- Novocain blockades
- Muscle relaxants
- Group B vitamins
- Local therapy
For the treatment of the disease, injections, ointments, plasters, radiculitis tablets that have anti-inflammatory, analgesic, anti-edematous, trophic action are prescribed.
Non-steroidal anti-inflammatory drugs, abbreviated NSAIDs, are the drugs of choice for symptomatic therapy of musculoskeletal disorders. They have a pronounced analgesic effect, eliminate the phenomena of inflammation and edema. The pharmacological industry produces two types of medicines of this group. The former include nonselective drugs that block the production of COX-1 and COX-2.
These are different fractions of the enzyme cyclooxygenase. In this case, COX-2 is involved in the synthesis of prostaglandins, mediators of inflammation in the tissues, and COG-1 has protective properties for the mucosa of the digestive tract and regulates the acidity of the gastric juice. Therefore, non-selective drugs are contraindicated in patients with ulcerative lesions of the digestive system, and the maximum course of treatment is no more than 10-14 days.
NSAIDs with non-selective action:
- piroxicam( erazon, pyrocam, pyrox);
- indomethacin( indobene, indocid, moovimed);
- diclofenac( voltaren, diklovit, naproxen);
- ibuprofen( bolinet, advil, dolgite);
- ketoprofen( ketonal).
Selective medicines refer to medicines of the new generation. They selectively inhibit the synthesis of COX-2, without adversely affecting the mucosa of the digestive tract. Medicines have a less pronounced analgesic effect, but effectively eliminate the inflammatory response in the pathology site. You can treat radiculitis with selective drugs for several months under the supervision of a specialist.
Diclofenac refers to non-steroidal anti-inflammatory drugs with a nonselective mechanism of action of
NSAIDs of selective action:
- meloxicam( lem, melox, movalis);
- celecoxib( phlogoxib);
- nimesulide( nyz, nymphast, kokstral).
Medical therapy of NSAIDs is carried out with the help of various medicinal forms of drugs - tablets, injections, rectal suppositories. To quickly receive the active substance in the focus of inflammation, intramuscular injection of injections is prescribed, which is prescribed within 3-5 days. The treatment is then continued by tablet formulations. Rectal suppositories are used with the concomitant ulcerative pathology of the digestive system. This method of administration of the drug has fewer side effects from the stomach and intestines.
Glucocorticoids are hormonal drugs that regulate the synthesis of inflammatory proteins. They are prescribed for intensive pain syndrome and insufficient effectiveness of NSAIDs. Due to the steroid nature, the preparations improve local blood flow, reduce vascular permeability, eliminate inflammation and cause a rapid analgesic effect. Glucocorticoids exert a pronounced therapeutic effect when administered directly to the focus of the pathological process.
Hormonal injections with radiculitis are prescribed during the first days of the acute phase of the disease, and then switch to more gentle methods of treatment.
Hormonal preparations for injection with radiculitis:
Diprospan is prescribed by short medical courses in severe
radiculitis. Hormonal agents can cause severe side effects, such as bleeding from the digestive system, increased arterial and intracranial pressure, electrolyte disorders, suppression of the body's immune defense. They are prescribed short courses in severe clinical cases.
Blockages with novocaine are more often performed when lumbar radiculitis occurs. This method of treatment is prescribed for rapid relief of pain in the case of "lumbago" and complete immobilization in the affected vertebral column. Novocaine has a weak analgesic ability and a short period of action. To increase the effectiveness of the procedure, ethyl alcohol, lidocaine, dicaine, trimecaine or an antibiotic are added to the solution of the drug in the infectious nature of the disease.
preparations. Before manipulation, the skin area in the radiculitis area is treated with an antiseptic. Then, with a thin needle, an anesthetic solution is injected into the skin until a "lemon peel" is formed. Anesthesia of superficial layers of soft tissues allows the blockade of deep anatomical structures to be carried out. To do this, a long needle is put on the syringe and the remaining solution is injected into the site of the impaired spinal root.
Novokainovaya blockade slows the peripheral nerve conduction, relaxes the pathological spasm of muscles, reduces the inflammatory reaction, which leads to an analgesic effect. An essential shortcoming of the procedure is the short-term therapeutic effect. Therefore, blockades are designated as the best means of emergency care.
For the treatment of radiculitis apply muscle relaxants of central action. Inflammatory reaction in the field of pathology causes an increase in the tone of the muscles of the back. This worsens blood circulation, causes stagnant processes and intensifies the pain syndrome. Preparations of this pharmacological group block the conduction of a nerve impulse from the central parts of the nervous system to the muscle fibers, which causes their relaxation. Miorelaxants are prescribed in the form of tablets and pricks with radiculitis - the way the medication is administered into the body is chosen by the attending physician according to the severity of the disease.
Muscle relaxants reduce the pathological muscle spasm
Muscle relaxants with a central mechanism of action:
- midocals( hydrochloric tolperisone);
- sirdalud( tizanidine hydrochloride).
Due to spasmolytic and adrenergic effect, drugs improve tissue perfusion, and this enhances the effect of drug therapy for radiculitis.
Vitamins of group B
For the normal vital activity of the nervous tissue, the intake of sufficient amounts of B vitamins is necessary in the body. They take an active part in the restoration of nerve cells, improve metabolism and promote the conduction of nerve impulses. The most useful in this respect are B1, B6 and B12, which are prescribed for radiculitis in the form of complex preparations. They are used by intramuscular injection to treat an acute process and prevent the development of complications.
Vitamin injections with radiculitis:
Milgamma contains a complex of vitamins B for the improvement of the nervous tissue
The medicines contain vitamins B1, B6 and B12 at the maximum therapeutic doses, which normalizes the nerve conduction, activates the metabolic processes in the pathology site, and has an analgesic effect. In addition to vitamin complexes, trophic drugs such as antihypoxants( trental, nicotinic acid), biogenic stimulants( lidase, aloe), microelements( calcium, potassium, magnesium) are prescribed.
For local effects, ointments, gels, balms are applied, which are rubbed in the back in the area of pain. A good therapeutic effect is a patch of radiculitis. Local therapy should be included in the complex treatment of the disease, otherwise it will not be of use and can cause the progression of the pathological process. It should be remembered that with topical application no more than 15% of the active substance is absorbed. This determines the low effectiveness of monotherapy.
Ointments are divided into several groups, depending on the mechanism of action:
- anti-inflammatory ointments contain in their composition NSAIDs, eliminate inflammation, reduce pain, reduce edema of tissues, normalize the local temperature: finalgel, voltaren, diprilif, tostrum gel, nayz gel;
- locally irritating ointments have a warming effect, increase blood flow in the application area, exert a reflex action on the nervous system, reduce pain: capsicum, gymnastics, finalgon;
- ointments based on poisons of bees and snakes have a local irritant effect, normalize metabolism, promote the repair of affected tissues, reduce edema of the nerve roots: apizartron, mellyvenon, viprosal.
Capsicum refers to preparations of local therapy with irritating effect of
. The ointments lubricate the back 3-4 times a day. Contraindications for use are skin defects and allergic reaction to the components of the preparation, especially when using medicinal forms based on poisons.
Well proven in the treatment of radiculitis plasters, which are easy to use and have a low cost. They have a pronounced analgesic effect due to irritating effects on the skin. The most popular is the papillary patch containing the extract of red bitter pepper. Before use, remove the protective film from the product and then glue it to the painful back area. The patch can be worn for 2 days, provided it feels slightly burning. If there are unbearable burning pain in the area of application, it must be removed and the skin rinsed with cold water and greased with petroleum jelly.
Radiculitis therapy should be performed after diagnosis of the disease and specialist advice. Only an experienced doctor can determine which drugs should be prescribed in each specific case. He will tell the name of ointment, tablets, injections, determine the course of treatment and control its results. Self-medication is fraught with the progression of the disease and leads to the development of severe complications.