Painkillers for the pain in my side and lumbar
Question from Alexander Rafailovich:
Persistent pain in the side and the lumbar spine. Two intervertebral hernia, pinched nerve. From replacing discs dissuaded the doctors – not the years. The last time I accept “Ketonal Duo” two capsules three to four times a day. What else can anesthetize less traumatic for the stomach and more effective?
doctor: Alexander Rafailovich, NSAIDs are the gold standard in the treatment of back pain in medicine. Use only analgesics such as Ketorolac, tramadol and Ketoprofen does not cure the inflammatory process, but only for a while eliminates the pain.
Nonsteroidal anti-inflammatory agents effectively influence the important links of the inflammatory process and eliminate pain. Side effects due to blockage of the enzyme cyclooxygenase type 1 (COX-1). To eliminate the pain impulse in the back enough from the blockade of COX-2. Unfortunately, almost all NSAIDs block both types of the enzyme, as it does not possess a selective action that causes side effects on gastrointestinal tract and liver.
selective COX-2 blockers most popular among doctors is nimesulide (nimesil), which in practice showed good results at a dose of 100 mg twice daily in patients with acute back pain. In chronic pain syndrome indicators of its efficiency is somewhat lower. It should be understood that the acceptance of nimisila will bring analgesic effect for radiculopathy only 10 days. But in clinical experiments is not established side effects.
Drug Movalis (meloxicam) also belongs to the group of selective inhibitors of COX-2. In clinical studies found that severe complications in the application of this tool occur 10 times less frequently than when using a nonselective nonsteroidal anti-inflammatory drugs (piroxicam, diclofenac). The effect of Movalis is observed already after 45 minutes after application and reaches its maximum by the 3rd day, with 1 injection per day at a dose of 15 mg for 3 days. After this intramuscular injection overturned, and the treatment continues with meloxicam tablets 7.5 or 15 mg (1 tablet per day).
With a strong pain syndrome in the back of neuropathology prefer xefocam rapid (lornoxicam) is a non-selective strong inhibitors of COX. Strength pain relieving and anti-inflammatory action it is superior to Ketorolac, closer to narcotic analgesics.
In the treatment of dorsopathies doctors combine NSAIDs with muscle relaxants, to eliminate reflex muscle contraction on the background of inflammation of the nerve roots and significantly reduce the pain by eliminating the compression of nerves in the thickness of muscle tissue.
The Most popular among the muscle relaxants have received tasidotin, which not only relaxes the muscles but also protects the liver from damage, which is important when you use of muscle relaxants with nonsteroidal anti-inflammatory drugs.
Pathogenic pathology treatment also includes drugs lipoic acid. For example, Berlition, which improves blood circulation in the damaged nerve roots and relieves symptoms of radiculopathy. The drug is injected intravenously at a dose of 300 Units together with 250 ml of physiological solution. The course of treatment is 10 days. Then within a few months he is receiving supporting therapy by a preparation "Berlition 300 oral" 1 tablet 600 mg 2 times a day 30 minutes before meals.
In the period of acute pain is recommended compresses with a 50% solution Dimexidum and novocaine. Dimexide a few weeks stored in the tissues and thus provides a long-lasting anti-inflammatory and analgesic effect.
In total, Alexander Rafailovich, an alternative to taking painkillers for back pain you can find. Not even possible, and necessary, since Ketorolac is You are not treating the radiculopathy, but only temporarily stop the progression of complications.