With osteochondrosis of the lumbar department, doctors prescribe complex treatment.It includes various groups of drugs: painkillers, non -steroidal anti -inflammatory, hondoprotective and diuretics.
In addition, drug therapy is mandatory complemented by muscle relaxants and drugs that are aimed at improving blood microcirculation in the area of the affected area.
Symptoms of the disease
The initial stage of the disease of the lumbar region proceeds with almost without symptoms, patients can complain about minor lower back pain, which intensify during physical exertion.Further progression of osteochondrosis leads to the following increasing symptoms:
- distribution to other departments of the back;
- stiffness of movements;
- Chronic lumbalgia - a sense of pain that occurs in the morning, intensifies at a load, can sharply increase or roll in waves.
What are they prescribed?
Medicine has a sufficient arsenal of means and methods to combat osteochondrosis.Quite often, neuropathological drugs, osteopaths are prescribed.The treatment itself involves the complex therapy of various measures, including taking drugs, injections, and in extreme cases surgery.
At the first stage of treatment, the doctor prescribes medications that relieve pain and stop the inflammatory process.Also, drugs relieve swelling of the sick region.Combined drugs are considered effective, which include glucocorticoids, analgesics acting as an anti -inflammatory agent.
If treatment does not bring relief, then strong painkillers are added.
Do antibiotics use?
Antibiotics in the treatment of osteochondrosis of the lumbar do not prescribe.The spectrum of their use is aimed at combating 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 primarily treated with non -steroidal anti -inflammatory drugs and analgesics, alternating with exercise therapy, grinds, injections.Chondroprotectors can also be written out to restore cartilage tissue and mineral vitamins.
Do drops put?
With osteochondrosis of the lumbar region, liquids for injection are prescribed, as the most powerful and effective agent.It is unacceptable to make injections for osteochondrosis, they are done in a medical institution.The doctor prescribes and administers the drugs only after a thorough examination of the patient and in the presence of good grounds for using this form of the drug.
In severe cases A specialist can prescribe injections not for one -time use, but a whole course.Injections for osteochondrosis are placed in the affected area.Thanks to this, the body receives maximum pharmacological activity quickly.
It is important to consider that the composition of some drugs for injection is quite powerful, their use is permissible after the recommendations of the attending physician.
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 moving and changing the jet nucleus inside the disk.
- 2nd degree - In the vertebrae of the lumbar region, the fibrous ring of the disk is destroyed.
- 3rd degree - In the lumbar region there are ruptures of the fibrous ring and the release of the substance of the jacket nucleus beyond its limits with the formation of a hernia.
- 4th degree - The degenerative process applies to the vertebrae with the involvement of intervertebral joints and ligaments.Arthrosis of the intervertebral joints (spondylarthrosis) is added to the underlying disease.
These stages of the disease and their prognosis are indications for immediate therapeutic acts in order to maintain the spinal column.
Contraindications
In case of disease, osteochondrosis of the lumbar department, doctors talk about contraindications that cannot be performed:
- Lift weights and do hard work.
- Do not use flour, as well as sweet products, so as not to gain excess weight.Also exclude dishes with pronounced spicy, salty, sour or sweet taste.This food is a catalyst for exacerbation or emergence of an acute form of the disease.
- In treatment, you can not do massage if the patient has problems with the stomach and light, serious blood diseases or severe bleeding.
- LFK is prohibited if the patient had a spinal injury, dislocation of the extremities, this will only add a load on the lower back.
- Effective treatment with acupuncture cannot be used during pregnancy, diseases indicated above, as well as for skin dermatitis.
Pregnancy and medicine
Osteochondrosis during pregnancy can cause a miscarriage, so when making a diagnosis before conception, a woman should be cured.For the same reason, some drugs are forbidden to take, and drugs can also affect the negative side on the size of the fetus.
The following methods will be prescribed for treatment:
- wearing a bandage;
- Classical exercises of exercise therapy;
- light massage;
- Local drugs.
How do medications work?
The main actions of drugs for osteochondrosis are:
- elimination of pain;
- reduction in the inflammatory process;
- restoration of blood microcirculation;
- restoration of joint mobility;
- Healing and restoration of cartilage.
Drug treatment should proceed systematically under the mandatory supervision of a specialist.
It is impossible to completely restore the cartilage tissue affected by the disease, but the effect of drugs should prevent its further destruction, the progression of the disease and its spread to other parts of the spine.Proper observance of taking drugs suspenses the process of destruction of joints and tissues.
Pros and cons
Medication treatment of the lumbar in osteochondrosis is not the only method of combating 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 treatment.
Side effects
Taking tablets may be accompanied by a manifestation of side effects of the following nature:
- allergic reactions to drug components;
- dizziness, nausea, vomiting;
- increased pressure;
- hypernatremia, increased potassium secretion, increase in calcium excretion;
- erosive-beam lesions of the gastrointestinal tract;
- violation of healing of 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 handed over to the patient.
Stages of therapy tablets
Drug treatment for lumbar osteochondrosis is performed in accordance with the following stages:
- Elimination of the pain symptom.
- Elimination of the inflammatory process and removal of swelling.
- Removing spasms of muscle tissue, removal from tension muscles.
- Improving blood circulation in tissues: bone, cartilage, muscle.
- Improving the exchange process and fabric nutrition.
- Restoration of cartilage, bone in intervertebral discs.
Each stage may be accompanied by additional recovery methods:
- medical gymnastics;
- massage;
- physiotherapy procedures;
- use of local drugs;
- folk remedies of treatment;
- acupuncture;
- injections;
- Surgical intervention.
Duration of admission
The course of treatment with medications is agreed individually with the attending physician.Only it can establish the duration of taking the tablets, extend or cancel the drug.
According to the instructions, most therapeutic drugs should be used in order to treat osteochondrosis of the lumbar region for 3-6 months.Then, at the direction of the specialist, the course is drank again after the break.
How and how to treat?
With osteochondrosis of the lumbar Patients are often prescribed analgesics with an anti -inflammatory effect. The main effect of these drugs is the lock of nerve impulses to reduce the feeling of pain.Also, drugs can be prescribed with therapeutic tablets that reduce the harm from side effects, for example, with the NSAIDs take an anti -icing drug to reduce harm to the stomach.
There are several groups of drugs that are released strictly according to the prescription, as well as in free sale for the treatment of osteochondrosis:
- Opioid analgesics, anti -vocalsants and antidepressants - strictly according to the recipe;
- vasodilating;
- chondroprotectors;
- Nesteroid drugs.
Chondroprotectors
Preparations are intended to restore cartilage tissue.The main active substance is hyaluronate.Also, drugs have an anti -inflammatory effect.
The course of taking drugs is 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 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 treatment and at the end, which contributes to the rapid restoration of the body, improving the metabolism in the muscles.
Non -steroidal
NSAIDs are intended to prevent inflammation.They have analgizing (analgesic), antipyretic and anti -reinforced properties.
Drugs can be produced both in the form of tablets and injections, ointments.They are used to relieve chronic aching pain, an analgesic effect when taking them does not occur immediately, the drug must be accumulated in the body.
Sedatives
Additionally, sedatives are prescribed with the main course of treatment.They help improve the psychological state of patients.The most safe and effective drugs are considered:
- Motherwort tincture;
- Tincture of valerian.
When using sedatives, you need to consume other medicines with particular caution so as not to provoke side effects.
Sedative drugs are used as prescribed by the doctor and in a strictly defined dosage.
Musorelaxants (muscle relaxants)
Musodeloxants are designed to reduce muscle cramps by immobilizing damaged muscles.In the process of pathological disorders with osteochondrosis, intervertebral discs are destroyed, the functioning of muscle fibers is disrupted.In complex therapy, the use of muscle relaxants relaxes the muscle 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, remove pain in the lumbar region.Hormonal drugs also potentially 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 complements therapeutic therapy for osteochondrosis of the lower back.
Vitamins are aimed at improving the body's nutrition, enriching it with the necessary building material to restore bone, muscle and cartilage.After passing a special blood test, the doctor will reveal which vitamins not enough and write them out.
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 drugs include ointments, gels, which are designed to eliminate the inflammatory process, pain.
Most funds have a warming effect, they can only be used after consulting a doctor:
- ointments with bee poison;
- pepper patchers.
Warring, drugs increase blood circulation, and a local increase in temperature can improve nutritional processes in cartilage.The warming 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 such a tool includes:
- red pepper;
- belladonna;
- Local anesthetic.
The patch can be used in emergency cases when severe pain occurs.
Candles
Candles from osteochondrosis 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 are produced.The method of their installation allows the body to quickly absorb the active substance, reaching activity in 10-20 minutes.
Creams and ointments
The use of ointments and creams allows you to calm pain, relieve spasm from the muscles, heat the sore area.After massage, blood circulation in the tissues is established.
What to take during an exacerbation?
An exacerbation of osteochondrosis is an increase in a sense of pain and partial/complete imprisonment of freedom of movement.To eliminate the symptoms, you need:
- take pills;
- put injections;
- Massage.
Prescription of injections
If it is necessary that the medicinal substance gets into the body as quickly as possible and affect, it is recommended to treat osteochondrosis with injections.The medicinal substance of injections affects the lesion directly, has a longer effect.
Blocks are used only to relieve an acute unbearable pain.As a rule, in the area affected by osteochondrosis, 3-4 injections are made.
Therapy during remission
Drug treatment of osteochondrosis during the period of remission is aimed at restoring tissues.For this, they are appointed:
- chondroprotectors;
- Vitamin preparations of group B and fat -soluble (A, D, E).
Chondroprotectors are intended:
- to restore deformed intervertebral discs;
- establish nutrition of cartilage fabric;
- 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:
- gymnastics;
- compliance with posture;
- change of posture or warm -up with a long stay in one position;
- rejection of bad habits;
- Normalization of nutrition;
- Walks in the fresh air;
- You need to sit and sleep on a hard surface.
Opinions and advice of specialists
After making a diagnosis, the doctors of orthopedists do not give one hundred percent guarantee that osteochondrosis will be cured.It is recommended that you change your lifestyle for a more suitable situation with a disease.Most of all, experts insist on therapeutic gymnastics and a hard surface for sleeping, are also recommended to exclude the transfer of heavy things.
Medicines for lumbar osteochondrosis are prescribed individually. The drugs are aimed at restoring the affected tissues and relieving pain.In addition to drugs, it is recommended to carry out massages, swim, reduce physical activity, replacing it with exercise therapy.