List of the best and most powerful painkilling injections for back pain, lower back pain or spinal hernia

Types of painkillers

In pharmacology, there are several groups of injection medications aimed at eliminating sources of pain in the spine and lumbar region.

The main group of pain-relieving injections includes:

• non-steroidal anti-inflammatory drugs (NSAIDs);
• corticosteroids;
• centrally acting muscle relaxants.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

NSAIDs are anti-inflammatory, analgesic and antipyretic drugs. These medications do not help fight the causes of pain syndromes, but only eliminate current pain and relieve inflammation.

Corticosteroids

Corticosteroids are steroid hormones produced from the endocrine glands - the adrenal glands. The use of steroid pain-relieving injections for back or lower back pain slows down inflammatory processes at all stages, preventing the development of free radicals.

When an injection is administered, vasoconstriction occurs, as a result of which the permeability of capillaries decreases. Corticosteroids are injected directly into the specific area where the pain occurs.

Centrally acting muscle relaxants

Muscle relaxants are drugs that, when administered, relax muscles and relieve pain. When these agents come into contact, the sensitivity of the nerve endings decreases and reflex reactions are weakened.

This leads to a decrease in muscle tone and a slowdown in spontaneous motor activity. In the end - to remove the source of pain.

Top effective pain-relieving injections for back and lower back pain

Below is a list of 17 types of pain-relieving injections. The overall rating was compiled based on cost and availability, the presence of adverse reactions on the body and patient reviews. The strongest, quick-acting injections received the highest ratings.

Table - Rating of drugs by their effectiveness

Based on the results of the assessment, Diclofenac, Ketanov, Milgamma and Movalis are considered to be the most effective pain-relieving injections in the treatment of back and lower back pain. With the exception of Milgamma, these drugs belong to the group of non-steroidal anti-inflammatory drugs. According to patient reviews, Ketonal and Medrolgin are considered good.

Rating of pain-relieving injections for back and lower back pain by price

The table presents 17 names of drugs, where the drug group and the average cost of the drugs are indicated.

Table - Comparison of pain-relieving injections by price

According to the assessment results, the best inexpensive and budget options include NSAID drugs and neutropic vitamins with the following names: Ketanov, Flamax, Ketonal and Neuromultivit.

Not painkillers, but helps with pain

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NSAID therapy is supplemented with neurotropic vitamins. This group includes B1, B6, B12. Three B vitamins in the composition of the drug Milgamma are combined with the anesthetic lidocaine. The drug helps with the inflammatory and degenerative process in the spine, nerves, and increases blood supply to the affected areas.

Among drugs for eliminating joint problems, chondroprotectors play a special role.

They strengthen the cartilage tissue, it wears less, so the pain decreases. Although such drugs are not included in the list of painkillers, they are used for many diseases of the spine. Chondroprotectors are useful for intervertebral chondrosis (premature aging of cartilage discs), spondyloarthrosis (dehydration and decreased elasticity of intervertebral discs).

Carboxytherapy is an advanced method of treatment and restoration of articular surfaces. The principle of therapy is the introduction of carbon dioxide gas into the subcutaneous tissue. The procedure helps improve local blood circulation, reduce muscle spasms and pain. The result of “gas” treatment is a decrease in the intensity of the inflammatory process and the disappearance of its main symptoms.

What injections are given for back pain?

In the treatment of spinal pathologies, the priority task is to relieve the patient from pain syndromes. The use of painkiller injections has become the best option in medicine.

Effective injections belonging to the category of neutropic B vitamins, which will help get rid of discomfort in the back and lower back:

• Combilipen;
• Neurobion;
• Trigamma.

Combilipen

The medicine contains lidocaine. Used in the treatment of neurological diseases, incl. for dorsalgia, neuralgia, pinched nerve endings, as well as for the occurrence of muscle spasms and arthrosis of various types.

It is not allowed to use anesthetic injections for children, pregnant women or those giving birth with uterine spasms extending to the back or lower back, people with heart failure and those with individual intolerance to certain components.

Neurobion

Neurobion, unlike Kombilipen, does not contain lidocaine. This drug is prescribed for degenerative changes in the spine (lumbago, sciatica, radicular syndrome) and various types of neuralgia.

In case of overdose, the drug will provoke a number of negative reactions in the form of allergies, nausea, dizziness, tachycardia and breathing problems.

Trigamma

Prescribed as a complex therapy for myalgia of all parts of the spine and lower back, in the treatment of neuritis and neuralgia, radiculopathy.

If the dosage is exceeded, Trigamma can cause anaphylactic shock and skin diseases such as allergies and urticaria. It is not advisable to use the drug for persons under 18 years of age with heart problems.

Opioid analgesics

Similar medications are prescribed for injuries and malignant tumors. Opioid analgesics help with acute inflammation of musculoskeletal tissues, severe pain syndrome of a neurogenic and post-traumatic nature, and osteoarthritis. The group of opioid drugs includes morphine, fentanyl, tramadol (available by prescription).

Any analgesics are addictive with long-term use, and after the end of treatment - withdrawal syndrome.

Opioid drugs have many contraindications and side effects.

In addition, drugs in this group enhance the effects of alcohol, tranquilizers, sleeping pills, and drugs to lower blood pressure. The course of therapy most often does not exceed 10 days, but can be adjusted depending on the patient’s condition.

The most powerful painkiller injection for spinal hernia

A hernia is formed as a result of protrusion of the nucleus pulposus and deformation of the fibrous ring, which is pinched between the vertebral discs. Without proper therapy, the damage worsens, inflammation increases and pain intensifies. Pain-relieving injections for a spinal hernia are the fastest, strongest and most effective way to relieve pain compared to pills.

Nonsteroidal anti-inflammatory drugs

These products are a kind of “3 in 1” painkillers. They have an antipyretic and anti-inflammatory effect. NSAIDs also help relieve pinched nerves in the back and reduce swelling from a hernia.

However, despite all the obvious advantages, NSAIDs have contraindications: they are not recommended for people with digestive system problems due to the negative effect on the mucous membranes.

Steroid hormonal drugs

They are used only in extreme cases, because they affect the hormonal system, have a more powerful effect, and are effective in cases of pinched nerves and severe pain. They are addictive and, if abused, cause destruction of the cartilage tissue of the back.

Muscle relaxants for muscle relaxation

These pain-relieving injections are not aimed at instantly eliminating pain in the back or with a hernia. They act on muscle fibers, artificially relaxing them, improving blood flow and eliminating metabolic by-products. They have no contraindications.

Chondroprotectors

Provide comprehensive treatment of the disease. They include not only analgesics and anti-inflammatory drugs, but also injections that help restore cartilage. Do not allow the disease to progress. They have no contraindications. They are most effective in combination with physical therapy.

Vitamin preparations

Vitamins help improve general trophic functions in the body. For vertebral hernias, nicotinic acid and B vitamins are relevant, as they reduce the effects of neurological disorders, restore tissue sensitivity and metabolic processes in the body. These medications have contraindications, so they are prescribed exclusively by a doctor.

Homeopathy

A controversial, but existing method of eliminating back pain. Used only in the early stages of the disease or for preventive purposes. Despite the widespread myth regarding the harmlessness of homeopathy, you should consult a specialist before starting treatment.

Table - Features of pain-relieving injections for back pain and hernia by operating groups

The summary table shows the most effective remedies from each group. The selection of medications should be carried out by a doctor with a higher medical education.

Obsolete and new NSAIDs

Over-the-counter pain medications and non-narcotic analgesics are used for pain of various origins. Diclofenac, used as an antirheumatic and anti-inflammatory drug, is more affordable. The drug in the form of injections and tablets acts more aggressively than when applying a gel with the same active ingredient.

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Among doctors and medical experts, there are supporters of banning the use of diclofenac due to its harmful effects on the gastric mucosa. This drug also increases the risk of heart attack. Diclofenac is poorly tolerated in old age.

Indomethacin and ketoprofen have significant side effects.

The new generation of NSAIDs is represented by nimesulide and meloxicam. The first one is not produced in the form of injections; in pharmacies you can find oral medications and gels with this active ingredient. Meloxicam, like nimesulide, has a selective effect and a less pronounced negative effect.

Ketorol is used to treat severe pain, sometimes combined with narcotic analgesics. Start with a dose of ketorolac 10 mg (1 ampoule contains 30 mg). After the first injection, subsequent injections are given every 4-6 hours. The maximum single dose for a patient over 16 years of age is 2 ampoules, the maximum daily dose is 3 ampoules.

The anti-inflammatory effect of ketorolac is less pronounced than the analgesic effect. The drug quickly accumulates in plasma and develops an analgesic effect comparable to a small dose of morphine. However, ketorolac does not have a sedative effect, rarely causes gastric ulcers and anaphylaxis, and does not cause addiction or withdrawal symptoms.

Causes of back and lower back pain

Excessive physical activity

Exhausting work, regular lifting and carrying heavy objects have a significant impact on the condition of the spine. During exercise, a person may remain in an incorrect position for a long time, as a result of which the back is loaded and additional pressure is created on the intervertebral discs, they become deformed and become more mobile. This leads to the development of diseases such as hernia, dorsopathy, and neuralgia.

Prolonged stay in a static position

Most professions require standing or sitting work. Constantly staying in one position causes the back muscles to become weak and the spine to become inactive, which leads to muscle spasms, pinched nerve fibers, osteochondrosis, and curvature of the spinal column.

Being overweight

Excess weight puts pressure on the spinal column, creating additional stress on the intervertebral discs and lower back. Also, the uneven distribution of fat deposits in the body will lead to a shift in the center of gravity.

In the process, the spine loses flexibility and mobility, which will cause a number of unfavorable changes in the form of curvature, the development of osteochondrosis or intervertebral hernia.

Suffering injury or bruises to the spinal column

As a result of injury, the risk of developing pathology in the spine increases, including damage to the spinal cord, which leads to partial or complete loss of sensitivity and motor activity.

Congenital pathologies of the spine

Some children are born with spinal abnormalities. After the birth of a child, it is not always possible to identify pathology.

If an anomaly is detected, you need to contact your local doctor who will conduct a diagnosis. It is possible to use both therapeutic and surgical methods.

Milgamma, Diclofenac, Ketanov, and Dexalgin are considered popular and effective pain-relieving injections in the treatment of spinal diseases.