Backache: how to treat and what to ointment at home, folk remedies

Many people wonder what to do if they have a draft in their back. To alleviate the condition, you need to follow simple rules - warmth and rest. Let's consider the algorithm for treating the inflammatory process:

1. It is recommended to apply a warming ointment (Finalgon, Nikoflex, Apizartron, Dolpik) to the affected tissues, having carefully studied the instructions for its use. It is also recommended to conduct a preliminary reaction to the sensitivity of the drug, that is, apply a little ointment to the elbow. If irritation does not appear within 10-20 minutes, then you can begin treatment.
2. The lower back should be wrapped in warm fabric made of natural fibers. It is best to use a belt or a wool scarf, a downy shawl.
3. To reduce pain, you should take painkillers. When seeking medical help, the doctor will prescribe non-steroidal anti-inflammatory drugs in tablets or injections, which will speed up the recovery process.
4. During therapy, it is necessary to avoid a soft mattress. The bed should be hard, the use of orthopedic bedding would be ideal.

During treatment, it is contraindicated to take a hot bath or steam in a sauna for a long time, as this will contribute to increased pain. It is also undesirable to apply hot compresses, and active rubbing of ointments can cause severe spasms, which will significantly worsen the patient's condition.

If the draft is mild, the above methods of therapy will be effective. But if the painful sensations persist for more than 5-7 days, you should immediately seek medical help.

Drug treatment

To eliminate pain caused by hypothermia of the back, various medications are used. The main groups of drugs for the treatment of the pathological process:

• Anti-inflammatory – aimed at reducing the severity of pain and reducing inflammation.
• Muscle relaxants – relieve muscle spasms, most often used in combination with anti-inflammatory drugs.
• Painkillers relieve pain, but do not reduce inflammation.

Let's look at the most effective medications for the treatment of myositis of the back muscles:

1. Ibuprofen

An analgesic and anti-inflammatory agent with an antipyretic effect. It is available in tablet form. After oral administration, it is quickly absorbed from the gastrointestinal tract and has a therapeutic effect.

• Indications for use: inflammatory lesions of soft tissues and the musculoskeletal system, rheumatoid arthritis, neuralgia, myalgia, bursitis, gout, radiculitis, ankylosing spondylitis, headache and toothache, complex therapy of gout and ENT diseases.
• Directions for use: For severe pain in muscles and joints, take 500-800 mg three times a day. The maximum daily dose should not exceed 2.4 g.
• Side effects: nausea and vomiting, dizziness, headaches, sleep disturbances, skin allergic reactions, visual disturbances. In rare cases, bronchospasms, gastrointestinal bleeding, aseptic meningitis occur.
• Contraindications: hypersensitivity to the drug, patients under 6 years of age, hematopoiesis disorders, erosive and ulcerative lesions of the gastrointestinal tract, renal and hepatic dysfunction, ulcerative colitis. Use of the drug during pregnancy is possible only with a doctor's permission.
• Overdose: abdominal pain, nausea and vomiting, drowsiness, headaches, tinnitus, hypotension, bradycardia, acute liver failure. To eliminate the painful condition, gastric lavage, activated carbon, alkaline drinks and further symptomatic therapy are indicated.

2. Movalis

Nonsteroidal anti-inflammatory drug, selective cyclooxygenase-2 inhibitor. Has analgesic, antipyretic and anti-inflammatory properties. Available in capsules, tablets, oral suspension, rectal suppositories and injection solution.

• Indications for use: severe pain symptoms, rheumatoid arthritis, osteoarthritis, signs of ankylosing spondylitis.
• Side effects are manifested by almost all organs and systems. Most often, patients experience attacks of nausea and vomiting, flatulence, constipation, skin allergic reactions. It is also possible to develop leukopenia, bronchospasms, changes in blood pressure, headaches and dizziness.
• Contraindications: severe forms of renal and hepatic insufficiency, active phase of peptic ulcer, pronounced “aspirin triad”, pregnancy.
• Overdose is manifested by increased side effects. To eliminate it, gastric lavage and symptomatic therapy are recommended.

3. Ketorol

Non-steroidal anti-inflammatory drug with analgesic effect. Has moderate antipyretic and analgesic properties. Has a tablet form of release and a solution for intramuscular injection.

• Indications for use: relief of pain of any etiology, severe and moderate.
• Method of administration: tablets are taken 10 mg 2-4 times a day, the course of treatment is no more than 5 days. For intramuscular administration, the dosage is selected by the doctor, individually for each patient.
• Side effects: decreased urine output, frequent urination, diarrhea, heartburn, nausea and vomiting, headaches and dizziness, drowsiness, allergic skin reactions, leukopenia, anemia, increased blood pressure.
• Contraindications: individual intolerance to tromethamine ketorolac or other NSAIDs, bronchospasms, angioedema, dehydration, peptic ulcers, hematopoiesis disorders, renal or hepatic insufficiency, pregnancy, lactation, patients under 16 years of age.
• Overdose: nausea, vomiting, abdominal pain, erosive lesions of the gastrointestinal tract, renal dysfunction. For treatment, it is necessary to wash the stomach and take adsorbents.

4. Ketolong

A medicinal product with pronounced analgesic, anti-inflammatory and antipyretic properties. It has several forms of release: tablets, injection solution.

• Indications for use: pain syndrome of varying intensity, muscle and joint pain, neuralgia, rheumatic diseases, pain in the postpartum and postoperative period.
• Method of administration: tablets are taken 10-20 mg once a day, the course of therapy is no more than 5 days. The injection solution is used parenterally, the dosage is calculated by the doctor, for each patient individually, the duration of therapy is 5-7 days.
• Side effects: epigastric pain, nausea and vomiting, digestive and stool disorders, heartburn, erosive and ulcerative lesions of the gastrointestinal tract, arterial hypertension, facial hyperemia, leukopenia, urinary dysfunction, allergic skin reactions, increased sweating.
• Contraindications: hypersensitivity to ketorolac, gastric ulcer or duodenal ulcer, severe renal impairment, liver failure, pregnancy and lactation.
• Overdose: various adverse reactions from the gastrointestinal tract, sleep disorders, respiratory depression, skin allergic reactions. There is no specific antidote, so symptomatic therapy is indicated.

5. Ortofen

A nonsteroidal anti-inflammatory drug with analgesic and antipyretic properties. Available in the form of enteric-coated tablets, injection solution, dragee, gel and cream.

• Indications for use: myositis, rheumatoid arthritis, acute rheumatism, osteoarthritis, inflammatory and degenerative joint lesions, spinal diseases, complex therapy of infectious and inflammatory pathologies of ENT organs.
• Method of administration: orally 25-50 mg 2-3 times a day, maximum daily dose 150 mg. Gel and cream are applied to the affected area in a thin layer 3-4 times a day. The course of treatment is individual for each patient.
• Side effects: epigastric pain, nausea, vomiting, bowel disorders, headaches and dizziness, increased blood pressure, allergic reactions. Treatment is symptomatic.
• Contraindications: gastric ulcer and duodenal ulcer, patients under 6 years of age, pregnant women.

6. Metindol Retard

It belongs to the pharmacotherapeutic group of NSAIDs, has analgesic, anti-inflammatory and antipyretic properties. It is available in tablet form.

• Indications for use: inflammatory pathologies of muscles and joints with severe pain, gouty and rheumatoid arthritis, rheumatic pathologies of the spine, injuries and surgical interventions.
• Directions for use: Tablets are taken orally during or after meals with water. The daily dosage should not exceed 150 mg.
• Side effects: headaches, sleep disturbances, increased fatigue, nausea and vomiting, liver dysfunction, increased blood pressure, taste disturbances, nephrotic syndrome, gastrointestinal bleeding, allergic reactions.
• Contraindications: heart defects, blood clotting disorders, gastrointestinal bleeding, inflammatory bowel pathologies, patients under 18 years of age, allergic reactions, pregnancy, arterial hypertension.
• Overdose: severe headaches and dizziness, nausea, vomiting, paresthesia, convulsions. Treatment is symptomatic.

Any medications can be taken only after a doctor’s permission, as self-medication can lead to a worsening of the disease and various side effects.

What to apply if you have a draft in your back?

For local impact on the affected tissues, various creams, gels and ointments are used. This group of drugs refers to first aid for hypothermia of the lower back. Let's consider what can be used to relieve pain and reduce inflammation:

1. Traumeel

Homotoxic agent with analgesic, immunomodulatory, anti-inflammatory and anti-exudative properties. Effectively relieves swelling of soft tissues, increases vascular tone and reduces their permeability, reduces pain.

• Indications for use: inflammatory and degenerative lesions of the musculoskeletal system, dislocations, acute injuries, bruises, sprains, hemorrhages in the joint capsule, various skin diseases.
• Directions for use: Apply a thin layer of ointment to the affected areas of skin 2-3 times a day. Duration of treatment should not exceed 5-7 days.
• Side effects: skin allergic reactions, itching, hyperemia.
• Contraindications: individual intolerance to the components of the drug and plants of the Asteraceae family. Use of the drug during pregnancy is possible only with a doctor's permission.

2. Nise gel

Anti-inflammatory, antipyretic, analgesic agent for local use. Minimizes painful sensations in joints and muscle tissue. Relieves swelling and morning stiffness of joints.

• Indications for use: inflammatory and degenerative diseases of the musculoskeletal system, joint syndrome, rheumatism, radiculitis, osteochondrosis, lumbago, bursitis, inflammation of tendons and ligaments, rheumatoid and psoriatic arthritis.
• Directions for use: Apply the gel to pre-cleaned skin. Rub the product thoroughly into the painful area. The procedure should be performed 3-4 times a day, the course of treatment is up to 10 days.
• Side effects: local skin allergic reactions, urticaria, itching, peeling. Transient discoloration of tissues is also possible. When applying the medicine to large areas of skin, systemic side effects are observed: nausea, vomiting, headaches, bowel disorders.
• Contraindications: intolerance to the active components of the drug, patients under 12 years of age, pregnancy and lactation, damage to the epidermis, dermatoses, infectious skin lesions.
• Overdose is manifested by increased severity of adverse reactions. To normalize the condition, stop using the ointment and seek medical help.

3. Finalgel

A local remedy with the active component piroxicam. Refers to non-steroidal anti-inflammatory drugs, has analgesic properties, relieves inflammation and swelling.

• Indications for use: inflammatory and degenerative lesions of joints, bones and ligaments, overexertion and stretching of muscle tissue and ligaments, closed injuries of the musculoskeletal system with swelling, bruises, dislocations.
• Directions for use: rub a small amount of gel slowly into the affected area 3-4 times a day, treatment course 1-4 weeks. The product can be applied under a bandage.
• Side effects: local skin irritation, intolerance reactions, respiratory and gastrointestinal disorders.
• Contraindications: hypersensitivity to the components of the drug, patients under 14 years of age, 1-2 trimester of pregnancy. The drug is prescribed with special caution for bronchial asthma, allergic rhinitis, chronic pulmonary infections.
• Overdose: headaches, nausea, gastrointestinal disorders, interstitial nephritis. Treatment is symptomatic.

4. Dolobene gel

A combined product for external use. Contains dimethyl sulfoxide, has anti-exudative, analgesic and anti-inflammatory properties. The drug also contains heparin, an anticoagulant with anti-inflammatory properties, and dexpanthenol, a derivative of vitamin B3, improves metabolic processes, promotes the regeneration of damaged tissues.

• Indications for use: injuries, bruises, myositis, hematomas, tenditis, ligamentitis, bursitis, fasciitis, tissue nutrition disorders.
• Directions for use: Apply a thin layer of the product to the affected area and rub in lightly. The procedure is recommended to be performed 2-4 times a day, the course of treatment depends on the effectiveness of the therapy in the first days.
• Side effects: local hyperergic reactions, transient erythema, skin allergic reactions.
• Contraindications: severe renal and hepatic dysfunction, pregnancy and lactation, intolerance to the active components of the drug, patients under 5 years of age.

5. Chondroxide ointment

A local anti-inflammatory agent with properties that accelerate regenerative processes in the cartilaginous tissue of the joints. It relieves pain and normalizes metabolic processes. The preparation contains two active components: chondroitin sulfate and dimethyl sulfoxide.

• Indications for use: treatment and prevention of spinal osteochondrosis, osteoarthrosis of peripheral joints.
• Directions for use: apply the ointment to the affected area 2-3 times a day until completely absorbed. The course of treatment is 2-3 weeks, if necessary, the therapy is repeated.
• Side effects are manifested in the form of local allergic reactions. The main contraindication to the use of the drug is intolerance to the active components. Use during pregnancy is possible only on medical prescription.

In order for the treatment to be effective, you should consult a doctor who will select an effective and safe ointment.

6. Diclofenac

A nonsteroidal anti-inflammatory drug from the group of phenylacetic acid derivatives. It has pronounced analgesic, anti-inflammatory and antipyretic properties. Effectively relieves pain at rest, increases the range of motion of affected joints and muscles. A persistent therapeutic effect develops in 7-14 days. The drug has several forms of release: injection solution and ointment.

• Indications for use: inflammatory pathologies of soft tissues and joints with acute pain syndrome, including injuries of the musculoskeletal system, rheumatism, tendinitis, bursitis, gout, rheumatoid arthritis, ankylosing spondylitis, lumbago, neuralgia, radiculitis, neuritis.
• The method of administration and dosage depend on the form of the drug. If an injection solution is used, it is administered intramuscularly at 75 mg 1-2 times a day for adults. The dosage for children is 2 mg / kg in 2 or 3 doses. The duration of therapy is 4-5 days.
• Side effects: dyspeptic phenomena, allergic reactions, increased irritability, erosive and ulcerative lesions and bleeding in the digestive tract. With intramuscular administration, a burning sensation, abscess, and necrosis of fatty tissue are possible. In case of overdose, side effects are aggravated.
• Contraindications: gastrointestinal bleeding, gastric ulcer and duodenal ulcer, kidney and liver disease, last trimester of pregnancy and lactation, intolerance to the components of the drug, urticaria, rhinitis, bronchial asthma.

When Diclofenac is used with Methotrexate, the toxic effect of the latter is enhanced. The drug increases the concentration of lithium salts in the blood plasma, reduces the effectiveness of Furosemide and other antihypertensive drugs. When used with other NSAIDs, for example, with acetylsalicylic acid and glucocorticosteroids, the risk of gastrointestinal bleeding increases.

Blown Back: Injections

The success of treating the pain caused by a draft in the back depends on the right medications. Injections are among the most effective medications, but they can only be used as prescribed by a doctor.

The main pharmacological groups of drugs:

• Nonsteroidal anti-inflammatory drugs – Ketonal, Meloxicam, Neurobion, Trigamma.
• Steroid medications – Hydrocortisone, Prednisolone, Betamethasone, Flosterone, Diprospan.
• Muscle relaxants – Norflex, Disipal.
• Chondroprotectors – Adgelon, Alflutop.
• Injections that improve microcirculation in the lumbar region – Cavinton, Trental.

Let's look at the most effective injections for treating myositis of the back:

1. Milgamma

Contains neurotropic vitamins of group B – B1, B6 and B12. Available in parenteral form, i.e. in 2 ml ampoules with a solution for intramuscular injection. Relieves pain, improves microcirculation at the site of injury, improves hematopoiesis processes and stabilizes the nervous system.

• Indications for use: radiculitis syndrome, myalgia, retrobulbar neuritis, facial nerve paresis, polyneuropathy, general tonic effect.
• Method of administration: 2 ml of solution intramuscularly once a day. For maintenance therapy, 2 ml is prescribed 2-3 times a week.
• Side effects: allergic reactions, skin rashes and itching. Systemic reactions are also possible with rapid administration of the drug: increased sweating, arrhythmia, nausea, convulsions, dizziness.
• Contraindications: heart failure, hypersensitivity to the components of the drug, patients under 16 years of age, pregnancy and lactation, conduction disorders of the heart muscle.
• Overdose is manifested by increased side effects. Syndromic and symptomatic therapy is indicated to eliminate them.

2. Neurobion

A complex preparation containing neurotropic substances: thiamine, cyanocobalamin and pyridoxine. Accelerates the restoration of damaged nerve tissues and compensates for vitamin deficiency, stimulates natural mechanisms of normal functioning of nerve tissues. Has analgesic properties. Available in ampoules as a solution for intramuscular injection.

• Indications for use: lumbar syndrome, trigeminal neuralgia, cervical and cervicobrachial syndrome, plexitis, intercostal neuralgia, radicular neuritis due to degenerative diseases of the spine, prosoplegia.
• Method of application: the solution is administered deep intramuscularly, 1 ampoule per day for severe pain syndrome. It is further recommended to administer 1 ampoule 2-3 times per week for a month.
• Side effects: allergic skin reactions, increased sweating, tachycardia, skin itching, anaphylactic reactions.
• Contraindications: individual intolerance to the components of the drug, patients under 3 years of age, pregnancy and lactation.
• Overdose is manifested by symptoms of intoxication: nausea, vomiting, headaches and allergic reactions, increased weakness. Withdrawal of the drug and symptomatic treatment are indicated.

3. Mydocalm

A centrally acting muscle relaxant from the pharmacotherapeutic group of aminoketones. Affects peripheral nerve endings, reduces muscle hypertonicity and rigidity. Has an antispasmodic and drain-blocking effect, improves tissue perfusion.

• Indications for use: pathological hypertonicity of striated muscles, acute cerebrovascular accidents, spastic paralysis, muscular dystonia, muscular hypertonicity, muscle contractures, lumbar syndromes, post-thrombotic disorders.
• Method of administration: the dosage regimen is drawn up by the attending physician, individually for each patient. As a rule, patients are administered 200 mg intramuscularly per day divided into two doses or 100 mg intravenously once a day.
• Side effects: muscle weakness, dyspeptic symptoms, headaches, decreased blood pressure, allergic skin reactions.
• Contraindications: hypersensitivity to the components of the drug, myasthenia, patients under 3 years of age, pregnancy and lactation.
• Overdose: ataxia, tonic-clonic seizures, respiratory center paralysis. Gastric lavage and further symptomatic therapy are indicated for treatment.

4. Meloxicam

Non-steroidal anti-inflammatory drug with analgesic properties. Available in 1.5 ml ampoules for intramuscular injections.

• Indications for use: inflammatory lesions of muscle tissue, rheumatoid arthritis, acute arthrosis, ankylosing spondylitis, chronic polyarthritis.
• Method of application: injection solution is intended for intramuscular administration, intravenous use is contraindicated. The dosage is selected by the doctor, individually for each patient.
• Side effects: headaches and loss of consciousness, leukopenia, anemia, changes in visual acuity, stomach discomfort, increased blood pressure, allergic reactions, renal failure, swelling.
• Contraindications: intolerance to the components of the drug, patients under 15 years of age, pregnancy and lactation, ulcers of the digestive system, gastrointestinal bleeding, severe renal or hepatic insufficiency.
• Overdose: nausea, vomiting, drowsiness, abdominal pain, respiratory depression, acute renal failure, convulsions, respiratory depression. Treatment is symptomatic.

In most cases, injections are used in the first days to relieve acute pain. If discomfort persists for a longer period of time, the doctor prescribes combination therapy.

What pills should I take if I have a draft in my back?

In addition to ointments and injections for the treatment of back pain caused by hypothermia, many patients take oral medications. Tablets have several pharmacotherapeutic categories, depending on the active components included in their composition. If you have a draft in your back, then most often they take painkillers, muscle relaxants and anti-inflammatory drugs.

Let's look at the most effective tablets for myositis:

1. Prednisolone

A synthetic analogue of hormones (cortisone and hydrocortisone) secreted by the adrenal cortex. It has anti-inflammatory, anti-allergic, anti-shock and antitoxic properties.

• Indications for use: rheumatism, diffuse connective tissue and vascular lesions, polyarthritis, skin diseases, allergic diseases, ophthalmological diseases. Tablets are taken 20-30 mg per day (4-6 tablets), with maintenance therapy 1-2 tablets per day.
• Side effects include various gastrointestinal disorders, skin allergic reactions, adrenal insufficiency and other pathological symptoms.
• In case of overdose, toxic effects may develop. There is no specific antidote, so symptomatic therapy is indicated. The tablets are contraindicated in hypertension, pregnancy, diabetes, psychosis, nephritis, active tuberculosis and for the treatment of elderly patients.

2. Piroxicam

It has anti-inflammatory, antipyretic and analgesic properties. Effectively relieves moderate pain. Reduces stiffness and swelling of joints, increases range of motion.

• Indications for use: joint syndrome, rheumatoid arthritis, back pain, neuralgia, traumatic inflammation of soft tissues and the musculoskeletal system, acute infectious and inflammatory pathologies of the upper respiratory tract, myalgia.
• Method of administration: 10-30 mg once a day, the course of treatment depends on the severity of the pain syndrome and the individual characteristics of the patient's body.
• Side effects: gastrointestinal disorders, headaches and dizziness, sleep disorders, leukopenia, skin allergic reactions.
• Contraindications: erosive and ulcerative lesions of the gastrointestinal tract, pregnancy and lactation, hypersensitivity to the drug, severe renal and hepatic dysfunction.

3. Celebrex

It has analgesic, anti-inflammatory and antipyretic effects. The mechanism of action of this drug is based on the suppression of COX2 activity and minimal impact on COX1. Does not disrupt natural processes in platelets and intestines. In myositis, it is used as symptomatic therapy.

• Indications for use: acute pain syndrome of any localization, rheumatoid arthritis, spondylitis, algomenorrhea. Tablets are taken 200 mg twice a day, the daily dose should not exceed 800 mg.
• Side effects: allergic reactions, sleep disorders, flatulence, peripheral edema, increased anxiety, visual and hearing impairment, nausea and vomiting. Overdose is manifested by more pronounced side effects. Symptomatic therapy is indicated to remove the drug from the body.
• Contraindications: intolerance to the components of the drug, allergic reactions when taking NSAIDs or acetylsalicylic acid, pregnancy.

Tablets, like other medications, can only be taken as prescribed by a doctor. Self-medication can cause uncontrolled side effects.

Plasters

In addition to tablets, ointments or injections, you can use medicinal patches for back pain. They are long-acting, since the effect of applications does not occur immediately due to the entry of active components through the skin in small doses. This mechanism of action minimizes the risk of side effects.

Let's look at the main types of patches that relieve pain from myositis of the back:

1. Pepper

An effective painkiller, helps with radiculitis, muscle inflammation of any localization, neuralgia, lumbago. Before applying the patch to the skin, the body must be degreased with alcohol or an antiseptic. Remove the protective film from the adhesive side of the patch and apply to the lesion. If there is no severe irritation, the product can be left on for 1-2 days. If there is a strong burning sensation, remove the patch and lubricate the skin with Vaseline.

2. With NSAIDs

The patch contains anti-inflammatory substances that are absorbed through the skin. This product does not cause burning or irritation. Side effects are minimal.

3. Reflective patches

Their mechanism of action is based on the reflection of heat generated by the body and its accumulation in the necessary place. That is, the patch works on the principle of warming belts. It is absolutely harmless and does not contain medicinal components. It is attached not to the surface of the body, but to underwear.

4. Voltaren

A transdermal patch containing diclofenac. It is used for diseases of joints and muscle tissue. Overdose of the active component is almost impossible, but allergic reactions develop in rare cases. Contraindicated for pregnant women and children, as well as for diseases of internal organs.

5. Versatis

Pain-relieving patch with lidocaine. Provides local anesthesia without systemic side effects. Used for myositis, neuralgia, vertebrology pain. Applications are made on dry skin, the coverage area should be only on the affected area.

Versatis may cause the following side effects: skin hyperemia, rash, itching, urticaria, burning, angioedema. Contraindicated in case of open wounds and inflammation at the site of application, intolerance to lidocaine, and during pregnancy. Overdose symptoms occur when applying the product to damaged tissues and creating increased plasma concentrations of lidocaine. In this case, an overdose causes the following symptoms: headaches, convulsions, anaphylaxis, CNS excitation, visual impairment, and respiratory depression.

6. Chinese plasters

To eliminate severe pain, use a black ant patch and magnetic applications. Tiger patch has minimal side effects. To relieve pain, Xinyu 003 applications are recommended, which contain herbal ingredients and beeswax.

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Mustard plasters

Mustard plasters are an effective painkiller, anti-inflammatory and irritant. They help with coughs, bruises, sprains and, of course, when you have a cold in your back. Their therapeutic effect is based on reflex reactions that occur due to local irritation of tissues by active components.

Mustard plasters are made from blue or black mustard, the seeds are fried and crushed. They can be purchased at a pharmacy or prepared at home. To do this, mix dry mustard powder with flour or starch in a 1:1 ratio and dilute everything with warm water until a thick doughy consistency is obtained. The mixture must be applied to thick paper, covered with gauze and allowed to dry a little.

Before applying to the painful area, the mustard plaster should be dipped in warm water for 10-15 seconds, then applied to the body and pressed firmly with a towel. When first used, the duration of therapy should be no more than 5 minutes, the duration of subsequent procedures should be increased to 10 minutes. Such treatment is best done no more than twice a day. Mustard plasters are contraindicated during pregnancy and at temperatures above 37.5°C. They should be used with particular caution in treating pediatric patients.

Painkillers

Myositis of the back muscles is accompanied by acute pain symptoms, painkillers are indicated to relieve them. Let's consider the most effective analgesics:

1. Naproxen

It has pronounced analgesic, anti-inflammatory and antipyretic properties. The mechanism of action of the drug is based on inhibition of leukocyte migration, reduction of inflammation mediators activity and lysosome activity. After oral administration, the active components are quickly absorbed from the gastrointestinal tract. The maximum concentration in blood plasma is achieved within 2-4 hours.

• Indications for use: inflammatory and degenerative lesions of the musculoskeletal system, rheumatoid arthritis, osteoarthritis, myalgia, ossalgia, neuralgia, adnexitis, infectious and inflammatory diseases of the ENT organs.
• The method of administration and dosage depend on the form of the drug. The painkiller is available in the form of tablets, oral suspension and rectal suppositories. Most often, tablets of 500-750 mg are used 2 times a day.
• Side effects: nausea, vomiting, pain in the epigastrium, allergic skin reactions, headaches and dizziness, drowsiness, increased weakness, erosive and ulcerative lesions of the gastrointestinal tract, hearing loss, impaired renal and/or liver function.
• Contraindications: hypersensitivity to the components of the drug, aspirin triad, suppression of bone marrow circulation, pregnancy, lactation, childhood of patients, renal or hepatic insufficiency.
• Overdose: dyspeptic disorders, nausea, vomiting, heartburn, drowsiness. Treatment includes gastric lavage or activated carbon, dialysis is not effective.

2. Ketoprofen

A nonsteroidal anti-inflammatory drug with analgesic, antipyretic and anti-inflammatory properties. It has several forms of release: capsules, rectal suppositories, tablets, injection solution and gel.

• Indications for use: symptomatic treatment of inflammatory lesions of muscle tissue and joints, rheumatoid polyarthritis, ankylosing spondylitis, arthrosis, acute pain syndrome, lower back pain, acute radiculitis. The gel is used for uncomplicated injuries, sprains, ligament ruptures and muscle tendons.
• Method of administration: 300 mg per day during meals, 2-3 times per day. For maintenance therapy, take 150-200 mg per day 2-3 times per day. The gel is applied to the skin twice a day, can be under a bandage.
• Side effects: nausea, vomiting, constipation, diarrhea, abdominal pain, headaches and dizziness, drowsiness, allergic reactions.
• Contraindications: gastric ulcer and duodenal ulcer, impaired renal and hepatic function, last trimester of pregnancy, lactation, patients under 14 years of age, proctitis, weeping dermatoses, intolerance to the components of the drug.

3. Ketanov

Contains the active component - ketorolac, has analgesic and anti-inflammatory properties. Does not have a depressing effect on the respiratory center and does not cause an increase in the final RSO, does not affect the state of the heart muscle and does not cause hemodynamic disorders, does not affect psychomotor functions. Available in the form of tablets for oral administration and ampoules for injection.

• Indications for use: relief of moderate and severe pain in orthopedic, otolaryngological, dental, gynecological and postoperative pathologies. Effective in pain syndrome caused by hypothermia of the lower back, otitis, radiculitis, osteoarthrosis, osteochondrosis.
• Method of administration: injections are administered intramuscularly at 10 mg every 4-6 hours, the maximum daily dose is 90 mg. Tablets are taken at 10 mg every 4-6 hours. The course of treatment should not exceed 7 days.
• Side effects: drowsiness, nausea, abdominal pain, diarrhea, headaches and dizziness, increased nervousness, dry mouth, increased sweating, myalgia, increased heart rate, possible painful reactions at the injection site.
• Contraindications: pregnancy and lactation, patients under 16 years of age, bronchial asthma, stomach and duodenal ulcers, blood clotting disorders, renal failure, hypersensitivity to the components of the drug, dehydration.
• Overdose: diarrhea, pale skin, vomiting and difficulty breathing, deterioration of general health. There is no specific antidote, treatment is symptomatic with gastric lavage.

4. Citramon

Non-narcotic painkiller. Contains acetylsalicylic acid, caffeine and paracetamol. Available in tablet form.

• Indications for use: moderate pain syndrome of various etiologies, muscle pain, neuralgia, inflammatory and infectious pathologies, toothache, myalgia, arthralgia. Take 1 tablet 2-3 times a day.
• Side effects: nausea, vomiting, heartburn, epigastric pain, decreased blood clotting, headaches, dizziness, kidney damage, allergic skin reactions, blurred vision, tinnitus.
• Contraindications: hypersensitivity to the components of the drug, erosive and ulcerative lesions of the gastrointestinal tract, renal or hepatic insufficiency, ischemia, patients under 15 years of age, pregnancy and lactation.
• Overdose: nausea, vomiting, dizziness, convulsions, difficulty breathing, drowsiness, psychomotor retardation.

Painkillers should only be taken as prescribed by a doctor and only to manage pain symptoms. This is because long-term use of analgesics can cause addiction.

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Vitamins

Vitamins play a significant role in muscle recovery and growth. Products rich in useful substances and vitamin complexes are recommended from the first days of painful symptoms and as a preventive measure against their appearance. They have a beneficial effect on the functioning of the entire body, including the muscular system. In case of frequent myositis and hypothermia of the back, you should take B vitamins, polyunsaturated fatty acids, vitamins D, C, E, calcium.

Let's look at the main groups of vitamins prescribed for irritation of the sensitive nerve endings of the back:

• B1 – is important in the development and maintenance of muscle tone. Participates in the metabolism and formation of hemoglobin. Transfers oxygen to muscle cells. Deficiency of this substance has a negative effect on metabolic processes and energy balance. Contained in cereals, nuts, boiled meat, leafy greens, dried fruits, grain bread.
• B2 – riboflavin is involved in glucose metabolism and energy exchange. Contained in cheese, eggs, milk, cottage cheese, peas.
• B3 – takes part in energy production. Contained in milk, eggs, fish, legumes, mushrooms, potatoes.
• B6 – pyridoxine is necessary for protein metabolism and carbohydrate processing. Soybeans, fish, egg yolk, whole grain bread, brown rice are rich in this vitamin.
• B7 – participates in the metabolism of amino acids, which act as building material in protein synthesis. Mushrooms, brewer's yeast and beef liver are rich in it.
• B12 – necessary for normal functioning of the nervous system, energy production and cell regeneration. Contained in meat, eggs, soy, shrimp, dairy products.
• C – ascorbic acid is necessary for proper muscle function. Participates in the synthesis of collagen and elastin, has powerful antioxidant properties. Strengthens the walls of blood vessels and ensures good blood circulation. Found in strawberries, grapefruits, Brussels sprouts, tomatoes, spinach.
• D – is useful for the musculoskeletal system, plays an important role in the immune system. Promotes the absorption of phosphorus and calcium, which are necessary for normal muscle function and bone growth. Contained in cottage cheese, cheese, fatty varieties of sea fish.
• E – tocopherol has antioxidant properties, participates in the process of restoring cell membranes. It is found in unrefined vegetable oils, spinach, carrots, almonds and avocados.

Many patients are prescribed injections of B vitamins, such as Milgamma, to reduce back pain. Particular attention should be paid to your diet, nutrition should be balanced.

Physiotherapy treatment

To eliminate the painful condition caused by a draft in the back, various methods are used. Physiotherapy treatment is one of the most effective. This type of therapy is used after the relief of acute symptoms. Very often it is used in combination with medications.

Beneficial properties of physiotherapy procedures:

• They do not cause allergic reactions or exacerbations of myalgia.
• Normalizes metabolic processes.
• Promote tissue regeneration.
• Activates the immune system.
• Improves blood circulation in affected areas.

Let's consider effective physiotherapeutic methods:

1. Myostimulation is a kind of muscle gymnastics using electric current impulses that penetrate into the affected areas. Eliminates inflammatory processes, minimizes pain syndrome, destroys pathogenic bacteria, and restores normal muscle tone.
2. Massage – prescribed for congestion in muscles. Patients undergo both general massage (stroking, rubbing, vibration) and acupressure (pressing on active points on the body). increases immunity due to improved lymph and blood circulation. Removes constrictions in muscle tissue and restores their normal functioning.
3. Medicinal electrophoresis is the introduction of medications into the body using small electrical impulses. It relieves pain and produces a prolonged therapeutic effect.
4. Phonophoresis – medicinal substances are introduced into the body using ultrasound. The drugs penetrate the capillaries, providing a targeted therapeutic effect.
5. Laser therapy – to eliminate pain, inflammation and swelling, light beams of infrared, red and ultraviolet spectrums are used. Effective for many diseases of the spine.
6. Reflexotherapy - this method consists of transcutaneous electrical stimulation (electrical impulses intercept the pain signal from pain receptors), acupuncture (needling into biological points on the body responsible for the affected organ) and electroacupuncture (the lesion is affected by intermittent electrical impulses through acupuncture needles).

Physiotherapeutic treatment of inflammation of the back muscles and any other diseases should be combined with a healthy lifestyle and a balanced, vitamin-rich diet.

Folk remedies

To relieve the painful condition caused by hypothermia of the lower back, unconventional methods of therapy are very often used. Folk treatment should be carried out only with the appropriate medical permission.

Popular medicinal recipes:

• Take a leaf of white cabbage, spread it with honey and apply it to the affected area. The compress should be secured with a bandage and warm cloth, leaving it overnight. Instead of honey, you can use vegetable oil, horseradish or mustard.
• Prepare 4 tablespoons of butter or lard, mix them with 1 tablespoon of horsetail. Mix all ingredients thoroughly. Apply the resulting ointment to the sore spot 2-3 times a day, wrapping it with a warm cloth.
• Take a couple of potatoes, wash them thoroughly and boil them in their skins. After that, peel them and mash them. Put a cotton rag on your back and put the mashed potatoes on it. Cover the compress with film and a warm cloth. The procedure should be done every evening for 2-3 days.
• Mix a teaspoon of butter with ¼ spoon of badyagi powder. Rub your back with the mixture before going to bed and wrap it in a warm scarf. The procedure is recommended once a day, as badyagi can cause severe irritation of the skin.

Traditional medicine should be carried out in compliance with the proportions of all medicinal components. This will minimize the risk of developing side effects.

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Herbal treatment

Herbal treatment has a positive effect in eliminating pain caused by a draft in the back. Decoctions, infusions, compresses and even ointments are prepared from medicinal plants.

• Chamomile, linden, horsetail and sweet clover are most often used for compresses. Dry herbs are tied in a gauze bag, steamed with boiling water and applied to the sore back, covered with polyethylene and wrapped in a warm scarf. Compresses relieve muscle spasms and painful sensations.
• To prepare a healing ointment, take 20 g of table salt and the same amount of dry crushed ginseng root. Mix the dry ingredients with 100 g of bear fat (can be purchased at a pharmacy), goose or pork fat. Rub the sore spots with the resulting product; the ointment can be applied under a bandage.
• An ointment based on horsetail and natural lard has pronounced warming properties. Take 20 g of dry plant material and 80 g of fat, mix everything thoroughly in a glass container. The ointment should be rubbed into painful areas. Instead of horsetail, you can use eucalyptus leaves, mint, celandine or sage, and replace lard with butter or goose fat.
• For rubbing, use herbal infusions in alcohol, as they have anti-inflammatory, antibacterial and pain-relieving properties. Take two large onions, ½ cup of 70% medical alcohol and 1 liter of camphor oil. Grind the onion to a mushy state, combine with alcohol and add camphor after a couple of hours. The remedy should be infused for 10 days in a dark place.
• Pour 250 ml of water over a tablespoon of crushed willow bark and boil for 20-30 minutes in a water bath. Divide the resulting decoction into five parts and consume throughout the day. The course of treatment is 40 days, after which you need to take a break for 2 weeks and then continue the therapy again.

Before starting herbal treatment, you should consult with your doctor.

Homeopathy

If the back is pierced, local intense pains appear, which intensify without treatment. Homeopathy is an alternative and rather controversial method of therapy. There are certain remedies that are effective in treating affected muscles and allow you to restore normal mobility.

Homeopathic remedies:

• Calcarea carbonica – acute throbbing pain and increased weakness.
• Rhus toxicodendron – inflammation due to hypothermia, sharp shooting pains when moving.
• Arnica – muscle tension, paresthesia, crawling sensation on the skin.
• Ranunculus – pain radiates to the shoulder blade and/or chest.
• Bryonia – stabbing pains from any movement, relief at rest and when pressing on the affected area.
• Rhododendron – discomfort increases at night and when at rest.
• Guajacum - pain increases with heat.
• Belladonna – unpleasant sensations are accompanied by a feeling of heat and pulsation in the area of inflammation, sharp pains that intensify from cold.

The above mentioned remedies are most often used to treat myositis of the back muscles. But before using them, you should consult a homeopathic doctor who will select the necessary dosage and course of treatment.

Surgical treatment

If conservative therapy and physiotherapy procedures have proven ineffective in eliminating pain caused by a blown back or it has been established that the discomfort occurs against the background of other pathologies, then surgical treatment may be prescribed.

The main diseases of the spine that require surgery to treat are:

• Degenerative pathologies (spinal stenosis, lumbar scoliosis, spondylosis, osteochondrosis).
• Herniated disc.
• Spondylolisthesis (slipping of the vertebrae) and scoliosis.
• Traumatic spinal injuries.
• Various inflammatory pathologies (rheumatoid arthritis, ankylosing spondylitis, infectious spondylodiscitis).
• Purulent inflammation.

Some operations are performed using minimally invasive technologies under local anesthesia, while others, on the contrary, require hospitalization. Based on this, the recovery period can be from several days to several months. Laser and microscopic endoscopic technologies are widely used.

Let's consider the types of surgical intervention:

1. Radiofrequency nerve destruction – using a radiofrequency electrode, nerves that transmit pain signals are blocked. During the operation, X-rays are used to visualize the place where the electrode with a thin needle should be inserted. This method is minimally invasive.
2. Foraminotomy – during the operation, the doctor removes formations (fragments of the vertebra or intervertebral disc, osteophytes) narrowing the canal with nerve roots. Due to the foraminal widening of the opening, irritation of the nerve roots is eliminated.
3. Percutaneous nucleoplasty is a method based on the thermal effect on intervertebral discs. Allows to restore their normal shape.
4. Discectomy – performed in case of intervertebral hernia. During the operation, the doctor removes the part of the disc that irritates the nerve endings and causes pain.

In addition to the above methods, rhizotomy (removal of facet nerves) or cordotomy (intersection of the spinal cord conducting structures) may be prescribed. But do not forget that surgical treatment is not always effective in eliminating pain, but can cause irreversible consequences and complications.

Can I go to the sauna if I have a draft in my back?

To eliminate irritation of the nerve endings of the lower back caused by hypothermia, warming up with dry hot air or moist steam is recommended. That is, the answer to the question of whether it is possible to go to the bathhouse if you have a draft in your back is unambiguous - yes, you can. A one-time visit to the sauna relaxes the muscular system, accelerates the regeneration process and eliminates painful sensations.

But the bath is allowed only with moderate pain syndrome. Since with strong muscle spasms the steam room contributes to the increase of swelling and discomfort. In this case, a hot bath is also prohibited. With the right approach to treatment, the pain subsides in 2-3 days.

Is it possible to play sports if you have a draft in your back?

Many patients diagnosed with myositis are interested in the same question: is it possible to play sports if you have a draft in your back? In case of severe pain and muscle spasms, physical activity is contraindicated, as it can cause complications of the painful condition. If the discomfort is moderate, it is recommended to perform simple but effective exercises that relieve muscle tension.

• Get on all fours, resting your palms and knees on the floor. Slowly bend your back and tilt your head. After a couple of seconds, bend back, throwing your head back onto your shoulders. The exercise should be done for 1-1.5 minutes.
• Lie on your back, bend one leg at the knee, clasping it with your hands. Smoothly pull the knee to the chest. Maintain this position for 30-40 seconds. Repeat the exercise on the other side. Do 2-3 approaches.
• Lie on your stomach, legs together, arms bent at the elbows under the chin. Gradually stretch your arms forward, trying to reach as far as possible. Do 3-4 approaches.

The above exercises can be performed after recovery as a preventative measure against muscle diseases.

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