Ointments for anesthesia of the lumbar. Pain in the sacrum in various diseases. How to treat pain in the sacrum? Quick ways to relieve pain symptoms

Treatment of lumbosacral osteochondrosis always begins with pain relief. As soon as the intensity of pain decreases, attach physiotherapy exercises(LFK). Exercise therapy is carried out first in the supine position, and only after the pain is finally relieved, the patient can be engaged in a standing position with increasing loads.

Basic principles of treatment of lumbosacral osteochondrosis

The basic principles of treatment of lumbosacral osteochondrosis are to relieve severe pain and create a muscular corset that supports the spine and does not allow the vertebrae to further injure the intervertebral discs.

In addition, assigned drug treatment, contributing to the suspension of degenerative-dystrophic disorders in the intervertebral discs.

Removal of severe pain in the lumbosacral spine

To relieve severe pain, patients are prescribed painkillers, most often, these are drugs for systemic or external use, which include NSAIDs - non-steroidal anti-inflammatory drugs (diclofenac, ketorol, ibuprofen, nimesulide, etc.). For moderate pain, these drugs are prescribed in the form of ointments, gels or creams for external use, applying and lightly rubbing into the skin at the site of pain 3-4 times a day.

If the pain is severe, then systemic NSAIDs are used - in the form of a solution for injection, tablets or capsules for oral administration or rectal suppositories. Diuretics are also prescribed, which relieve swelling in the area of ​​strangulated tissues.

At the same time, drugs are prescribed that relieve spasm of the back muscles - muscle relaxants, for example, mydocalm .

If the pain is very severe and not relieved by NSAIDs, glucocorticosteroid hormones (GCS), such as prednisone, are prescribed. , dexamethasone and so on.

They have a very strong anti-inflammatory effect and quickly relieve pain, but corticosteroids are used very rarely - they give too much side effects. Paravertebral novocaine blockades and blockades with long-acting corticosteroids are carried out.

Sometimes severe pain can be relieved with manual therapy- manual techniques that allow you to restore the normal anatomical ratio in the tissues.

Creation of a muscular corset in the treatment of the lumbosacral spine

With very severe pain in the spine, treatment is carried out with the position - the patient lies on his back in the most comfortable position for him, which helps to reduce pain. As soon as the pain subsides, exercise therapy begins to be carried out in a prone state, walking with the help of crutches to unload the spine, then exercise therapy is carried out sitting and standing, gradually increasing the load, dry and underwater traction with loads is prescribed.

At the same time, massage courses are prescribed to relax and strengthen the back muscles that support the spine. Massage also improves the blood supply to the tissues of the spine, including the intervertebral discs. This, in turn, activates metabolic processes and stops degenerative-dystrophic processes in the spine.

The therapeutic effect is even more enhanced when prescribing physiotherapeutic procedures - electro- and phonophoresis with various drugs, darsonval, magnetotherapy, laser therapy, and so on.

How to treat lumbosacral osteochondrosis - what is needed for this?

The most important thing in the treatment of osteochondrosis is the suppression or slowing down of degenerative-dystrophic processes in the intervertebral discs.

One unloading for the spine is not enough for this. Therefore, active drug treatment is prescribed, the task of which is to restore blood circulation in the disturbed segments of the spine and suppress the process of destruction of the cartilaginous tissue of the discs.

To improve blood circulation in the spine, nicotinic acid and trental are prescribed - they provide arterial blood flow to the spine. At the same time, they try to activate the outflow of venous blood, for this they prescribe venotonics - drugs that tone the walls of the veins and increase the outflow of blood -

Ointment for osteochondrosis of the lumbar spine can be the main and auxiliary element complex therapy. Preparations in this form are easily absorbed. Active components enter the lesion, bypassing the gastrointestinal tract. This reduces the risk of side effects.

The cause of the pathological process is a malnutrition of the cartilaginous tissue, the joints in the spinal column are affected. Treatment of osteochondrosis of the lumbar spine is complex and ointments are obligatory element. Drug therapy depends on the stage of the pathological process.

At the initial stage of osteochondrosis, the patient is concerned about a weak pain syndrome, a slight limitation of motor activity. To improve the patient's condition, local application of drugs is sufficient. The best choice- ointment for the lumbar spine.

Advantages:

• no specialized skills are required to apply the product;
• medicines are dispensed from pharmacies without a prescription;
• active substances pass into the focus of inflammation, bypassing the gastrointestinal tract;
• effectively stop pain, inflammation.

With the development of osteochondrosis of the lumbar spine, local treatment is not enough. Requires systemic administration of drugs. But the use of ointments enhances the effect of injectable forms, manual therapy, exercise therapy.

Types of ointment by action

For the treatment of the lumbosacral spine, disc protrusion, several groups of drugs are used.

Types of ointments used in the treatment of degenerative diseases of the spine:

1. Anti-inflammatory - drugs of the NSAID group, glucocorticoids, homeopathic remedies for osteochondrosis of the lumbar spine. Used for local application and for physiotherapy procedures.
2. Painkillers - NSAIDs. The drugs relieve pain, reduce the severity of the inflammatory process, stiffness during movement.
3. Others are chondroprotectors that contribute to the restoration of cartilage tissue. The group includes warming ointments. They stimulate blood circulation, which accelerates the regeneration of cartilage.

Choice dosage form the drug is the prerogative of the doctor. The stage of the disease, the age of the patient, his reaction to previous treatment are taken into account.

Overview of the best ointments for the lower back

The best cream for lumbar osteochondrosis is the one that the doctor prescribes after examining the patient. Age, severity of cartilage destruction, the presence of concomitant diseases, the severity of symptoms, pain syndrome are taken into account.

List of products with proven effectiveness:

1. Voltaren - use an ointment for external treatment of the damaged area of ​​\u200b\u200bthe lower back. The active ingredient is diclofenac sodium. Produced from Germany. Complete analogues - Diklak-gel, Diclofenac-gel, Klodifen, Olfen.
2. Fastum-gel - made in Italy. The active ingredient is ketoprofen. It has anti-inflammatory and analgesic effect.
3. Fanigan fast-gel - based on diclofenac sodium. Additional substances are methyl salicylate, menthol, linseed oil. It has a warming, anti-inflammatory and analgesic effect.
4. Indomethacin - ointment for chondrosis of the lower back. The active ingredient is indomethacin. Belongs to the same class of medicines as Voltaren, Fastum-gel. Anesthetizes, stops the inflammatory process.
5. Nimid - the active ingredient is nimisulide. Transparent, non-flammable, odorless gel. Improves tissue trophism, reduces pain, stiffness in the morning. Analogues - Nimedar, produced in Ukraine.

Homeopathic remedies used for chondrosis of the lumbar include Traumeel-S. Has a cumulative effect.

It can be used for massage, with physiotherapy treatment.

Hydrocortisone ointment based on corticosteroid hormone. It has a powerful anti-inflammatory effect. In case of osteochondrosis of the lumbar spine, it is administered by means of ultrasound.

Instructions for using local funds

All ointments, including those for osteochondrosis of the lumbar spine, are applied to clean, washed skin. At the site of application there should be no purulent processes, lesions, dermatitis of various etiologies.

Dosing check with your doctor. Manufacturers recommend applying 3-5 cm medicinal product, rub with massage movements.

The drug is applied 3-4 times a day. Afterwards, be sure to wash your hands.

The duration of treatment for osteochondrosis of the lumbar spine with ointment depends on the stage of the disease, the severity of inflammation, and the intensity of the pain syndrome. If within a week after the start of the application there is no positive dynamics, you need to consult a doctor to correct the appointments.

How quickly the effect appears from the application

The effectiveness of ointments for lumbar osteochondrosis of the spine depends on factors:

• patient's age;
• experience in the treatment of osteochondrosis;
• susceptibility - treatment is selected individually;
• composition and consistency - affect the rate of absorption. Monocomponent or multicomponent drug with complex action. Medicines in the form of a gel are absorbed faster than ointments and creams, but they have a shorter duration of action;
• compliance with the rules for applying the drug for degenerative diseases of the spine;
• compliance with the recommended dosages;
• patient's diagnosis - if the cause of pain is not osteochondrosis, but tumor or other pathologies, then anesthetic ointment for chondrosis of the lumbar will not help;
• no complications, allergic reactions.

On average, the analgesic, anti-inflammatory effect in osteochondrosis develops within 20-30 minutes after applying the ointment. According to studies, a clinically tangible result - a decrease in pain, relief of other unpleasant symptoms - is observed 1-2 hours after application.

Contraindications for use, and in what cases it can harm

Contraindications to the use of ointment for chondrosis depend on the active ingredient of the drug:

• the presence of damage to the skin in the projection of the lumbar spine with osteochondrosis;
• individual intolerance to active components;
• for some drugs - pregnancy and lactation. homeopathic remedy Traumeel-S is indicated for use;
• allergy to aspirin, preparations based on it in the past;
• children's age - for each means, the framework is individual;
• open wound surfaces in the treatment area.

It is impossible to use funds for degenerative diseases of the lumbar spine without a doctor's prescription. Possible complications:

• ineffectiveness of the ointment;
• the development of an allergic reaction;
• skin burn;
• the occurrence of side effects against the background of the use of ointment for osteochondrosis of the lumbar spine;
• drug interactions between the components of various drugs;
• with an incorrect diagnosis - the progression of the disease.

Osteochondrosis observed in the lumbar region is a polysymptomatic pathology. It is necessary to identify the cause of malnutrition of the cartilage in the joints of the spine. Otherwise, the muscles, lower limbs lose their mobility, the pain syndrome increases.

For back pain, contact medical care. Do not mix analgin with any components from a folk herbalist. Ointments for osteochondrosis of the lower back of the spine are effective, but only as part of complex therapy.

ISCHIAS, PAIN IN THE SCAUM

Compress of wheat grains (according to St. Hildegard)

Boil 1 kg of wheat grains in water until soft, but do not allow porridge to form.

Put a medical oilcloth or cellophane on the bed, and a towel on top. Put the squeezed grains of wheat on it and lie on them so that they cover the entire area of ​​​​the sacrum or hip joint. The grains must be hot. It is necessary to wrap yourself in a towel and oilcloth so that a compress is obtained on the sacrum, and wrap yourself with something warm on top.

Hold the compress for 3-4 hours.

The procedure should be repeated 3 days in a row, each time preparing a new wheat.

Attention! Be sure to throw away used seeds!

After a three-day cycle, take a break for 1 day.

Then repeat the course until the pain subsides. With this procedure, you should be careful for those who have contraindications to various warmings.

The procedure warms, nourishes, produces a distracting effect.

Ginger wine St. Hildegards

Boil 0.5 teaspoon of ginger root for 10 minutes in 150 ml of wine, drink warm throughout the day.

To achieve the result, you need to drink wine long time. Don't worry, the alcohol evaporates while brewing, so there won't be any side effects from long-term drinking.

mint elixir

40 ml mint leaf juice, 60 ml quality white wine.

Squeeze the juice from freshly picked mint, mix it with white wine (riesling). Drink 1 tbsp. spoon on an empty stomach and before dinner. In severe cases, you can drink another 1 tbsp. a spoonful of elixir - at bedtime or during an attack of pain.

In parallel, it is necessary to take mint powder - dried and ground mint should be consumed as a spice, seasoning various dishes.

It is better to start the course of treatment on a young moon and continue without interruption for at least 4 weeks. This recipe is for the spring-summer period, because canned mint is not recommended. The remedy is good for the prevention of the disease.

The elixir is used not only for "lumbago", sciatica, various diseases of "nervous origin", but also for muscle and joint pain.

Authentic medieval ointment (recipe restored by František Ferda)

512 g of pure olive oil, 192 g of sulfur, 256 g of natural yellow wax, 384 g of turpentine, 96 g of camphor.

Grind sulfur with unrefined olive oil, heat. When it thickens, add wax, stir without interruption. Combine with turpentine and camphor. No more heat. Rub the area of ​​the sacrum.

The recipe of the Czech priest Mikhesh for sciatic pain

300 g of horse chestnut bark, 1 liter of water.

Break the bark of young twigs of horse chestnut into small pieces and pour over hot water. Boil 30 min. Soak the cloth in a decoction and wrap (compress on the sacrum) for 30 minutes. The pain will subside quickly.

The recipe of the Slovak healer Grabchak for sciatica, lumbago

200 g fresh leaves of flowering elecampane.

Take fresh elecampane leaves, pour over a little with boiling water and apply the green part to the sacrum area. Do the procedure at night, but taking into account your own tolerance. Before treatment, consult with your doctor.

Frantisek Ferda's recipe for sciatica

Pour 0.5 l of olive oil and 0.5 l of red wine into a ceramic pot, add 15 g of sage there, bay leaf, ginger, red pepper. Boil for 12 hours, then strain.

Rub sore joints and spine as needed.

Mustard compress

100 g of mustard, 100 g of ground flour from horse chestnut fruits (inner part), 200 ml of vegetable oil, 50 g of gray clay, 1 tbsp. turpentine spoon.

Mix all the ingredients to the consistency of thick whipped sour cream. Apply this mixture on a cloth and apply on the sore joint and hold until a strong burning sensation is felt.

The course of treatment - until complete recovery.

Warms, relieves essential oils mustards have a distracting effect.

Propolis ointment for rubbing

500 g of lanolin or butter, 50 g of propolis.

Heat lanolin (oil) in an enamel bowl. Cool to a temperature of 80 ° C, add crushed propolis, knead continuously for 30 minutes. Filter through cheesecloth. Pour into porcelain jars and seal. Such an ointment can be stored for a very long time without losing its medicinal properties. The concentration of propolis in the ointment can be different: with fungal diseases - 40%, with sciatica for rubbing into the joints - 20% is enough.

Treatment of sciatica

1. Sciatica is treated with heat, diuretic teas and diet. It is advisable to limit the amount of food to a minimum. It is very important during the treatment period to stop eating meat, limit legumes, tea and coffee.

It is necessary to increase greens and vegetables (especially parsley), fruits and cereals in the diet. Enemas will help.

2. Tea that soothes inflamed nerves. To 1 liter of water add 5 g of hops,

20 g of celery root, 5 g of parsley root or seeds, 10 g of nettle, 5 g of burdock root, 5 g of yarrow. Bring water to a boil, add a mixture of herbs and roots, let it brew for 30 minutes. Then strain and drink in small sips throughout the day.

3. Potato compress. Boil potatoes, mash, put on the sacrum, keep until cool.

Attention! After the procedure, the potatoes must be discarded.

4. Vitamin mixture. 1 part juniper fruit and calamus root, 2 parts rose hips and mountain ash. Boil the mixture in 3 liters of water for 1 hour. Add to the resulting vitamin tea 1 tbsp. a spoonful of St. John's wort, burdock and yarrow flowers. Leave for 20 minutes, add the juice of 1 lemon and honey.

Course - 2 months.

5. A compress of ground mustard seeds. Grind the mustard seeds into flour, add warm water until a thick slurry is formed. Transfer to the canvas and put on the area of ​​the sacrum for 20-30 minutes. Reddened skin should be wiped off with cotton wool soaked in olive oil. Course - to healing.

6. Ointment with agave tincture. 150 g of American agave leaves (we have this indoor plant); 0.5 liters of 76-degree alcohol. The older the plant, the more in its leaves biologically active substances. Agave must be at least five years old. Carefully cut the leaves and fold them in a cold dark place (temperature - 5 ° C). Keep in the cold for 7 days, then chop the leaves and pour in alcohol. Rub the tincture into the sacrum and along the inflamed nerve.

The course is on demand.

With sciatica and osteochondrosis

Attention! Before the procedure, check with an allergist to see if you are allergic to insect venom. Treat only under medical supervision.

Treatment of low back pain is carried out using a number of methods to relieve pain and reduce the load on the muscles. Pain in the lumbar region occurs for a number of reasons, the timely detection of which allows you to choose the most appropriate way to eliminate discomfort and discomfort in the lower back. With pathologies of the musculoskeletal system, complex treatment may be necessary.

Medical treatment

Medications help relieve. The main indications for the use of painkillers are:

• pain in the lumbar region of unknown etiology;
• (one or more).

Medicines for lumbago in the lower back and pinched muscles are available in the form of:

• tablets;
• injections;
• plasters;
• ointments.

Self-selection of medications is strictly prohibited. If you experience severe pain in the lumbar region, you may need to consult a neurologist.

Pills

According to patient reviews, the most effective pills for back pain are Diclofenac. The main component is the substance of the same name (25 mg). The drug has pronounced analgesic properties. The use of the drug is possible not only for back pain, but also for joint damage, including. The instructions for use contain contraindications, which include:

• exacerbation of ulcers of the intestine and stomach;
• pathologies from the hematopoietic organs;
• history of gastrointestinal bleeding;
• pregnancy;
• breast-feeding;
• individual intolerance to individual elements.

The regimen for taking an analgesic is selected individually. Standard regimen - 1 tablet 2-3 times a day.

Ointments

Medicines for external use are used if a person suddenly has a backache. The cream is easily rubbed into the skin, the active elements in its composition quickly reach the source of pain. To relieve pain in the lower back, you can use:

1. Efkamon. Ointment for lower back pain, which contains methyl salicylate and camphor oil. It relieves tension from the muscles of the lower back and improves blood flow.
2. Capsicama. Warming gel with turpentine and camphor. The pain reliever has irritant and vasodilating properties.
3. Apizartron. The ointment contains bee venom. The warming drug has a vasodilating effect.

Any pain-relieving ointment should be applied in a thin layer and rubbed until completely absorbed. Pain medications for external use are also used for bone pain after injuries.

injections

The solution for injection is used topically when it is painful and difficult for the patient to walk. Injections for back pain:

1. Neurobion. The main ingredient is lidocaine. The package contains 3 ampoules.
2. Trigamma. Vitamin complex. In a pack - 5 ampoules.
3. Milgamma. The package contains 5 or 10 ampoules. Combined vitamin preparation.

After the injection has been administered intramuscularly, the patient should be at rest for 15-20 minutes.

plasters

The patch for back pain has a number of advantages over other forms of release. Active elements do not get into the blood, the patch does not leave marks on clothes, does not hinder movement and is not visible to others. It is glued directly to the site of the lesion. The therapeutic effect lasts up to 72 hours.

Physiotherapy

Physiotherapy is understood as the treatment of the patient with various physical factors, which include ultrasound, infrared radiation, electric current and light. Pain in the lumbar region is eliminated in several sessions of electrophoresis or laser therapy. The technique increases muscle tone.

Gymnastics

Strengthens muscle tissue and spine. Blood circulation improves, the required amount of nutrients enters the joints. Gymnastics involves the muscles of the abdominal cavity and the gluteal region. To consolidate the result, it is necessary to perform at least 6-8 approaches.

Massage

For therapeutic purposes, with severe pain in the sacrum, vacuum and are used. In the first case, banks are placed on the lower back, which act on biologically active points. Massage relaxes and strengthens muscles, improves blood flow and relieves pain spasm. Traditional massage allows you to quickly eliminate pain in the lower back. In the absence of proper experience, self-massage is unacceptable. To achieve maximum results, experts recommend at least 5-6 sessions.

warming up

Paraffin is used for medicinal purposes for radiculitis, osteochondrosis, and hernia. A uniform and prolonged thermal effect eliminates discomfort and alleviates the general condition of the patient. Mineral wax must be melted in a water bath. The duration of 1 session of paraffin therapy is no more than 60 minutes. The course of treatment includes 14-20 procedures.

Alternative Therapies

Non-traditional methods of treating diseases of the lumbar spine include acupuncture, mud baths and body wraps, as well as traditional medicine. These methods are considered the most gentle and safe.

Folk remedies

Unpleasant sensations in the sacrum are treated with warming analgesic compresses. They are applied 2-2.5 hours before bedtime. Popular alternative medicine recipes:

1. Radish. The peeled vegetable is passed through a meat grinder, the resulting gruel is slightly squeezed and mixed with sour cream - this will avoid burning. The mass is applied to the lower back with a thin layer, without rubbing, the back should be covered with a towel. After 70 minutes, the compress is removed.
2. Mustard powder. 20 g of powder must be diluted with warm water to the consistency of thick sour cream. The mixture is applied to the lower back and covered with a warm scarf. After 4-5 minutes, the mustard mass must be washed off.

Compresses should not burn the skin. If a burning sensation occurs, the compress is recommended to be immediately removed from the lumbar region.

Acupuncture

Acupuncture is performed by a specialist. Acupuncture impact on the points provokes the release of hormones produced by the adrenal cortex. They have analgesic and anti-inflammatory effects. The needles are inserted shallowly, the duration of the session is 45-60 minutes. Acupuncture includes 10-12 sessions.

mud therapy

The composition of therapeutic mud contains mineral compounds that have a beneficial effect on nerve endings and soft tissues. Mud compresses relieve pain, stop inflammation in soft tissues and muscles. has practically no contraindications.

Ways to prevent pain

Preventive measures, with which you can prevent the appearance of pain in the lumbar region, are aimed at strengthening the muscular frame. Experts recommend:

• walk and sit up straight;
• do not lift weights;
• sleep on a hard mattress;
• avoid overvoltage.

An important role in the prevention of lumbar diseases is played by the complete rejection of bad habits. Tobacco smoking increases the risk of blockage of blood vessels, resulting in impaired blood flow. In this case, nutrients cease to flow into muscle tissue and joints. Physical exercise should be moderate, they must be alternated with rest.

The appearance of pain in the lumbar region prevents a person from performing daily activities and disrupts the usual rhythm of life. To fix this, it is necessary to remove unpleasant symptoms, and gels and ointments cope with this task most effectively. Inexpensive products help almost instantly, relaxing the muscles of the back and increasing blood circulation, eliminating inflammation and warming up the skin, which relieves spasms and reduces pressure on nerve tissues.

Causes of back pain

To understand what and when to treat low back pain, you must first become familiar with the common causes that cause it.

Age

The human body does not get younger every year. Over time, all organs and tissues undergo aging. On the skin, it becomes noticeable immediately - it becomes thinner, wrinkles appear. But the internal organs are not visible to the eye, so when diseases associated with aging appear, a person is not ready for them.

Men still try to lead the same way of life: transporting a sofa to and from the dacha. Women do not stop carrying heavy bags of groceries from the store. But the human spine after 45-50 years is not the same.

Elastic discs located between the vertebrae are designed to soften movements, allowing a person to bend in different directions. With age, the hard shell of the disc breaks down, and its jelly-like contents thicken. The disc loses its shock absorber properties, the vertebrae move closer to each other. The range of motion in the spine is reduced, and any excessive flexion causes pain.

These completely natural changes in the spine are exacerbated by osteoporosis - a decrease in the amount of calcium in the bones of the spine. This is especially true for older women, due to hormonal changes. The bones become thinner and more brittle, causing aching and pulling pains in the lower back.

infections

A lot of internal organs, with the development of infection in them, can cause back pain. In particular, this applies to the kidneys and bladder. If they are affected by an infection, for example, hemorrhagic fever with renal syndrome, then the edematous tissue of the kidneys presses from the inside on its capsule and causes pain in the lower back.

Infection can also be in the intestinal cavity - E. coli, salmonella, shigella. These microbes cause severe spasms of the intestines. Such strong contractions cause pain in the abdomen, sides and lower back.

Back pain can be caused by an infection such as tuberculosis. It affects the bones of the spine, causing aching, dull pain in the back.

Inflammation

Myositis is an uncommon but common disease of the back muscles. In fact, it is inflammation of muscle tissue cells.

1. The cause of myositis can be hypothermia - then myositis will accompany SARS.
2. There is also autoimmune myositis - when inflammation in the muscles is caused by an attack of one's own immunity.
3. Sometimes, the cause of myositis is a long back position. This is observed in pianists, drivers.

Lumbar myositis is the most common among all. With it, the muscles of the lower back become inflamed, they are hot and tense to the touch, and when the lower back moves, soreness appears. Myositis often occurs in young people, this is its difference from osteochondrosis and disc herniation, which usually affects the elderly.

Quite often, especially among men, exorbitant load can lead to back pain:

• excessive exercise;
• lifting and carrying weights;
• too sudden movements when carrying objects.

The most common cause of soreness after exercise is sprains or muscle strains. They arise due to incorrect actions when lifting weights. Often, excessive muscle tension during physical work or exercise becomes a source of pain. This can be avoided if you first knead the lumbar spine with gymnastics.

Lifestyle

Mass computerization, an abundance of work with remote access, elevators and transport have led to little mobility. The lack of movement in the muscles of the back leads to their gradual weakening. Thin, untrained muscle fibers are easily damaged. In addition, they are weak and cannot support the back frame. But it is precisely the lumbar bend of the spinal column that keeps the entire weight of the body in the correct position. Weak back muscles directly cause pain both at rest and at the slightest exertion.

Excess weight

Excess body weight places excess stress on all bones. First of all, this affects the spine, because its dimensions depend on the height of a person, and not on his weight. Every overweight masses put excessive pressure on the intervertebral discs. This accelerates their destruction, leading to faster aging of the intervertebral joints. As a result, chronic pain will accompany any movement of an obese person.

What diseases can cause back pain?

Now we list the most common diseases that manifest themselves as unpleasant sensations in the back and lower back.

Osteochondrosis

This is a chronic disease that affects almost all older people. Especially contribute to the development of osteochondrosis:

• low physical activity;
• lifting too much weight;
• violation of posture;
• smoking;
• overweight;
• heredity.

Over time, under the influence of excessive load or injury, the nutrition of the cartilage between the vertebrae deteriorates. Smoking also affects this process - vasoconstriction caused by nicotine reduces blood flow. If the back muscles are poorly developed, then this also affects the blood supply to the spine.

The intervertebral disc gradually dries out, becoming more dense. The vertebrae approach each other, the ligaments that ensure their normal mobility begin to sag excessively. This condition can be accompanied by rapid injuries - subluxations of the vertebrae. Most often, osteochondrosis of the lumbar spine occurs, accompanied by acute or aching pain in the lower back.

radiculopathy

Previously, this disease was commonly called "sciatica", that is, inflammation of the nerve roots. But now it has been proven that in nerve fibers it is more likely not an inflammatory process, but another. Therefore, the term "radiculopathy" is used, meaning a generalized root disease.

Radiculopathy occurs as a complication of osteochondrosis or a sharp injury. The nerve fiber is clamped between adjacent vertebrae, causing unpleasant, painful sensations. Discomfort will be localized in the lower back when the roots of the lumbar spinal cord are pinched. In parallel with this, the person is worried about soreness and numbness of the leg.

disc herniation

It develops as the most unfavorable outcome of osteochondrosis. The hard shell of the intervertebral disc is destroyed by the fact that the vertebrae begin to put pressure on each other. The nucleus of the cartilaginous disc, in turn, presses on the shell. Once, most often against the background of an injury or weight lifting, the cartilage shell cracks and the nucleus pulposus literally “falls out”.

The fallen piece of cartilage puts pressure on the nerve fibers. This causes severe lower back pain as well as numbness and soreness in the leg. The limb may stop moving and bend.

Bechterew's disease

This is a chronic inflammatory disease. Its symptoms are very similar to osteochondrosis, but if with chondrosis the cause of pain is the gradual destruction of cartilage, then with ankylosing spondylitis there is inflammation in the joints. The causes of this inflammation are considered a kind of failure in the immune system.

It is the small joints of the spine that are affected first. Inflamed joint surfaces cause pain and fluid accumulation. Gradually, any inflammation is replaced by a new tissue - fibrous. It is a dense, non-stretch tissue that fills the joint space. It does not perform the functions that cartilage does.

Such fibrous tissue does not allow bending in the joint, which means that movements in the spine are limited. A person feels severe pain in the lower back, all over the back. Tilts forward, back do not work. Decreased human height.

Tumors

Tumors of the spinal cord or vertebrae are infrequent diseases. The causes of all tumors are:

• radiation;
• viruses;
• immunity problems;
• some chemicals.

The formation of a vertebra is an osteoma or osteoblastoma. It is made up of cells similar to bone tissue. One or more vertebrae may be affected. Such a tumor is accompanied by aching pain in the lower back, if the lumbar vertebrae are affected. Often there are fractures of the vertebra at the site of the tumor with the slightest injury.

Sometimes a hemangioma is found - a vascular tumor of the vertebra. It does not cause fractures and is often diagnosed by chance - during MRI for osteochondrosis. Pain in hemangioma is small, pulling.

The tumor can also be in the spinal cord - neurinoma, meningioma. In addition to lower back pain, it will cause neurological problems: impaired sensation in the legs, numbness of the legs. In the worst cases, paralysis of the legs can occur and pathology from the bladder and rectum can develop: involuntary urination, constipation.

Metastases

In addition to their own tumors of the spine and spinal cord, tumors of other organs can give complications here. This phenomenon is called metastasis. The spine has a very good blood supply. Therefore, individual cells of malignant tumors of other organs (uterus, ovaries, prostate) with blood can come here and form a new tumor. If the formation appeared in the lumbar spine, it will manifest itself as pain in the lower back.

Pyelonephritis

The inflammatory process in the kidneys is most often caused by Escherichia coli. This bacterium has special structural features. They allow her to get from the soft tissues of the perineum through the urethra into bladder and then to the kidneys. This is facilitated by some congenital anomalies of the kidneys.

Painful sensations in pyelonephritis most often manifest themselves on one side of the lower back. They are associated with high fever and frequent urination. Pyelonephritis without treatment quickly becomes chronic, worsening several times a year and causing nagging pain in the lower back.

Urolithiasis disease

Sometimes hard crystals - stones - can form in the kidneys or ureters. The reasons for their formation are different:

• metabolic disorders;
• the use of water with high mineralization;
• congenital anomalies of the kidneys;
• infections.

Stones block the flow of urine and cause severe pain. Discomfort is felt throughout the lower back, radiates to the stomach, groin, and hips. It is difficult and painful for a person to urinate. There may be blood in the urine.

Atypical location of appendicitis

The appendix is ​​a process of the caecum, usually located in the right side. But for some people, its location may change. This is an innate feature of a person. With inflammation of the appendix, pain will occur at its location - in the lower back. A person may have loose stools, vomiting, fever.

It is important to diagnose appendicitis in time, as its treatment consists in urgent surgery.

Basic treatments for common diseases

All methods of treating back pain can be divided into several groups.

Medical method

If the cause of pain in the back is an infection, then antibacterial drugs are required (Ciprofloxacin, Azithromycin, Amoxiclav). These are drugs with a very strong effect on the entire body, have many side effects and contraindications, so only a doctor should prescribe them.

Some inflammatory diseases(Bechterew's disease, myositis) require the use of anti-inflammatory drugs. In Bechterew's disease, due to the role of immunity for the development of the disease, steroidal anti-inflammatory drugs are used: hormones. These are hydrocortisone, prednisolone, dexamethasone - the strongest drugs in their effect on the immune system. They can cause problems with their own hormones and must be strictly dosed by a doctor.

For myositis, non-steroidal anti-inflammatory drugs are used: diclofenac, nimesulide, meloxicam. They relieve swelling and inflammation from the tissues. In addition, non-steroidal anti-inflammatory drugs provide pain relief. Therefore, they are used for osteochondrosis and disc herniation.

Osteochondrosis and hernias require the appointment of vitamins, especially group B - they have a great effect on the nervous tissue. These are drugs such as Kombilipen, Milgamma.

Folk methods

You can use traditional medicine to eliminate pain, for example, rubbing and compresses from:

• marshmallow herbs;
• chamomile;
• oregano;
• birch leaves;
• calendula flower;
• hell.

From these herbs you can make infusions - pouring them with hot water and insisting for 3 days. Infusions are actively used as part of a compress. If the plants insist on alcohol or vodka, then you can get an excellent grinding. Rubbing it several times a day will reduce inflammation and swelling.

Herbal remedies should be used with caution, they are often the cause of allergies.

Physiotherapy

Physiotherapy methods well relieve chronic pain. These methods are safer than drugs. But they also have some contraindications, so the appointment for physiotherapy procedures should be prescribed by a doctor:

1. Acupuncture - it is believed that by acting on biologically active points, it is possible to achieve back pain relief.
2. Electrophoresis with medicinal substances - with painkillers, anti-inflammatory drugs perfectly relieves inflammation and soreness.
3. Magnetotherapy - especially good for myositis, when the source of pain is located superficially.
4. Electrotherapy - exposure to an electric field improves blood circulation in the muscles, due to which the inflammatory process disappears faster.
5. Laser therapy - well anesthetizes and relieves swelling and inflammation from the affected back muscles.
6. Ultraviolet irradiation - has an anti-inflammatory effect, slightly relieves pain.

Exercises

All gymnastic exercises for pain in the lower back are aimed at strengthening the muscles and improving the blood supply to the back. Excellent results can only be achieved with regular practice. It is worth noting that the following complex is not suitable for exacerbation of osteochondrosis, hernia or myositis: first you need to slightly reduce inflammation and pain with the help of drugs.

The original posture is the same. Extend your arms to both sides. In turn, turn your legs bent at the knees to the right and left. When tilting to the right - the right leg should touch the floor, when tilting to the left - vice versa. The shoulders must be motionless. This exercise with regular repetition will quickly strengthen the muscles of the lower back.

Surgical treatment

Some causes of lower back pain require surgery. For example, large hernias that compress the spinal cord. In this case, the affected disk is removed. Sometimes the disc may be replaced with a prosthesis to maintain mobility.

Modern surgery tries to injure the patient less. Many variants of this operation have been created, which are carried out through small incisions. After such a small intervention, a person quickly returns to his former life.

Quick ways to relieve pain symptoms

Common methods of effective pain relief should be studied in order to apply them as first aid.

Blockade with drugs

This is the most radical relief from pain. With blockade, drugs - anesthetics, hormones, anti-inflammatory drugs - are injected directly next to the nerve fiber. By numbing the nerve, the medicine removes the soreness in the area that this nerve controlled.

After the blockade, the patient feels relief instantly, with the introduction of the drug. Usually, with pain in the lower back, up to 20 ml of drugs are injected at one point. For the blockade, novocaine or lidocaine, local anesthetics, are often used. They often cause allergic reactions, so blockade cannot be considered a safe way to get rid of pain.

In addition to allergies, blockade can be complicated by:

• trauma in case of damage to the vessel with a large needle for blockade;
• toxic reaction to novocaine or lidocaine;
• inflammation of the bone or nerve sheath if sterility is not observed.

Administration of drugs intramuscularly and in the form of tablets

Non-steroidal anti-inflammatory drugs and vitamins can be administered in this way. Intramuscular administration can achieve an effect faster than if you drink a tablet or capsule. However, both ways of using drugs are fraught with side effects. First of all, these are problems from the gastrointestinal tract. Doctors call it:

• NSAID-gastropathy;
• NSAID enteropathy.

Anti-inflammatory drugs have an irritating effect on the mucous membrane of the stomach and intestines. Their effect is to block prostaglandins (peculiar substances responsible for inflammation). However, prostaglandins can also be "good" - those that protect the stomach. NSAIDs, blocking these prostaglandins, too, provoke the formation of large ulcers of the stomach and intestines.

The danger of such ulcerative formations is in their complications. Doctors call ulcers formed due to the use of anti-inflammatory drugs "silent ulcers." They rarely hurt, but are manifested by sudden bleeding from erosions.

Signs of bleeding: vomiting blood or black, black stools, weakness, dizziness, low blood pressure. If such symptoms occur while taking non-steroidal anti-inflammatory drugs, you should go to the hospital as soon as possible. Non-steroidal anti-inflammatory drugs also affect the overall blood clotting, can cause either thrombosis or bleeding.

Among the huge group of anti-inflammatory drugs there are:

• more dangerous for the stomach - diclofenac, ketorol, indomethacin;
• less dangerous - meloxicam, nimesulide, celecoxib, etoricoxib.

But both groups are fraught with complications for people who once had problems with the gastrointestinal system.

Medicines in the form of an ointment

All side effects anti-inflammatory drugs taken orally or injected into the muscle are leveled when it comes to ointments or gels. The drug is absorbed only locally, at a specific point of rubbing. So, there will be no negative impact on the stomach and intestines.

Using an ointment or cream for acute back pain can relieve the condition within 20-30 minutes after rubbing. Being absorbed into the muscles of the lower back, the funds have all their effects in this place: they relieve inflammation, swelling and anesthetize. This is the safest and fastest way to get rid of pain.

Types of ointments by composition

Before choosing a suitable ointment, you should familiarize yourself with their main classification, based on active ingredients.

Non-steroidal anti-inflammatory drugs

This is the most effective and widespread group. These include ointments or gels for back pain, containing non-steroidal anti-inflammatory drugs as the main active agent. List of ointments that help with severe pain:

• indomethacin;
• nurofen;
• ketoprofen;
• nimesulide;
• butadione.

These are strong remedies that should not be used for longer than 10-14 days. It can be used as a massage cream, rubbing into the lumbar region, and as a compress, placed on the affected area. Anti-inflammatory drugs block inflammatory mediators - substances that cause swelling and redness. Edema tissues no longer compress the smallest nerve endings, pain disappears.

Chondroprotectors

These are ointments or creams aimed at restoring damaged cartilage. They contain chondroitin sulfate and glucosamine sulfate. These substances are able to improve the condition of the affected cartilage in osteochondrosis, disc herniation, and age-related changes in the spine. There are not as many representatives of these ointments as in the previous group:

• Chondroitin;
• Chondroxide;
• Arthro active.

Their analgesic effect is not so strong, it is rather a “reserve” treatment. Therefore, in the case of pain syndrome, it is preferable to use these agents as a combination with physiotherapy (electrophoresis) or with anti-inflammatory drugs.

Combined

Such ointments and creams for back pain are quite effective. They contain: analgesic, anti-inflammatory, regenerating, soothing components. Creams include:

• Teraflex forte (meloxicam + chondroitin);
• Chondroxide forte (meloxicam + chondroitin);
• Dicloran plus (diclofenac + methyl salicylate + flax oil);
• Deep relief (ibuprofen + levomenthol).

homeopathic

• Traumeel S;
• Bryony;
• Ledum.

Types of ointments by type of action

Ointments aimed at eliminating pain in the spine are also distinguished by the method of their effect on the tissues of the human body.

Painkillers

These drugs have an analgesic effect. Such creams quickly relieve pain, alleviating the condition. Their use during acute pain almost always leads to a rapid disappearance of discomfort. These are drugs such as:

• Voltaren gel;
• Fastum-gel;
• Nise gel;
• Nurofen gel.

Anti-inflammatory

These ointments and creams are practically the same as in the previous group: they contain the same non-steroidal anti-inflammatory drugs. This includes creams such as:

• Amelotex gel;
• Teraflex forte;
• Dolobene;
• Diclofenac;
• Quick gel.

These remedies relieve swelling and inflammation of the muscles, alleviating the condition of a sore back.

Warming

The effect of warming ointments is provided by its constituent components (bee or snake venom, red pepper). Such heating acts in two ways - it distracts a person from pain and improves blood circulation due to an irritating effect on the skin. Name of warming ointments:

• Kapsikam;
• Finalgon;
• Apizatron.

Warming ointments are best used at night, carefully avoiding contact with eyes or mouth. These products cause a burning sensation, so it is advisable to wash your hands thoroughly after.

The most popular ointments

With such a wide choice, it is not easy to decide which ointment is best to help alleviate the condition. The names of anti-inflammatory drugs are widely known to everyone. List of some of the best of these ointments:

• Amelotex gel;
• Teraflex forte;
• Nise.

The most effective among them is Teraflex forte. This is a combined drug:

• relieves inflammation;
• anesthetizes;
• restores damaged cartilage.

Other combined ointments are often used:

• Dolobene - anesthetizes, improves blood flow, relieves inflammation, resolves hematomas. Its use is good for injuries, after physical exertion.
• Artrocin - restores destroyed cartilage, anesthetizes and reduces inflammation. These effects are especially good during exacerbation of osteochondrosis.

If we talk about which ointments help quickly and at the same time are not the most expensive, then it is worth mentioning creams with diclofenac, nurofen, butadione, piroxicam:

• Voltaren gel;
• Finalgel;
• Nurofen;
• Butadion.

Their price ranges from 150-200 rubles.

Among non-steroidal ones, you can also choose an inexpensive ointment that will have an analgesic effect. True, a little less strong than its more expensive counterparts:

• Diclofenac;
• Indomethacin;
• Ketoprofen.

It makes sense to use the above ointments for severe pain syndrome: they will perfectly cope with discomfort in the lower back. Indicated for myositis, disc herniation, ankylosing spondylitis, exacerbation of osteochondrosis, radiculopathy.

If the pain is not so pronounced, but there is chronic osteochondrosis, age-related changes spine, then you should use creams with chondroprotectors (chondroitin and glucosamine):

• Chondroxide (more expensive);
• Artro-active (inexpensive analogue).

Warming ointments have their own niche of use. These are the consequences of injury or hypothermia, a slight pain syndrome during exacerbation of osteochondrosis or after exercise. By improving metabolism and blood flow, the human condition will become easier:

• Finalgon (more expensive);
• Kapsikam (inexpensive option).

Homeopathic remedies should be used if there are no other options: their role in pain relief is very small.

Side effects and contraindications

All ointments and creams, despite the fact that they act only locally, have a lot of contraindications and undesirable effects. Therefore, before using them, be sure to consult a doctor.

1. If there are rashes, wounds, burns, irritations on the lower back.
2. Children up to 12 years old.
3. Pregnant and lactating women.
4. People with attacks of "aspirin" asthma.

With caution - in small courses and rarely - you can use ointments:

1. If there are erosions or ulcers in the stomach.
2. With a strong decrease in the functions of the kidneys, liver.
3. If there are problems with clotting: a tendency to bleed, hemophilia.
4. To old people.
5. With severe chronic heart failure.

Warming ointments should not be used by people with sensitive skin - prone to irritation and allergies.

Side effects of anti-inflammatory ointments can be divided into rare and frequent. Very rarely occur:

• rash all over body;
• severe allergic manifestations - urticaria, Quincke's edema;
• attacks of suffocation, asthma.

Local adverse reactions are much more common:

• redness;
• dermatitis - itching and swelling at the site of application of the ointment;
• rash;
• sensitivity to light.

The likelihood of side effects increases dramatically if the ointment is used on a large surface of the body. The amount of absorbed substance increases in proportion to the area to which the cream was applied. When using a large amount of gel, unwanted effects can be very dangerous: nausea, vomiting, bleeding.

A wide variety of ointments and creams for lower back pain due to their rapid effect and relative safety. Undoubtedly, they cause much fewer adverse reactions than drugs in the form of tablets or injections. But even in the form of an ointment, drugs are not safe - when self-medicated, they can cause a severe allergic reaction throughout the body or an asthma attack.

The causes of back pain are as varied as the ointments used for them. Only a doctor, after examining a person, specifying the symptoms, associated pain, and other manifestations, can decide on treatment. Including, to advise which ointment is better to cope with painful sensations.