Medicines in the treatment of sciatica lumbosacral

Pills from sciatica are used in mild forms of the disease. When a person "cross", expressed radicular syndrome, numerous changes in the secondary organs, one method of treatment for the disease is not enough.

In most cases of sciatica treatment medication is combined with other ways of disease therapy: massage, physiotherapy, stretching, diet, organization of sanitary-hygienic and epidemiological regime.

drug treatment of lumbar radiculitis

Basic principles on the use of medications

Treatment of sciatica lumbosacral spine pills and other medications effective in the early stages of the disease when pain syndrome is not defined.

A Basic Foundation therapy of the disease is the use of medicines group non-steroidal anti-inflammatory drugs (NSAIDs) (diclofenac, Movalis, Ketorolac). They have analgesic and anti-inflammatory effects. Preferred method of administration are intramuscular injections. Tablets prescribed for the inability of parenteral drug administration.

Treatment NSAIDs should not last more than 2 weeks since these medicines have side effects on the gastrointestinal tract. They prevent the release of mucous secretion of the intestinal membrane and the digestive enzymes of the stomach. Owing to this coarse food particles injure the mucosa. Against this background, are formed of ulcerative and erosive defects.

To prevent the formation of gastric ulcers, some doctors prescribe diclofenac and omeprazole together. The last drug is an inhibitor of gastric secretion. It is obvious that its use is unjustified, because the tool helps to moisten the mucous membranes but, on the contrary, dries them.

Diclofenac is one of the first drugs that were used in old times for the treatment of diseases of the intestine. Movalis – modern development of pharmaceutical companies. He is stronger, but not without flaws of its predecessors. Its use is justified only for the purpose of reducing the time of pain, but not for continuous therapy of the disease.

Anti-Inflammatory agents are used not only in the form of tablets. It comes in the form of ointments, creams, injectable forms.

What is a muscle relaxant and why they are used

Muscle relaxants for sciatica are assigned to eliminate muscle spasms. The drugs relax the muscle tissue and thus prevent the infringement of the nerve fibers. Their application is rational if pain is caused by spasms of the muscles of the lower back and gluteal region.

In osteochondrosis of lumbar radiculitis occurs because of protrusion of the intervertebral disc. In this situation, to eliminate the pain used injections of chondroprotectors (alflutop, Acosta).

Features therapy sciatica inflammatory drugs

Diclofenac, Ketorolac, Movalis – representatives of the anti-inflammatory drugs, which doctors used to treat diseases of the spine, accompanied by pain.

Their use as drugs due to protivoradikulitnye mechanisms of action:

  • decongestants
  • pain
  • anti-inflammatory.

Drug to treat disease by drugs NSAIDs are not difficult, as they are issued in the form of ointments, tablets, creams and rectal suppositories. However, with prolonged use of these medications cause side effects:

  1. ulcers and erosions in the gastro-intestinal tract;
  2. blood clotting disorder;
  3. hormonal adrenal insufficiency.

To reduce the frequency of side effects of these drugs, pharmaceutical companies have developed a new generation of drugs (Movalis, nimesulide). Can be assigned even to ulcers after meals.

To Treat a severe form of sciatica these drugs is not effective. In this case, doctors prescribe hormonal anti-inflammatory agents:

  • diprospan;
  • dexamethasone
  • hydrocortisone
  • kenalog
  • methylpred;
  • prednisone.

When steroid hormones are not helping the patient make procaine blockade. They can be used up to three times a year. In some cases it is necessary to perform operation on elimination of causes of infringement of the nerve roots.

Ointment

diclofenac for sciaticaTreat lower back pain at the same time with the necessary medication and lubrication of the skin in the area pain following an anti-inflammatory ointments:

  1. voltaren
  2. finalgon
  3. capsicin;
  4. Nise gel;
  5. Ketoprofen
  6. viprosal.

In the complex therapy of pathologies it is desirable to include massage and physiotherapy techniques. Between attacks we recommend the following procedure:

  • phonophoresis withhydrocortisone;
  • darsonvalization;
  • amplipuls;
  • therapy.

The Above procedures shall be applied simultaneously with other methods of treatment of diseases of the lumbar spine.

therapies

Treatment with Movalis and diclofenac only temporarily fixes pain. Medications do not eliminate the causes of disease, therefore cannot guarantee complete freedom from it. To prevent recurrence of disease the patient has to follow certain requirements:

  1. Bed rest during the acute allows you to remove the load from the lumbar spine. When movements should fix the waist by an elastic belt or bandage.
  2. Stretching – method that is recommended by individual neurologists. The procedure allows you to expand the intervertebral space and to prevent entrapment of the nerve. Some doctors are opponents of using this method for sciatica, as the procedure causes stretching of the surrounding soft tissues.
  3. exercise therapy – there are individual complexes of exercises for people with spinal disorders. They are selected by the attending physician and require regular implementation.
  4. Mental correction requires the removal of a person's psychological stresses of constant pain syndrome. For these purposes, the patient is prescribed antidepressants.

Drug treatment in combination with the above-described methods allows for a long time to get rid of pain. To prevent recurrences of sciatica should throughout life to protect the spine from overload.

The Only comprehensive treatment of sciatica will allow for a long time to get rid of pain. People will not be able to cure diseases of the spine, so at the first signs of lower back pain recommend you to consult the doctor. The sooner you start therapy the disease, the higher the chances of prevention of repeated attacks of pain.