15 best shots for low back pain

The most common ailment of the population after migraine is back pain or, in medical terms, dorsalgia. According to statistics, about 80% of able-bodied people face it, and only 20% of them seek help from doctors. Of course, it is better not to self-medicate, since the pain can intensify or go into a chronic stage, which will be quite difficult to cope with. Nevertheless, in order to wait for a meeting with a neurologist without suffering, it is allowed to resort to certain medications that alleviate the condition. For the earliest possible relief of pain syndrome, injections are usually used - it is believed that liquid solutions injected intramuscularly are more biological than tablets. The most effective injectable drugs are presented in our rating. The ranking was based on patient reviews and medical appointments for various pathologies, therefore, the distribution of positions is rather arbitrary and in no case is a direct recommendation for independent use.

There are contraindications. Check with your doctor.

The best injections for pain relief

At the first stage, it is advisable to use analgesic drugs. Their action is based on blocking the transmission of pain signals to the brain and relieving the inflammatory process. The effect comes quickly, but it is important to correctly calculate the dose. The course of admission should not exceed 5 days: analgesics, although they are considered relatively safe, but, being mostly acids, have an irritating effect on the gastrointestinal tract. For the same reason, they cannot be combined with each other. In addition, long-term use of pain relievers is addictive, which complicates future treatment of the disease.

5 Artoxan EIPICO

Preparations with tenoxicam, including "Artoxan", are not so easy to find on sale, but those who got the coveted package can forget about lower back pain for the near future. Enough 3 injections - 1 per day, so that the inflammatory process recedes along with painful sensations. The long duration of action, together with a short course, led to the increased popularity of the drug among the population.

Another plus of the product is its good tolerance. According to reviews, the injection is not painful, the effect on the stomach is imperceptible, and the pain decreases immediately after the injection. Among the shortcomings, the lack of a tablet form and the need for mixing substances are mentioned - not everyone finds this procedure simple. The price is also not the lowest, but it is leveled by the effectiveness and safety of the product (provided it is used for its intended purpose and in accordance with the instructions).

4 Dexalgin Berlin-Chemie / Menarini

1 ampoule with an injectable form of "Dexalgin" contains 50 mg of the main agent - dexketoprofen. This substance was developed and introduced to the market relatively recently, in 2002, and in Russia the drug appeared even later, in 2008. It cannot be unequivocally stated that the drug in all aspects outperforms other NSAIDs, but certain properties differ for the better. : For example, the full analgesic effect occurs within 30 minutes after administration and can last up to 8 hours. This duration of action makes it possible to reduce the number of doses to a minimum and thereby reduce the overall cost of effective treatment.

The fact that Dexalgin is a very powerful analgesic has been scientifically confirmed. So, in the course of a study carried out by the Department of Pharmaceutical Technologies of the Sechenov University (Moscow), it was found that after its introduction, the maximum level of analgesia is achieved in comparison with other drugs.In addition, individual patients, as prescribed by a doctor, are allowed to be simultaneously administered with opioid pain relievers (morphine, pethidine) in order to reduce the dose of narcotic substances.

3 Voltaren Novartis

The powerful anti-inflammatory effect of Voltaren is due to the properties of diclofenac, a non-steroidal substance included in the list of essential medicines in Russia. There are about a dozen and a half of drugs with a similar composition in any pharmacy, and almost all of them are likely to be cheaper than Voltaren. It would seem, why overpay? But in fact, Swiss medicines have always been famous for their unsurpassed quality: the country exercises state control over the pharmaceutical industry, and research institutes are working to improve the formulas.

It is not surprising that doctors, prescribing diclofenac to relieve back pain, recommend Voltaren-Novartis, since it is distinguished by better purification of the substance and has a more gentle effect on the body. User reviews confirm that the drug is able to reduce pain after the 2nd injection and bring complete relief after the 5th, while negative phenomena such as stomach pain and discomfort in the liver are not felt. Nevertheless, the medicine is considered to be strong, so you should not resort to it uncontrollably.

2 Ketonal Sandoz

The main active agent of the drug under the trade name Ketonal is ketoprofen. This is another effective NSAID often prescribed in medical practice to relieve toothaches, relieve inflammation and lower body temperature in case of fever, as well as dorsalgia. Among similar agents, it stands out for the best tolerance, expressed by a smaller number of negative reactions of the body to injections. In addition to the mechanism of action common to all non-steroidal drugs, ketoprofen has properties characteristic of it and in studies has shown itself to be a stronger analgesic than diclofenac, ibuprofen and aspirin.

The medicine is produced by the well-known international company Sandoz, whose products are represented in 140 countries of the world. In Russia, its drugs are trusted both in the professional environment and in the consumer, and in 2017 they became laureates of the People's Brand and the Russian Pharma Awards. As for "Ketonal" specifically, in the reviews it is praised for its effectiveness (the pain is muffled after 15 minutes) and the absence of discomfort after the injections (provided that the injection is made correctly).

1 Ketorol Dr. Reddy's

A good counteraction to severe back pain is the drug "Ketorol", the active substance of which is ketorolac. Its main feature is a weakly pronounced antipyretic and anti-inflammatory effect and a powerful direction of action to eliminate pain. According to the analgesic effect, "Ketorol" is compared with opiate analgesics, but at the same time it does not lead to drug dependence and does not have a sedative effect on the nervous system.

It is convenient that the solution in ampoules is already ready for use and does not require dilution with other substances. The medicine in the form of a solution for injection is better tolerated than tablets, after which many patients complain of stomach pain. Relief comes, according to reviews, after 15-40 minutes. after an intramuscular injection and literally 1-3 minutes after injection into a vein. Neither epidural nor intraspinal injection is allowed. The maximum concentration is reached in about an hour and lasts from 4 to 6 hours. After this time, the procedure can be repeated, but not to exceed the frequency of the procedure 2-3 times a day. Thus, 1 package of 10 ampoules costing a little over 100 rubles is enough for 3-5 days, which is more than economical.

The best injections for the introduction of B vitamins

Traditionally, vitamins B1, B6 and B12 are used in the treatment of dorsopathy.Since the 50s and up to now, more than 100 studies have been carried out, proving that this group of substances effectively reduces pain in the lower back, normalizing reflex reactions and eliminating hyper-irritability of inflamed areas. Most importantly, combination therapy with B vitamins and low-dose NSAIDs (diclofenac) gives an effect in a shorter time compared to monotherapy, thereby reducing the risk of adverse reactions.

3 Neuromultivitis G.L. Pharma

There are many reviews posted on the network about Neuromultivit tablets, and most of them describe the result of taking as an improvement in the condition of hair, nails and general well-being. However, taking them with the aim of replenishing B vitamins and, moreover, calming the nerves is definitely impossible. The same rule applies to injection solution: it has clear indications, and back pain is one of them.

The drug is a red liquid with a characteristic odor, enclosed in glass ampoules. They are opened quite easily by pressing in a designated place without the use of improvised means. According to users, with lumbar syndrome, the drug literally copes with the first injection, and this justifies the painful sensations when the injection is administered. But nevertheless, the drug is recommended to be administered with the involvement of a professional nurse, who, with the right actions, will be able to level the discomfort.

2 Kombilipen Pharmstandard-UfaVITA

If the German Milgamma is an original drug, then Kombilipen is its generic, that is, a drug with identical pharmaceutical ingredients and effects. It is logical that a local pharmaceutical product is cheaper than a foreign analogue and cannot but arouse consumer interest. If you wonder how effective it is compared to the original, you can turn to the reviews for an answer. The vast majority of them claim that the remedy is of high quality, gives a positive result when properly prescribed and carried out treatment, saves from back pain without unpleasant consequences in the form of dyspepsia and other side effects.

To relieve acute pain, 1 (maximum 2, according to medical indications) injection per day is enough with a further transition to a tablet analogue. It is important that, unlike non-steroidal analgesics, the drug not only relieves vertebral pain syndrome, but also really heals, affecting the deep mechanisms of its occurrence. If the patient has concomitant neurological diseases, it is possible that their development can also be stopped, but medical control is important to achieve the desired effect - "Kombilipen", like "Milgamma", is far from a harmless vitamin.

1 Milgamma Woerwag Pharma

One of the most relevant remedies in the medical arsenal is the solution for intramuscular injections "Milgamma". It is a combination of cyanocobalamin (B12) with the water-soluble forms B1 and B6: thiamine and pyridoxine hydrochlorides. In addition to them, auxiliary substances are introduced into the composition, in particular, the local anesthetic lidocaine, which ensures painless injection, and a stabilizer (potassium hexacyanoferrate), due to which the compatibility of the vitamin group is achieved. For acute pain in the lower back, the drug is prescribed 1 ampoule per day for a course of 5-10 days. He brings relief already on the 2nd day, which confirms its high analgesic properties.

According to some reviews, the injection, despite local anesthesia, brings patients a certain amount of discomfort. To avoid this, it is recommended that the medicine, which, according to the instructions, be stored in the refrigerator at a temperature of 2 to 8 °, about an hour before the procedure, take out and hold in room conditions. In addition, some people have experienced acne on the body, which disappeared after the end of the course of treatment.Such moments confirm the fact that Milgamma, for all its effectiveness, should not be perceived as an element of general strengthening therapy and should not be prescribed for oneself.

The best injections for injecting muscle relaxants

Muscle relaxants also help to regress severe low back pain. These drugs should not be considered as first-line therapy, however, they reduce the pathological tone of individual muscles of the back, gradually improve motor functions, and make it possible to carry out physiotherapy and physiotherapy exercises. To select an individual dose as part of a complex treatment, you must consult a doctor.

3 Lyoresal intrathecal Novartis

The drug with baclofen, in addition to reducing severe muscle spasticity, is also capable of having a moderate analgesic effect. It is used in cases where oral administration of muscle relaxants was ineffective or led to severe drowsiness and weakness. The delivery of the active substance is carried out directly into the space of the spinal cord by intrathecal administration, which allows achieving a clinical effect in minimal doses - at least 100 times less than oral agents.

Of course, this treatment is not required for everyone suffering from pain in the lower back. Its need is prescribed by a doctor, and its safe and effective implementation is due to the experience of the medical staff. Nevertheless, the experience of intrathecal administration of baclofen developed over the past 15 years indicates its high efficiency and a positive effect on the quality of life of patients.

2 Calmirex Sotex

The solution for intravenous and intramuscular administration contains the same active substances as the popular "Mydocalm" - tolperisone and lidocaine. Accordingly, it has the same effect on the brain, signaling the appropriate areas to reduce the degree of muscle tension. Side effects, judging by both the instructions and the reviews, do not occur often, feelings of drowsiness and deficiency also practically do not happen.

For what else "Calmirex" is praised, so it is for failure-free help with spasms in the lower back and other parts of the back of different etiology. One or two injections are enough for a person to stop “climbing the wall” from pain, and five, in rare cases ten - for the pain syndrome to completely go away. The only thing is that the drug, although it is domestic, is not far from the foreign original in terms of cost. But the price is still a secondary factor, if only it helps, and this medicine copes with the tasks set to it.

1 Mydocalm-Richter Gedeon Richter

The main advantages of "Midocalm" are the absence of significant side effects and good interaction with non-steroidal anti-inflammatory drugs. Combination with NVPV allows you to reduce the dosage of the latter and reduce their negative effect on the body. Another important advantage of this muscle relaxant is that, provided that the dose is correctly selected, there is no sedation and muscle weakness, which are usually accompanied by the use of similar drugs. This makes it possible to use when driving a car or in cases where it is required to maintain attention and reaction speed.

In this case, the use of "Mydocalm" is considered effective and fully justified in painful muscle spasm in the lumbar region. The effectiveness of the active agent - tolperisone - has been proven by several blind studies: in one of them, two control groups received "Midocalm" and "Paracetamol" for 14 days. After that, special methods were used to measure the quality of life and it was found that the group treated with the muscle relaxant objectively feels better and quickly returned to normal life activity.

The best injections for prevention and treatment (chondroprotectors)

A number of Russian and foreign guidelines for the treatment of pathogenic conditions of the spine contain recommendations for the mandatory use of chondroprotectors in basic therapy. This group of drugs delays or completely stops degenerative processes and improves the functions of the supporting apparatus, while preventing recurrence of the disease. Simultaneously with their intake, you should change your lifestyle towards balanced physical activity and giving up bad habits.

4 Traumeel S Heel

Traumeel S has established itself well among naturopathic doctors who prefer to use herbal medicines. Its ingredients include arnica, calendula, chamomile, comfrey and a dozen other herbs with a healing effect. True, the concentration of extracts in the solution may alert someone: the degree of their dilution exceeds a hundredfold (D2 ‒ D6), the total ratio of active substances is only 0.00046%. In fact, low dose treatment is a fundamental principle of homeopathy, and Traumeel-S proves in practice that it works.

In pharmacies, the drug is presented in ampoule and tablet form, but injections are considered the most effective. They are easily transferred (not a single mention of side effects was found), but they do not give a quick effect, like the previous drugs from this category - you need to be patient and ... money. Unfortunately, the remedy is quite expensive, it should be taken for a long time, so it is inaccessible for low-income families. However, it also does not help everyone. Perhaps this is the fault of a fake?

3 Zeel T Heel

People often turn to homeopathy when all the pills are eaten and the injections are punctured, and the back pain remains. The drug "Zel T" from the well-known German company "Gil" was created just for them. It does not contain non-steroidal anti-inflammatory ingredients of chemical origin, as well as any other components that invade the body's life processes. The composition is exclusively animal and vegetable: pork cartilage, placenta, nightshade, comfrey, etc.

The consumers themselves speak about the effective use of the drug - doctors are generally skeptical about it, they say, there is no need to expect any benefit or harm from it. But the reviews indicate the opposite - after the injections, both spinal and head pains go, the inflammation gradually fades away, and the lower back worries much less often. Nevertheless, due to the many herbal components, it is necessary to start treatment with Zeel T very carefully - allergic reactions and individual tolerance can begin even after the best preparation.

2 Hondrogard Sotex

Appointment of "Chondroguard" is usually pursued two goals - to reduce pathological symptoms and prevent the progression of degenerative processes. The mechanism of action is based on the properties of the main agent - sodium chondroitin sulfate. Chondroitin sulfates are specific components of cartilage that are able to retain water in their thickness, creating excellent shock absorption and reducing shock to the spine. The effect of using the product is cumulative and over time becomes apparent not only in the lumbar region, but also in all joints.

In the reviews, they often complain about the high cost of the medicine, due to the duration of the course - at least 3 months with a possible repetition in six months. Injections should be given every day or every other day; a doctor should make an adequate selection of the dosage. The remedy, as a rule, is well tolerated, there are few mentions of "side effects", but it happens that on the 2nd day after the procedure, the injection site becomes painful. You should not expect an instant result, since the tissues of the spine are restored slowly and only under the condition of comprehensive treatment.

1 Dona Rottapharm

Ampoules with "Dona" contain glucosamine - a substance that is produced by cartilaginous tissue and is a component of synovial fluid.The source of its production is a natural raw material - chitin isolated from the shells of crustaceans. Once in the body, glucosamine replenishes the deficiency, suppresses inflammation and helps restore cartilage. Due to the high degree of purification of chitin "Don" acts quite quickly, and after 2 weeks you can feel a significant improvement in the condition of the spine and joints.

They generally respond positively to the drug. As a pain reliever, it does little to help, but it does an excellent job with another task - the restoration of destroyed cartilage tissue. Doctors recommend using it in courses, 2 or 3 times a year, in case of severe lower back pain, combining it with anti-inflammatory drugs. A separate category of satisfied users is athletes, who often suffer from pain after injuries and due to increased wear and tear of the joints. However, there are also critical remarks that the results of clinical studies of this drug are too contradictory, and with a prolonged lack of effect (6 months or longer), it can be discontinued.