Treatment of osteochondrosis, which affects the lumbar spine, depends on the general state of health, the stage of pathology and individual characteristics of the patient. The therapy scheme includes medications in various forms (tablets, creams, gels, capsules). Injections are most often used to relieve pain and spasms that occur during an exacerbation. Injections with osteochondrosis of the lumbar spine are prescribed when there is a need for rapid release of compressed blood vessels and nerve roots.
The cause of malaise is the deformation of the vertebral discs and spasm of muscle fibers.Severe discomfort, indicating the appearance of osteochondrosis in the lumbar spine, does not allow the patient to engage in work. Often a patient can not even get out of bed. Any movement causes unbearable pain. In this case, the usual medications are unlikely to bring the desired relief. The only way out of the situation is the use of injections.
Injections can be prescribed only by the attending physician, this is a prerequisite. They are not recommended for preventive use. This requirement is due to the peculiarities of this type of medication. Pain in the lower back is a characteristic symptom of osteochondrosis, but to confirm the diagnosis it is necessary to pass a diagnostic examination. Pricks are treated a patient who is on inpatient treatment. This is due to the fact that the procedure should only be performed by a specialist.
Pain in the lumbar spine arises from the destruction of the cartilaginous tissue located in the spaces between the vertebrae. Pathological changes occur due to poor blood circulation, mechanical injuries, age, malnutrition, excessive body weight. As a result of the influence of negative factors, the nerves and vertebrae themselves are affected. The arisen indisposition is accompanied by an inflammatory process and swelling of nearby tissues. The risk of developing osteochondrosis of the lumbar spine increases after 35-40 years. The injections are prescribed during the transition of the disease to the acute phase, when the patient begins to hurt the lower back.
Pros and Cons of Therapy
Exacerbation of osteochondrosis is often accompanied by a strong lumbar region. This is what back pain is called, which has a subacute or chronic course.
Drugs for injections, used to relieve pain and spasms, have the following advantages:
- Quickly penetrate into the desired area, without lingering in the digestive tract and filtration systems of the body.
- When using them, there are no difficulties with the selection of an individual dosage. Active substance when moving to the affected area will not change its concentration or structure.
- The scheme of using injections does not provide for preparatory measures, the effectiveness of the medication does not vary depending on the time of eating and the period of use of other drugs.
- The prescribed medication will quickly and without complications remove the inflammatory process and anaesthetize.
- Injections act only on the affected area, there is no effect on healthy tissues.
- Injections with osteochondrosis in the lumbar spine are characterized by safety and high efficiency.
The vertebrae in this area are considered to be the most powerful and large, they communicate with each other through a variety of blood vessels and nerve endings. Damage to this part of the spine is fraught with serious consequences. Unpleasant sensations can occur, even if the intervertebral disc is characterized by minor damage. The result of deformation of bone and cartilaginous tissue is the emergence of spasms and pain syndrome.
In the lumbar region, the sciatic nerve is located. His defeat leads to the reflection of painful sensations in the legs. Care should be taken when using pricks. Despite their relative safety, they can be harmful. The shortcomings of medicines from this category include:
An effective remedy for pain and for the treatment of joints has been found:
- Traumatism. As a result of prolonged therapy, cones or abscesses often appear.
- The need for inpatient treatment.
- Limitations of situations when it is permitted to use such therapy. Drugs of this type should not be used for preventive purposes.
- Short-term positive effect.
- Risk of development of systemic side effects.
- It is strictly forbidden to inject without knowing certain skills and experience.
The same applies to the use of injections for osteochondrosis in the lumbar spine without agreement with the attending physician.
Injections are prescribed as an extreme measure of therapy. Through them, the doctor provides emergency care for a patient suffering from exacerbation of osteochondrosis. In all other cases, less risky methods of treatment of diseases of the musculoskeletal system are preferred.
Types of pricks
Injections used for osteochondrosis of the lumbar spine are classified according to the way they penetrate the body. Allocate injections, which are intended for intramuscular, intravenous, subcutaneous injection. In some cases, drugs are injected directly into the joint bag.
The therapy scheme includes non-steroidal anti-inflammatory drugs, analgesics, mineral-vitamin complexes, antispasmodics, chondroprotectors, glucocorticosteroids. The most powerful effect is possessed by drugs, through which a blockade is carried out. With their help they remove the inflammatory process, the spasm of muscle fibers. Also, with the above preparations, the nerve roots are released, the cartilaginous tissue is restored, and the motor activity is increased.
Such therapy allows avoiding further destruction of the vertebrae and intervertebral discs. Well-thought-out treatment is a guarantee of rapid elimination of clinical manifestations of osteochondrosis of the lumbar spine. Such therapy has a beneficial effect on blood circulation and metabolic metabolism.
The doctor chooses the injections to relieve the discomfort, he is guided by the results of the diagnostic examination (anamnesis, laboratory tests, fluoroscopy).
A blockade is considered to be a separate group of medicines of this type. Its use leads to the removal of painful relationships and puffiness, relaxation of the affected muscles. Blockade is paravertebral and epidural. When staging the last doctor must enter the drug in the epidural space.
This method of treatment is contraindicated in the presence of purulent eruptions, individual intolerance to the components of the drug and antiseptics used locally. The procedure will have to be abandoned if the doctor can not determine exactly where the needle is inserted.
Pain arising from osteochondrosis of the lumbar spine is eliminated with analgesics (Baralgina, Metamizol sodium) and myotropic antispasmodics. To the group of the latter is included the universal drug Midokalm. It relaxes damaged muscle fibers, blocks impulses that are transmitted to the spinal cord. The medication is valid for 12 hours, so a patient in the period of exacerbation of osteochondrosis is given two injections per day.
Improve the patient’s condition through Analgin, Tizalud, Tizanidine, Baklosan. With their help you can eliminate discomfort only for a while. In the absence of a positive effect on the use of budgetary options, the doctor prescribes medicinal narcological drugs, among them Tramadol is given. Drugs from this category can not be purchased without a prescription.
Non-steroidal anti-inflammatory drugs
NSAIDs have a wide spectrum of action. By means of them, the foci of inflammation in the damaged segment of the spine are stopped. When selecting a specific medication the doctor must take into account the existing symptoms, susceptibility to allergies, the intensity of painful sensations in the lower back, the diagnosed diagnosis, age.
Non-steroidal anti-inflammatory drugs include Ketorolac, Diclofenac, Ketonal, Ibuprofen. These drugs are allowed to enter for a long period of time (up to 6 months), which is convenient for the treatment of osteochondrosis of the lumbar spine.
Single dosage and duration of therapy is determined by the attending physician. NSAIDs effectively eliminate pain syndrome and compression of nerve processes in affected tissues, affect the underlying cause of the pathology, relieve puffiness and other clinical manifestations of osteochondrosis.
Despite the effectiveness of treatment, do not forget about the side effects. Long-term use of drugs of the non-steroid group leads to damage to the mucous membranes of the gastrointestinal tract. Similar complications can arise when using medicines in the form of tablets and capsules. NSAIDs, implemented as injections, are relatively safe. Before starting therapy, the patient must undergo a diagnostic examination.
Mineral-vitamin complexes are allowed to take both during exacerbation and during remission. In the latter case, injections in the lumbar region are set to restore tissues affected by the disease. Injections are done intramuscularly or subcutaneously. The greatest effect is brought by vitamins from group B (B1, B2, B6, B12). They are often combined with homeopathic preparations.
This therapeutic scheme allows gradually and without negative consequences to return the spine mobility. Vitamins prevent further progression of osteochondrosis of the lumbar spine, restore the functionality of cartilage and ligaments, improve metabolic processes at the cellular level.
The most effective drugs include Traumeel, Coenzyme, Target T. The injections in this case are the only way to influence the source of pain directly. The medicines used are beginning to work within 15-20 minutes after the injection. If you observe all the prescriptions of the doctor, you can notice a noticeable improvement.
In addition to vitamin B, for the treatment of osteochondrosis of the lumbar spine, preparations containing vitamins A, E, and D. are needed. The latter is especially important for the normal functioning of the musculoskeletal system.
Injections with lumbar osteochondrosis are often done using Don, Rumalon or Alflutop as the main drug. These medications are referred to as chondroprotectors. In their composition, chondroitin, a substance necessary for the restoration of damaged cartilaginous tissues, is necessarily present. Chondroprotectors are necessarily present in the treatment regimen. Injections are done by inserting a needle into the joint bag, so at the time of the therapy it is necessary to stay in a medical facility.
Drugs of this type often combine with analgesics, muscle relaxants, NSAIDs. In this case, the dosage of ancillary medicines is markedly reduced. Chondroprotectors are used for therapeutic and restorative purposes. The duration of the course of treatment is usually not less than 6 weeks. This is due to the optimally selected ratio of useful components, among which (except for chondroitin) are isolated glucosamine, hyaluronic acid. Preparations from this category are characterized by the absence of negative consequences and side effects. The therapeutic effect is noticeable within 2-3 months after the start of treatment.
Before using the drug from osteochondrosis, localized in the lumbar spine, it is necessary to read the instructions that are attached to it. Contraindications for many drugs intended for the treatment of this disease are similar. Each of them is strictly forbidden to take in case of hypersensitivity to the components of the composition. Also in the list of contraindications there is a peptic ulcer of the stomach, arterial hypertension, diseases provoked by a metabolic metabolic disturbance (diabetes mellitus).
Possible side reactions include clinical manifestations of allergy, among them rashes on the skin, itching, hyperthermia. If the selection of an injectable improperly reduces the functionality of vital organs.
In the treatment of lumbar osteochondrosis, drug therapy is combined with physiotherapy, manual therapy, acupuncture, massage, exercise therapy. To get rid of diseases of the musculoskeletal system it is possible with the help of an integrated approach.