Drug treatment of various types of chondrosis. Pills, injections (injections) from chondrosis: names of drugs and their description What injections to use from chondrosis
Gives a person a lot of discomfort. It occurs suddenly, accompanied by pain, which is sometimes so severe that elementary movements cannot be performed. Any turn, tilt only increase the pain syndrome. A person is forced to stay in bed, limit his movements, the quality of life deteriorates sharply, which leads to depression. The only way to get rid of unbearable pain is the use of injections for cervical chondrosis. The injection quickly delivers the drug to the point of pain and relieves the condition. Consider when it is advisable to give injections, what means can be used for this.
The disease can manifest itself in different people in different ways. Therefore, if there are painful sensations in the neck, it is necessary to seek the advice of a specialist. At the initial stage, the disease may not bother, developing into an acute or chronic stage, she lets know night pain, dizziness, convulsions. If you do nothing, do not undergo treatment, the disease will progress, which can lead to an intervertebral hernia, which can only be treated surgically.
The main causes of neck chondrosis include:
- metabolic disease;
- change in posture;
- weight gain;
- acute course of an infectious disease;
- back and neck injuries;
- rachiocampsis;
- sedentary lifestyle;
- frequent nervous breakdowns.
Symptoms of cervical chondrosis are often confused with symptoms of thoracic chondrosis. A neurologist will be able to make a correct diagnosis, establish the cause of the disease after an examination. To get a complete picture, the entire spinal column. If in doubt, the patient can be referred for a hospital examination. After the diagnosis is made, the doctor decides on complex treatment. Medical treatment may include medication in the form of tablets, capsules, and injections. What is more efficient?
Benefits of injections over pills
Why are neck chondrosis injections considered more effective? They have a number of advantages over other forms of drug treatment:
1. Injections allow you to quickly cope with pain. The drug immediately enters the bloodstream, reaching the nerve endings. And the tablet first enters the gastrointestinal tract, only after it dissolves, enters the bloodstream, and begins to act. This process takes half an hour or more.
2. When taking a tablet, part of the therapeutic dose is destroyed when it enters the gastrointestinal tract. Injections allow you to bring the medicine to the painful focus without loss.
3. The action of the injection is directed to the source of pain. It does not harm other organs, does not cause side effects. Many pills are detrimental to health.
4. A positive result can be achieved much faster when using injections.
The use of intramuscular injections
With osteochondrosis cervical the following drugs may be prescribed:
- Analgesics
- Non-steroidal drugs aimed at relieving inflammation
- Myotropic antispasmodics
- Glucocorticosteroids
- Minor drugs
The specific type of drugs is selected by the doctor, assessing the problem. What are these drugs?
Analgesics
Most often, Analgin or Baralgin is prescribed to combat intense pain. These are analgesics that help relieve acute pain, spasm. But they do not affect inflammation, they cannot contribute to the treatment. Used only for severe pain.
Usually, the doctor prescribes an injection twice a day in the following dosage: Dexalgin (2 ml), Analgin (2 ml), Baralgin (5 ml). Pain reduction occurs 15 minutes after the injection. The maximum effect is expected in an hour, it lasts up to eight hours.
In some cases, it may be prescribed to administer the drug intravenously in the form of a dropper. Dexalgin in the form of a lytic mixture is administered drip for 30-40 minutes. The effectiveness of anesthesia in this case increases several times.
Non-steroidal anti-inflammatory drugs
Depending on the severity of the disease, injections with NSAIDs are selected. Most often, doctors recommend Ketonal, Ibuprofen, Diclofenac sodium, Ketorolac. All of them are aimed at relieving inflammation and swelling. They help to cope with pain syndrome. These drugs have the ability to eliminate the compression of nerve endings. A full course with NSAIDs in some cases allows you to completely forget about the inflammatory process.
Myotropic antispasmodics
Currently, Mydocalm is considered the best drug for relieving muscle spasm in chondrosis. Doctors believe that its use is effective in eliminating pain, muscle spasm in the neck. The drug does not allow pain to reach the spinal cord, blocking pain receptors. Most often, Mydocalm is prescribed twice a day. Each injection is 1 ml.
Glucocorticosteroids
There are many drugs that belong to this group. medicines. Most specialists prescribe Ambene. It has a multifunctional effect: relieves painful syndrome, eliminates inflammatory process. The tool can restore damaged nerve cells destroyed as a result of the disease.
Glucocorticosteroids are prescribed as part of complex therapy along with painkillers. The course of Ambene treatment consists of three doses, they are administered every other day. One dose includes two injections. In some cases, the most persistent pain syndrome is removed, which helps to get rid of the exacerbation. This medication contains Lidocaine, Dexamethasone, Phenylbutazone, Vitamin B12, NSAIDs, Water for injection. These substances in the complex help to eliminate the exacerbation of osteochondrosis.
Minor drugs
Many drugs are used in complex therapy, secondary drugs that may or may not be prescribed by a doctor include:
- b vitamins,
- diuretics,
- chondroprotectors,
- homeopathic preparations.
Medicinal blockades for osteochondrosis
When pain occurs, the doctor may prescribe a blockade. Injections are made only in the affected area. This type of treatment has a certain effect:
- stops pain impulses and their spread;
- improves blood circulation in the cervical region;
- relieves pain spasm in the muscles, relaxing them;
- quickly relieves swelling.
With one drug from the group of anesthetics. It can be Lidocaine or Novocaine.
with two drugs. The pain reliever is used in tandem with nonsteroidal drugs or antispasmodics. In order to achieve a positive result, doctors recommend using the Shants collar during treatment. This eliminates unnecessary movements of the neck and head.
Types of blockades
1. Funicular blockade, in which the drug is injected at the exit point of the spinal root.
2. Paravertebral blockade. Medicines are injected at different depths at different points near the spine.
3. Epidural blockade. With chondrosis of the cervical region, injections are injected into the epidural space.
Blockade contraindications
Blockade does not make sense to do under the following circumstances:
- Allergy to any of the drugs.
- Severe spinal deformity.
- The presence of ulcers.
- Diseases of the gastrointestinal tract, gastritis.
Injections in the back and neck are quite painful. They should be prescribed and done only by a specialist. Do not trust the procedure to a random person. Wrong movement and injection will lead to even more spasm and increased pain.
What is the danger of self-medication
The sedentary lifestyle that most of us lead often leads to weak muscles. BUT weak muscles lead to the occurrence of complications, the development of osteochondrosis. Many, not finding time for a visit to the doctor, begin to be treated on their own. You should not do this, because the cervical region is a very traumatic area, with improper treatment, osteochondrosis threatens with complications.
Only a doctor can choose drugs, the right dosage, choose concomitant drugs, recommend wearing a special collar and control treatment. Painkillers should not be abused. They do not treat the cause of the disease, but only stop the pain, relieve the painful syndrome, causing temporary relief. The effect of the drug ends, the pain returns with renewed vigor. Some try to limit their movements to eliminate pain, but it still comes back. Therefore, an integrated approach to treatment is needed, with the eradication of the causes of the disease, the removal of inflammation.
Self-medication not only will not bring the proper result, but can also harm the entire body. The wrong choice of drugs leads to increased pressure, exacerbation of gastritis, liver disease. Feeling pain in the neck, you should seek help from a qualified specialist.
Parenteral drug administration (injection) is one of the best practices anesthesia in pathologies of the musculoskeletal system. Injections from osteochondrosis are usually prescribed for severe exacerbation, when the use of ointments, tablets does not give a positive result. The injection ensures that the drug instantly enters the bloodstream and its local effect on a specific area. At the stage of remission, treatment of osteochondrosis with injections is carried out in order to improve the condition of the intervertebral discs.
Indications
Injections for osteochondrosis only help relieve inflammation, eliminate muscle spasm and stop pain. The disease cannot be cured by this method alone. This is an extreme measure, prescribed in the acute period, when a patient with osteochondrosis who is treated with severe pain in the neck or lower back, injections will help alleviate the condition. Only then can the real treatment begin.
It will include a complex physiotherapy exercises, massage, physiotherapeutic procedures. The drug that needs to be injected with osteochondrosis is chosen by the doctor after an examination and examination.
Contraindications
It is possible to effectively fight the disease only by knowing which injections for osteochondrosis cannot be given. Any anti-inflammatory drugs should be used very carefully. Being absorbed into the blood, they can adversely affect many organs, causing an exacerbation of chronic diseases. Therefore, it is contraindicated to give such injections for chondrosis and osteochondrosis to people suffering from gastritis, stomach ulcers, cirrhosis of the liver.
Injections are unacceptable in the presence of a pustular focus at the injection site, allergies to an anesthetic drug. Many medicines are prohibited for use by pregnant and lactating women.
Types of injections
The course of treatment involves the use different ways injection of medicine into the spine with injections:
- Intramuscular injection. The most commonly used method, in which the drug immediately enters the bloodstream and has a rapid effect.
- Intravenous administration. It is prescribed to eliminate the inflammatory process that occurs in the body, very quickly relieves pain.
- Subcutaneous injections for the treatment of osteochondrosis are used to administer vitamin complexes.
- Blockade - an injection that is made directly into the affected area. When it is not possible to stop the pain with ointments or tablets for osteochondrosis, effective injections help get rid of it.
Of the drugs, doctors most often prescribe antispasmodics, analgesics, nonsteroidal drugs, chondoprotectors.
Their task is to eliminate pain, improve blood circulation, normalize activity. nervous system, promote faster recovery of damaged structures.
Intramuscular injections
When drawing up a therapeutic regimen, it is necessary to take into account where the affected area is located. Depending on this, various types of drugs are used.
Among analgesics, Analgin, Baralgin are the most popular. They quickly eliminate the pain syndrome, so they are used if the pain is especially intense. E An effective myotropic antispasmodic is Mydocalm. Its action is based on the blocking of muscle fiber receptors, which leads to the elimination of muscle spasm in the spine and the disappearance of pain in a short time.
Non-steroidal drugs are prescribed depending on clinical picture and the presence of other diseases. For the treatment of chondrosis of the neck, back, injections are prescribed using Diclofenac sodium, Ibuprofen, Ketonal. Among steroid hormonal drugs most doctors prefer the combined remedy Ambene. Due to the content of several components, it has a multilateral effect - it eliminates inflammation, improves the functioning of the nervous system.
Intravenous injections
Droppers in the treatment of osteochondrosis are usually not a mandatory component of the therapeutic course. Nevertheless, they are appointed quite often. The main indications for their use are problems of the cervical region, accompanied by headaches, dizziness.
Intravenous injections, which are part of the treatment regimen, can also improve metabolic processes in tissues. Vascular drugs, such as Trental, nicotinic acid, are prescribed in case of development of degenerative processes in the cervical region.
Non-steroidal anti-inflammatory drugs
When prescribing injections for cervical osteochondrosis, the doctor usually selects drugs from the group of NSAIDs (non-steroidal anti-inflammatory drugs). The active ingredients contained in them can relieve pain and inflammation by reducing the sensitivity of the nerve.
Non-steroidal drugs in the form of injections help to quickly eliminate adverse symptoms.
The most popular are:
- Diclofenac. An effective drug that suppresses the inflammatory process, which helps to anesthetize, reduce the temperature, which often rises with osteochondrosis. The positive effect lasts about 12 hours after the injection.
- Movalis. Injections from lumbar osteochondrosis with the use of this remedy suppress the inflammatory reaction. At the same time, there is no side effect in the form of a violation of the mucous membrane of the stomach, duodenum. The action of the drug lasts throughout the day.
- Ketonol is another complex remedy from the group of non-steroids. It eliminates pain very well, but it has less pronounced anti-inflammatory and antipyretic properties. You can not give painkillers injections for osteochondrosis with the use of this drug to people suffering from diseases of the digestive tract.
Almost all drugs belonging to the NSAID group have negative impact on the liver. Analgesics used in the form of injections reduce the likelihood of negative reactions.
Vitamin complexes
Conducted studies have proven the effectiveness of injections for osteochondrosis lumbar spine using B vitamins. They help to quickly eliminate inflammation and pain, restore nerve fibers and improve their conductivity. Milgamma vitamins have an excellent reputation.
In terms of effectiveness, they are not inferior to non-steroidal anti-inflammatory drugs. Usually, a whole complex of injections with vitamins is prescribed to treat the disease. In addition to the analgesic effect, they improve hematopoiesis, normalize blood circulation. Droppers for osteochondrosis are used much less frequently.
Muscle relaxants
The action of these drugs is based on their ability to relax the muscle fibers of the skeletal muscles, which alleviates the patient's condition. The doctor decides which injections for osteochondrosis of the cervical spine will be more effective. Often used tools such as Mydocalm, Baclofen, Sirdolut. These injections do not have a therapeutic component, helping only to eliminate the discomfort associated with pain.
Video
Video - injections for osteochondrosis
blockades
This is the name of the method of administering anesthetic drugs.
There are the following types of blockades:
- Paravertebral, when, with osteochondrosis, injections are made next to the spinous processes of the vertebrae.
- Epidural - the introduction of drugs into the sacral canal. This method allows you to stop very severe pain.
The most commonly prescribed injections for osteochondrosis for blockade is a combination of novocaine and prednisolone. (dosage prescribed by the attending physician)
Chondroprotectors
With osteochondrosis of the thoracic spine (or any other), injections are also prescribed to restore damaged discs. Chondoprotectors are drugs that promote the formation of cartilaginous tissue between the vertebrae.
Chondrosis is a disease of the spine that is quite difficult to treat, especially if time is lost and the disease has become severe or chronic. Numerous preparations for chondrosis are intended, first of all, to alleviate the symptoms of the disease, in particular, relieve severe pain and return the ability to move freely. The following is a list of various drugs with names so that patients can navigate what they are intended for.
When chondrosis is in the acute stage, treatment is carried out with the use of drugs from the group of analgesics and non-steroidal anti-inflammatory drugs, subject to bed rest.
Among these drugs can be noted:
- injections of painkillers, performed with a strong pain syndrome;
- with pain of moderate intensity, the use of ointments, tablets, folk remedies, as well as additional methods treatments, such as massages, electrophoresis, acupuncture and others.
Back injections are used for various purposes:
- for pain relief;
- in order to normalize the functioning of the nerve endings of the spine;
- to inhibit the destruction of intervertebral discs and the growth of bone tissue.
In connection with the different directions of exposure, drugs are divided into the following groups:
- and painkillers (injections, tablets and ointments).
- Analgesics and local anesthetics.
- Muscle relaxants.
- Antispasmodics.
Chiropractor Epifanov Anton will tell you more about non-steroidal anti-inflammatory drugs:
- Vasodilators.
- Chondroprotectors.
- Sedatives.
- Vitamins and calcium preparations.
- Warming and analgesic.
If treatment or pharmaceuticals have not brought results, as well as in complicated conditions in the form of intervertebral hernias, surgical intervention becomes the only way out.
Anti-inflammatory and painkillers
With cervical chondrosis, an inflammatory process always occurs, the signs of which are pain and swelling. As a result, the muscle tissues around the joints compress the nerve endings in the spinal cord, which leads to dysfunction of individual organs.
Non-hormonal anti-inflammatory pills, ointments and injections for neck chondrosis inhibit the production of active ingredients that caused inflammation. Such funds do not directly affect the cartilage, but only weaken the symptoms of the disease.
Quite often, injections and tablets for chondrosis are used under the name:
- Meloxicam in ampoules for injection. An effective anti-inflammatory non-hormonal drug that relieves severe pain, lowers the temperature. It is used for rheumatoid arthritis, arthrosis and osteoarthritis, ankylosing spondylitis.
- . Analogue of the previous medicine. The active substance is meloxicam. It is used in the form of intramuscular injections during the first 2-3 days, and then the patient is transferred to the tablet form of administration. Daily rate- 7.5-15 mg per day, depending on the patient's condition.
- Dexalgin in the form of injections for back chondrosis is used only in the first two days of treatment, provided that the patient has very severe or moderate pain intensity, and it is not advisable to use tablets or other forms of drugs (in the postoperative period, with renal colic). Assign 50 mg every 8-12 hours. The daily dose is not more than 150 mg.
NSAIDs that have analgesic and antipyretic effects. Price in pharmacies from 265 rubles.
- Diclofenac. A common remedy for cervical chondrosis. The form of release of the drug is injections, tablets, ointments, rectal suppositories. The main active ingredient is part of many similar drugs, for example, ortofen, naklofen, diclogen and others. It is well tolerated by patients due to the small number of adverse reactions. Long-term use is not recommended due to the risk of abnormalities in the functioning of the liver and kidneys. It is also used to treat osteochondrosis of the lumbar spine.
- Ketorolac. A drug, the peculiarity of which is the rapid and effective removal of pain. However, the duration of the effect is short. Ketorolac is prescribed for the relief of especially severe pain. Available in ampoules for injection and tablets. Because of negative impact on the central nervous system, gastrointestinal tract and kidneys, it cannot be used for a long time.
- Ketoprofen, named similarly to the active substance. Unlike the previous drug, it has a slight and anti-inflammatory effect. It is used in the form of injections, tablets and ointments. The analogue of the drug is ketonal. Also available in injections, tablets and gels.
Painkillers in tablet form
- Ibuprofen. Produced in the form of tablets. The drug is intended, first of all, for pain relief of the joints. It is usually well tolerated by patients. Possible adverse reactions are vomiting, gastritis, drowsiness.
- Movalis. An innovative drug that affects only the focus of inflammation and does not affect the functioning of the gastrointestinal tract. The tool has an analgesic effect on the joints of the back, shoulders and neck. Release form - tablets and rectal suppositories.
Non-steroidal synthetic drug that has an anti-inflammatory effect. Price in pharmacies from 28 rubles.
Please note that the use of non-steroidal anti-inflammatory drugs is contraindicated in patients with peptic ulcer and gastritis of the stomach, since their use can lead to the formation of bleeding ulcers.
To reduce the harmful effects of NVPS on the body, such drugs should be used only after meals, so as not to irritate the mucous membrane. Some drugs affect alertness and reaction speed, so it is better to take them before bedtime or in the evening.
Muscle relaxants and antispasmodics
This group of drugs is designed to relax the muscles in the foci of inflammation so that they do not squeeze the damaged joints of the spine. With the help of such drugs, short-term innervation of organs is performed to perform certain therapeutic procedures.
According to the exposure time, the following types of muscle relaxants are distinguished:
- ultra-short-term - active up to 7 minutes;
- short-term - last up to 20 minutes;
- medium - act 40 minutes;
- long - the validity period exceeds 40 minutes.
By themselves, muscle relaxants do not have any effective effect - these drugs only enhance the effect of the use of other drugs.
Mydocalm injections are used in the treatment of muscle hypertonicity caused by a neurological nature. Price in pharmacies from 297 rubles.
Common drugs in this group are:
- Mydocalm, the active substance is tolperisone. As a rule, it is prescribed in combination with naproxen. Apply 100 mg of Mydocalm in the form of injections with Naproxen (2 tablets) twice a day. Thanks to the combined use of drugs, they stop pain and inflammation in the vertebrae, remove swelling and eliminate pinched nerve endings.
- Tizalud or Sirdalud, the active substance is tizanidine. They are prescribed in the form of injections or tablets for chondrosis of the neck or thoracic region.
No-shpa and its domestic and foreign counterparts are considered a popular antispasmodic. However, the principle of their action is somewhat different from drugs from the group of muscle relaxants.
Vasodilator drugs
Since the blood supply to the brain is disturbed in the cervical, it is mandatory to prescribe medications to improve blood circulation.
In the list of drugs in this group:
- Pentoxifylline.
- Vinpocetine.
- Cinnarizine.
Neurologist M.M. Sperling shares his experience on whether it is necessary to dilate the vessels with medication:
Antioxidants and neuroprotectors are prescribed to stimulate metabolic processes in cells. The following tools are used:
- Actovegin;
- Piracetam;
- Mexidol;
- Cerebrolysin.
Chondroprotectors
Used to restore damaged cartilage tissues. They contain components that are part of cartilage - chondroitin and glucosamine. As a result of the use of such drugs, damaged intervertebral discs are gradually restored.
Chondroitin enhances the metabolic processes of phosphorus and potassium, it is a high molecular weight mucopolysaccharide. It slows down the leaching of calcium from the bones, thus slowing down the destruction of cartilage.
Glucosamine restores the natural content of this substance in tissues and cells, accelerates the production of hyaluronic acid, so that the functioning of the joints improves.
There are several groups of chondroprotectors according to the origin of active substances:
- With the content of glucosamine - "Artron Flex", "Don".
- Based on chondroitin sulfate - "Chondroxide", "Chondrolon", "Structum".
- Made from plant ingredients (avocado and soy) - "Piaskledin".
- Based on cartilage and bones of marine animals and calves - "Alflutop", "Rumalon".
- Combined funds - "Geraflex", "Artron Complex".
Therapy with chondroprotectors continues for a long time. The first results become noticeable only 3 months after application. For maximum effect, such drugs will need to be continued from 7 months to a year. Reviews of tablets from this group are mostly positive.
Supportive calcium preparations and vitamin complexes
In addition to effective and fast-acting remedies, which are injections for chondrosis, complex treatment also includes the use of vitamin and mineral complexes. Calcium-containing drugs are prescribed by doctors to enhance the effect of treatment with chondroprotectors. However, you should first take tests for calcium content.
Calcium complexes are sold in the form of tablets. They also contain vitamins C and D, magnesium, manganese, copper and zinc. In addition to taking pills, with chondrosis, it is recommended to balance the diet by including dishes with a high content of these components - wheat, soy, greens, milk and dairy products, nuts.
The mineral complexes offered by the pharmaceutical industry include inorganic calcium and active forms of vitamin D. This combination allows the delivery of trace elements to osteoblasts without causing calcification of the renal tubules and calcium deposits in atherosclerotic vascular plaques.
Combined drug that regulates the exchange of calcium and phosphorus in the body (in bones, teeth, nails, hair, muscles). Price in pharmacies from 198 rubles.
The most commonly prescribed such complexes:
- Vitrum Calcium.
- Calcium D3 Nycomed.
- Calcemin.
It is equally important to use neurotropic B vitamins in injections in the treatment of diseases of the spine. Concentrated drugs can relieve pain, normalize the functioning of nerve fibers, as they improve metabolism and accelerate the transmission of nerve impulses.
Medicines with vitamins B1, B6 and B12 are available in injection ampoules. To reduce the pain effect, lidocaine is added to them. The most common names are:
- Milgamma.
- Neuromultivit.
- Compligam B.
- Trigamma and others.
electrophoresis
Among the methods actively used for the treatment of diseases of the spine, electrophoresis can be called. The peculiarity of this technique lies in the fact that it delivers the active components of the drug deep into the tissues using small direct current discharges, and not through injections. As a result of the procedure, the integrity of the skin is not violated.
During treatment, solutions are used that are mixed immediately before use. The attending physician prescribes such therapy, he also determines this or that drug based on the form of the disease, as well as the severity of its course.
A drug that is used to normalize joint mobility. Price in pharmacies from 193 rubles.
In the form of solutions for electrophoresis, the following drugs are produced:
- Lidaza.
- Karipain.
- Apiphor.
- Magnesia.
- Novocaine.
- Eufillin.
- Mummy.
- Humisol.
Ointments
Ointments are used as aids to relieve the symptoms of the disease. They are applied to the affected area in a small layer on dry, clean skin. There are ointments of the following varieties:
- anti-inflammatory and painkillers - Fastum Gel, Diclofenac, Ketonal and others;
- warming - "Apizartron", "Finalgon";
- with plant extracts - "Traumeel" and others.
A drug that contributes to the provision of local irritant and analgesic effects. Price in pharmacies from 184 rubles.
The appointment of injections, tablets and other drugs for chondrosis should only be performed by a doctor, and self-medication can lead to a deterioration in the patient's condition, when it will be very difficult to help him.
Treatment of chondrosis depends on its degree, localization, additional symptoms, personal characteristics of the patient. Based on all these data, the doctor selects the main and symptomatic treatment.
Usually at the middle stage of the disease (it is diagnosed most often), a whole range of methods, and injections occupy in this complex, if not a leading, then a very significant place.
Injections from chondrosis are different: from supporting vitamin complexes to complex blockades, and the article is intended to help the reader figure it all out.
What effect do injections have?
The main idea of injections is that the right medicine is delivered to the right place in the right amount.
Ask your question to a neurologist for free
Irina Martynova. Graduated from the Voronezh State Medical University. N.N. Burdenko. Clinical intern and neurologist of BUZ VO \"Moscow Polyclinic\".
From this follows the effect: if muscle relaxants are injected, the patient's muscles quickly relax, if they are injected with chondroprotectors, the patient's joint receives the components of the synovial fluid that he needs.
But it is worth noting that due to one of the advantages of injections (quick action), injections are most often used to obtain a strong analgesic effect.
Advantages of injections compared to tablets and ointments
- Fast action. The medicinal effect of injections can occur in a few minutes. With tablets, you have to wait 20 minutes (minimum), with ointments - up to a day.
- Precise dosage. Tablets and capsules should be absorbed through the gastrointestinal tract, the ointment should be absorbed through the skin. In all these cases, it can be difficult to accurately predict how much medication will reach the diseased area. Injectable preparations do not have this problem.
- Delivery directly to the source of the disease. If you inject the drug directly into the spine, then he will not have to go through numerous barriers. This advantage applies to blockade.
- Uniform dosage (for a dropper). The patient may forget to take the pill. The dropper and catheter do not need the intervention of the patient, so the doctor can be calm.
Indications
- acute pain with chondrosis;
- pronounced degenerative changes in the intervertebral disc (for chondroprotectors);
- the need for continuous maintenance therapy (droppers);
- inability to get medicine in another way (deformation of the throat, ulcers and inflammation of the gastrointestinal tract, wounds on the skin).
Contraindications
- an allergic reaction to the components of the administered drug;
- acute phase of the disease (for intraosseous injections except blockade);
- inflammation at the injection site;
- skin infectious diseases at the site where the injection will be given.
Additional contraindications depend on the drug, so before the introduction you need to at least read the instructions.
Better yet, consult your doctor.
Types of injections
intravenous
Intravenous injection is basically dropper.
A catheter is inserted into the patient's vein, to which a bag of medicine (in solution) is attached. This method allows you to give the patient the desired dosage of the drug continuously.
Intramuscular
Intramuscular injections are the most common injection method. The drug is injected into the muscle, from where it enters the bloodstream through the tissue fluid.
You can stab into any large muscle (arms, legs), but most often the buttocks become the “target”.
Intraosseous
Under the name "intraosseous injection" is usually hidden several types of injections in which the drug is injected into the space around the bone, into the bone itself (into the spine), or into a joint.
An important note - stabbing such an injection should know exactly what they are doing. Intraosseous injections should only be done by a doctor and only in a hospital.
How to give injections, can I do it myself?
For intravenous and intraosseous injection need qualified medical staff(nurse, doctor), so you can’t do them yourself. Intramuscular injections are another matter. They can be done on your own with some care.
First of all, you need to warn about self-treatment. Self-medication is a bad idea.
First, the drug may not work as intended, and in extreme cases, lead to death (anaphylactic shock that occurs outside the hospital will lead to death in one case in three). Secondly, a positive effect may temporarily hide the symptoms, but the disease will not disappear. Successful at first glance, self-treatment subsequently complicates the diagnosis.
So you can only give yourself painkillers injections on your own and only when the doctor has given permission for this.
Technique for intramuscular injections:
- Take a syringe, open the ampoule.
- Draw up the medicine in a syringe. Dial - slowly to reduce the number of bubbles.
- Release air and bubbles from the syringe. If a small amount of bubbles remains - it's okay, further on what to do about it.
- Prepare the patient: lay down, wipe the injection site with alcohol.
- Next comes the injection itself. Injection site: for the left buttock - the left upper quarter, for the right - the right upper quarter. The needle must be inserted deeply to reach the muscles. Inject the medicine slowly. If bubbles remain in the syringe, then not the entire dose can be administered, but 95% (the remaining 5% with bubbles will remain in the syringe).
- After the injection, the patient should lie still for at least a few minutes.
You can technically inject yourself, but it's best to find someone who can inject it.
When - to the doctor?
You should not self-medicate if:
- the pain is very strong, does not go away or does not go away for a long time;
- mobility is limited;
- there are pronounced additional symptoms (dizziness, disruption of the internal organs).
Drug Overview
Analgesics
Solution for intramuscular injection. Description: The most popular remedy for back chondrosis. NSAIDs that act specifically on the spine. Contraindications: allergies, hematopoietic disorders.
Price: 25 rubles. for 5 ampoules.
Analgin, injection. Description: A cheap and effective analgesic. Contraindications: hypersensitivity, asthma, blood diseases, disorders of the liver and kidneys.
Price: 50 rub. for 10 ampoules.
These drugs treat both chondrosis and osteochondrosis. They give cartilage chemical elements that accelerate the formation of synovial fluid in the joint:
Sustagard Artro, solution for intramuscular injection. Description: Glucosamine-based preparation. Contraindications: allergic reaction, heart failure and other cardiac pathologies, severe violations of the liver and kidneys.
Price: 775 rubles. for 10 ampoules.
Solution for intraarticular administration. Description: 2 ml of hyaluronic acid, which is injected directly into the joint. Contraindications: allergies, severe liver pathologies, infections in the joint or on the skin at the injection site.
Price: 4700 rubles. for 1 injection.
vitamins
In neurological practice, vitamins are used: B1, B6,. They improve nerve conduction and can help with chronic neurological diseases caused by chondrosis:
Cocarboxylase, lyophilisate for solution preparation. Description: 50 mg of vitamin B1. Contraindications: hypersensitivity.
Price: 120 rubles. for 10 ampoules.
cocarnite, lyophilisate for solution preparation. Description: another analogue of Milgamma, only with a lower dosage. Contraindications: hypersensitivity, cardiovascular diseases, cirrhosis.
Price: 700 rubles. for 1 injection.
The blockade is anesthetic injection which is injected directly into the spine. The need for blockade is determined by the attending physician, it is carried out by a neurologist or an anesthesiologist. There are no special drugs for blockade, the doctor independently selects a combination of drugs based on patient data.
This group of drugs causes the muscles to relax, which removes the spasm and can help if the muscles pressed on the nerve or vessel:
Injection. Description: centrally acting muscle relaxant with lidocaine. Contraindications: allergies, cardiac pathologies, myasthenia gravis.
Price: 470 rubles. for 5 pieces.
Lioresal, injection. Description: A muscle relaxant listed as an essential medicine. Contraindications: hypersensitivity to the drug.
Price: 2000 rub. for 1 injection.
drugs
With chondrosis, glucocorticosteroids show a good result. These hormones activate the reserve reserves of the body and have a direct analgesic effect.
- drug for injection. The solution is an extract from 4 marine fish. The drug contains glycosaminoglycans, hyaluronic acid, chondroitin sulfate, dermatan sulfate, keratan sulfate. These components are present in the cartilaginous part of the intervertebral discs. The low content of these substances leads to the destruction of cartilage tissue, its degeneration, depletion, followed by replacement with bone tissue.
The advantages of the drug:
- chondroprotective action;
- slows down, and then completely stops the inflammatory process;
- high analgesic effect;
- participates in the regulation of metabolic processes inside the cartilage tissue.
Also in the composition of the drug Alflutop there are proteoglycans. Compounds have a trophic effect, are characterized by a replacing effect. It is possible to visualize the dynamics of improvements on MRI. The level of ability to absorb moisture, the height of cartilage, and the microrelief of bone tissue are also taken into account.
Emergency conditions
Many nerve fibers and blood vessels are localized in the neck area, including the vertebral artery. Incorrect blood circulation in it causes impaired coordination of movements, dizziness, decreased vision and hearing, the development of a stroke, and a hypertensive crisis.
The table reflects 2 types of common complications of cervical osteochondrosis:
Evaluation criterion | Stroke | Hypertensive crisis |
How to quickly recognize the state? | The patient develops signs by which the condition can be differentiated:
IN severe case loss of consciousness occurs |
The patient complains of flies before the eyes, weakness, severe dizziness, pulsation in the temples and crown |
How to help the patient? | Provide access to fresh air. Immediately arrange transportation to the hospital | Provide access to oxygen. Apply cold to the temples and forehead. Arrange transportation to a medical facility |
Therapy | The patient is hospitalized in the neurological department, where it is not the osteochondrosis of the cervical region that is eliminated - the treatment with injections is aimed at, and only then the rest of the treatment is prescribed | Antihypertensive drugs + prescribe Actovegin and actively eliminate the root cause of the condition - osteochondrosis |
Conclusion
Osteochondrosis of the cervical region is a disease that causes constant inconvenience, since you have to rotate your head hundreds of times a day. And each movement is accompanied by soreness, dizziness, a decrease in the basic abilities of perception. Injections from cervical osteochondrosis will provide a therapeutic effect. But we must not forget that degeneration of cartilage tissue with subsequent inflammation is a condition that can be avoided: prevent hypothermia of the neck, take care of the body (especially during training), observe sleep hygiene (use), maintain posture while working at the computer and prolonged sitting.
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