As in diagnosis, and in the treatment of pain behind the foot, there is no general scheme effective for various diseases and conditions. If the pain is caused by tired feet, then the best way to get rid of unpleasant sensations is rest. In this case, the legs are best raised.
You can remove unpleasant symptoms and with the help of various ointments from leg fatigue, which are sold both in pharmacies, and in the departments of cosmetics manufactured goods stores. There are such means among the products of many popular cosmetic brands.
Such treatment will help with non-pathological pain. If this symptom is a sign of a disease, then you need to treat not so much the pain as the disease itself. And here there are no general recommendations.
If we are talking about such a popular leg pathology as varicose veins, then at the initial stage of the disease, the therapy is performed using external means: creams and ointments that have a resolving action (heparin-based drugs), relieve pain and strengthen the vessels ("Venital" , "Troxevasin"), relieve inflammation and swelling ("Voltaren", "Fastum-gel", "Celestoderm, etc.).
For internal administration and injection, drugs that stimulate blood flow and increase vascular walls (Angistax, Detralex), anticoagulants that reduce blood viscosity and prevent the formation of thrombi ("Aspirin", "Venolife"), anti-inflammatory painkillers (Diclofenac, "Indomethacin").
Among the methods of physiotherapy, hydrotherapy, the treatment with leeches, and laser therapy are indicated. It is useful to wear compression linen.
Surgical treatment: phlebectomy and thrombus removal.
Treatment for vein thrombosis is identical to the treatment of varicose veins, but here the focus is more on the use of thrombolytic drugs and drugs that dissolve blood clots, as well as drugs that prevent the emergence of new clots. The addition of infection requires the addition of antibiotics. In addition, bed rest is shown, which reduces the burden on the diseased legs.
At an atherosclerosis of vessels of the bottom extremities the list of medicines, procedures and requirements even more. The main drugs are sequestrants of bile acids ("Kolestipol", "Kvantalan"), statins ("Simvastatin", "Pravastatin"), fibrates ("Clofibrate", "Bezafibrate"), nicotinic acid preparations (vitamin PP). All these drugs reduce blood cholesterol, however, in various ways.
In addition, thrombolytic agents are prescribed, the heart improves peripheral circulation (usually "Pentoxifylline"), anticoagulants, blood thinners, antispasmodics that relieve spasms and pain, vasodilators, drugs that improve trophic tissue. When ulceration occurs, ointments with antibiotics are prescribed.
Surgical treatment: prosthetics, bypass, endarterectomy, stenting.
Patients with atrozes are treated with nonsteroidal (locally and in the form of tablets inside, for example, "Nimesulide", "Ibuprofen") and hormonal (in the form of injections: "Hydrocortisone", "Diprospan", etc.), anti-inflammatory drugs that reduce inflammation and pain. In addition, chondroprotectors ("Alflutop", "Ostenil", "Mukosat", complex drug "Teraflex", etc.), hyaluronic acid preparations are prescribed.
- pain relief - SUF-irradiation, magnetotherapy,
- relief of inflammation - laser therapy, UHF procedures, CMV-therapy.
- Improvement of blood circulation and metabolic processes in the joint - ultrasound, diadynamic therapy, interference therapy, darsonvalization, therapeutic baths (with broths of herbs or bischofite, radon, hydrogen sulphide, gas-mud).
Surgical treatment: arthroscopy, osteotomy, endoprosthetics.
Treatment of myositis, in which one of the main symptoms is leg pain, is an even more complicated process, because this pathology often develops against the background of other diseases. Here they also need to be treated first.
Basic principles and preparations: Pain relief with injections, tablets or ointments (Ketonal, Milgin, Analgin, Voltaren, Diclofenac, Fastum-gel, etc.), relief of pain and inflammation by warming ointments from the NVPS group (Dolobieni, Diprilif, Espol, Diklak-gel) and preparations for oral administration (Nimesulid, Indomethacin, Movalis). In addition, pain in the gastrocnemius muscle can be prescribed for taking anticonvulsants (for example, "Phenazepam"). In purulent processes, antibiotic therapy is indicated.
In parallel with drug therapy, physiotherapeutic treatment (paraffin, amplipulse, electrophoresis), reflexotherapy, and massage is performed.
Osteochondrosis of the lumbosacral spine is treated with NSAIDs for topical application and oral administration (Voltaren, Diclofenac, Indomethacin) and steroid preparations (Prednisolone, Hydrocortisone), venotonicks (Troxevasin, Escuzan ) and muscle relaxants ("Baclofen", "Tizanidine"), chondroprotectors, injections of hyaluronic acid, agents for improving blood circulation and venous outflow ("Pentoxifylline", "Spironolactone").
In addition, reflexotherapy, shock wave therapy, magneto- and laser therapy, masses are carried out. The methods of manual therapy, spinal traction, medicinal electro- and phonophoresis, LFK (at the final stage) are applied.
Surgical treatment: discectomy, supporting spondylodesis, dynamic stabilization of the spinal column, laser nucleotomy, release of spinal roots, subjected to compression by modified or displaced discs.
Pathologies that cause pain at the back of the legs are of different localization and intensity, a great many. Describe the treatment of all in one article does not make sense, especially since, after studying the information about the therapy of some of them, you can notice a certain similarity in the approach to choosing anesthetic drugs that can stop pain in the legs. We will talk about them further.
Medications for pain relief in the legs
Whatever pathology you have, causing pain at the back of your leg, one of the areas of therapy is the removal of pain. And since the pain in the vast majority of cases occurs against the backdrop of the inflammatory process in the muscles, charters, bones, the doctors give preference to drugs with anti-inflammatory and analgesic effects.
"Nimesulide" is a drug from the category of non-steroidal anti-inflammatory drugs, which also relieve fever and pain. It is shown both with joint pains, and in case of acute pain in muscles. The medicine does not affect the development of the disease, but only helps to remove symptoms such as inflammation and pain.
Take the drug 2 times a day for ½-1 tablet weighing 100 mg. Doing this is desirable after a meal, to reduce the irritant effect of the medicine on the gastrointestinal mucosa. Doctors recommend to do with minimal effective doses.
The drug is not assigned to patients with erosions and ulcerative processes in the GI tract, especially if they are accompanied by bleeding, bronchial asthma, inflammatory bowel pathology, hemophilia and bleeding disorders. Contraindicated drug use in Crohn's disease, polyposis of the nose with frequent relapses, with any bleeding and hypersensitivity to the components of the drug and other NSAIDs.
Doctors are careful not to prescribe the drug for severe liver and kidney disease, especially if their function is impaired, with heart failure in decompensation stage, increased potassium level in the body (hyperkalemia), during pregnancy and after coronary artery bypass grafting. In childhood, you can apply, starting at age 12.
The drug has quite a few side effects. This is increased anxiety and headaches, hyperhidrosis and skin rashes, problems with the urinary system and the risk of bleeding, bronchospasm and visual impairment. Quite often, the digestive tract suffers: dyspepsia, stools, malfunctioning of the liver, jaundice of the skin, pain and bleeding in the stomach and intestines. Sometimes patients complain of lowering pressure and temperature, hot flashes, severe palpitations and weakness.
The drug has a toxic effect on the liver, so it is not desirable to use it simultaneously with other hepatotoxic drugs. As an external agent, the "Nyz" and "Nimulide" ointments with the same active substance are used.
"Diclofenac" is a popular NSAID, which is prescribed for many pathologies, including those that accompany pain behind the foot. In pharmacies, the medicine can be found in the form of tablets, rectal suppositories, injectable solution, ointment and gel, which can be used to relieve inflammation and pain in the legs.
The method of administration and dose depend on the form of the preparation.
- Pills. They should be taken half an hour before meals, but this is not considered an obligatory requirement. The daily dose for patients over 15 years is 75-150 mg. It is recommended to divide it into 2 or 3 admission. The maintenance dose is 50 mg.
- Solution. Intended for intramuscular injection. A single dose contains 75 mg of active ingredient. The drug should be administered every 12 hours for no more than 2 days, the field of which the patient is transferred to tablets.
- Suppositories. Rectal administration is provided. The daily dose of 100 to 150 mg. It is recommended to administer suppositories 2 or 3 times a day.
- Ointment and gel. The drug is applied to intact skin with light rubbing movements in the amount of 2-4 g. Do this 3 or 4 times a day.
Contraindications to the use of various dosage forms are quite extensive.
Tablets are not prescribed for the same pathologies that are listed in the description of "Nimesulide." When pregnancy is forbidden to take the drug in the third trimester, before the 6-month period, the drug is prescribed in small doses and only as a last resort. Children can take pills from 6 years.
Additional contraindications: impaired digestibility of lactose, excess potassium in the body.
Suppositories have the same contraindications plus proctitis. In childhood they are prescribed from the age of 14 (dosage of 50 mg).
Injection administration is not practiced in patients with exacerbations of erosive and ulcerative gastrointestinal pathologies, hematopoietic disorders, and the development of aspirin asthma. Do not prescribe the drug in solution during pregnancy and breastfeeding. Injection treatment for children has been shown since 15 years.
The use of a gel or ointment is not permitted with aspirin asthma, and in the last 3 months of pregnancy. Children ointments and gels can be prescribed from 6 years. External application of the drug provides for its application on undamaged skin.
Any form of the drug is not used for intolerance of the components of the drug and other NSAIDs.
Among the side effects it is worth mentioning those that are observed most often. These are dizziness and headaches, various complications from the gastrointestinal tract, development of bronchospasm, swelling, skin rash, tinnitus.
The analogue of "Diclofenac" with the same active substance is "Voltaren-gel", which is prescribed to patients from 12 years of age.
"Indomethacin" is another drug from the NSAID group with an analgesic property, which is prescribed for statutory pains, myalgia and neuralgia, pains in the spine and on the periphery, traumatic lesions with the development of inflammation. The medicine is given in the form of tablets, suppositories, ointment and gel.
Method of administration and dose depending on the form of release:
- Tablets: the initial single dose of 25 mg with a multiplicity of intake of 2 or 3 times a day. In the future, it is possible to increase the dosage to the maximum possible (200 mg per day). You can take the medicine during or after a meal.
- Suppositories: within a day, you can use the suppository 3 times 50 mg or 1 time 100 mg. Maximum of a day - 200 mg for severe pain. Apply the suppository rectally (enter the rectum).
- External means: depending on the content of the main substance, 2-3 (10 percent drugs) or 3-4 times a day (for 5 percent funds) are used. Dosage depends on the affected area (usually the band of the ointment ranges from 4 to 20 cm).
Contraindications to the use of tablets are identical to other NSAIDs. The medicine is not used for congenital heart defects. When pregnancy and breast-feeding, it is also not prescribed. And in pediatrics apply from 14 years.
Suppositories are not used for the same pathologies and conditions. Additional contraindications are hemorrhoids, proctitis, bleeding from the rectum.
External means are not used for wounds, scratches and other damage to the skin. Children can be applied to the skin from 1 year.
Since the 7th month of pregnancy, the use of the drug in any form is prohibited. A single important contraindication for any dosage forms is the intolerance of the constituents of medicines and preparations from the NSAID group.
Like other drugs from this group, Indomethacin is famous for its multiple side effects, which are characteristic of NSAIDs.
All non-steroidal anti-inflammatory drugs have a large number of contraindications and side effects, so it is not recommended to use them without preliminary diagnosis and prescription. If the cause of pain behind the legs is unknown, it is better to use ointments based on natural ingredients, which are now quite a few.
One of these effective means of fatigue and pain in the legs, which are successfully used even with various pathologies of muscles and joints, is the cream of the company Veda Vedika from India with a warming and relaxing effect.
The cream is created on the basis of many useful oils, extracts of medicinal plants and vitamin E. It should be applied to the skin of the legs with light massage movements. A good way to prepare for a therapeutic massage.
We mentioned the cream of Indian production, but there are no less useful tools for domestic manufacturers, and even more so for fans of alternative medicine.
Muscular pain behind the foot can be removed with the help of honey compress. He needs only natural honey, which is smeared with sick meta and wrapped up for the night. In the afternoon, they again lubricate their feet with honey and wrap up with a bandage.
Articular pain can be treated with a composition based on apple cider vinegar (1 tablespoon), turpentine (1 tsp) and eggs (1 yolk).
With joint and muscle pain, a medicine based on aloe juice and essential oils is helpful. For its preparation, the oils of menthol and eucalyptus, cloves and camphor are taken. They can be used one at a time, but it is better to mix them. Aloe juice and a mixture of oils are taken in equal proportions, and this composition is applied by massage movements to the feet 2-3 times a day. After the procedure, the feet should be warmly wrapped.
Some experts in alternative medicine advise as a medicine for pain in the legs to use a black radish, which must be rubbed and applied to the skin in the form of compresses.
It is popular with leg pain and herbal treatment. With pain in the joints, drinking of tea from the sea buckthorn leaves is shown (1 tablespoon per 1 tbsp water, boil 10 minutes, drink for 2 meals). Also, with the pain caused by arthritis, it is useful to take infusion of tansy (raw materials and water are taken in the same proportions, insist 2 hours, take 2 or 3 times a day for 1 tablespoon).
In vascular pathologies, grasses will also be useful. For example, to a sore spot you can tidy up fresh leaves of a plant of mother and stepmother or ordinary cabbage for the night. And with varicose can be taken inside dried and crushed dandelion root.
It is said that the alcoholic tincture of horse chestnut fruit (50 g of raw materials per ½ liter of alcohol, insist for 14 days) also has a good effect in vascular pathologies. Take the medicine inside with water or use as rubbing. The daily dose is from 30 to 40 drops.
With pains in the muscles, the herb of the jellyfish (2 tablespoons of raw material per 1 tbsp boiling water, insist 4 hours, drink for 2 times during the day) has proved well.
Useful for pain behind the legs and baths, which are prepared using sea salt, pine needles, mint, plantain, mother and stepmother. The procedure is carried out for 15 minutes, after which the legs should be wrapped.
There is a certain part of people who trust not traditional or alternative treatment, but homeopathy, which is considered therapy, the most safe for the body. They can be understood, because homeopathic drugs have virtually no contraindications and side effects. In addition, homeopathy is able to help in virtually all diseases in which medical treatment is indicated.
It also helps if a person is suffering from pain at the back of the leg, provoked by exhaustion of the limb or exposure to unfavorable weather factors that cause exacerbations of chronic pathologies of the musculoskeletal system. Here are some indicative drugs in this regard.
Aconite is a homeopathic drug that is prescribed if pains in the legs occur during hypothermia, and also if they develop against a background of nervous tension or colds. An important point is the increased pain at night and in a supine position, and its decline in rest. Helps with muscular and joint pain.
Arnica is a homeopathic remedy used for pain in muscles and stretchings caused by a heavy load. Such a moment is indicative: pains become stronger from touching, any limb movement, cold effects, and decrease in lying position. In this case, the pain is felt mainly in the evenings and at night, accompanied by a violation of the mobility of the foot, a decrease in its sensitivity and the appearance of "goose bumps" in the body.
Rus toxicodendron is a medicine used in homeopathy for pain in muscles and joints. Especially revealing is its use in the defeat of tendons and ligaments. Assign with severe pain in the Achilles tendon, along the sciatic nerve in the thigh, etc. An important point: pain intensification at the beginning of movement and at rest, with flexion or strain of the leg during ascent or descent, the pain goes away when walking and changing the position, lying down and under the influence of massage and heat. Pain is felt stronger at night and in the evening, and also in bad weather.
Ruta is another preparation of homeopathy, which has a positive effect on tendons and relieves neurologic pain. Shown and with bruises. An important point: the pain is aggravated from the strain of the foot, as well as when in dampness and cold, they decrease during movement and change of position. An additional symptom is the numbness of the foot.
All drugs are recommended for use in 6 dilutions, after consulting with a homeopath physician about the dosage and reception characteristics.