With the osteochondrosis of the lumbar department, doctors prescribe a complex treatment.Includes various groups of drugs: painkillers, anti -inflammatory, anti -expanse and non -briefcases.
In addition, drug therapy is mandatory completed by muscle relaxants and drugs that aim to improve blood microcirculation in the area of the affected area.
Symptoms of the disease
The initial phase of the lumbar region's disease proceeds almost without symptoms, patients may complain of slight back pain, which intensify during physical effort.The further progression of the osteocondrosis leads to the following growing symptoms:
- distribution to other retro departments;
- rigidity of movements;
- Chronic lumbaljia - a sense of pain that occurs in the morning, intensifies to a load, can increase abruptly or roll in the waves.
What are prescribed?
Medicine has a sufficient arsenal of means and methods to combat osteochondosis.Neuropathological drugs, osteopaths are often prescribed quite often.The treatment itself involves the complex therapy of various measures, including the intake of drugs, injections and in extreme surgery cases.
In the first phase of treatment, the doctor prescribes drugs that relieve pain and stop the inflammatory process.In addition, drugs relieve the swelling of the sick region.Combined drugs are considered effective, including glucocorticoids, analgesics that act as an anti -inflammatory agent.
If the treatment does not bring relief, strong pain relievers are added.
Do antibiotics use?
Antibiotics in the treatment of osteochondosis of the lumbar do not prescribe.The spectrum of their use aims to fight a bacterial or viral infection.Lumbar osteochondrosis does not occur due to these infections, therefore its treatment does not imply the prescription of antibiotics.
Osteochondrosis is mainly treated with non -steering and analgesic anti -inflammatory drugs, alternating with operating therapy, grinding, injections.Condroprotectors can also be written to restore the cartilage tissue and mineral vitamins.
Are the drops put?
With osteochondrosis of the lumbar region, the liquids for injection are prescribed, like the most powerful and effective agent.It is unacceptable to make injections for osteochondrosis, they are performed in a medical institution.The doctor prescribes and administers the drugs only after an in -depth examination of the patient and in the presence of good reasons for the use of this form of the drug.
In serious cases A specialist can prescribe injections not for a time use, but an entire course.The injections for osteochondrosis are placed in the affected area.Thanks to this, the body quickly receives maximum pharmacological activity.
It is important to consider that the composition of some injection drugs is quite powerful, their use is admissible after the careful doctor's recommendations.
Indications
For the appointment of a therapeutic complex with lumbar osteochondrosis, a diagnosis is made in the following indications:
- 1st degree - pains that occur when they move and change the nucleus of the jet inside the disc.
- 2nd degree - In the vertebrae of the lumbar region, the fibrous ring of the disc is destroyed.
- 3rd degree - In the lumbar region there are breaks of the fibrous ring and the release of the substance of the nucleus of the jacket beyond its limits with the formation of an hernia.
- 4th degree - The degenerative process applies to the vertebrae with the involvement of intervertebral joints and ligaments.The arthrosis of the intervertebral joints (spondylartosis) is added to the disease below.
These phases of the disease and their prognosis are indications for immediate therapeutic acts in order to keep the spinal column.
Contraindications
In case of illness, the osteochondosis of the lumbar department, doctors speak of contraindications that cannot be carried out:
- Lift weights and do hard work.
- Do not use flour and sweet products, so as not to increase excess weight.Also exclude the dishes with spicy, salty, harsh or sweet flavor.This food is a catalyst for the exacerbation or emergence of an acute form of the disease.
- In the treatment, it is not possible to make massage if the patient has problems with stomach and light, serious blood diseases or severe bleeding.
- LFK is forbidden if the patient has had a spinal injury, dislocation of the ends, this will add only a load on the lower back.
- Effective treatment with acupuncture cannot be used during pregnancy, the diseases indicated above, as well as for skin dermatitis.
Pregnancy and medicine
Osteochondrosis during pregnancy can cause spontaneous abortion, so when a diagnosis is made before conception, a woman should be treated.For the same reason, some drugs are forbidden to take and drugs can also affect the negative side of the size of the fetus.
The following methods will be prescribed for the treatment:
- wear a bandage;
- Classic exercises of operating therapy;
- light massage;
- Local drugs.
How do drugs work?
The main actions of the drugs for osteochondrosis are:
- elimination of pain;
- reduction of the inflammatory process;
- restoration of blood microcirculation;
- restoration of joint mobility;
- Healing and restoration of the cartilage.
Pharmacological treatment should be systematically proceeding under the compulsory supervision of a specialist.
It is impossible to completely restore the tissue of the cartilage affected by the disease, but the effect of drugs should prevent its further destruction, the progression of the disease and its diffusion in other parts of the spine.Correct correction of taking drugs suspension the process of destruction of joints and tissues.
Pros and cons
The pharmacological treatment of the lumbar in osteocondrosis is not the only way to combat the disease.But this treatment has its advantages and disadvantages:
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Tablets must be purchased only after visiting the doctor and strictly according to the prescription.Replacing them with cheaper analogues is dangerous, since there is a risk of allergies, a decrease in the effectiveness of the treatment.
Side effects
The intake of tablets can be accompanied by a manifestation of side effects of the following nature:
- Allergic reactions to the components of the drug;
- Dizziness, nausea, vomiting;
- increase in pressure;
- Hypernatriemia, increase in potassium secretion, increase in football excretion;
- erosive ray lesions of the gastrointestinal tract;
- violation of healing wounds, atrophy and thinning of the skin;
- For women, the risk of menstrual violations;
- Violation of the gastrointestinal tract, liver, kidneys.
The risk of side effects is minimal if the tablets are selected by a specialist, according to the analyzes carried out to the patient.
Phase of therapy tablets
Pharmacological treatment for lumbar osteochondrosis is performed according to the following phases:
- Elimination of the symptom of pain.
- Elimination of the inflammatory process and removal of swelling.
- Removal of muscle tissue spasms, removal from the muscles of tension.
- Improvement of blood circulation in tissues: bone, cartilage, muscle.
- Improve the exchange process and fabric nutrition.
- Restoration of the cartilage, bone in intervertebral discs.
Each phase can be accompanied by further recovery methods:
- medical gymnastics;
- massage;
- physiotherapy procedures;
- use of local drugs;
- popular remedies of the treatment;
- acupuncture;
- injections;
- Surgery.
Duration of admission
The course of drug treatment is agreed individually with the attending physician.Only it can establish the duration to take the tablets, extend or cancel the drug.
According to instructions, most therapeutic drugs should be used to treat osteochondrosis of the lumbar region for 3-6 months.So, in the direction of the specialist, the course is drunk again after the break.
How and how to treat?
With osteochondrosis of the lumbar Patients are often analgesics prescribed with an anti -inflammatory effect. The main effect of these drugs is the lock of nerve impulses to reduce the sensation of pain.In addition, drugs can be prescribed with therapeutic tablets that reduce damage from the side effects, for example, with fans taking an anti -tuning drug to reduce damage to the stomach.
There are several groups of drugs that are released rigorously according to the prescription, as well as in the free sale for the treatment of osteocondrosis:
- Opioid, anti -vocalsant and antidepressant analgesics - rigorously according to the recipe;
- Vasodilato;
- chondroprotectors;
- Drughi Nonireeroids.
Condroprotectors
Preparations are intended to restore the cartilage tissue.The main active substance is hyalurous.In addition, drugs have an anti -inflammatory effect.
The course of taking drugs ranges from 3 to 6 months.The dosage is prescribed by a doctor.These funds are contraindicated in pregnant women, nursing and patients with renal/liver failure.
Vasodilative drugs
With the osteochondrosis of the spinal department, it is important to restore and provide sufficient blood circulation.To do this, prescribe drugs that strengthen the vessels and prevent the formation of blood clots.
The tablets are prescribed by the course at the beginning of the treatment and in the end, which contributes to the rapid restoration of the body, improving the metabolism in the muscles.
Non -stericoidal
Fans are intended to prevent inflammation.They have analogous (analgesic), antipyretic and anti -rin -formed properties.
The drugs can be produced both in the form of tablets and injections, ointments.They are used to relieve chronic painful pain, an analgesic effect when taking does not occur immediately, the drug must be accumulated in the body.
Sedative
In addition, sedatives are prescribed with the main course of treatment.They help to improve the psychological state of patients.The safest and most effective drugs are considered:
- Motherwort tincture;
- Valerian's tincture.
When using sedatives, it is necessary to consume other medicines with particular attention to not cause side effects.
Sedative drugs are used as prescribed by the doctor and in a strictly defined dosage.
Musorelaxants (Relaxants muscles)
Musodeloxants are designed to reduce muscle cramps immobilizing the damaged muscles.In the process of pathological disorders with osteochondrosis, the intervertebral discs are destroyed, the functioning of the muscle fibers is interrupted.In complex therapy, the use of muscle relaxants relaxes the muscles and removes spasms.
Hormonal
Oral steroids and corticosteroids are accepted only as prescribed by a doctor in order to relieve the inflammatory process for orthopedic diseases, in particular to remove pain in the lumbar region.Hormonal drugs also have serious side effects and contraindications.
Hormonal drugs are prescribed in a short course for 1-2 weeks.
Vitamins
The use of vitamins and mineral complexes completes therapeutic therapy for osteochondrosis of the lower back.
Vitamins aim to improve body nutrition, enriching it with the construction material necessary to restore bone, muscles and cartilage.After passing a special blood examination, the doctor will reveal which vitamins are not enough and write them.
The main vitamins for osteochondrosis:
- Vitamin B1;
- Vitamin B6;
- Vitamin B12;
- Vitamin pp;
- Vitamin D.
These groups allow you to absorb calcium and phosphorus, protect the body from oxidative processes.
Drugs for external use
Local drugs include ointments, gels, designed to eliminate the inflammatory process, pain.
Most funds have a heating effect, can only be used after consulting a doctor:
- Ointments with bee poison;
- pepper patcher.
Warring, drugs increase blood circulation and a local temperature increase can improve nutritional processes in cartilage.The heating effect restores the metabolism, relaxes and relieves cramps.
Pepper patch
With lumbar osteochondrosis, peppers are often glued. It can be used if there is no inflammatory process.The composition of this tool includes:
- Red pepper;
- pretty Woman;
- Local anesthetic.
The patch can be used in cases of emergency when strong pain occurs.
Candles
The candles of the osteocondrosis of the lumbar region are the most effective in the treatment of the first signs of the disease.In the form of suppositories, painkillers and anti -inflammatory products are produced.The method of their installation allows the body to quickly absorb the active substance, reaching the activity in 10-20 minutes.
Creams and ointments
The use of ointments and creams allows you to calm the pain, alleviate spasm from the muscles, heat the painful area.After the massage, blood circulation is established in the fabrics.
What to take during an exacerbation?
An exacerbation of osteochondrosis is an increase in the sense of pain and partial/complete imprisonment of freedom of movement.To eliminate symptoms, it is necessary:
- Take the pills;
- put injections;
- Massage.
Prescription of injections
If the medicinal substance must enter the body as quickly as possible and influence, it is recommended to treat osteochondrosis with injections.The medicinal substance of the injections directly affects the lesion, has a longer effect.
The blocks are used only to relieve acute unbearable pain.As a rule, in the area affected by the osteocondrosis, 3-4 injections are made.
Therapy during remission
The pharmacological treatment of osteocondrosis during the remission period has the purpose of restoring tissues.For this, they are appointed:
- chondroprotectors;
- Vitamin preparations of group B and fat -suoluble (A, D, e).
Condroprotectors are foreseen:
- to restore deformed intervertebral discs;
- establish the feeding of the cartilage tissue;
- Restores the elasticity of the records.
And vitamins help the body absorb the necessary elements without washing them from the blood.
Prevention
The preventive measures of osteochondosis in different parts of the back include:
- gymnastics;
- compliance with posture;
- change of posture or hot -Up with a long stay in one location;
- refusal of bad habits;
- Normalization of nutrition;
- Walk in the fresh air;
- You have to sit and sleep on a hard surface.
Specialists' opinions and advice
After making a diagnosis, orthopedists doctors do not give a hundred percent guarantee that osteochondosis will be treated.It is recommended to change your lifestyle for a more suitable situation with a disease.Above all, experts also insist on therapeutic gymnastics and a hard surface to sleep, to exclude the transfer of heavy things.
The lumbar osteochondrosis medicines are individually prescribed. The drugs aim to restore interested fabrics and relieve pain.In addition to drugs, it is recommended to carry out massages, swim, reduce physical activity, replace it with operating therapy.