Medicines for pain in the spine - Causes, Symptoms and Treatment .MF .
How and when to take medication for the pain in the spine
No single drug treatment, effective for all diseases of the spine.
Although NSAIDs and painkillers are not addictive, people may think that they are getting used to these drugs and experience antipathy to this relationship.
NSAIDs and Cox-2 inhibitors
NSAID drugs - a non-steroidal anti-inflammatory drugs, the most commonly prescribed medications.They are appointed for various musculoskeletal disorders affecting the spine, including the muscle injuries, herniated discs education and so on. NSAIDs reduce fever, pain, swelling, and blood clotting.These analgesic drugs when they are received in single doses.
in large doses over an extended period of time are also anti-inflammatory.Side effects include irritation of the stomach, in rare cases, the pain in the stomach, intestinal fistula in the wall, a violation intestinal obstruction and renal failure.
Defining desired NSAID pain.
Choice and dose of NSAIDs depend on factors related to health.A
Aspirin - a potent NSAID, reduces back pain and is an effective tool, but potentially toxic.The same properties that make aspirin is effective in preventing strokes and heart attacks, increase the possibility of bleeding.In addition to a stomach ulcer, aspirin can cause tinnitus, reversible deafness and death if taken large doses.Never exceed the recommended dose without consulting your doctor.
Take inhibitor of Cox-2, if you have a predisposition to peptic ulcer.If you are taking daily NSAIDs or Cox-2 inhibitor, you should be regularly weighed and measured pressure.Some NSAIDs may contribute to fluid retention and high blood pressure, blood test also shows the level of intoxication, affects the heart rate, the kidneys and liver.
Time Dosage and administration
dosing of NSAIDs and Cox-2 inhibitors different, depending on whether, how long they are in the body.This is called half-life of the drug.
If the drug after a few hours cease to have effect, it is possible to take an additional dose at the end of the day.
NSAIDs should be taken with food to reduce gastric toxicity, and Cox-2 inhibitors only drink on an empty stomach.You should check your body's response to different doses of these drugs, but only under the supervision of a physician.
muscle relaxants study led to the conclusion that they help to remove back pain, as well as NSAIDs, but cause drowsiness in 30% of people taking them so infrequently prescribed.
combination of NSAIDs and muscle relaxants effectively helps stop pain and spasmodic cycle, characterized by muscle pain, which is aggravated muscle spasms.Painkillers and muscle relaxant are actively involved in both components cure cycle.Treatment of one component does not solve the problem, since any pain or cramps continue.For a complete exemption from muscle spasms require two kinds of medicines.
There are various muscle relaxants.Some medicines contain piklobenzaprin (Flexer), orphenadrine (norfleks) chlorzoxazone (parafon forte) and metaksalon (skelaksin).
narcotic and non-narcotic analgesics
If you have intolerance to NSAIDs, can help you painkillers.Conventional pain killers reduce pain but have no effect on the inflammatory process, so in many cases treatment is very few people are interested.Medicines, relieve pain, are divided into non-narcotic and narcotic.
Acetaminophen (Tylenol) - analgesic without anti-inflammatory effect.It reduces the production of prostaglandins in the central nervous system, but has no effect on their occurrence in other body systems.Atsetamipofen - less effective analgesic than aspirin, but it does not have toxic side effects, such as stomach ulcers, or shortness of breath associated with NSAIDs.If you have intolerance to aspirin, acetaminophen should be the first factor in the liberation from the pain.It should also be taken if you are between the ages and you have osteoarthritis of the spine.Take the drug in combination with NSAIDs or hypnotics.
Tramadol (Ultra) - Other non-narcotic analgesic that acts as effective as aspirin and ibuprofen.Its effect is to activate the link based narcotic receptors and serotonin receptors in the central nervous system.Similarly acetaminophen, tramadol with no adverse actions of NSAIDs.
No need to take narcotic analgesics for the treatment of acute back pain, such as codeine, hydrocodone, morphine or fentanyl meperedin.However, if you have a strong sciatica related to disc herniation, narcotic painkillers along with NSAIDs and muscle relaxants are part of the prescribed treatment, reducing the pain.The likelihood of addiction - is the main problem of drugs, so taking medication is stopped as soon as possible.Narcotic drugs affect receptors reduce pain in the central nervous system.
For the treatment of chronic back pain requires a limited intake of narcotic painkillers.In the past, drug use was necessary every few hours because their analgesic effect quickly stopped.Not so long ago developed narcotic drugs with prolonged action, including oksikoptin, Qadian, MS-Contin and durgadzhezik.These drugs can be taken twice a day or as a patch once every three days.
Codeine - the best drug for home reception.Other drugs such as oxycodone or hydrocodone in various combinations with aspirin or acetaminophen useful in reducing pain.The objective is - to reduce the reception of these medicines as soon as the pain decreases.
Oral corticosteroids are intended for people with severe pain or muscle weakness, which does not help one NSAID.Decision on the Admission of corticosteroids should be taken after a full medical examination.Small doses of a short period of time reduces the possibility of toxic side effects.
If within months no improvement, - reception izopentenoidov immediately terminated.
In rare circumstances, a small dose of prednisone can be used to treat spinal stenosis.Patients that do not have an effect epidural injection, the maximum treatment past NSAID renounced decompression surgery usually remain disabled, can not travel even short distances.In such circumstances, receiving prednisone in small doses may be useful.
should constantly check the response to the medication.If improvement does not occur, the drug is stopped.
Treatment epidural injections and kortikosteroidnyni
Oral corticosteroids are easy to make but their disadvantage is that they are systemic, t. E. Have an effect on the entire body.Epidural injections are safe;Complications, infections and toxicosis - rare.The improvement does not occur immediately, it takes time to corticosteroids reduced nerve tumor.It may take weeks before you notice a decrease in pain in the leg, but the improvement continues for months.Epidural injections should be taken into consideration if your body does not respond to treatment with medicines, and you do not want to undergo spinal surgery.
Iontophoresis;another type of treatment "injections»
Iontophoresis - a device which uses a direct current 9-volt battery to carry the drug to the body surface without injection.Local anesthesia and soluble corticosteroids - a drug commonly used iontophoresis.The drug is injected into a soft cushion which is placed over the painful area.The treatment lasts about 20 minutes.The frequency of treatments can reduce pain.Procedures can not be repeated too often because of the components of corticosteroids.They should be given intermittently, but over an extended period of time.Sometimes iontophoresis promotes local anesthesia, have a significant effect on the overall functioning.
Conclusions Treatment of anti-inflammatory drugs to reduce pain and inflammation and helps maintain the health.
Muscle relaxants reduce spasms in muscles when they are taken with NSAIDs.
Painkillers as narcotic and non-narcotic, relieve pain, but does not reduce inflammation.
Useful maximum effect of treatment drugs is achieved by trial and error.You may need to try several different types of medication to find the one that is well relieves pain and has the least side effects.
corticosteroid injections into the spine to help with secondary sciatica by disc herniation.Izopentidy can be applied through the skin without injections thanks to a constant current from the battery (iontophoresis).