Painkillers for spinal hernia

Pain syndrome is the most frequent companion of vertebral hernia. This disease occurs in adults with pre-existing pathologies of the musculoskeletal system. Treatment of spinal hernia is aimed at eliminating pain and preventing pinched nerves. For this purpose, the patient is prescribed drug therapy, physiotherapy, blockade.

Injections for a hernia of the spine are indicated in the acute period of the pathology, when the patient is disturbed by severe pain.

Intramuscular administration of the drug also helps for general healing. In hernia, various vitamin complexes are effective, especially group B. The selection of drugs is the task of a neurologist and vertebrologist, who constantly monitor the patient's condition. Anesthetic injections for back pain with a hernia are also prescribed by a rehabilitation specialist and a surgeon after surgery.

Classification of injections for hernia

What injections are given for a hernia of the spine:

  1. By the way of administration - intramuscular, intravenous, intradiscal.
  2. According to the group of drugs - NSAIDs, steroids, analgesics, vitamins, muscle relaxants, chondroprotectors.

Doing any injections for intervertebral hernia is permissible only after a comprehensive examination of the body.

A patient with a vertebral hernia is examined by a vertebrologist, surgeon, neurologist. X-ray examinations, MRI of the lumbar or cervical region, general blood and urine tests are prescribed. Injections are prescribed after studying the images and the results of all other diagnostic procedures. This is important because analgesics eliminate pain, and in severe pathology, the introduction of the drug can hide an important symptom, missing which, the patient may face complications in the form of sequestration and pinched nerves.

Anesthetic injections for a hernia in the back are often administered intramuscularly, in addition, injections can be prescribed for self-administration at home when pain occurs or for its prevention. The introduction of the drug directly into the spine is carried out with severe pain in order to block the syndrome. Such manipulation is performed exclusively by an experienced doctor who knows the anatomical features of the structure of the spinal column well, and who has studied the patient's images in detail.

An effective pain reliever is selected individually, depending on the symptomatic complex.

In some patients, inflammation occurs during an exacerbation, in others, the main problem will be muscle spasm, which provokes compression of the nerve roots and spinal cord. In the first case, non-steroidal and steroidal anti-inflammatory drugs are well suited, in the second - muscle relaxants and non-narcotic analgesics.

NSAIDs

Anti-inflammatory drugs with analgesic action perfectly cope with the pain syndrome, and also relieve swelling of the tissues. They are prescribed for intramuscular injection with a strict frequency and dosage.

Representatives:

  • Texamen;
  • ibuprofen;
  • Diclofenac;
  • Dexalgin;
  • Rheumoxican;
  • Ketanov;
  • Indomethacin.

The action of these drugs provides a decrease in the severity of the inflammatory process in the soft tissues of the spine.

NSAIDs have contraindications for taking:

  • acute infectious diseases;
  • the period of pregnancy and breastfeeding;
  • pathology of the kidneys and liver;
  • exacerbation of respiratory diseases;
  • bronchial asthma and tuberculosis.

Non-steroidal drugs are usually prescribed for a course of 5-7 days. For one injection, the maximum dosage is 15 mg of the drug. After completing the course, the patient is prescribed NSAIDs in the form of tablets to enhance the effect of treatment.

Steroid drugs

Medications based on corticosteroids have an antispasmodic and analgesic effect. They are indicated in a serious condition of the patient, when there is a strong pain syndrome.

Representatives:

  • Prednisolone;
  • Triamcinol;
  • Betamethasone;
  • Methylprednisolone;
  • Betamethasone.

You can make an injection of a steroid drug intravenously and intramuscularly. This group of drugs is especially effective in case of increased activity of the immune system, which leads to the destruction of bone and cartilage tissues.

Steroid drugs are prescribed only for a short course, because long-term use threatens with the appearance of adverse reactions.

Chondroprotectors

Chondroitin-based drugs are prescribed for a long course. These funds stimulate the formation of bone and cartilage tissue of the damaged intervertebral disc. Injections are made intramuscularly near the pathological focus. The average course of treatment is 15-65 injections. Therapy is supplemented with the use of chondroprotectors in the form of tablets and local remedies.

Representatives:

  • Don;
  • Chondroxide;
  • Amluton;
  • Elbon;
  • Rumalon.

Chondroprotective agents do not begin to act immediately, and their effectiveness in hernia depends on the duration of use. Interruption of the course will make the treatment useless, but the high cost of drugs and the lack of a visible result often lead to this.

vitamins

Vitamin complexes in the pathology of the spine are prescribed to improve nerve conduction (group B) and restore the balance of substances in damaged tissues. They are needed for the purpose of a general increase in immune protection and improvement of the regenerative processes of bone and cartilage tissue. The patient is prescribed vitamins of groups B and C for intramuscular injection in a course of 7-14 days. Representative - Vitakson .

Muscle relaxants

Lumbar spasm is a common consequence of a herniated disc. To eliminate it, the doctor prescribes drugs to relax the muscles. Muscle relaxants are administered intramuscularly. Their action is to eliminate spasm, improve blood flow and reduce inflammation. This leads to a decrease in the pressure of tense muscles on the nerve endings.

Therapy is supplemented by the introduction of vasodilators.

Commonly prescribed muscle relaxants for a herniated disc in the lower back are:

  • Metaxalone;
  • Tizanidine;
  • Sirdalut;
  • Phenaglycode.

This group of drugs belongs to fast-acting drugs, and a tangible result is observed already 10-20 minutes after administration. Muscle relaxants are prescribed exclusively by the attending physician, because they have many contraindications and adverse reactions.

Muscle relaxants are prohibited under the following conditions:

  • pathology of the nervous system;
  • mental disorders;
  • the period of gestation and lactation;
  • peptic ulcer of the stomach and its inflammation;
  • insufficiency of liver and kidney function;
  • tuberculosis and bronchial asthma.

Spinal block

The introduction of anesthetics and NSAIDs directly into the back is carried out with a hernia in the lower back, cervical and thoracic spine. This procedure allows you to eliminate pain for a long time, after which the blockade is repeated again. It is prescribed by a doctor when other options for administering drugs do not give results, and the patient has a persistent pain syndrome.

Epidural blockade involves the introduction of the drug directly into the intervertebral space, the region of the pathological focus. More often, anesthetics Lidocaine and Novocaine .

In parallel, anti-inflammatory drugs and steroid drugs are prescribed.

Comprehensive treatment in most cases gives a positive result. The patient's general well-being improves, soreness and muscle spasm go away. If this approach also turns out to be ineffective, blockades of the spine are prescribed with the use of anti-inflammatory and antihistamine drugs.

Benefits of performing blockades for spinal hernia:

  • speed and duration of action;
  • a small list of contraindications and adverse reactions;
  • accessibility for almost every patient;
  • no negative impact on surrounding healthy tissue.

Infusion treatment

Droppers are shown at the initial stage of the pathological process. For this, various groups of drugs with isotonic solution are used. Once in the bloodstream, the substance spreads through the tissues of the body, stopping pain and inflammatory foci. Infusion administration of drugs is considered as an emergency option, as well as, if necessary, maintaining a certain concentration of the drug in the blood.

Means for infusion treatment:

  1. Painkillers - Analgin and Paracetamol .
  2. Antispasmodic and analgesic - Eufillin .
  3. Nervous tissue regeneration stimulator - Trental .
  4. Blocker of stagnant processes that improves microcirculation - Vinpocetine .

For the treatment of a hernia in the lumbar region, several groups of drugs are prescribed. These can be NSAIDs with chondroprotectors or antispasmodics with B vitamins.

Self injection

After conducting a safety briefing, the doctor may prescribe an independent intramuscular injection of drugs. Dosage and frequency are also determined by the specialist. Self-administration of injections is permissible only at the initial stage of the pathology.

How to give injections for a herniated disc:

  1. The ampoule with the medicine is wiped with a cotton swab dipped in an alcohol solution.
  2. The medicine is opened and drawn into a disposable syringe.
  3. Air bubbles are released from the syringe.
  4. The injection area is wiped with an alcohol solution.
  5. The needle is inserted at a right angle slightly more than halfway.
  6. The injection is made in the upper part of the buttock.
  7. The medicine is slowly released, the needle is removed.
  8. A cotton swab with alcohol is applied to the injection site.
  9. The syringe and ampoule are thrown away, hands are washed with soap.

After the injection, a hematoma and a painful bump may appear on the buttock.

This indicates damage to the blood vessels. In this case, you need to apply a cold compress, you can also make an iodine grid. The seal will resolve on its own in a few days. Each time the injection is given in a different area to avoid such complications.

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