Osteochondrosis of the lumbar spine what injections. Treatment with injections of cervical and lumbar osteochondrosis

Pain in osteochondrosis can be of various shades: from weak and quite tolerable to acute unbearable attacks for a long time. The nature of the pain symptom depends on:

• stage of the disease
• the presence of compression or irritation of the nerve
• state of muscle structures

• Movalis
• Indomethacin
• Ibuprofen
• Butadion, etc.

You can also use external means:

• Ketoprofen or diclofenac gels

However, these tools should not be abused.

In the treatment of osteochondrosis, muscle relaxants (mydocalm, sirdalud) are also actively used, since pain in this disease often occurs due to muscle spasms, and not irritated nerves.. In this case, the action of novocaine or NSAIDs may not have any analgesic effect. It can even be a kind of diagnostic test, in which it is worth immediately abandoning the use of these drugs if there is no analgesic effect.

When using injections to treat osteochondrosis of the spine, remember that these are symptomatic remedies - they remove the symptoms, but not the disease itself.

The main methods of treatment of osteochondrosis

The main methods are:

Video: Treatment of osteochondrosis

Spinal problems most often occur in the cervical and lumbar regions. The most dangerous manifestation of disorders is cervical osteochondrosis, which progresses with age. Changes in the structure of the vertebrae lead to compression of the nerve endings, which is fraught with the appearance of pain. The best salvation from severe pain will be injections for osteochondrosis, which ensure the delivery of the active substance to the deep tissues of the affected area.

Tip: even with occasional neck pain or temporary discomfort, you should consult a specialist for advice. Early diagnosis and timely treatment hinders the transition dangerous disease into a chronic form.

Development of cervical osteochondrosis

The result of degenerative-dystrophic changes in the structure intervertebral discs become diseases of the spine, called osteochondrosis. Problems in the area of ​​the most mobile parts of the spine - the cervical and lumbar spine, are associated with the peculiarities professional activity, hereditary factors, lifestyle.

Cervical osteochondrosis is much more dangerous than lumbar, because it infringes on the vessels that supply the brain with blood. Violation of the structure and deformation of the intervertebral discs threatens with compression of the nerve roots and damage to the vessels that provide cerebral circulation. Effective treatment depends on the elimination of the causes of the pathology:

• overweight with a sedentary lifestyle;
• violations in the body of metabolic processes;
• nutritional deficiencies - imbalance, scarcity;
• stressful conditions, hypothermia, trauma;
• rare changes in body position.

Important: correctly prescribed injections for cervical osteochondrosis relieve pain and inflammation in a short time, establishing a full blood supply to the brain. In the case of severe attacks of osteochondrosis, it is advisable to put droppers for intravenous administration mixtures of active drugs.

What are the symptoms of a neck problem?

The vertebrae of the cervical region, in contrast to the lumbar, are in close connection with each other. Therefore, a number of pathological changes, even in one of them, disrupt the normal functioning of the entire spine. In order to prescribe a treatment for a disease, in addition to a systematic examination and diagnosis, the doctor must clarify the signs of the manifestation of the problem.

Most often the symptoms dangerous disease neck on initial stage don't show up very much. However, when the form is advanced, the disease signals a variety of sensations caused by a change in the structure of cartilage or pinching of the intervertebral artery.

1. Pain syndrome is the beginning of the pathology of the cervical region, when the pain covers the occipital muscles, increases when the head is turned, scares with a crunch in the neck. The head may hurt, give to the neck, the left side of the chest, reach the lumbar girdle.
2. Nausea appears due to a violation of cerebral blood flow, symptoms of vegetovascular disorders develop, manifested by tinnitus, a feeling of heat and sweating, hearing decreases, and the tongue becomes numb.
3. Breathing problems are caused by irritation of the diaphragm nerve due to damage to the vertebrae of the neck, dangerous with the appearance of shortness of breath and even suffocation. This threatens with a decrease in memory, irreversible changes in brain tissue.
4. Symptoms of visual impairment are associated with deformation of the arteries, which leads to blurred vision, flickering points in front of the eyes, difficulty with focusing, and the development of atherosclerosis.
5. Due to a sudden spasm of the arteries due to a violation of cerebral blood flow, dizziness develops, threatening sudden loss consciousness, instability of arterial pressure.

Tip: treatment with injections of spinal problems depends on the stage of the disease, how destructive changes have affected the vertebrae. Early initiation of therapy significantly increases the chances of achieving encouraging results.

Injection treatment for cervical problems

To select the correct scheme of action after the examination and establish the causes of development, the doctor usually prescribes complex treatment– medicines, massage, course therapeutic gymnastics, injections, especially at the initial stage of the disease.

How is the drug administered:

• intramuscular - standard;
• intravenous (droppers) - for a quick effect;
• therapeutic blockade.

Advice: droppers are indicated for exacerbations of cervical lesions, they should be placed by a specialist exclusively in a medical facility, as well as a subcutaneous blockade of the diseased area.

Injections for cervical osteochondrosis, as well as lumbar have a number of advantages:

• the medicine acts quickly due to instant penetration to the nerve endings;
• the composition of the ampoule contains the exact dosage of active medicinal substances;
• drugs are injected directly into the lesion;
• slow administration of the substance in uniform doses (intravenous droppers).

Important: injections for osteochondrosis can reduce pain, as well as remove signs of inflammation and swelling of soft tissues. Carrying out the procedure by a non-specialist threatens to damage the nerve endings or blood vessels, which leads to serious consequences, especially when setting a dropper of a complex composition.

What injections are prescribed

Exacerbations of inflammation of the cervical region, as well as the lumbar region, are accompanied by severe pain, to eliminate them, injections are prescribed with means whose composition provides the removal of inflammation and pain.

Important: for quick anesthesia of any part of the spine, a blockade is chosen - injections strictly at the site of the lesion. The composition of the preparations ensures the restoration of blood flow, the removal of inflammation with a decrease in edema. Droppers with drugs that improve the supply of blood to the brain are indicated for emergency cases of problems with the neck.

Chronic osteochondrosis is characterized by the fact that in its development, acute stages constantly alternate with stages of remission. The period of exacerbation is characterized by pronounced pain manifestations, often of such intensity that people cannot not only move, perform their usual actions, but also simply stand or sit. As a result, the main goal of treatment during the period of attacks is the need to quickly and effectively stop the pain, stop the suffering of a sick person. It is equally important to relieve spasms in the muscles of the back, to release the nerve endings clamped by damaged vertebrae. The use of drugs in the form of tablets or topical agents does not always achieve the desired result, because. they begin to act some time after taking. Therefore, anesthetic injections for osteochondrosis are often prescribed to patients. They allow the active substance of the drugs to get to the right place very quickly, begin to act, thereby stopping the pain. Also, with osteochondrosis, medications are prescribed in the form of injection solutions, which help to restore damaged cartilage and eliminate muscle spasms.

Injections for the treatment of osteochondrosis are used during an attack of pain during the first days in the acute period. The doctor may recommend giving injections if there are signs of osteochondrosis of the lumbar, cervical or thoracic spine. It should be clear to the patient that this treatment technique aims to relieve the pronounced symptoms of the disease, but does not affect or eliminate the cause of its occurrence. Therefore, after several procedures, the doctor usually prescribes medication to the patient in the form of tablets and external agents to continue treatment.

Procedure types

In the process of treating osteochondrosis, the following types of manipulations are practiced:

• Intramuscular injections.
• Intravenous injections.

• Subcutaneous injections.
• medicinal blockade.

Intramuscular injections

Through intramuscular injections, drugs are injected into any of the large muscles body: buttock, thigh, shoulder. This type of procedure is in demand for the introduction of a substance in a small amount. Muscles contain, in addition to the actual muscle fibers, also elements of the circulatory and lymphatic systems human body. Therefore, the active substance, administered intramuscularly, enters the blood in a short time, starting to act. The duration of exposure is ensured by the gradual entry of the drug into the blood. For the best result of the manipulation, the patient should relax tense muscles.

How to give injections to yourself will be taught by a rehabilitation doctor Sergey Nikolaevich Agapkin:

Intravenous injections

Intravenous injections, which are given from osteochondrosis, are characterized by the fact that medicine is injected into the blood vessel itself - a vein, i.e. it immediately enters the bloodstream and is quickly delivered to the affected area. When carrying out this manipulation, special attention is required to the observance of hygienic measures for the treatment of the hands of the medical staff, as well as the place where the medicine is administered. Usually, injections for osteochondrosis are placed in a vein located in the cubital fossa, i.e. middle vein, formed at the junction of the ulnar saphenous and radial vessels.

Subcutaneous injections

Directly under skin a person has a fatty layer, which is penetrated by a large number of small blood vessels. medicinal product, getting into them, practically immediately enters the bloodstream, starting to act. Subcutaneous manipulations in the treatment of osteochondrosis can be delivered to the following areas.

1. Upper shoulder area.
2. Axillary part.

1. Subscapular region.
2. Lateral abdomen.
3. Anterior surface of the femoral region of the leg.

The preparatory stage for a subcutaneous injection does not differ from the preparation when other injections are given for osteochondrosis of the lumbar spine, as well as the thoracic and cervical. However, the direct injection should be fundamentally different. In any of the above places, a small amount of skin is seized in the form of a fold, the drug is injected. At the same time, the nurse is faced with the task of minimizing the possibility of damaging blood vessels and nerve roots. It is impossible to carry out manipulations in the place where there is swelling of the subcutaneous fatty tissue or a compacted tissue area, which is formed due to incompletely absorbed medication from the procedure performed earlier.

Medicinal blockades

With the help of medicinal blockades used to treat osteochondrosis, excessive muscle tension is removed, spasms are eliminated blood vessels, swelling decreases, stop inflammatory processes, the pain stops. There are two types of blockades:

• Paravertebral blockade means that with the help of several injections active substances injected into the exit area of ​​the nerve roots spinal column. As a result of manipulations, the flow of nerve signals that come due to compression of the roots is prevented. In this way, a sick person is relieved of pain.
• Epidural blockade is characterized by the fact that the injection is placed in the epidural space, which surrounds the spinal cord. Whether the procedure will be effective depends on which substance is administered.

Neurologist Konstantin Sergeevich Susorov shows how paravertebral blockade is done:

Blocking injections are given using combinations with NSAIDs, glucocorticosteroids (Dexamethasone, Hydrocortisone), antispasmodics, or one anesthetic drug (Novocaine, Lidocaine).

In the following cases, treatment with blockades cannot be carried out:

• The presence of pustules on the human body.
• The patient has a significant change in the anatomical structure of the spine, which makes the blockade impossible from a technical point of view.
• The patient has an individual intolerance to anesthetic drugs.

Pathologies of the spine

What is used to treat osteochondrosis

With pain in the back and neck due to osteochondrosis, several groups of medicines help to cope.

Non-steroidal anti-inflammatory drugs

NSAIDs contain active substances that reduce fever, pain, and inflammation. With their help, the sensitivity of the nerve roots is reduced, due to which pain impulses are blocked. In addition, the pain is reduced as a result of the removal of inflammation: the swelling that has formed in the inflamed area decreases.

When injections are prescribed for osteochondrosis of the cervical, thoracic or lumbar, the following non-steroidal anti-inflammatory drugs are often chosen:

• "Diclofenac" - the drug is considered more effective in the process of suppressing inflammation than in the process of reducing pain and lowering the body's temperature response. It has a negative effect on the functioning of the digestive tract and liver, which is why it must be used in combination with drugs that reduce acidity in the stomach. The effect of the Diclofenac injection is observed for about 10-12 hours. The price of the medicine is about 40 rubles.
• Ketorol is a drug that has a pronounced analgesic effect. In the process of suppressing inflammation and reducing fever, it is less effective. Has an undesirable effect on the mucous membranes of organs gastrointestinal tract may cause bleeding. The result of the injection lasts approximately 5-6 hours. The cost is from 190 rubles.
• "Movalis" is a medicine that is more effective in suppressing inflammatory reactions than in relieving pain and reducing fever. Does not render negative impact on the rate of blood clotting, as well as the occurrence of disorders of the mucous membranes of the stomach and duodenum. The action of movalis persists for one day. The drug costs from 110 rubles.

Pharmacist Maria Luneva talks about Ketorol:

Almost all drugs NSAID groups negatively affect the organs of the gastrointestinal tract and liver. Often they cause internal bleeding, provoke the progression of pathological changes in them. Parenteral intake of these drugs in the body to some extent reduces the likelihood of adverse reactions.

Painkillers

• "Analgin" - effectively relieves pain, is not used against inflammation. It is administered intramuscularly or intravenously after 8-12 hours.
• "Voltaren" - helps to cope with fever and inflammation.

• "Tramadol" is a medicine that belongs to the group of analgesics. By acting on brain receptors, it effectively suppresses pain. The effect of the drug occurs approximately 20-30 minutes after the manipulation and lasts for 5-6 hours. Long-term use of the drug is not recommended because of the rapid addiction to it.
• Analgesics are combined with antispasmodics for best results. Manipulations relax the muscles of the back, reducing soreness. Medicines in this group cost from 120 rubles (Tizalud, Tizanidin) to 400 rubles (Mydocalm). Injections are repeated 2 times a day.

Chondroprotective agents

Chondroprotectors stop the destructive processes in cartilage, stimulate their regeneration. Also stop pain, inflammatory manifestations. In the form of injections for lumbar, thoracic, cervical osteochondrosis, the following are prescribed:

• "Alflutop" - relieves pain well, and also helps to reduce inflammation. Stimulates metabolic processes in tissues, regulates their nutrition.
• "Mukosat" - an agent that prevents the destruction of cartilaginous tissue, has a pronounced analgesic effect, reduces the inflammatory response. The action after the injection lasts up to 48 hours.
• They also prescribe "Chondrogard", "Rumalon", "Don" and other similar medicines to restore damaged cartilage tissue.

Instructions for use of the drug "Dona":

When prescribing chondroprotectors, injections are given intramuscularly every day or 2-4 times a week. In any case, treatment with chondroprotectors is long-term, noticeable results, according to patients, occur approximately six months after the start of treatment.

Vitamin complexes

"Milgamma" is a complex drug that contains B vitamins and an anesthetic element (lidocaine). It costs about 200 rubles. It has a positive effect on the body with osteochondrosis: it improves blood flow, blocks pain, relieves inflammation. The result develops quickly, but lasts a short time. Milgamma injections contribute to the restoration of pinched nerve endings spinal cord eliminates discomfort in the affected area. The drug is administered intramuscularly (using 1 ampoule per day) for 7 to 10 days.

Likewise as combined remedy give injections of combilipen.

In the form of injections for osteochondrosis, the doctor often recommends piercing vitamins. They promote regeneration, stop the inflammatory reaction, increase the blood supply to tissues. Vitamin complexes practice in remission.

• Vitamins A and E are available as oil-based solutions. They put these vitamins exclusively intramuscularly. The usual course of treatment lasts several weeks.
• Vitamin D (ergocalciferol) is needed to restore the balance of calcium and phosphorus. They put it intravenously and subcutaneously.

• Vitamin C (ascorbic acid) is produced as a solution in water. They put ascorbic acid both intramuscularly and intravenously. The required number of procedures for treatment will be determined by the doctor.
• Nicotinic acid (vitamin PP) has a beneficial effect on blood vessels. Injections for cervical osteochondrosis restore tissue nutrition, improving blood flow. Introduced a nicotinic acid intramuscularly for two weeks.

Contraindications

Each group of drugs has contraindications for use. In any case, injections for osteochondrosis are not given if a person has an individual intolerance to the drug, hemophilia, purulent inflammation in the injection area. It is often forbidden to inject during pregnancy and while breastfeeding.

Injections in the treatment of osteochondrosis of any part of the spine effectively relieve pain, help relieve inflammation, spasms. However, it is impossible to put them without the permission of a doctor, so as not to aggravate the situation.