Since osteochondrosis is a systemic disease that affects not only the intervertebral discs, but also affects other important organs and systems, then treatment should be carried out in a complex manner. Drugs for the treatment of osteochondrosis perform the following tasks:
- Pain management
- Elimination of inflammation
- Improvement of blood circulation in affected tissues
- Restoration of cartilaginous tissue
- Restoration of joint mobility
- Removing the depressive syndrome caused by persistent pain.
Damaged cartilage can not recover completely. This is an irreversible process. But thanks to a properly selected set of drugs and procedures, you can significantly improve the patient's condition and stop the destruction of disks.
Medical treatment of osteochondrosis consists of several stages:
- Elimination of pain and muscle relaxation
- Elimination of inflammatory processes caused by the affected roots of spinal cord nerves.
- Restoration of cartilage tissue and mobility.
Treatment of osteochondrosis with non-steroidal anti-inflammatory drugs
For the treatment of pain syndrome, the patient is prescribed analgesics and non-steroidal anti-inflammatory drugs for osteochondrosis( NSAIDs) that eliminate pain, swelling and inflammation. Medicines are prescribed as an external application( ointments, gels, triturates), and internal( injections, tablets).There are several groups of NSAIDs.
1. Diclofenac group
Diclofenac is the most common drug for the treatment of osteochondrosis and the main active substance of many medicines: Diclac, Voltaren, Orthofen, Dicloben, Dicloran plus, Diclof-F, Diclobarle, etc. The drug increases the analgesic effect of other analgesics and relieves inflammation. But it is not prescribed for pregnant and lactating women, patients with peptic ulcer and children.
2. Ibuprofen group
Ibuprofen based preparations have almost the same properties as diclofenac-based drugs. But these drugs can be prescribed under the doctor's supervision for pregnant and lactating women and children, since ibuprofen is easier to tolerate. Preparations based on ibuprofen: Nurofen, Dolgit, Ibuprom, Ibupron, Reumafen.
3. Indomethacin group
Indomethacin-based products have characteristic anti-inflammatory and analgesic properties that act directly on the affected tissue. But such drugs in large doses or with extensive application to the sick site cause side effects( abdominal pain, lesions of the stomach mucosa, indigestion) within a few days. Therefore, contraindications for drugs of the indomethacin group are the same as for diclofenac groups. The drugs include: Indovazin, Indomethacin, Arthrocid, Intaban, Indocid, Indoene.
4. Ketoprofen Group
Drugs in this group relieve inflammation and pain ten times faster than ibuprofen preparations, but also have side effects. The group of drugs include: Fastum Gel, Bystrum Gel, Ketonal, Flexen, Febrofid.
5. Nimesulide group
Drugs of this group are a new generation of anti-inflammatory drugs. They do not have such serious side effects as those described above. Therefore, they are often prescribed to patients with diseases of the musculoskeletal system, in particular, with osteochondrosis. The drugs are prescribed mainly externally. With prolonged use, unwanted reactions are possible: itching, redness of the skin, peeling.
Drugs of the group: Nyz, Nimesil, Nimulid, Nimika.
All non-steroidal anti-inflammatory drugs are prescribed for osteochondrosis and as an anesthetic.
Vasodilators for the treatment of osteochondrosis
As a result of pain syndrome and muscle tension in osteochondrosis, the blood vessels contract. This leads to oxygen starvation of tissues and impaired functions of internal organs. To prevent such consequences, prescribe vasodilator drugs for osteochondrosis.
Pentoxifylline, Trental, Euphyllinum, Xanthinal nicotinate are used to restore blood circulation in the affected tissues. Drugs dilate the blood vessels and improve the nutrition of tissues. For a better recovery effect, appoint Berlition( a preparation of lipoic acid).
Aktovegin has proved itself well. It restores peripheral blood circulation, impaired skin nutrition, restores vascular tone.
Muscle relaxants for the treatment of osteochondrosis
Pain relief in the treatment of osteochondrosis is supplemented with muscle relaxants. The drugs relax the muscles and have a soothing effect. With muscle relaxation, blood circulation is restored, pain sensations are reduced, mobility is restored, and faster regeneration of affected tissues occurs. Without the drugs of this group, the healing process lasts much longer.
For the treatment of the disease use Baclofen, Midokalm, Sirdalud( Tizanidine), Cyclobenzaprine, etc. These drugs are very effective in muscle spasm, but have undesirable side effects. Therefore, the intake of muscle relaxants is carried out under the supervision of a doctor. Mydocalm unlike other drugs, does not have a sedative effect and is well combined with non-steroidal anti-inflammatory drugs.
Preparations for the restoration of cartilaginous tissue
In the treatment of osteochondrosis, it is important to restore cartilaginous tissue and achieve persistent remission of the disease. Chondroprotectors and a complex of vitamins are prescribed for restoration.
Chondroprotectors are drugs that have anti-inflammatory and restorative properties and improve mobility in the joints. They are administered orally or externally. Widely used drugs containing chondroitin and glucosamine( Oseoartizi, Teraflex).From local preparations prescribe ointment Chondroxide, Collagen Ultra.
Vitamin-mineral complexes improve calcium metabolism and repair damaged ligaments and tendons. Such preparations include complexes containing vitamins of group B, D, E, A, C, calcium, phosphorus. When osteochondrosis develops against the background of osteoporosis, Calcium D3 nycomed is prescribed.
Group B vitamins reduce pain syndrome, restore the sensitivity of the affected nerve fibers. The vitamin B complex is part of such drugs as Neurobionum, Neuroplex, Milgama, Neurorubin, etc. Vitamins A, C, E act as antioxidants and improve metabolic processes.
When the disease is prescribed not only drugs for the treatment of osteochondrosis, but also soothing agents. Prolonged pain syndrome can cause stress and depression, which causes ineffective treatment of the underlying disease.
In such cases, prescribe tincture of valerian, motherwort, sedative teas. With pronounced disorders, antidepressants are prescribed( Gidazepam, Eglonil, Donormil, etc.).The use of antidepressants and sedatives sometimes reduces the consumption of analgesics and anti-inflammatory drugs.
The quality of the treatment of the disease will depend only on the properly selected complex and method. So do not self-medicate. This can lead to undesirable consequences. What drugs to treat osteochondrosis you should tell the doctor after the examination.
- Non-steroidal anti-inflammatory drugs
- Muscle relaxants
- Preparations for the restoration of cartilaginous tissue
- Sedative preparations
We recommend that you read the article about the use of NSAIDs and the medicamentous treatment of osteochondrosis.