Left back pain treatment

Patients with acute back pain are not currently prescribed bed rest, they are advised to maintain a normal activity regimen or to limit it to a few when there is a high intensity of pain.

The most effective treatment for back pain on the left is considered to be medication, paracetomol and nonsteroidal anti-inflammatory drugs are the drugs of choice. They take a short course, and not just for pain relief.

Paracetomol as well as NSAIDs, does not selectively inhibit the work of cyclooxygenase, has a moderate anti-inflammatory effect, which results in an analgesic effect. The drug also inhibits the work of the center of thermoregulation - knocks the fever, although it does not usually work with radicular syndromes and radiculopathy. Paracetomol is chosen mainly because it rarely produces side effects and they are usually minor. Not recommended for patients with diseased liver and kidneys, allergic to paracetomol. It has a slight hematotoxicity, which is enhanced in combination with phenobarbital. With prolonged use has a hepatotoxic effect. May cause other side effects from the nervous system and gastrointestinal tract. Allergic reactions are usually limited to dermatosis. The drug is produced and used in different forms: tablets (they are taken no more than 1.5 g for taking three or four times a day at regular intervals), suppositories and syrup. Take Paracetomol orally after a meal, drinking plenty of water.

In addition to the relative safety, Paracetomol does not have other advantages over NSAIDs. When it is ineffective, intolerant, or a patient with a liver in a patient, choose a drug from the group of non-hormonal anti-inflammatory drugs. The usual non-steroid drugs (Diclofenac, Indomethacin, Ketoprofen) inhibit the activity of cyclooxygenases of the first and second isoforms, have a powerful anti-inflammatory and analgesic effect, however, have a negative effect on the mucous membrane of the stomach and intestines, causing their pathologies up to erosions and ulcers. Such side effects from their use develop in one case out of ten, especially patients of advanced age suffer.

Preparations of later generations (Movalis, Nimesil) selectively limit the activity of cyclooxygenase-2, which makes them safer for the gastrointestinal tract, since cyclooxygenase -1 provides side effects.

Movalis (active ingredient - meloxicam, an enolic acid derivative) quite effectively copes with pain and inflammation, has a high (89%) bioavailability regardless of the meal. It is used in the form of intramuscular injections and tablets once a day. Usually, in case of severe pains, an injection form is first prescribed, and later, in 1-2 days, they are transferred to the tablet form. The drug is prescribed short courses for arthritis (7.5-15 mg per day) and long with ankylosing spondylitis and arthritis (in the highest daily dose of 15 mg). Like all NSAIDs, despite the selectivity of action, Movalis is not prescribed to patients with peptic ulcer disease, hematopoietic disorders, bleeding tendency, pregnant women and patients younger than 15 years. May cause side effects from any organs and systems. Incompatible with lithium preparations, thrombolytics. It is undesirable to combine with other NSAIDs and antihypertensive drugs. An overdose of Movalis can cause a coma and lead to the death of the patient.

Non-steroidal anti-inflammatory drugs with a highly selective effect, for example, Celebrex (celecoxib) and others from the group of coxibs have proved to be very effective and safer in clinical trials than drugs of previous generations. Less common were side effects from reduced blood clotting and bleeding from the upper gastrointestinal tract, however, an undesirable effect on the intestinal mucosa persists. New drugs are also recommended to be taken with all precautions, like other NSAIDs, in the minimum effective doses and limiting the duration of treatment. Therefore, only a doctor, based on the patient's state of health, should prescribe medications for pain relief and inflammation relief.

Often, local forms of NSAIDs are prescribed - ointment, emulsifier, spray, plaster with diclofenac, for example, Voltaren, compresses with Dimexidum. Non-steroidal anti-inflammatory drugs also work well when applied topically, with less severe side effects. Contraindications to the use of local forms are violations of the integrity of the skin at the site of application.

For acute back pain, centrally acting muscle relaxants are also prescribed. They are used as independent drugs and together with NSAIDs. They reduce the tension of muscle tissue without inhibiting nerve impulses, allowing the patient to maintain posture and move normally. With a decrease in muscle tone, pain, nervous tension and anxiety decrease. One of the most commonly prescribed drugs is Mydocalm, it is considered a fairly safe drug that does not cause sedation and severe muscle weakness, and does not affect the ability to concentrate when performing hazardous work, even with a long course of administration. The use is unacceptable during pregnancy, it is dangerous for patients with lidocaine allergy, is not indicated for people suffering from myasthenia.

In cases of prolonged chronic back pain, antidepressants (Amitriptyline) may be included in the therapeutic regimen, both in cases of severe depressive symptoms and in its absence. Their ability to alter the synaptic concentration of serotonin and norepinephrine is necessary in some cases of dealing with chronic pain.

Anticonvulsant drugs, for example, Lamotrigine or Finlepsin, are also used in the treatment of pain in radicular syndromes. Their action on the centers of formation of pain impulses is used.

In diseases of the musculoskeletal system as part of complex therapy, vitamins can be prescribed. Calciferols or vitamins of group D are necessary for the absorption of calcium and strengthening of bone tissue, ascorbic acid is involved in the biosynthesis of connective tissue (collagen) fibers, vitamins of group B - in the formation of nerve fibers, contribute to the improvement of nerve conduction and normalization of blood, and therefore - the supply of bones, joints and the cartilage that makes up the spine.

Physiotherapy treatment for back pain includes the following basic procedures: electrotherapy, massage and physical therapy.

Applied medicinal electrophoresis, which helps to deliver drugs directly to the affected areas, thereby increasing their effectiveness and reducing the dose.

Phonophoresis, magnetic therapy, darsonvalization allows you to quickly relieve swelling and inflammation, and therefore - pain. Laser and ultrasound therapy of the spine is also used.

Massage helps to improve blood circulation in the tissues and helps to relax the clamped muscles, and physiotherapy exercises - to increase the muscle corset that supports the spine.

Physiological procedures not only help to recover from back pain, but also prevent further development of the pathology and the next relapses.

Alternative treatment

From back pain at home, the first remedy is warming and grinding. Everything that is in the house is used - woolen scarves and scarves, cabbage, horseradish, honey, ginger, dry mustard and regular table salt.

Such measures help to quickly relieve musculoskeletal pain caused by the infringement of nerve roots or muscle spasms, however, with infectious lesions, tumors, inflammations and degeneration of the joints, they will be ineffective, and time is lost. Therefore, modern diagnosis of pain in the back is necessary.

Dry heat, it is warm, and not putting hot objects, pleasant and warming can provide an old wool scarf, attached to the sore spot. Woolen scarf can be wetted in saline solution (2 tablespoons per liter of water), dried and worn, almost without removing, until symptoms are eliminated. However, pain usually comes abruptly and unexpectedly, often in the evening, after physical excesses, and the scarf will dry for a long time. Can be used immediately and dry, and then replaced with salty. Well, if in the house there is an object tied from dog hair, it can not soak.

It is good to warm the sore spot with a bag of salt, to make paraffin baths, to put boiled potatoes in uniforms, crushed and placed in a tight bag. They slowly cool down and give a long time to heat the sore spot.

You can make compresses, for example, from cabbage. Melt a tablespoon of honey in the bath and mix with the same amount of vinegar. Apply this mixture on the cabbage leaf and fix it on the sore spot. Wrap a woolen scarf on top. With this compress you can sleep until the morning. If there is no honey in the house, but there is only cabbage, you can slightly beat off the cabbage leaf warmed in warm water and tie it to the sore spot with a scarf.

You can make a compress of horseradish, if the house has a fresh root, preferably with leaves. Grind all the raw materials in a meat grinder, smear the resulting flap natural flap (flax, cotton) fabric and make a compress on the sore spot. Put a hot water heater over the compress. After a few minutes, remove the compress and replace it with horseradish leaves, they can be left until morning. After such a procedure, the patient should rest, so it is better to do it at night.

You can make a homemade ointment of ginger root, making it a slurry in a blender, on a fine grater, in a meat grinder with a few drops of eucalyptus oil. This ointment is applied to the sore spot two or three times a day.

In any alternative medicine, herbal therapy is widely used. Burdock is applied to sore joints. In the summer - fresh leaves. They are primed for the night. For the winter you can dry the leaves. Dry used as follows: take a few pieces, moistened in acetic solution (vinegar-water - 1: 1), put on each other and this pile is primed to the sore area, pre-smeared with sunflower oil. You can leave for the night.

Hot packs with wraps are made with infusions of various medicinal herbs - Hypericum, thyme, chamomile. Make tinctures and ointment from horse chestnut. The main thing is not to hurt, because if back pain is caused not by radiculitis, but by diseases of the internal organs, it is not recommended to heat and rub the sore spot.

[1], [2], [3], [4]

Homeopathy

This alternative direction of medicine copes well with many tasks that even modern pharmacology cannot do. If we take into account the mild effect of homeopathic medicines and the practical absence of side effects, in many cases, for example, for pregnant women and allergies, and NSAIDs cause sensitization reactions in many, this is the real way out. For the use of classical homeopathic remedies, it is necessary to control a homeopathic doctor, self-treatment in this case is unlikely to be successful. For back pains, 44 drugs are used, and others may be prescribed depending on your constitutional type. Therefore, the appointment must be made by a specialist.

Pharmacies sell drugs made on the principle of low doses, which act no worse than NSAIDs, only more gently and without negative consequences for the body. In case of musculoskeletal pains, Traumel C helps well. This preparation can be used topically, causing pain in the form of an ointment or gel on the focus, and skin integrity disorders are not a contraindication to application. Moreover, the drug will contribute to the regeneration of the epidermal layer. It is also used orally and parenterally. Injections are made in any way, including in the acupuncture points and segmentally, sighting blocking pain.

As part of the complex means included various components used in homeopathy as monodrugs in the following cases:

• any acute painful injuries, sprains, fractures, pinching of nerve endings even with damage to the skin cover - Arnica (Arnica montana), Aconite (Aconitum napellus), Belladonna (Atropa Belladonna), besides Hypericum perforatum is bad for tears, and it has also been damaged in case of damage, damage, and damage to the skin. (strong and fast-acting means are used in providing first aid);
• prolonged painful dull pain prescribed treatment with drugs that strengthen the immune system - Echinacea purpurea and narrow-leaved (Echinacea purpurea and Echinacea angustifolia);
• lumbago, neuralgia, boils - Magic nut (Hamamelis virginiana), Chamomile (Chamomilla recutita);
• post-traumatic edema, sprains, injuries, especially in the lower back assigned Daisy (Bellis perennis);
• fresh and old fractures, bruises, poor bone fusion, damage to the synovial bags, tendons, bone tissue, its fragility, prickle and soreness, sensitivity of the lesion sites, use Comfrey or Rivocost (Symphytum officinale);
• rheumatic pains and edema, painful spine is used Lime sulfur liver (Hepar sulfuris), and Hannemann Mercury (Mercurius solubilis Hahnemanni) has anti-inflammatory effect when applied topically, in addition - it is a well-known left-sided remedy.

The remaining ingredients Yarrow (Achillea millefolium) and Calendula (Calendula officinalis) are able to cope with bruises, suppurations and, if necessary, to restore the damaged surface of the skin.

All forms of Traumel are indicated for the treatment of pathologies of the musculoskeletal system - they effectively anesthetize, relieve inflammation and stop nonspecific infections. If necessary, at the beginning of treatment, you can combine the internal use of the drug with the application of local forms on the foci of pain.

Injections in the acute state do once a day, then move to use one or two times a week or taking pills.

Ointment can treat lesions in the acute period up to five times a day, then switch to two or three times treatment.

The dosage and duration of use should be prescribed by a physician familiar with the effect of the complex homeopathic medicine.

With degenerative-dystrophic processes in the spine (osteoarthrosis, osteochondrosis, lumbago, inflammatory processes in the joints and ligaments, metabolic disorders in bone tissue, post-traumatic disorders), the homeopathic complex preparation T. T. Besides an analgesic effect and eliminating inflammation, it stimulates the formation of chondrocytes. Activation of proliferative processes, thereby contributing to the restoration of cartilage and bone tissue. Homeopathic Sulfur (Sulfur) restores the structural components of cartilage, Sius-organ active components (Placenta suis, Cartilago suis, Embrio suis, Funiculus umbilicalis suis) inhibit the degenerative processes in the bone and cartilage, improve their nutrition and blood circulation. In patients, there is a slowdown in the destruction and even some restoration of the vertebral structures. Joints become more elastic and mobile, pain passes.

Biological catalysts of redox reactions in the body - Acidum alpha-liponicum, Natrium diethyloxalaceticum, Acidum silicicum colloidal, Nadidum restore cellular respiration, impaired as a result of various negative processes (age-related changes, hormonal or antibacterial agents).

Ingredients of plant origin Larkspill (Symphytum officinale); Arnica (Arnica montana); Sumy poisonous (Rhus toxicodendron); Sanguinaria (Sanguinaria canadensis); Dulcamara (Solanum dulcamara) complements the action of bioactive substances, promotes tissue repair, anesthesia, relieve inflammation, swelling, stiffness of the paravertebral muscles.

Forms of release also various: ointment, sublingual tablets and solution for injections. You can combine local forms with parenteral or oral. The doctor should dose the drug, it is used both independently and in combination with Traumel, as well as tissue respiratory stimulants Coenzyme and Ubiquinone compositum.

Surgery

Chronic, that is, observed for three months or more, back pain, which is not amenable to medical treatment and adversely affect the patient's quality of life, can be treated by surgical methods.

Operations are indicated in cases of progressive disease of the spine, when it is accompanied by constant pain and neurological symptoms.

The operation to remove a herniated disk is quite common, patients with spinal stenosis are eliminated by the causes of nerve fiber compression, and tumors and compression fractures are operated on. Indications for surgery is neurogenic intermittent claudication with spondylolisthesis.

Depending on the damage, various operations are performed. For example, restoration of part of the disc using bone cement (vertebroplasty), removal of the vertebral arches to release the clamped nerve root or parts of the intervertebral disc moving outward, removal of bone growths on the vertebrae (osteophytes) to eliminate the compression of the nerves or spinal cord. If possible, use minimally invasive technology.

In case of irreversible disorders of the vertebral discs, endoprosthetics are performed, in difficult cases with a combination of several diseases associated with degenerative processes in the spine, it becomes necessary to implant a special design that allows to expand the intervertebral space and maintain the natural position of the spinal column.

Spinal surgeries are performed in order to eliminate pain and return the patient to a normal range of motion. Modern medicine has a sufficient arsenal of tools for successful operations to restore the mechanics of the back and eliminate pain, although it is not without complications. When deciding on the need for surgery, it is advisable to consult with several specialists vertebrologists.