Injections for lumbar osteochondrosis: indications for use

During the period of exacerbation of osteochondrosis, patients are prescribed injections to relieve pain, as well as replenish intervertebral discs with nutrients and strengthen bone tissue. At the Yusupov Hospital, doctors use chondroprotectors containing components of animal origin as injections. These drugs nourish cartilage tissue and also promote the process of restoration of joint cartilage.

Injections during the period of exacerbation of osteochondrosis of any localization are highly effective in improving the general well-being of the patient. The course of such therapy lasts on average 10-20 days, followed by a period of remission of the disease. Injection therapy, as a rule, has a pronounced therapeutic effect. Only in very rare cases is it ineffective or causes allergic reactions.

In many ways, the effectiveness of injection treatment depends on the correct choice of the drug, its dosage, as well as compliance with indications and contraindications for its use. That is, a lot depends on the qualifications of the doctor prescribing the treatment.

At the Yusupov Hospital, leading Russian doctors are dealing with the problem of treating osteochondrosis. The disease requires complex therapy, which neurologists, vertebroneurologists, physiotherapists and doctors of other specialties develop individually for each patient, taking into account a huge number of different factors.

Injections for osteochondrosis

With the help of injections it is possible to achieve the fastest possible effect:

  • Reduce inflammation
  • Relieve the pain
  • Inject the medicine directly into the affected area.

Pain relief is not a cure, but only allows you to get rid of symptoms for a while. Therefore, the doctor always prescribes complex treatment - physiotherapy, therapeutic massage, shock wave therapy, spinal traction.

The blockade for osteochondrosis is done at the point where the nerve root exits the spine. This targeted administration of the medication reduces pain in a matter of minutes.

How and where is the injection given?

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There are different types of injections depending on what effect is needed.

The choice of technique is made by the attending physician:


  • Pay attention to how to properly make injections for lumbar osteochondrosis. Intramuscular injections

    in the upper third of the gluteal muscle. This method allows the active substance to penetrate the bloodstream as quickly as possible, as a result of which the fastest results can be achieved;
  • Intravenous administration of the solution is used if it is necessary to eliminate extensive inflammation and relieve severe pain;
  • Subcutaneous injections in the lumbar region . In this way, it is recommended to administer vitamin preparations that actively penetrate deeper tissues, normalizing their nutrition;
  • Drug blockade of pain syndrome - injection of an anesthetic solution directly into the lesion (the place where there is the largest accumulation of nerve endings) is used for unbearable pain that immobilizes the patient.

What injections are used for osteochondrosis of the cervical spine?

For osteochondrosis of the cervical spine, the following injections are used:

  • Painkillers

    . They are used to relieve aggravation and reduce pain.

  • Anti-inflammatory

    . Use non-steroidal anti-inflammatory drugs.

  • Restorative and strengthening preparations

    . Prescribed to restore normal blood circulation and strengthen muscle tissue.

Separately, blockades for cervical osteochondrosis should be highlighted. When medications are injected directly into the area of ​​inflammation of the nerve root to quickly relieve pain and swelling of the nerve.


Injections for osteochondrosis


Injections for lumbar osteochondrosis

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Characteristics of the disease

The pathology is considered quite common (it occurs much more often than damage to other parts of the spinal column). This is due to the fact that during physical activity most of the load falls on the lumbar region. As a result, the intervertebral discs and vertebrae in this area wear out faster.

Osteochondrosis of the lumbar spine is a disease in which gradual deformation of the intervertebral disc tissue occurs. As a result, the vertebrae themselves are damaged and destroyed.

This disease develops as a result of tissue malnutrition , injuries, and other unfavorable factors. Deformations lead to the development of characteristic symptoms of the pathology, among which the main one is severe pain; during attacks of pain, the patient often cannot even move.


Osteochondrosis develops as a result of heavy loads and poor nutrition of the spine

Injections for osteochondrosis of the thoracic and lumbar spine

The principle of action of injections for osteochondrosis of the thoracic or lumbar spine is similar to the treatment of the cervical spine. Painkillers, anti-inflammatory and restorative drugs are also used here.

The dosage of the medicine is calculated based on the patient’s age, weight and other indicators. At the same time, injections for lumbar osteochondrosis can reduce the harmful effects on the stomach and intestines, since the medicine goes directly to the affected area.

Injections for the treatment of lumbar osteochondrosis

Injectable preparations have a more pronounced therapeutic effect , since the active substance contained in them enters directly into the bloodstream in the affected area of ​​the spinal column. This means that less time is required for their absorption and activation.

Most often, injections are prescribed when the clinical picture of the disease is severe (in the early stages, they are treated with medications in the form of tablets and ointments, which, in advanced cases, do not have the desired effect).

Indications for use

Since injectable drugs are potent, their prescription and use requires appropriate indications, which include :

  • Extensive inflammatory processes extending not only to the vertebrae and intervertebral discs, but also to the area of ​​nearby tissues;
  • Severe deformation of the intervertebral discs and bone tissue of the spine;
  • Violation of circulatory processes (both in the immediate area of ​​damage and throughout the body);
  • Severe swelling of the lower back;
  • Severe pain, significantly impairing the patient’s mobility and performance, leading to sleep disturbances.

Main groups of injectable drugs

To eliminate severe manifestations of the disease, the following groups of injectable drugs are used::


  • In case of inflammatory processes in the spine, the use of NSAIDs is mandatory. Non-steroidal anti-inflammatory drugs

    used in cases where the patient requires emergency medical care. The drugs have pronounced analgesic effects (when used, pinched nerve endings are released), relieve spasms of muscle tissue in the damaged area of ​​the spinal column, and eliminate the inflammatory process;
  • Chondoprotectors promote the regeneration of damaged bone tissue and intervertebral disc tissue. As a result of this, deformation processes are suspended, the spine returns to its normal mobility;
  • Vitamin complexes (the drug must contain B vitamins) are necessary to restore blood circulation and metabolism in damaged tissues. Also used for general strengthening of the patient’s body;
  • Injections based on homeopathic medicines (used quite rarely) have a regenerating, calming effect;
  • Anesthetic injections are used to eliminate severe pain. The most commonly used drugs are analgesics, which relieve pain receptors and improve the patient’s well-being. These products are used in combination with antispasmodics, which relax muscle tissue, relieving spasms and excessive tension.

Advantages and disadvantages

Like any other medication, injections used to treat lumbar osteochondrosis have certain positive and negative characteristics. And this must be taken into account when prescribing them.

AdvantagesFlaws
  • Quick effect. The active substance of the drug immediately enters the bloodstream and begins its action;
  • Injections do not have a negative effect on the functioning of the digestive system, as is the case with tablets;
  • There are virtually no side effects when using injections;
  • The drug has a local effect, the effect is observed only in the affected area of ​​the spinal column, where it is necessary;
  • The injection is administered directly into the site of pathology, which gives a more effective result.
  • Short-term action. The effect of the injection lasts for several hours, after which the symptoms of the disease return and the patient needs a new injection;
  • Addictive effect. Which makes it impossible to use the same product for a long period of time;
  • The need to visit a medical facility. Injections cannot be done at home without the necessary knowledge and skills. Meanwhile, not all patients have the opportunity to frequently visit the clinic (especially during periods of exacerbation of the disease);
  • Long-term use of injections contributes to the development of painful lumps and abscesses.

Video: “What to do with back pain?”

You can learn more about osteochondrosis in the lumbar region in the following articles:

  • Find out how osteochondrosis occurs at each stage of development by going here
  • You can read more about massage techniques for lumbar osteochondrosis on the page
  • The use of therapeutic exercises for lumbar osteochondrosis

Blockade for osteochondrosis

Blockades are used to instantly relieve pain syndromes. The effect of the drugs begins immediately at the time of administration of the drug. The result is:

  • blocking pain impulses coming from the affected area;
  • stimulation of blood supply;
  • reduction of muscle spasms;
  • anti-inflammatory effect.

For osteochondrosis, in combination with vitamins, antispasmodics, hormonal drugs, novocaine blockades are also used, when novocaine is injected into the painful point.

Groups of drugs for the treatment of illness

Treatment of osteochondrosis necessarily includes the use of medications prescribed by the attending physician.

To achieve a more pronounced therapeutic effect, several groups of drugs with different properties are used at once. This:

  1. Drugs in the form of tablets (antipyretics if the patient experiences hyperthermia, painkillers for moderate pain, vitamin complexes, chondoprotectors to restore intervertebral disc tissue, sedatives to eliminate sleep disturbances);
  2. Ointments and gels that have a warming effect. The effect of such drugs is to eliminate pain, relieve inflammation;
  3. Drugs in the form of injections (injections) are used in the treatment of osteochondrosis in the later stages of its development, when pain significantly limits the patient’s mobility. The drugs have a whole range of actions: they quickly relieve pain, have a pronounced anti-inflammatory and regenerating effect, improve blood circulation and nutrition in the affected area. In some cases, the patient is also prescribed vitamin preparations in the form of injections;
  4. Folk remedies (compresses) are used to treat the disease in the early stages. Use only after doctor's approval.

List of injection drugs for the treatment of lumbar osteochondrosis

To treat lumbar osteochondrosis and eliminate the symptoms of this disease, various medications in the form of injections are used.


Below is a list of the most popular injectables

The most popular among them are:

Drug nameDescriptionPrice
MilgammaIt has a combined effect, since the product contains not only anti-inflammatory non-steroidal components, but also vitamins. This makes it possible to provide a pronounced therapeutic effect: relieve inflammation and pain, normalize metabolic processes in damaged tissues. Cost about 450-500 rubles.
CombilipenA drug based on lidocaine and B vitamins. It has a pronounced analgesic effect, eliminates the inflammatory process, and improves blood flow in the affected area.Cost – about 200 rubles.
DiprospanA drug of the glucocorticosteroid group. It is prescribed only in emergency cases, when the use of other drugs does not give the desired effect (since the drug can lead to numerous side effects). It has a strong anti-inflammatory effect, normalizes metabolic processes at the site of its application. Price – about 200 rubles.

It is important to remember that the choice of medication, especially when it comes to potent drugs, is made only by a doctor. Self-prescription of medications is unacceptable, as it can lead to very adverse consequences. .

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