Back pain is a common reason for seeking medical advice. According to statistics, every fifth patient at a therapist's office complains of discomfort in this or that department of the spinal column or muscular corset of the trunk.
Pain syndrome occurs with osteochondrosis of the spine, radiculitis, herniated disc, myositis, intercostal neuralgia, bruises and sprains in the back area.
Unpleasant sensations can be caused by diseases of the internal organs: liver, gall bladder, gonads, lungs and pleura, myocardium. Therefore, if back pain occurs, you should consult a specialist to determine the true cause of discomfort and the appointment of an adequate treatment. For local treatment, ointments, creams, balms and gels are widely used on the lesion, which can be used as a first aid, but are often prescribed as part of complex therapy of diseases. Than to smear a back at a painful syndrome, the doctor after survey and statement of the exact diagnosis of pathological process can prompt.
Based on NSAIDs
The most effective ointments for inflammatory diseases in the back are drugs containing NSAIDs( non-steroidal anti-inflammatory drugs).They have a pronounced analgesic effect and reduce the inflammatory response in the area of the spinal cord injury, muscle tissue or nerve fibers. The active substance of the gel or ointment is diclofenac, indomethacin, nimesulide, ibuprofen. Producers of pharmacological drugs often use additional substances to enhance the therapeutic effect, such as local anesthetics, menthol, essential vegetable oils.
The composition of the Voltaren gel includes the anti-inflammatory drug diclofenac
Local treatment with NSAID-based drugs is prescribed for the following diseases:
- pain traumatic syndrome;
- radiculitis, sciatica, lumbago;
- inflammation of the muscular backbone( myositis);
- intercostal neuralgia;
- osteochondrosis with manifestations of radicular syndrome;
Dosage forms for topical therapy are used 3-5 times a day to lubricate areas of the pathological process or used as compresses on the area of inflammation.
They are prescribed courses for 10-14 days in the absence of contraindications, which include allergy to ointment ingredients, pregnancy and lactation period, skin lesions in the application area, peptic ulcer and bronchial asthma. In severe pathology, treatment is performed against the background of taking tablets or injections of anti-inflammatory drugs.
The most popular NSAID based therapy for topical therapy:
Side effects of ointments and gels include allergic reactions, skin peeling, itching. When using the substance on large areas of skin, headache, nausea, diarrhea, and bleeding may occur.
Based on chondroprotective agents
In the case of degenerative-degenerative processes in the spine, local therapy agents containing chondroprotectors are used. The main substances of this group include chondroetin sulfate and glucosamines. Due to the violation of metabolic processes in the body, the nutrition of the intervertebral discs - cushioning cartilage between vertebrae - suffers. Due to the pathological process, the cartilage tissue loses water, becomes brittle and inelastic, which leads to the destruction of the disc and the deposition of calcium salts in its tissues. When the cartilage is destroyed, there is an infringement of the spinal roots. This causes chronic pain syndrome of varying intensity. In far-reaching clinical cases, the back hurts not only with physical exertion, but also at rest.
Local chondroprotectors should be used against the background of taking tablets
. Local treatment with chondroprotective drugs is prescribed for such diseases:
- intervertebral hernia;
- protrusion of the spine discs;
- involuntary( age) changes in the spinal column.
Ointments and gels contain chondroetin sulfate and glucazamines, which are obtained from tissues of bovine animals or other animals. Thanks to the use of medicines, the destruction of cartilaginous tissue slows down, recovery processes in chondrocytes are activated, the action of proteolytic enzymes damaging the intervertebral disc is inhibited. In some ointments, analgesic, absorbable, warming components are added, which improve the absorption of the main active substance and increase the effectiveness of the treatment.
The most popular chondroprotective agents for topical therapy:
- Chondroitin sulfate,
- Teraflex M,
- Arthron complex,
- Glucosamine Maximum,
Gels and ointments with chondroprotectors are used in combination with preparations of the same group that are administered enterally( tablets) or parenteral( injection) route. Recommend long-term courses of treatment for 3-6 months. Contraindications to therapy are hypersensitivity to gel components, pregnancy and lactation. Of the side effects are more common allergic reaction of the skin.
Irritant action tools
Back pain is treated with ointment forms that are irritating. The main components of the gels are substances that affect the biologically active points on the skin, thereby causing a reflex increase in the anti-inflammatory and immune response of the body. In addition, the funds of this group of medicinal substances have a warming effect, increase local blood flow and accelerate metabolic processes in tissues. As a result, the inflammatory process decreases, the pain subsides, the metabolism in the pathological process is normalized. In most cases, the active substance of gels and ointments is represented by an extract of red hot pepper, bee or snake venom, methyl salicylate, camphor.
Ointment Apisarthron is based on the poison of bees
Local treatment with irritant drugs is prescribed for the following diseases:
- sports and household injuries,
- lumbago, lumbargia.
Contraindications to the use of medicines is a violation of the integrity of the skin and skin diseases, the period of gestation and lactation, an allergic reaction to the components of the ointment. A frequent side effect is burning in the site of exposure, which usually occurs after the first treatment sessions. Use gels several times a day. The duration of the treatment course is 10 days.
The most popular means of irritating action:
Gels and ointments with irritating effect can cause allergic reactions, which are manifested by urticaria, edema of the face, itching of the skin. If there are such manifestations after the use of the drug, then it should be canceled. Doctors recommend testing before sensitivity for sensitivity to the components of the ointment. It is important to remember that irritant drugs are used exclusively during the period of abating of acute inflammatory process.
Homeopathic ointments consist of natural ingredients and can be used for back pain of various nature. Substances in the composition of drugs have a moderate anti-inflammatory effect, promote the normalization of metabolic processes, improve blood circulation in the pathology site, contribute to the elimination of pain syndrome. Homeopathy for local therapy is prescribed as part of complex therapy with drugs of systemic action, practically does not cause side effects and harmoniously restores impaired functions.
Ointment Purpose T refers to homeopathy of local action
Local treatment with homeopathic medicines is prescribed for the following diseases:
- osteochondrosis with infringement of spinal cord roots;
- is a pain syndrome of a traumatic nature.
Homeopathy is most effective at the initial stages of the disease. The pharmacy network offers a wide range of products of this group, produced by the German firm Hel. The most popular homeopathic ointment manufacturer:
- Objective T;
- Traumeel C.
Contraindications for medicines include individual intolerance, tuberculosis, blood diseases, multiple sclerosis, HIV infection, pregnancy. Adverse reactions are rare in the form of allergies to the components of the ointment. If the back hurts, the medication should be used as soon as possible after a mandatory consultation with a doctor.
Complementary action agents
Composite compositions include ointments that have additional therapeutic functions. In addition to the standard set of components that have an anti-inflammatory, anesthetic, warming effect, they exhibit a resorptive and fibrinolytic effect. To bright representatives of such drugs is the gel Dolobene, which includes heparin. Due to this, the agent is able to thin the blood in small vessels, prevent the formation of thrombi, reduce the accumulation of inflammatory exudate and accelerate the regeneration of tissues.
Dolobeni refers to local therapies for combined action of
. Local gel treatment is prescribed for the following diseases:
- inflammation of muscles and tendons;
- closed wounds, bruises, sprains;
- intercostal neuralgia;
- radicular syndrome.
Contraindications to the use of the drug are pregnancy, lactation, severe damage to the kidneys and liver, heart failure, tendency to bleeding. Side effects are manifested by allergies and an unpleasant odor of garlic from the mouth. The course of therapy is continued for 10 days, lubricating the back up to 4 times a day.
Ointments and gels against pain in the back are rarely prescribed as an independent way to get rid of the disease. To improve the general condition and active influence on the pathological process, it is necessary to undergo complex treatment with the use of local and systemic action. In most clinical cases, it is not enough to anoint the site of the onset of pain syndrome. Timely address to a doctor, a diagnostic examination and an adequate therapy scheme will help cope with the disease, avoid complications and improve the quality of life.
- NSAID-based medicines
- Tools based on chondroprotective agents
- Irritant agents
- Homeopathic remedies
- Complementary action agents