With the osteochondrosis of the lumbar department, doctors prescribe a complex treatment.It includes several groups of drugs: analgesics, non -steroidal anti -inflammatory, deprotectors and diuretics.
In addition, pharmacological therapy is complemented by muscle relaxants and medications that aim to improve blood microcirculation in the area of the affected area.
Symptoms of the disease
The initial stage of the lumbar region's disease continues with almost without symptoms, patients may complain about a lower back pain, which intensifies during physical effort.A greater progression of osteochondrosis leads to the following growing symptoms:
- distribution to other departments of the back;
- rigidity of the movements;
- Chronic low back pain: A feeling of pain that occurs in the morning, intensifies in a load, can increase or roll sharply in waves.
What are prescribed?
Medicine has a sufficient arsenal of means and methods to combat osteochondrosis.Very often, neuropathological drugs, osteopaths are prescribed.The treatment itself implies the complex therapy of several measures, including drugs, injections and extreme surgery.
In the first stage of treatment, the doctor recipes medications that relieve pain and stop the inflammatory process.In addition, drugs relieve swelling of the sick region.Combined medications are considered effective, which include glucocorticoids, analgesics that act as an anti -inflammatory agent.
If the treatment does not bring relief, strong analgesics are added.
Are antibiotics used?
Antibiotics in the treatment of lumbar osteochondrosis are not prescribed.The spectrum of its use aims to combat a bacterial or viral infection.Lumbar osteochondrosis does not occur due to these infections, so its treatment does not imply the prescription of antibiotics.
Osteochondrosis is mainly with non -steroid anti -inflammatory drugs and analgesics, alternating with exercise therapy, grinding, injections.Condroprotectors can also be written to restore cartilage tissue and mineral vitamins.
Do they put drops?
With the osteochondrosis of the lumbar region, liquids for injection are prescribed, such as the most powerful and effective agent.It is unacceptable to do injections for osteochondrosis, they are performed in a medical institution.The doctor prescribes and manages the medications only after an exhaustive examination of the patient and in the presence of good reasons to use this form of the medication.
In severe cases A specialist can prescribe injections not for use of a single time, but a complete course.Injections for osteochondrosis are placed in the affected area.Thanks to this, the body receives maximum pharmacological activity.
It is important to keep in mind that the composition of some medications for injection is quite powerful, its use is permissible after the recommendations of the attending physician.
Indication
For the appointment of a therapeutic complex with lumbar osteochondrosis, a diagnosis is made in the following indications:
- First grade - Dolores that occur when moving and changing the core of the jet inside the disc.
- Second grade - In the vertebrae of the lumbar region, the fibrous ring of the disc is destroyed.
- Third grade - In the lumbar region there are ruptures of the fibrous ring and the release of the substance of the core of the jacket beyond its limits with the formation of a hernia.
- Fourth grade - The degenerative process is applied to the vertebrae with the participation of intervertebral joints and ligaments.The osteoarthritis of the intervertebral joints (spondilartrosis) is added to the underlying disease.
These stages of the disease and its prognosis are indications for immediate therapeutic acts to maintain the spine.
Contraindications
In the case of the disease, the osteochondrosis of the lumbar department, doctors talk about contraindications that cannot be performed:
- Raise weights and do hard work.
- Do not use flour, as well as sweet products, so as not to gain excess weight.It also excludes dishes with spicy, salty, sour or sweet taste.This food is a catalyst for exacerbation or emergence in an acute way of the disease.
- In treatment, he cannot massage if the patient has stomach and light problems, severe blood diseases or severe bleeding.
- LFK is prohibited if the patient had a spinal injury, dislocation of the limbs, this will only add a load on the lower back.
- Effective acupuncture treatment cannot be used during pregnancy, diseases indicated above, as well as for skin dermatitis.
Pregnancy and medicine
Osteochondrosis during pregnancy can cause spontaneous abortion, so when making a diagnosis before conception, a woman must be cured.For the same reason, some medications are prohibited from taking, and drugs can also affect the negative side of the size of the fetus.
The following methods for treatment will be prescribed:
- dressing a bandage;
- Classic exercise therapy exercises;
- Light massage;
- Local drugs.
How do medications work?
The main drug actions for osteochondrosis are:
- pain elimination;
- reduction in the inflammatory process;
- restoration of blood microcirculation;
- Restoration of joint mobility;
- Healing and restoration of the cartilage.
Pharmacological treatment must proceed systematically under the mandatory supervision of a specialist.
It is impossible to completely restore cartilage tissue affected by the disease, but the effect of medications should prevent its greater destruction, the progression of the disease and its spread to other parts of the spine.The proper observance of taking drug suspensions The process of destruction of joints and tissues.
Pros and cons
Lumbar medications treatment in osteochondrosis is not the only method to combat the disease.But this treatment has its advantages and disadvantages:
| Pros | Cons |
|
|
Tablets should be bought only after visiting the doctor and strictly according to the recipe.Replace them with cheaper analogues is dangerous, since there is a risk of allergies, a decrease in treatment effectiveness.
Side effects
Taking tablets can be accompanied by a manifestation of the side effects of the following nature:
- allergic reactions to drug components;
- dizziness, nausea, vomiting;
- greater pressure;
- hypernatremia, increased potassium secretion, increased calcium excretion;
- erosive beam injuries of the gastrointestinal tract;
- Violation of wound healing, 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 analysis delivered to the patient.
Stages of therapy tablets
Pharmacological treatment for lumbar osteochondrosis is performed according to the following stages:
- Elimination of the pain symptom.
- Elimination of the inflammatory process and the elimination of swelling.
- Elimination of muscle tissue spasms, voltage muscles.
- Improvement of blood circulation in tissues: bone, cartilage, muscle.
- Improvement of the exchange process and fabric nutrition.
- Cartilage restoration, bone on intervertebral discs.
Each stage can be accompanied by additional recovery methods:
- Medical Gymnastics;
- massage;
- Physiotherapy procedures;
- use of local drugs;
- popular treatment remedies;
- acupuncture;
- injections;
- Surgical intervention.
Admission duration
The course of drug treatment is agreed individually with the treating doctor.You can only establish the duration of taking tablets, extend or cancel the medication.
According to the instructions, most therapeutic medications should be used to treat the osteochondrosis of the lumbar region for 3-6 months.Then, in the specialist's address, the course is drunk again after the break.
How and how to deal with?
With lumbar osteochondrosis Patients are often prescribed analgesics with an anti -inflammatory effect. The main effect of these drugs is the blockage of nerve impulses to reduce the feeling of pain.In addition, medications can be prescribed with therapeutic tablets that reduce the damage of side effects, for example, with the NSAIDs they take an anti -anti -drogation medication to reduce the damage to the stomach.
There are several groups of drugs that are strictly released according to the recipe, as well as in the free sale for the treatment of osteochondrosis:
- Opioid analgesics, anti -vocalsant and antidepressants, strictly according to the recipe;
- vasodilation;
- condoprotectors;
- Nesteroid drugs.
Condroprotectors
Preparations are intended to restore cartilage tissue.The main active substance is hyaluronato.In addition, drugs have an anti -inflammatory effect.
The course of taking drugs is 3 to 6 months.The dose is prescribed by a doctor.These funds are contraindicated in pregnant women, nursing and patients with renal/hepatic insufficiency.
Vasodilatative drugs
With the osteochondrosis of the Department of Espinal, it is important to restore and provide sufficient blood circulation.To do this, prescribe medications 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 -steroid
NSAIDs are intended to prevent inflammation.They have analgantes (analgesic), antipyretic and anti -reforned properties.
Drugs can occur both in the form of tablets and injections, ointments.They are used to relieve chronic pain pain, an analgesic effect when taking them does not happen immediately, the drug should accumulate in the body.
Sedatives
In addition, sedatives are prescribed with the main course of treatment.They help improve the psychological state of patients.The safer and more effective drugs are considered:
- Motherwort Tincture;
- Valeriano tincture.
When using sedatives, you must consume other medications with particular caution so as not to cause side effects.
Sedative medications are used as prescribed by the doctor and in a strictly defined dose.
Musorelaxants (muscle relaxants)
Musodeloxants are designed to reduce muscle cramps immobilizing the damaged muscles.In the process of pathological disorders with osteochondrosis, intervertebral discs are destroyed, the functioning of muscle fibers is interrupted.In complex therapy, the use of muscle relaxants relaxes the muscle and eliminates spasms.
Hormonal
Oral steroids and corticosteroids are accepted only as prescribed by a doctor to relieve the inflammatory process of orthopedic diseases, in particular, eliminate pain in the lower back.Hormonal medications also have serious side effects and contraindications.
Hormonal medications are prescribed in a short course for 1-2 weeks.
Vitamins
The use of mineral vitamins and complexes complements therapeutic therapy for lower back osteochondrosis.
The vitamins are aimed at improving body nutrition, enriching it with the construction material necessary to restore bone, muscle and cartilage.After passing a special blood analysis, the doctor will reveal which vitamins 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.
External use drugs
Local medications include ointments, gels, which are designed to eliminate the inflammatory process, pain.
Most funds have a heating effect, they can only be used after consulting one doctor:
- ointments with bee poison;
- Pepper patches.
War, drugs increase blood circulation and a local increase in temperature can improve nutritional processes in the cartilage.The heating effect restores 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;
- belladonna;
- Local anesthesia.
The patch can be used in emergency cases when severe pain occurs.
Candles
The candles of the osteochondrosis of the lumbar region are the most effective in the treatment of the first signs of the disease.In the form of suppositories, analgesics and anti -inflammatories are produced.The installation method 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, relieve the spasm of the muscles, heat the painful area.After massage, blood circulation is established in the tissues.
What to take during an exacerbation?
An exacerbation of osteochondrosis is an increase in a sense of pain and partial/full imprisonment of freedom of movement.To eliminate symptoms, need:
- Take pills;
- Put injections;
- Massage.
Injection prescription
If the medicinal substance is necessary to enter the body as quickly as possible and affect, it is recommended to treat injections.The medicinal substance of the injections directly affects the lesion, has a longer effect.
The blocks are used only to relieve unbearable acute pain.As a general rule, in the area affected by osteochondrosis, 3-4 injections are performed.
Therapy during remission
The pharmacological treatment of osteochondrosis during the referral period aims to restore tissues.For this, they are named:
- condoprotectors;
- Group B and Fat Vitamins Preparations -Soluble (A, D, E).
Condroprotectors are intended:
- to restore deformed intervertebral discs;
- establish cartilage fabric nutrition;
- Restore the elasticity of the discs.
And vitamins help the body absorb the necessary elements without washing them from the blood.
Prevention
The preventive measures of osteochondrosis in different parts of the back include:
- gym;
- Posture compliance;
- Posture or warm change with a long stay in a position;
- rejection of bad habits;
- Normalization of nutrition;
- Walks in fresh air;
- You need to sit and sleep on a hard surface.
Opinions and advice of specialists
After making a diagnosis, the doctors of the orthopedists do not give guarantee of one hundred percent that the osteochondrosis will be cured.It is recommended that you change your lifestyle for a more appropriate situation with a disease.Above all, experts insist on therapeutic gymnastics and a hard sleep surface, it is also recommended to exclude the transfer of heavy things.
Medicines for lumbar osteochondrosis are prescribed individually. Drugs aim to restore affected tissues and relieve pain.In addition to drugs, it is recommended to carry out massages, swim, reduce physical activity, replace it with exercise therapy.