Ointments for osteochondrosis

When due to deterioration of the blood supply to the joints, the surrounding and fibrous cartilaginous tissue begins to pathologically change, in local therapy of these disorders it is recommended to apply ointment from osteochondrosis.

Reducing the synthesis of chondrocytes (cartilage tissue cells) and fibrillar proteins (collagen) reduces the biomechanical properties of the cartilage, and this can lead to necrosis of the tissue of the subchondral bone and destruction of the joint. In all cases, indications for the use of ointments from osteochondrosis are the presence of clinical symptoms such as arthralgia (joint pains often radiating into other anatomical structures); hypoesthesia (loss of sensitivity of mechanoreceptors in the area of affected joints); swelling of the tissues surrounding the joint (especially during the period of exacerbation); inflammation; dynamic limitations of joints.

For everyone, the best ointment for osteochondrosis will be one that will cope with these symptoms and will not cause side effects.

[1], [2], [3], [4], [5]

Release form

Regardless of the localization of the disease, ointments for cervical, thoracic and pelvic osteochondrosis are the same.

Recommended by doctors names of ointments from an osteochondrosis:

• Anti-inflammatory ointments for osteochondrosis based on non-steroidal anti-inflammatory substances (NSAIDs): ointment Diclofenac (Diclouran, Voltaren emulgel, Diklak-gel, etc.), Ketonal ointment (Valusan, Fastum gel, Bystrumgel, etc.), Ibuprofen (gels Ibutop, Dip Rilif and etc.). Since these funds relieve pain, any of them can be used as an ointment for exacerbation of osteochondrosis.
• In addition to the above drugs, NSAIDs, anesthetic ointments for osteochondrosis include ointments with menthol (Menovazine, Bom-Benge, Efkamon) and ointment with bee venom Apizarthron (Apifor, Ungapiven).
• Warming ointments for osteochondrosis (more precisely, warming up or locally irritating): Capsicum (Betalgon, Espol), turpentine ointment, and also most of the products containing metol, camphor or bee venom.
• Mazi-chondroprotectors in osteochondrosis: Chondroitin ointment (chondroitin, chondrasil, chondroxide), homeopathic ointment. Purpose T.

Homeopathic ointment for osteochondrosis is represented by complex means. Objective T and Traumeel ointment (and gel) manufactured by Biologische Heilmittel Heel GmbH (Germany). It should be noted that the anti-inflammatory and anesthetic homeopathic gel of Traumeel is more applicable for bruises, hemorrhages, burns, frostbite and abscesses of soft tissues, although it can be used in case of joint problems.

Heparin ointment refers to anticoagulants and is used in the treatment of varicose veins, thrombophlebitis, phlebitis, hemorrhoid cones, subcutaneous hematomas.

Dolobene ointment, in addition to heparin, contains dimexide and dexpanthenol; it is advisable to use it with bruises, bruises, stretching muscles or ligaments.

Balm for joints or ointment Dikul recommended to use as a means for massage, which is caused by the presence of myositis, arthritis and osteochondrosis. The composition of this product includes sea buckthorn and tea tree oils, herbal extracts (dogrose, nettle, chamomile, aloe, etc.), propolis and mummy, bee venom and bear bile, as well as collagen hydrolyzate (medical gelatin) and dexpanthenol.

Ointment The horsepower to pharmaceutical preparations does not apply, it is a gel for feet with menthol, vitamin E and essential oil of lavender.

And the so-called miracle-salve of Elena Seymova (in other variants the name of Valentine appears) is a homemade mixture of vegetable oil, beeswax and boiled egg yolk, which is offered to treat everything: from stomach pains and constipation (taking in) to trophic ulcers and ovarian cysts. Most likely, with pain in the joints, a folk ointment formula from fly agaric is more suitable for preparation of which the crushed dried mushroom (100 g) needs to be mixed to a homogeneous state with 100 g of pork lard or melted butter.

The cheapest ointments from osteochondrosis, presented in the review: Menovazine, turpentine ointment, Bom-bengu, ointment Diclofenac, Chondroitin ointment and ointment Chondrasil (while containing the same chondroitin sulfate Chondroxide ointment is twice as expensive).

Read also:

• Effective tablets against back pain
• Ointments for back pain

[6], [7]

Pharmacodynamics

Pharmacodynamics of various ointments used for osteochondrosis, allows to form a representation and how these drugs work with this symptomatology.

Analgesic and anti-inflammatory ointments for osteochondrosis based on NSAIDs (Diclofenac, Ketonal, Ibuprofen, etc.) are affected by inflammatory mediators (prostaglandins), inhibiting the production and, thereby, reducing inflammation and pain.

The analgesic effect of all locally irritating agents is based on their effect on the skin receptors and nerve endings (which interrupts pain signals), the reflex dilatation of the capillaries, and the inflow of blood to the damaged site. Turpentine ointment contains turpentine oil from pine resin, and in the same way bee venom works in the apizartron ointment.

Active substances of ointment Kapsikam - vanillinonamide (synthetic substitute of bitter pepper capsaicin alkaloid), turpentine and camphor. Ointments with menthol also contain: methyl salicylate, that is, inflammatory acetylsalicylic acid (Bom-Benge); camphor, clove and eucalyptus oil (Efkamon); local anesthetics benzocaine and novocaine (Menovazine ointment).

Mashi-chondroprotectors (Chondroitin ointment, Hondrasil, etc.) have chondroitin-4-hydrogen sulfate of animal origin, similar to endogenous sulfated glycosaminoglycans (from which a cartilaginous tissue is formed). Chondroitin sulfate molecules penetrate cartilage tissue and articular fluid due to dimethylsulfoxide (dioxin); stimulation of chondrocytes leads to a slowdown in the process of their degradation and activation of the synthesis of proteoglycans, the basis of the matrix of cartilaginous tissue.

As part of the homeopathic ointment, Objective T, which also refers to chondroprotectors, contains more than a dozen components, including arnica extracts, poisonous ivy of Rhus toxicodendron toxicus (irritating to the skin), Solanum dulcamara (containing triterpenoids and steroids), colloidal silicic acid (Acidum silicicum), sublimed sulfur (Sulfur), coenzyme A, extracts from umbilical cord and placenta of cattle, etc. The manufacturer claims that this homeopathic ointment with osteochondrosis not only has a pain It also stimulates the restoration of the cartilaginous tissue by activating the formation of new chondrocytes.

[8], [9], [10], [11], [12], [13]

Pharmacokinetics

Ointment Diclofenac and Ketonal Ointment are rapidly absorbed into the skin, partially enter the systemic circulation and bind to plasma proteins. The time to reach the highest concentration of active substances is almost 120 minutes. Metabolism of these drugs occurs in the liver, the products of transformation are excreted by the kidneys within 1.5-2 hours.

After application, ointment-chondroprotectors (chondroitin ointment) also penetrate into the blood and accumulate in the intra-articular fluid and cartilage; the bioavailability of chondroitin sulfate is slightly more than 12%, and its maximum content is noted after about 3.5 hours. It is excreted from the body within a day with urine

The pharmacokinetics of other ointments (turpentine, Objective T, with menthol or bee venom) in the instructions to the preparations are not explained.

[14], [15], [16], [17], [18], [19]

Dosing and administration

Ointments for osteochondrosis are applied externally by applying a small amount of the drug to the skin in the area of the affected joint (easily imbedded):

• ointments containing camphor, turpentine ointment and ointment with bee venom - once a day;
• ointments Diclofenac, Ketonal, Kapsikam - twice a day (1-2 g);
• ointments-chondroprotectors - 3-4 times during the day (column of extruded ointment 1-1.5 cm);

Homeopathic ointment for osteochondrosis Aim T - up to five times a day.

[29], [30], [31], [32], [33], [34], [35]

Use of the ointments from osteochondrosis during pregnancy

Often the use of ointments from osteochondrosis by pregnant women is not recommended. Ointment Diclofenac is prohibited in the last three months of pregnancy, ketonal ointment, as well as ointments with turpentine, menthol, camphor and bee venom - throughout pregnancy.

According to the instructions, ointment-chondroprotectors (chondroitin ointment, etc.) during pregnancy and lactation should be prescribed only when absolutely necessary

No homeopathic ointment for osteochondrosis should be used in the treatment of pregnant women, like most homotoxic drugs.

Contraindications

Ointments with NSAIDs (ointment Diclofenac, Ketonal ointment, etc.) are contraindicated in spasms of bronchi and allergic rhinitis and dermatitis.

Ointments with menthol, Capsicum, Bon-benga, turpentine ointment, ointment. The purpose of T is not applied to the increased reaction to the components of these agents.

Contraindications ointments Apizarthron include skin damage and dermatological diseases, as well as kidney problems; ointments-chondroprotectors for osteochondrosis - acute inflammatory processes in the field of application, allergy, skin diseases, thrombophlebitis.

[20], [21], [22], [23], [24]

Side effects of the ointments from osteochondrosis

Skin itching and rashes can be with the use of ointments based on NSAIDs, Capsicum ointment and Objective T, Chondroitin ointment, ointment with bee venom (Apizarthron) and turpentine ointment.

Side effects of ointments with menthol can be expressed in general weakness, lowering blood pressure, dizziness.

[25], [26], [27], [28]

Overdose

In the instructions for the described drugs, their overdose was not noted.

[36], [37], [38]

Interactions with other drugs

Ointment Diclofenac and Ketonal Ointment potentiate the action of antimicrobial and antifungal agents for external use.

Information on the interaction of other ointments by manufacturers is not provided, but it is recommended to avoid simultaneous use of other ointments and any local remedies.

[39], [40], [41], [42], [43]

Storage conditions

Ointments Diclofenac, Ketonal, Objective T, Apizartron should be stored at t <+ 25 ° C; ointment-chondroprotectors - at t <+ 20 ° C; Ointments with menthol and turpentine ointment - for t <+ 15 ° C;

[44], [45]

Shelf life

The shelf-life of the drugs is indicated on the package.

[46], [47], [48], [49]