain and Papain.

The intervertebral hernia can cause a strong pain syndrome in the back area.

Sometimes pain can cause severe suffering and disability.

For anesthesia, different techniques can be used, which the doctor must prescribe, taking into account the peculiarities of the pathology and condition of the organism.

A source: https://OrtoCure.ru/pozvonochnik/gryzha/chem-snyat-bol-v-spine-pri-gryzhe.html

Than anesthetize a hernia of a backbone of a lumbar department | Pain in the lumbar region

When the intervertebral hernia of the lumbar spine is squeezing the spinal canal, the nervous roots, emerging from it, which leads to the appearance of pain, from which doctors try to save the patient in the first queue.

Pain syndrome eliminates painkillers of the steroid group, NSAIDs, analgesics, which the patient takes internally (capsules, tablets, emulsions) or externally (ointments, gels).However, with intensive pain, doctors use injectable medication - intramuscular injections or pain blockades.

Elimination of pain syndrome

To treat a herniated intervertebral disc of the lumbar spine, conservative therapy is used, which includes taking medications, physiotherapy, massage, exercise therapy.

Anesthetics are prescribed by the doctor, based on the intensity of pain and individual patient characteristics.

As usual, these are preparations of the NSAID group that have analgesic, antipyretic and anti-inflammatory effects (Nyz, Arkoksia, Movalis, Ibuprof), used in the form of tablets.

The drug "Arkoksia is available in the form of tablets, the color of which depends on the content of the active substance etorikoksiba (60 mg, 90 mg, 120 mg).

Assign the drug in diseases of ODA, including in the intervertebral hernia of the lumbar spine.

Arkoksia has no other forms of release (injections, ointments, gels, emulsions), except for tablets.

Regardless of the name of the drugs of the NSAID group ("Arkoksia "Naiz" or "Ibuprofen"), the main task of the drugs is to relieve pain and eliminate inflammation. However, do not forget that take the medicine should only be prescribed by the doctor, adhering to the prescribed dosage.

.

Along with drug therapy, to strengthen the effect, a course of physiotherapy (electrophoresis, magnetotherapy and others) is prescribed. Physiotherapeutic measures help to deliver medicines to the lesion focus, thus speeding recovery, while improving the patient's condition.

.

If the hernia of the disc tablets and fizioprotsedury did not give an effect, the pain became more intense, or the patient has contraindications to internal intake of NSAIDs (peptic ulcer of the gastrointestinal tract, etc.), then they prescribe injections, in other words, do intramuscular injections.

Intramuscular administration of analgesics and NSAIDs

Before entering the drugs, they establish a diagnosis and receive medical advice.

To eliminate pain in a short time with intervertebral hernia of the lumbar spine, patients are assigned intramuscular injections of analgesics ("Baralgin "Analgin") of drugs and preparations of the NSAID group (Meloksikam, Diclofenac, "Ketoprofen").

Analgesics have an exclusively analgesic effect and do not affect the immediate cause of the disease. Therefore, analgesic injections are used if there are no other medications that are more effective.

The drugs of the NSAID group have one drawback - a long list of side effects, so you can not use medicines without consulting the doctor.

Anesthetizing effect is provided by muscle relaxants - they eliminate painful muscle spasms. These drugs are prescribed together with NSAIDs (complementing each other, they make it possible to reduce dosage), however, muscle relaxants also have a number of side effects.

Anesthesia with Novocaine

Strong pain syndrome with intervertebral hernia of the disc occurs due to compression of nerve endings. If the hernial protrusion is large, then the blood flow closes, which delivers the medicines directly to the site of the lesion, and the pain does not subside.

When intramuscular injections do not eliminate pain in the hernia of the intervertebral disc of the lumbar spine, Novocaine blockades are used.

The drug is injected into the area of ​​the jammed nerve root. Novokainovaya blockade may be anterior, posterior, lateral or parastral - this depends on the segment of the spine in which the pathological protrusion of the intervertebral disc is localized.

Novokainovye nyxes are made by a doctor who understands the location of nerve endings, while ultrasound or CT is used to facilitate the task.

.

They clearly visible dislocation of hernial protrusion, which allows the doctor to accurately produce the drug.

.

The effect of the procedure is long, therefore it is not recommended to put injections more often than once a week.

Not passing pain syndrome with a herniated disc of the lumbar spine is the main indication for an epidural or paraventricular blockade.

Epidural blockade

For the blockade, two components are used: novocaine and a steroid drug - strengthening each other's action, they quickly eliminate pain syndrome.

The introduction of drugs with epidural analgesia of the disc herniation of the lumbar spine is done between the periosteum and the solid shell of the spinal canal, while the connecting strands are moved away, and the substance gets directly to the outbreak defeat.

The injections are done by a doctor, injecting an anesthetic with a six-centimeter needle into the sacral canal. Before proceeding to the procedure, the patient is asked to take the pose of the "embryo" - pressing the knees to the stomach, and the place of the puncture is disinfected. The effect of the blockade is 2-6 weeks.

A source: http://lechimpozvonochnik.ru/bol-v-pojasnichnom-otdele/chem-obezbolit-gryzhu-pozvonochnika-pojasnichnogo.html

10 ways to relieve pain with a hernia of the lumbar spine: types of painkillers

Pain in the hernia of the lumbar spine reduces the patient's quality of life, is chained to the bed, and is not allowed to move.

Pathology develops in people of different ages under the influence of unfavorable internal and external factors.

To eliminate unpleasant symptoms, the medicamentous method, physiotherapy, exercise therapy, traditional medicine methods are used, and if the above is ineffective, the operation is performed. The tactics of treatment is determined by the doctor according to the results of the diagnosis.

What is the intervertebral hernia?

In the human body, 24 intervertebral discs differ in size. They have a similar structure: the pulpous nucleus (semiliquid substance), surrounded by a fibrous ring.

Under the influence of internal and external factors, the discs "wear out go beyond the limits of two vertebrae. So there is an intervertebral hernia, which brings pain, stiffness of movements.

Causes

Pain in the intervertebral hernia of the lumbar region is caused by the following unfavorable factors:

• osteochondrosis;
• congenital anomalies of the spine;
• suffered spinal column injuries;
• incorrect posture;
• intensive physical activity;
• sedentary work (work at a computer, driving a car);
• overweight, etc.

Symptoms

How does the hernia of the spine hurt? At the initial stage of development, discomfort is blunt, intensified by physical exertion or by long standing in one pose. When lying down, discomfort disappears. In parallel, there is a muscle strain of the waist region.

As the disease progresses, pain syndrome with intervertebral hernia becomes stronger, resembling "lumbago". He does not leave the patient in the "lying" position.Muscular tension, which changes the patient's posture, increases the stiffness of movements.

With a hernia in the waist, the sensitivity of the lower extremities decreases, and the pelvic organs suffer. The pathology of the cervical region causes frequent migraines, dizziness, decreased visual acuity, and hearing.

Diagnostics

If the patient experiences pain in the intervertebral hernia, he should consult a doctor. Diagnosis begins with an oral conversation that determines the nature of pain, the presence of concomitant symptoms, and external examination.

Radiography is an unreliable method of research, because the hernia is not visible in the pictures. For the diagnosis use the following methods:

• CT;
• MRI;
• contrast myelography.

Diagnostic results determine the need to use medication to eliminate back pain and general treatment.

How to relieve pain?

How to relieve pain in the hernia of the lumbar spine?For elimination of unpleasant sensations the bed rest is recommended first 3-5 days of an exacerbation.The patient should use orthopedic accessories for sleep.

You should give up a long stay in the "sitting" position, lifting weights, committing any sudden movements that can provoke a fit of pain.

Use of medicines

The removal of pain in the hernia of the spine is done in two main ways:

• passive approach - is based on the observance of bed rest followed by the reception of a complex of medicinal products appointed by a doctor, visits to physiotherapy procedures, and massage.
• An active approach - anesthesia is achieved by stretching the spine, carried out by a doctor on special equipment. The load on the vertebrae decreases, the nerve endings are no longer subjected to compression, the pain recedes.

The treatment method, applicable for a specific case, the complex of medications used is determined exclusively by the doctor based on the diagnostic results. The doctor takes into account the contraindications, age and condition of the patient.

Nonsteroidal anti-inflammatory drugs

NSAIDs are the basis of drug treatment. This universal painkillers with a hernia of the spine, which have an anti-inflammatory effect, normalizing blood flow in the damaged area.

There are the following NSAID pills for back pain and lower back: Diclofenac, Movalis, Ketorolac and others. The drugs are often used as ointments, gels or injections.

Narcotic drugs

Unpleasant sensations of the patient can be so strong that non-narcotic pain medications with a spinal hernia prove to be ineffective. They give a short-term result or do not relieve the patient of discomfort.

To cope with the pain, the patient needs treatment with the use of narcotic drugs - Morphine, Tramadol and others.

The danger of the funds is that they are capable of causing addiction, so their implementation in pharmacies is possible exclusively on prescription.

.

It is recommended to apply once-only medicines - to stop an attack.

.

Under the action of drugs, brain activity slows down, muscles relax, and the patient becomes immersed in narcotic sleep.

Non-narcotic analgesics

To remove pain of moderate intensity with a hernia, it is necessary to use non-narcotic analgesics - Baralgin, Analgin, Indomethacin and others.

They reduce the activity of brain cells responsible for pain sensitivity and are not addictive.The drugs are sold in pharmacies without a doctor's prescription.

Muscle relaxants

Anesthetize the hernia of the spine helps muscle relaxants - special medications that relax the spasmodic muscles.

Their reception gives the following effects:

• elimination of hypertension of muscles, which provokes pain;
• improvement of blood circulation;
• normalization of tissue nutrition.

As a rule, muscle relaxants are used in complex therapy with non-steroidal anti-inflammatory drugs.

Miorelaxants have side effects, so they are prescribed exclusively by a doctor. Among the most common means of this class are: Sirdalud, Midokalm, Tolizor and others.

Drugs used in complex therapy

To alleviate pain in the hernia of the spine, the doctor prescribes complex therapy to the patient.

In addition to the above, it includes the following drugs:

• hormonal agents - more effective analogs of NSAIDs fighting inflammation;
• diuretics - remove fluid from the body and thereby contribute to the elimination of edema;
• Chondroprotectors - promote the restoration of cartilaginous tissue;
• vitamins of group B - restore nerve fibers;
• sedatives - improve the psychological condition of the patient, etc.

The composition of the complex therapy is selected by the doctor based on the diagnostic results. Self-medication attempts are capable of giving the opposite effect to the expected.

Physiotherapy

Procedures of physiotherapy have long proven in practice their effectiveness in the treatment of the intervertebral hernia. They allow you to achieve the following results:

• stimulate metabolic processes in the affected area;
• accelerate the recovery processes in the affected tissues;
• fight with oxygen starvation of the spinal cord;
• help relieve pain;
• eliminate muscle spasm.

Physiotherapy procedures are applicable in cases when the patient is contraindicated in medication (for example, pregnant women, elderly people).

To combat pain in hernia, the following types of procedures are prescribed:

• electrophoresis and phonophoresis;
• laser and magnetotherapy;
• ultrasound treatment;
• shock wave therapy;
• vacuum therapy;
• water procedures, etc.

The type of physiotherapy procedures, the duration of the course and the frequency of their use are determined by the attending physician, taking into account the individual characteristics of the particular case.

Novocaine blockades

To eliminate radicular syndrome with hernia, different types of blockades are used. It is the injection of medicines into the deep tissues near the spine. The injections have a powerful analgesic effect.

The most common type of procedure is the Novocain blockade.

Novocaine has an analgesic effect, in addition, corticosteroids are administered that have an anti-inflammatory effect.

The maximum concentration of medicines is observed near the hernia, gradually they spread throughout the body.

Depending on the type of active ingredient, blockades with pain are anesthetic, anti-inflammatory and mixed.

The drug is injected into that area of ​​the spine, where the patient feels the greatest discomfort, previously the skin is treated with anesthetics.

The doctor's task is not to touch the nerve endings and the spinal cord.

Exercise therapy

To remove the discomfort in the intervertebral hernia, physical exercises are used.

They can be used at a stage when acute pain is stopped by medicines. As a rule, it occurs 4-8 weeks after the beginning of treatment.

With the help of gymnastics, many therapeutic goals are achieved.

The complex of exercises with a hernia is selected by a doctor individually. Typically, a doctor appoints two types of activities: stretching (relieve pain) and strengthening (return lost activity).

With the intervertebral hernia, the following exercises of exercise therapy are effective:

• light aerobic exercise (jogging, walking, cycling, swimming);
• yoga;
• stretching exercises;
• power training.

Folk methods

On the Internet, you can find many tips on how to relieve pain with intervertebral hernia folk methods.

Before using them, be sure to coordinate plans with your doctor.Remember: non-traditional medicine improves the patient's condition only with a comprehensive approach, i.e.

in combination with medicines, physiotherapy procedures, the correct regime of the day and rest.

There are the following methods of eliminating pain in vertebral hernia at home:

• red clay. The initial product should be soaked with water, wrapped with gauze, heated to 40 degrees and applied to a sore spot. The compress is covered with polyethylene and a warm scarf. It must be kept until the clay dries.
• Tincture of a saber. 50 g of plant roots are combined with 500 ml of vodka, insisted in a dark place for three weeks. The finished composition is filtered and taken at 1 tbsp. l. before eating until the pain disappears.
• Beeswax. Four st. l. of the original product is combined with a glass of pork fat, thoroughly mixed and pressed on a small fire for 20 minutes. The finished composition is applied to the affected area 1-2 times a day.
• Mumiye - 5 tablets of the drug is combined with a sufficient amount of water and 100 g of liquid honey. First, the affected area is covered with fir oil, then the finished "ointment" is rubbed into it.

Folk remedies relieve pain and eliminate stiffness, but it is important to approach them consciously. Be sure to consider whether you are allergic to the components of the formulations, and discuss the method with the doctor in advance.

Anesthetics with a hernia of the spine

Prevention

The intervertebral hernia can significantly reduce the patient's quality of life. In order not to become a hostage to pain and stiffness, it is necessary to take timely preventive measures.

Doctors propose the following preventive measures:

• rejection of bad habits: smoking, drinking alcohol;
• a balanced diet rich in animal protein, calcium and ascorbic acid;
• refusal from food "harmfulness smoked and canned foods, fatty foods;
• maintaining your weight in the norm: excessive body weight - a huge load on the spine;
• physical activity: preventive hernia helps preventive exercise 3-4 times a week, swimming, yoga, pilates;
• long enough sleep - during an 8-hour night rest the spine of the person has time to "have a rest
• the correct choice of a mattress and pillows for a dream;
• the right choice of shoes: the rejection of high pins and shoes on a completely flat sole;
• control their psychological state: regular stresses negatively affect the condition of the spine.

Prophylaxis of the intervertebral hernia includes a timely visit to the doctor in situations in which the back or neck is painful, maintaining normal immunity. Preventive measures are easy to make an element of their daily life, but they help to avoid the need for long and costly treatment.

A source: https://SkeletOpora.ru/sipmtomy/boli-pri-gryzhe-poyasnici