Low back pain can occur in every person due to excessive physical exertion, age-related changes in the body and a number of other reasons. If literally ten to twenty years ago most elderly people suffered from radiculitis and osteochondrosis, today a similar disease is increasingly common among young people. This may be due to a sedentary lifestyle, regular stress and poor diet.
You can fight this disease with the help of special means - they are found in specialized health stores and pharmacies. Experts recommend using topical formulations, since they are the most effective and safe, since they are practically not absorbed into the human blood. However, the question arises: how to choose the right product? Today we will try to answer it in our ranking of the best remedies for lower back pain. Here we will consider in detail the composition and principle of operation of each composition.
When we chose products to include in the review, we were guided mainly by user reviews and the price-quality ratio of the product. I would also like to note that this article is not a call to buy the product you like; it is advisable to first consult with your doctor, who will definitely be able to determine whether such a product is suitable for you or whether you should give preference to another.
Top 10 pain relieving ointments for the lower back.
September 6, 2021
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Content
- Why does my back hurt?
- How to choose an ointment for the lower back
- Contraindications and side effects of ointments for the lower back
- Top 10 ointments for the lower back
- Nicoflex
- Shungite
- Nurofen Express
- Nayatoks
- Apizartron
- Voltaren Emulgel
- Finalgon
- Capsicam
- Viprosal B
- Nise
The main method of treating diseases of the musculoskeletal system is medication, usually aimed at relieving inflammation and pain. Local medications for back pain (ointments and gels) are practically not absorbed into the blood and have a minimum of side effects and contraindications, unlike tablets and injections. Therefore, back ointment can be used for a long time.
Plasters
Bee patch
These unique products represent the invention of centuries-old Chinese medicine. With its help, you can quickly and for a long time get rid of painful sensations in the joints, return them to their former mobility and prevent the disease from returning. The therapeutic effect, unlike tablets and injections, is local; the action of the patch is directed directly to the inflamed area. The patch strip includes several layers - a lower film that covers the second layer, which contains the active substance, as well as an upper protective layer that does not allow the drug to evaporate from the surface of the skin. The beeswax contained here, under the influence of the heat of the human body, begins to melt and penetrate deeply, reaching the tissues. The effect on the site of the disease is long-lasting, since the patch can be worn without removing it for a long time.
The active substances are delivered to the inflamed area in small doses, but this occurs continuously. A positive effect is observed within the first hours after gluing. The pain syndrome quickly goes away, the joints regain their former flexibility and mobility. This patch can cope with many diseases of the musculoskeletal system. The instructions say that you can stick it not only on a sore spot, but also on special biologically active points. In any case, the surface of the skin should be dry and clean. If the area is large, you can glue several patches at once.
Advantages:
- Reasonable cost;
- Long lasting positive effect;
- Able to fight a large number of diseases;
- Can be worn for a long time;
- The active substances are supplied to the inflamed area continuously, but in small doses.
Flaws:
- At first, a not very pleasant burning sensation may be felt, but it goes away in just half an hour.
Bee patch
Nanoplast Forte
The base used here is a thin but very flexible plate, made from hypoallergenic materials that have passed all the necessary clinical tests. A very fine powder, which is a mixture of rare earth metals, is applied to it on the inside. The therapeutically active components of this product are microscopic in size, which allows full use of their positive characteristics. The adhesive base is reliable, so you don’t have to worry about the patch coming off at the most inopportune moment. Before gluing such a product, you need to hold it in your palms for some time so that it reaches the temperature of a person’s body. This will help launch nanoparticles that will begin to emit waves in the infrared range. With their help, it will be possible to thoroughly warm the diseased area.
The patch is characterized by a complex effect on the human body - it has an anti-inflammatory effect, has good analgesic properties, activates blood flow in the affected area and accelerates the flow of lymph, and quickly removes muscle spasms. Restoration of the functioning of the musculoskeletal system occurs in just a few hours. Nanoplast allows you to get rid of the consequences of sports injuries, removes the symptoms of degenerative processes in joints and cartilage, which often occur with arthrosis, arthritis, osteochondrosis and hernia.
Advantages:
- There is no burning sensation;
- Does not leave marks on the skin;
- Produced using innovative technologies;
- Acceptable price;
- Effectively copes with pain syndrome.
Flaws:
- There are only three pieces in the package - you have to buy them regularly.
Nanoplast Forte
Miaolaodi
It contains about 30 medicinal herbs used in Chinese traditional medicine; in the central part of the patch there is a neodymium magnetic disk. It not only creates a magnetic field, but also emits infrared rays, which, in combination with transdermal therapy, help quickly relieve inflammation and pain in muscles, connective tissue, bone and cartilage. With the help of this tool it is possible to start the processes of rapid restoration of tissues and ligaments. It helps get rid of rheumatic and post-traumatic pain. The natural components of the composition, being under the influence of a constant magnetic field, pass through the surface of the skin much faster and enter into active interaction with the inflamed area. With their help, blood circulation improves, the walls of blood vessels become more permeable, and metabolism accelerates. They also stimulate the production of joint fluid, increase its viscosity and lubricating qualities.
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It is allowed to use such a patch for a long time, until the last traces of the disease disappear. Usually six patches are enough for this. Moreover, each of them can be worn for up to three days. One package of such a product will be just enough to carry out a full course of treatment.
Advantages:
- Quickly relieves even severe pain;
- After the course of treatment, all symptoms and causes of the disease go away;
- The original composition does not contain synthetic compounds;
- Magnetic waves not only deliver active substances to the affected area faster, but also rid it of free radicals, which can also cause serious harm.
Flaws:
- The skin needs to be cleaned very carefully - the patch is quite heavy and often comes off.
Miaolaodi
Why does my back hurt?
To find out the cause of back pain, you need, of course, a full diagnosis and consultation with a doctor. Only an accurate diagnosis allows adequate treatment of low back pain. The most common causes of back pain:
- osteochondrosis;
- muscle strain or injury;
- muscle imbalance, scoliosis;
- protrusion or hernia;
- radicular syndrome;
- spondyloarthrosis;
- congenital problems with the development of the spine;
- radiculitis, sciatica, lumbago, myofascial syndrome.
All of these causes of back pain require the use of painkillers (especially during periods of exacerbation).
Symptoms of pain with hernias
There are markers, or “special flags,” that suggest that pain is associated specifically with damage to the musculoskeletal system and is discogenic in nature. These are the following symptoms and signs:
- sharp and acute pain appears either at the time of severe physical activity or immediately after it;
- acute pain has the character of an electric current, it is sudden, shoots in the lower back, most often in the leg, right down to the ankle joint;
- pain leads to a sharp restriction of mobility in the lumbar spine, and the patient takes a specific anti-pain position. In this pose, the slightest movement is eliminated, and breathing becomes less deep;
- pain associated with damage to the intervertebral discs is of a so-called radicular nature. This means that the slightest shock to the lower back leads to a sharp increase in pain in the form of lumbago, which is called lumbago. This is laughing, coughing, sneezing, trying to change body position or pushing in the toilet due to great need;
- later a permanent, aching component is added, associated with the reaction of the deep muscles to the appearance of an inflammatory focus caused by a hernia.
All these symptoms clearly indicate that the cause of the pain was discogenic complications of osteochondrosis - protrusion or hernia in the lumbar spine, in which these defects occur most often. Why does pain occur? Why does it develop?
How to choose an ointment for the lower back
Before you run to the pharmacy for ointment or gel for back pain, you need to know what these drugs are and for what problem you should choose one or the other. If you have back pain after an injury or due to rheumatism, both warming and cooling ointments are suitable.
If back pain has recently begun to bother you, the pain is acute, warming ointments cannot be used - such preparations contain irritating substances that provoke skin hyperemia. This heating stimulates blood circulation in the muscle or joint, which helps to recover. Warming ointments can only be used during rehabilitation, when there is no acute pain and the patient feels better.
The use of a warming ointment during an acute period can only provoke a worsening of the condition. Redness and swelling are possible, and the inflammatory process may worsen. If there is a fresh back injury, you can only use cooling or pain-relieving ointments (with NSAIDs, mint or menthol). Nonsteroidal anti-inflammatory drugs relieve inflammation well, and mint or menthol remove swelling.
Types of back pain
Pain can be acute or chronic1. Pain that lasts up to 6 weeks is considered acute. If the pain does not go away for more than 6 weeks or lasts up to 3 months, then it is subacute pain, but more than 3 months is considered chronic.
Most people endure pain and are in no hurry to see a doctor. However, there are symptoms that require immediate medical attention and observation. Among them:
- fever, signs of intoxication;
- history of injury or other serious illness;
- atypical pain (pains when standing still, pain is stronger when lying down and weaker in an upright position);
- symptoms of dysfunction of the pelvic organs or damage to the spinal cord or cauda equina roots;
- signs of mental illness (somatoform disorder).
Contraindications and side effects of ointments for the lower back
Non-steroidal anti-inflammatory drugs in tablet form have many side effects: they are toxic, have a bad effect on the kidneys, liver, stomach, and hemostatic function. That is why tablets and injections for back pain are prescribed only in extreme cases and for a short course. But ointments for back pain can be used for a relatively long time, but, of course, not constantly either. A small part of the drug still enters the blood through the skin, which can negatively affect overall well-being during long-term treatment.
Among the contraindications for use
back ointments:
- individual intolerance to the active substance of the drug or its auxiliary components;
- open wounds on the skin, inflammation or suppuration in the places where you plan to apply the back cream;
- allergy to NSAIDs, acetylsalicylic acid;
- age up to 14 years;
- pregnancy (third trimester).
In these cases, ointment for back pain is prescribed with caution:
- first and second trimester of pregnancy;
- severe kidney or liver damage;
- history of gastritis or ulcer;
- nasal polyps, rhinitis, bronchial asthma;
- lactation. Possible side effects
from lower back ointments: - stomach pain, gastritis;
- skin redness, dermatosis, urticaria, itching;
- anaphylaxis, Quincke's edema (in very rare cases). Read also: Choosing chondroprotectors for joints What are chondroprotectors, what active substances they contain and what they treat.
Nicoflex
Nicoflex ointment for the lower back stimulates blood circulation, has a warming effect, and copes well with pain symptoms. The active ingredients of Nikoflex are capsaicin, ethyl nicotinate and ethylene glycol salicylate. Ointment for back pain warms up and irritates the painful area of the body - the inflammatory process is reduced due to increased blood circulation. "Nikoflex" restores mobility to the joints and lower back, is quickly absorbed without a greasy residue. The back ointment has a neutral odor, and the burning sensation after application lasts literally two minutes.
Nicoflex
Reanal, Hungary
- bruises;
- sprains; - arthrosis; - myalgia; - neuralgia; - chronic neuritis; — polyarthritis (chronic and subacute); - sciatica; — tendovaginitis (in the phase of incomplete remission); - to warm up muscles before and after sports. from 251
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Shungite
This cream-balm contains many medicinal extracts that do an excellent job with myalgia. The main active ingredients of “Shungit” are ginseng, wormwood, St. John’s wort, aloe, and shungite. Shungite cream improves the body's functional abilities, is perfectly absorbed and does not leave stickiness on the skin. This ointment for lower back pain is prescribed for acute joint pain, muscle pain and lower back pain. Shungite helps relieve swelling, inflammation and pain, soothes and improves blood circulation in joints and periarticular tissues. Shungite lower back cream allows you to quickly recover from injuries, is not addictive and has no side effects.
Shungite Cream Balm
Fora-Pharm LLC, Russia
Use in complex treatment of osteochondrosis, radiculitis, arthritis and arthrosis of various origins and in places where salts are deposited, in combination with traditional methods of treatment, as an adjuvant.
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Let’s consolidate the results and live to the fullest!
The listed medications can relieve severe pain and inflammation. As soon as the acute period ends, you can use massage, manual therapy and physical education with well-chosen exercises. Maintenance therapy can be based on the use of traditional methods of treatment.
Patients who often experience back problems are recommended to relax in resorts and sanatoriums. In such places it is possible to treat and restore the peripheral nervous system and movement organs.
Nurofen Express
Back ointment "Nurofen Express" helps well with osteochondrosis and arthritis. The product perfectly relieves pain, penetrating deep into tissues and fighting inflammation from the inside. Ointment for the lower back for acute pain is recommended to be used four times a day. The drug is suitable for the treatment of joint pain and sprains, the ointment is effective for swelling, neuralgia and injuries. Nurofen Express ointment contains ibuprofen, which relieves inflammation and reduces pain.
Nurofen express gel
Farmasierra Manufacturing SL, Spain
When applied externally, it has an anti-inflammatory and analgesic effect.
Reduces morning stiffness and helps increase range of motion in joints. from 133
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Ointments, gels and creams
Shungite cream-balm for joints
The basis here is a special carbon-containing mineral, which looks like a black stone, which has a beneficial effect on the entire body as a whole. The mineral is characterized by an original molecular structure. The carbon atoms are aligned in such a way that the result is a hollow inside sphere - a fullerene, inside which there is a substance that can easily penetrate the tissue of muscles and joints, going directly to the source of inflammation. All auxiliary elements are selected in a special concentration, allowing the beneficial properties of the composition to be fully revealed. The entire complex of valuable substances in this cream has a strong antioxidant effect and helps restore not only tissue, but also joints and even cartilage. As a result, painful and uncomfortable sensations disappear, joints become more mobile. The composition contains eucalyptus oil, which has anti-inflammatory and analgesic characteristics, and can provide an antibacterial and antiseptic effect. In most cases, eucalyptus extract is used to combat arthritis and rheumatism, especially when a person suffering from these ailments has severe pain.
Vitamin E significantly slows down the aging process in bones and joints. The warming effect is achieved through red pepper extract. Additionally, it stimulates blood circulation in muscle tissue. To speed up the action of the drug, a number of natural substances are used - extracts of hawthorn, thyme, St. John's wort, and nettle. Nettle is a rich source of organic silicon compounds that penetrate and repair joints. St. John's wort is a powerful antiseptic that fights pathogens, preventing them from continuing to have a destructive effect on the joints. Shungite normalizes metabolic reactions, saturates tissues with additional oxygen, which also significantly accelerates recovery processes.
Advantages:
- Effectively affects the damaged area of cartilage or bone tissue;
- Has a local anti-inflammatory and analgesic effect;
- Reasonable cost;
- Includes only natural ingredients;
- Slows down the aging process of joints;
- Can be used for various diseases.
Flaws:
- It manifests itself rather weakly during muscle spasms;
- Small tube size - you have to buy it regularly.
Shungite cream-balm for joints
Nicoflex ointment
The ointment contains special substances intended to irritate the skin - a natural component of capsicum (capsaicin), as well as a derivative of nicotinic acid. After application, they cause blood flow to the painful area, which leads to a quick and effective fight against inflammatory processes. The ointment is characterized by a rather oily texture; it remains on the surface of the skin for quite a long time, as a result of which some semblance of a greenhouse effect occurs. This allows for additional heating effects. The composition helps to effectively cope with mild to moderate pain. The drug is much safer compared to non-steroidal anti-inflammatory drugs or local analgesics. Using ointment can also relieve swelling. However, it should be borne in mind that this product is not capable of affecting the cause of the disease, so it is allowed to be used exclusively within the limits of symptomatic therapy.
Capsaicin, contained in the ointment in significant quantities, is a crystalline, colorless compound. It blocks fast K-channels, affects vanilloid receptors, thereby providing an irritating, analgesic and distracting effect. The product acts incredibly quickly - the pain goes away in just a few minutes, the duration is from two to three hours, sometimes longer - this directly depends on the sensitivity of the patient’s skin. The composition also expands blood vessels located directly under the surface of the skin, increases their level of permeability, improving local blood microcirculation. The ointment also affects the patient’s brain, accelerating the synthesis of special compounds that suppress painful sensations.
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Advantages:
- Returns the lower back to its former mobility;
- It warms up well and relieves pain;
- It has a fairly mild effect - no strong burning or tingling was detected during application;
- Quite a pleasant smell, not too strong.
Flaws:
- It is necessary to use this product with gloves, or after treating the skin you will have to wash your hands thoroughly, as the ointment tastes very bitter.
Nicoflex ointment
Nurofen express
This drug is exclusively for external use and is made on the basis of ibuprofen, a strong painkiller of synthetic origin. It can be combined with fixing bandages or bandages made only from natural fabrics. When using airtight orthoses, a strong burning sensation is often observed, and the gel should not be applied under occlusive sealed dressings. The drug does not in any way affect the reaction rate, so it is suitable for people involved in driving or working where high concentration and attention are required. It is sold in pharmacies without a prescription, but consultation with a specialist is required, since allergic reactions to individual components of the product or individual intolerance are not uncommon. The gel copes well with the symptoms of diseases such as rheumatism and arthritis, but it cannot eliminate the cause of the disease. The highest therapeutic concentration of the active substance is observed in all layers of the skin approximately one day after application, which indicates a long-lasting effect of the drug.
Approximately 10-15% of ibuprofen reaches the sites of inflammation, and it accumulates in the synovial capsule and soft tissues surrounding the damaged joint. It practically does not enter the systemic circulation. Almost in full, this drug is processed by the cells of the liver and kidneys, and part of it is excreted by bile acids. If necessary, it can be used against severe bruises if the top layer of skin has not been damaged. The gel helps fight the occurrence of bruises and hematomas; in this case, the action is aimed at restoring blood vessels. Supplied in a convenient aluminum tube containing about 50 g of gel. The consumption is economical - one package will last for a long time.
Advantages:
- Acceptable cost of the product;
- No pungent odor;
- Warms well, but does not bake;
- Effectively helps cope with pain from arthritis and rheumatism, with the formation of bruises;
- Consumes slowly;
- It has a long-lasting effect.
Flaws:
- It is made only from synthetic products, which can cause allergies;
- The therapeutic effect is observed only when fighting bruises; for more serious ailments, only a symptomatic effect.
Nurofen express
Fastum gel
It is an external remedy for combating pain in the lower back, back and joints, where the main active element is the synthetic substance ketoprofen. This is a special analgesic compound with an anti-inflammatory effect, belonging to the group of non-steroidal substances. It is available in different forms - injections, tablets, ointments, and so on. Absorption occurs through the surface layers of the skin, and this composition even enters the blood vessels, but in small quantities. Ketoprofen allows you to get rid of the symptoms of hernia, osteochondrosis, and relieve pain in the muscles, ligaments, and lymph nodes. It actively fights swelling, but is not able to rid the human body of the cause of the disease. In addition to ketoprofen, the gel contains neroli and lavender oils, as well as trolamine. With the help of these substances, the products acquire a pleasant aroma, and their action is aimed at further enhancing the effect of ketoprofen.
They also have a cooling and soothing effect, quickly eliminating joint stiffness and muscle tension. A maximum of this gel can be used daily for two weeks with a frequency of application no more than 2 times a day. It is worth considering that this product does not have a warming effect. However, it is not suitable for people with sensitive, inflamed or damaged skin. Applying to open wounds is strictly prohibited.
Advantages:
- Helps effectively, has a long-lasting effect;
- Easy to apply;
- There is no unpleasant odor;
- Includes both synthetic and natural compounds;
- Has anti-inflammatory, analgesic and cooling effect.
Flaws:
- Costs significantly more than similar drugs;
- Positive dynamics are observed approximately after the second application (depending on the sensitivity of the skin).
Fastum gel
Voltaren emulgel
It immediately has a triple effect on the source of pain - it relieves inflammation and swelling, relieves pain, and also accelerates the healing of the joint, tissue or cartilage if combined with other therapeutic drugs. Sold exclusively in pharmacies, no prescription required, produced in aluminum tubes of various volumes - from 20 to 150 g. The composition contains the non-steroidal anti-inflammatory compound diethylamine diclofenac. Unlike other agents, the action of which is aimed at cooling or warming the tissue, the substance allows you to completely get rid of the pain syndrome due to its direct effect on the source of inflammation. The structure of the gel is such that it is almost instantly absorbed through the skin, going directly to the diseased bone, muscle or cartilage tissue. Allowed to be applied to children over 12 years of age 3-4 times a day. The required amount of the drug directly depends on the size of the painful area.
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The gel is made on a water-alcohol base, which contributes to a slight cooling effect. The duration depends on the positive dynamics and indications for use. If even after two weeks the pain does not disappear, you should consult your doctor. You can use this composition not only for lower back pain, but also for sprains, sports injuries, rheumatism, inflammatory processes in the tendons, and so on.
Advantages:
- Quickly absorbed into the skin, leaving no greasy marks on the surface of clothing;
- The smell is almost imperceptible and disappears instantly;
- Actively fights pain and inflammation;
- Has a slight cooling effect.
Flaws:
- Quite expensive;
- Has high consumption.
Voltaren emulgel
Nayatoks
This is a Vietnamese drug based on cobra venom. In addition, it contains camphor, methyl salicylate and eucalyptus oil, which irritate the skin locally and dilate blood vessels, which improves blood circulation. Nayatox ointment is excellent for lower back pain. The drug has a strong smell, but this is not a problem since Nayatox is used once a day at night. If you look for reviews on the Internet about this ointment for the lower back, there are many of them and most are positive. “Nayatox” warms gently, without burning, and at the same time relieves pain and discomfort in the lower back.
Nayatoks
MEKOFAR, Vietnam
Pain syndrome in diseases of the musculoskeletal system: - arthritis of various etiologies;
- neuralgia; - myalgia; - sciatica; - radiculitis. from 100
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The best pills for lower back pain
Typically, lumbago in the back occurs as a result of injury or during an inflammatory process and damage to nerve fibers, which begin to transmit incorrect signals that are perceived by the body as danger. Nonsteroidal anti-inflammatory drugs are prescribed by doctors and pharmacists for severe migraines. They have antipyretic and analgesic properties.
5 Ibuprofen CAPS
It belongs to the group of non-steroids and copes well with migraines: joint, muscle and others. Suitable for relieving acute syndromes in the spine. You should not prescribe the medication yourself, but even in consultation with a pharmacist, it is recommended that you carefully read the extensive instructions for use.
Buyers recommend Ibuprofen CAPS precisely because of its rapid action on the source of inflammation, when there is no time to smear the lumbar region with special ointments or creams. For example, if you urgently need to go to work for negotiations or a business meeting. There are a number of side effects that need to be taken into account when taking it.
4 Diclofenac
It has been produced for quite a long time and deservedly occupies a leading position among drugs. It acts directly on the source of inflammation and eliminates any discomfort in the back area. You should not purchase Diclofenac without consulting a doctor, as a large number of side effects make themselves felt.
Many buyers noticed that it was after prescribing the drug that they were able to forget about the nagging migraine in the lower back and take a fresh look at life without such problems. Diclofenac quickly relieves pain in osteochondrosis. It is recommended to follow the rules for taking pills, because some consumers write that stomach problems are possible after taking them.
3 Meloxicam
One of the leaders in the market of drugs that are approved for one-time or periodic prevention of severe nociceptive syndromes. It is considered a new generation non-steroid and quickly relieves any unpleasant symptoms in diseases of the musculoskeletal system, joints, and muscles. It works almost instantly and is inexpensive.
According to consumer reviews, Meloxicam can help with osteochondrosis and arthrosis, quickly relieving pain. But you need to carefully read the instructions for use and consult a specialist, because the tablets have a number of side effects and contraindications. Addiction is possible, so you should not abuse the product, even if it helps.
2 Movalis
The drug belongs to the group of non-steroids and is completely non-addictive if the instructions are followed. The list of diseases for taking Movalis is quite extensive: headaches, menstrual and articular migraines, osteochondrosis. Pain in the back, muscles and bones can also be considered a direct signal to begin a course of treatment.
Users emphasize that the medication quickly relieves any painful manifestations and allows you to enjoy life even during acute attacks. But you shouldn’t overuse pills, because the list of treatments for such ailments also includes regular examinations by specialists. Also available in the form of suppositories and ampoules for injection. It has side effects, so it is recommended to carefully read the instructions before use.
1 Nimesil
A common pain reliever. Available both in tablets and in powder form for dilution in water. Recommended for the treatment of osteoarticular problems, migraines, sciatica and lumbodynia. Very often, dentists prescribe Nimesil after operations involving tooth extraction and deep medical intervention in the oral cavity.
The reviews are most often positive, but even in this case you should strictly adhere to the instructions and all the instructions given in it. Users write that Nimesil is an anti-inflammatory, analgesic and antipyretic agent. But the medication has a detrimental effect on the liver and has quite serious side effects. It is necessary to consult with a specialist before purchasing.
Apizartron
Ointment for the lower back "Apizartron" contains bee venom and provides excellent warmth. The active ingredients of the ointment are methyl salicylate (relieves inflammation), allyl isothiocyanate (warms tissues, improving blood circulation), bee venom (analgeses, reduces inflammation, fights infection). Many patients consider this ointment for the lower back to be one of the most effective. But keep in mind that Apizartron ointment can cause an allergic reaction, so we recommend performing a skin test before starting treatment.
Apizartron
Esparma, Germany
Diseases of the musculoskeletal system (osteoarthrosis, rheumatic lesions of soft tissues).
Arthralgia (including rheumatic joint diseases). Myalgia (including those associated with overexertion. Neuralgia (including neuritis, sciatica). Peripheral circulation disorders. Pain syndrome with soft lesions of muscles, tendons, ligaments, bruises and sprains. To warm up the muscles before and during sports loads from 176
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Voltaren Emulgel
This ointment is usually prescribed for pain in the lower back, joints and muscles. The active substance of the drug is diclofenac, which quickly relieves pain. "Voltaren Emulgel" has a water-alcohol base, is conveniently applied to the skin, is well absorbed and does not leave a greasy feeling. The product perfectly reduces heat in affected areas of the body. To completely get rid of back pain, doctors recommend using Voltaren Emulgel for a course (two to three weeks).
Voltaren emulgel
Novartis Europharm Ltd, UNITED KINGDOM
Voltaren emulgel is a non-steroidal anti-inflammatory drug (NSAID).
It has a pronounced analgesic, anti-inflammatory and antipyretic effect. from 92
5.0 1 review
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Injection therapy
Injections for lower back pain are used in the first two to three days of an exacerbation. If the patient has a hernia, intravenous or intramuscular injections are not used, but a blockade is placed. A correctly selected drug will allow you, albeit not fully, to take care of yourself in everyday life. The injectable drugs presented below can quickly relieve pain and relieve tissue swelling.
Diclofenac
This is the most effective and relatively cheap drug that belongs to the category of non-steroidal anti-inflammatory drugs. Its properties are similar to Ibuprofen. The advantages of this drug include:
Advertising:
- reducing pain at home;
- ensuring freedom of movement;
- improving the overall quality of life.
After two to three days of giving injections, the patient is transferred to tablet preparations. The reason is the high risk of side effects. These may be problems with the gastrointestinal tract, exacerbation of gastritis and gastric ulcers.
Gout is a disease that will return again as long as the foods that provoke it are present in the diet. It is impossible to fight it only with medicinal methods; a systematic approach is needed. Read more in the article: “diet for gout on the legs.”
Meloskicam
The drug is characterized by high analgesic and anti-inflammatory activity. The effectiveness is somewhat lower than Diclofenac, but the likelihood of side effects is negligible.
The course of treatment with the drug is three days, one ampoule per day. Next, you need to switch to taking pills prescribed by your doctor. Despite fewer side effects and relatively good tolerability, the drug has many contraindications:
- stomach ulcer;
- liver failure;
- age under 18 years;
- pregnancy in women and breastfeeding.
Meloxicam should be used with caution; it is advisable to monitor the general condition during treatment by taking tests.
Milgamma
A fairly effective drug that contains the main therapeutic component, B multivitamins and lidocaine. With the help of Milgamma injections the following effects are achieved:
- anesthetic;
- metabolic;
- neuroprotective.
The course of treatment lasts 5-10 days, one injection per day in a volume of 2 ml is given. The medicine is not prescribed for severe pain, as it does not have a high analgesic effect. If there is no other alternative, and stronger drugs cannot be used, you can combine Milgamma in combination with Mydocalm or Movalis.
Injections are not prescribed during pregnancy and breastfeeding.
An undeniable contraindication is severe heart failure.
Finalgon
“Finalgon” is a combination drug with a good warming effect, which contains nonivamide and nicoboxil. “Finalgon” dilates blood vessels and anesthetizes, so when applied to the affected area, blood circulation and local metabolism improve, the temperature of the body area increases - all this significantly reduces pain. Finalgon ointment is usually prescribed for lower back pain caused by muscle spasms. Many patients respond very well to Finalgon, although some doctors are confident that its effect is largely distracting and not therapeutic.
Finalgon
Boehringer Ingelheim, Germany
- arthritis;
- arthralgia and myalgia of rheumatic origin; - sports injuries, bruises and damage to the ligamentous apparatus; - myalgia caused by excessive physical activity; - lumbago; - neuritis; - sciatica; - bursitis and tendovaginitis; - acute nonspecific pain in the lower back; - for preliminary “warming up” of muscles before physical exercises, sports competitions; - as part of complex vasodilator therapy for peripheral circulatory disorders. from 246
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Which doctor should I consult for pain in the lumbar region?
Usually, you first need to contact a therapist, who will already give a referral to a specialist - a neurologist, traumatologist, rheumatologist, or osteopath.
If you are sure that you know exactly the origin of the pain, you can contact a specific doctor directly. For example, if you recently had a bad fall, then you need to see a traumatologist.
Our clinic has a manual therapy department in St. Petersburg, where you can make an appointment with the right doctor for consultation or treatment.
Capsicam
The composition of the Kapsicam back ointment includes gum turpentine, dimethyl sulfoxide, racemic camphor, benzyl nicotinate, nonivamide. “Capsicam” warms the affected area well; patients often choose this remedy to treat the lower back if the pain is muscle. If pain occurs due to neuralgia, the effect of Capsicam will be slightly less pronounced. After applying the ointment, a slight warmth appears, and back pain gradually goes away. It is important to rub in no more than 3 grams of ointment at a time. If you overdo it, you can get skin irritation and even a burn. If lower back pain is associated with inflammation, Capsicum is not suitable.
Capsicam
Tallinn HFZ, Estonia
Capsicum has a local irritating, analgesic effect.
Capsicam contains substances that have a vasodilating effect on sensitive nerve endings, as a result of which the ointment exhibits a local irritant and analgesic effect. from 180
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How is diagnosis and examination done by a doctor?
First of all, the doctor must exclude conditions that are life-threatening. For this purpose, clinical and biochemical blood tests are performed. They make it possible to detect inflammatory processes and excess calcium, which is typical for cancer that has metastasized to the bones. Tests also detect multiple myeloma and many other pathologies.
A man over 50 years old may have a prostate-specific antigen test to rule out prostate cancer.
X-rays are required to determine the height of the intervertebral discs and identify osteophytes, if any. The latter are bone tissue growths that appear due to improperly distributed load on the vertebrae and changes in their shape.
MRI and CT are needed to determine whether there is a bulging intervertebral disc, calcifications, or spinal stenosis. Similar changes can be seen on ultrasound, which is increasingly being prescribed instead of CT, as it does not provide radiation exposure.
The patient must consult a neurologist and, if necessary, a chiropractor.
When the examination is completed, the doctor can accurately diagnose and determine treatment tactics. The success of therapy increases tenfold with early treatment.
Our clinic address: St. Petersburg, st. Bolshaya Raznochinnaya, 27 metro station Chkalovskaya
Viprosal B
Ointment for the lower back with viper venom gently warms the affected area, but at the same time not only effectively relieves negative symptoms, but also heals. The active ingredients of Viprosal B ointment are salicylic acid, camphor, turpentine and viper venom. The important thing is that Viprosal effectively relieves lower back pain caused by various factors (injuries, sprains, neuralgia). Viprosal ointment for the lower back should be used carefully, as with other irritants.
Viprosal in
Tallinn HFZ, Estonia
Locally irritating, analgesic, used topically for joint and muscle pain.
Causes irritation of sensitive receptors of the skin and subcutaneous tissue, dilates blood vessels, improves tissue trophism. from 201
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Nise
The remedy for back pain “Nise” can be bought in tablet form and in gel form. Gel "Nise" perfectly relieves lower back pain caused by various reasons. The active substance of the drug - nimesulide - anesthetizes, relieves inflammation, and has a chondroprotective effect on joints. To relieve back pain, you need to apply Nise 1-2 times a day. A few days after treatment, the lower back pain completely disappears - the drug not only relieves symptoms, but also cures. Nise gel has no side effects. Many doctors say that this is one of the best drugs for treating back and joints.
Nise gel
Pills
Meloxicam
It is produced both in the form of tablets and in the form of ampoules for intramuscular administration. This non-steroidal drug allows you to actively fight inflammatory processes directly in the joints. The drug is characterized by an active anti-inflammatory effect and allows you to get rid of fever by lowering body temperature. It is worth noting that these products, regardless of the form of release, have a low price. The tablets also contain lactose, cellulose, sodium citrate and a number of other components. They have the shape of a flat cylinder and are usually yellow in color. The drug blocks the production of prostaglandins, which are actively synthesized in the inflamed area. The active substance is evenly distributed throughout the tissues of the human body, due to which it is characterized by a prolonged action and penetrates well into the synovial fluid.
The drug prevents lipids from oxidizing and free radicals from forming. It also does not change the structure of cartilage and has a restorative effect. With its help, you can get rid of pain arising from arthritis, rheumatism, reduce the temperature, regardless of the nature of its origin, and also remove inflammatory processes of the infectious type. The best results were observed in the fight against arthritis and arthrosis. Take the tablet once a day with meals, with plenty of liquid.
Advantages:
- Low price with a quick positive effect;
- Several release forms;
- Fights inflammatory processes at the cellular level;
- The effect of the drug is quite long.
Flaws:
- There are a number of serious contraindications and side effects.
Meloxicam
Nimesil
By and large, these are not so much tablets as powder for preparing a suspension, however, in terms of its effectiveness, this product is significantly superior to almost all tablet medications. One sachet contains two grams of granular powder, where nimesulide is the main active compound - 0.1 g of the total mass. In order for the substance to be absorbed much better and faster, maltodextrin, ketomacrogol, sucrose and citric acid are used as additional components. The action of this drug is aimed at relieving pain and inflammation, and it also has excellent antipyretic properties. The active substance inhibits collagenase and metalloprotease, due to which cartilage tissue begins to actively recover. When a patient takes this medicine, the production of histamine decreases - this helps to overcome swelling.
The volume of lithium ions in the blood plasma increases. The drug should not be combined with selective inhibitors, as this may cause bleeding in the gastrointestinal tract. The medication is well tolerated throughout the course of treatment. The positive effect is observed within 6 hours. It is allowed to use this drug in case of any pain syndromes, regardless of their origin.
Advantages:
- Before administration, it dissolves in water, resulting in a cloudy whitish suspension with a pleasant orange flavor;
- Used as an anti-inflammatory, analgesic and antipyretic drug;
- Copes well with both the symptoms of joint disease and its cause;
- Quite a long lasting effect.
Flaws:
- Quite expensive;
- There are contraindications and side effects.
Nimesil
