14 best painkillers ointments and creams

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

Pain is always a signal of trouble in the body. And the reason this trouble can be very different: inflammation, trauma, muscle spasm, congestive edema, and more. Therefore, composing rating of the best analgesic ointments and creams we tried group drugs not by pharmacological groups – for most non-physicians this is completely uninteresting, and it’s not necessary – and according to the location of the pain, based on the most common causes of pain appearances. Of course, this review does not exhaust all possible options, even if you do not take into account rare pathologies or atypical manifestations of disease. Therefore, we remind you – the rating is intended solely for familiarization, and not for self-medication by the internet.

Rating of the best analgesic ointments and creams

Nomination a place Name of product rating
The best analgesic ointments and creams for back or neck 1 Capsicum 5.0
2 Nikoflex 4.9
3 Apizartron 4.8
The best analgesic ointments and creams for joints 1 Diclofenac Ointment 5.0
2 Ketoprofen Gel 4.9
3 Butadion ointment 4.8
4 Teraflex chondrocream forte 4.7
The best analgesic ointments for muscle pain 1 Lyoton gel 5.0
2 Trombless plus 4.9
3 Venitan 4.8
4 Hirudoven 4.7
The best anesthetic ointments and creams 1 Dentinox gel 5.0
2 Oflomelide Ointment 4.9
3 Emla 4.8
When you need to contact to the doctor

The best analgesic ointments and creams for back or neck

About half of people experience back pain every year. of working age. Sedentary lifestyle, overweight increase the load on the spine, the muscles surrounding it. More often the main cause of back pain is muscle spasm. Such pains are usually local, that is, they are located in the same a fairly clearly defined area of ​​the neck, lower back or sacrum, not “give” to a limb, do not bend sideways. Less often, the back begins to hurt due to radiculopathy or pinched nerve. Contrary to the prevailing popular opinion, such pain is far from always caused by a disc herniation, and may be the result of all the same muscle spasm and concomitant him swelling.

In 90% of cases, acute back pain disappears on its own in for 4-6 weeks. But few who have experienced this the condition would agree to patiently wait a month and a half until “let go.”

Since inflammation in such cases is expressed implicitly and not the main cause of pain, optimal are warming ointments or creams that reduce spasm and improve blood flow.

Capsicum

Rating: 4.9

Capsicum

Combined ointment. As locally irritating (warming) substances contains camphor, gum turpentine and nonivamide – a synthetic analogue of capsaicin, a burning substance of red pepper. Dimethyl sulfoxide has a slight anti-inflammatory and analgesic effect. Benzyl nicotinate dilates blood vessels, improving blood flow in a painful area.

A special plastic is added to the box with the product applicator for application. It is not recommended to neglect them: ointment quite persistent and burning; accidentally rubbing your eyes or touching the mucous membrane can get a lot of not the most pleasant experience.

Having smeared with this remedy, you should not additionally wrap up the patient place: on the skin moist from sweat, the activity of the active substance increases at times, because of which instead of moderate heating it is possible get an unpleasant burning sensation. For the same reason, do not ignore manufacturer’s recommendations and apply to one area more than 1-3 g of ointment. When using, be sure to circumvent moles, scratches, acne, other skin lesions.

If due to hypersensitivity, overdose or contact with damaged skin; burning too strong, not worth it endure discomfort. Wash off the ointment not with water, but with a swab with vegetable oil or any oily cosmetic cream.

It can not be used for acute arthritis or for warming any acute inflammation.

Advantages

  • it warms up well
  • action lasts 4 to 6 hours.

disadvantages

  • may burn sensitive skin or with an overdose.

Nikoflex

Rating: 4.5

Nikoflex

Contains natural capsaicin and ethyl nicotinate, which enhances vessels.

Apply to dry skin. To avoid irritation and In the first 3 days of discomfort, it is recommended to apply the ointment once a day, then you can 2 times a day.

Contraindicated in arthritis.

Advantages

  • gently warms
  • no side effects
  • allergic reactions are extremely rare.

disadvantages

  • can burn.

Apizartron

Rating: 4.1

Apizartron

A warming ointment based on bee venom. Besides it contains anti-inflammatory methyl salicylate and allyl isothiocyanate – another locally irritating substance contained in mustard extract. It warms well and for a long time, but has a characteristic pronounced smell, which averts many patients from the drug.

It has many contraindications besides common for any warming ointments for acute arthritis and skin lesions: bee intolerance poisons, mustard, salicylates, liver or kidney failure, hematopoiesis, pregnancy and lactation.

Advantages

  • almost natural composition
  • soft and long effect.

disadvantages

  • due to bee venom, allergies are highly likely;
  • many contraindications;
  • bad smell.

Before using any warming ointment, it is better to do a test on sensitivity – apply the minimum amount of funds on wrist or area near the elbow. If within half an hour there will not be an unbearable burning sensation, itching, rash – a remedy can to use. Redness is a normal reaction to local irritation, this means that the vessels have expanded.

The best analgesic ointments and creams for joints

The causes of joint pain can be many – from the banal intoxication in acute infection to specific inflammation in tuberculosis or syphilis. Arthritis – inflammation of the joint – may accompanied even by such seemingly far from musculoskeletal system pathology as prostatitis (gonococcal arthritis), dysentery (dysentery arthritis), viral hepatitis or septic endocarditis. Therefore, the optimal tactics for any appeared pains – consult a doctor, find the cause and get appropriate treatment. What we highly recommend doing to our readers.

But in the real world, getting to the doctor in a timely and quick way all the necessary examinations are far from always possible, therefore in this section of the rating, consider painkillers ointments and creams that can help with various kinds of joint pain.

Caution: for joint pain without a diagnosis Never use warming ointments or creams from previous section of the rating. Heating and increased blood flow during acute inflammation (arthritis) only enhances the pathological a process contributing to the spread of infection.

Therefore, for pain in the joints, ointments and creams with anti-inflammatory effect. It must be remembered that with applied to the skin, no more than 6% gets into the deep layers of tissues active substance. Therefore, apply analgesic ointments and creams joints need every 4 to 6 hours.

Diclofenac Ointment

Rating: 4.8

Diclofenac Ointment

Time-tested tool that has proven to be effective. It has very few contraindications: skin lesions (including with eczema or psoriasis), non-steroid intolerance anti-inflammatory (including aspirin asthma or urticaria), age up to 6 years, 3 trimester of pregnancy and lactation. Approved for use in the 1st and 2nd trimesters of pregnancy.

Advantages

  • profitability
  • a small number of contraindications.

disadvantages

  • not.

Ketoprofen Gel

Rating: 4.4

Ketoprofen

The active substance of the drug has a pronounced analgesic and moderate anti-inflammatory effect. It is absorbed quite slowly, practically does not accumulate in blood plasma, which makes it relatively safe. Nevertheless, not allowed for use during pregnancy and lactation, since for obvious reasons, security has not been studied. Do not apply on damaged skin; use in children under 12 years old.

Advantages

  • pronounced analgesic effect.
  • relatively few contraindications.

disadvantages

  • adverse reactions are possible.

Butadion ointment

Rating: 4.0

Butadion ointment

Another inexpensive non-steroidal ointment anti-inflammatory drug. Reduces the intensity of pain swelling and inflammation. Contraindications are standard for this group. means – intolerance to any NSAIDs, skin damage, children age (up to 14 years). Not allowed for use in the 1st and 2nd trimester pregnancy and lactation.

The tool increases sensitivity to sunlight, therefore in summer, the skin areas on which the ointment was applied should be covered clothing or use high level sunscreens SPF

Advantages

  • a small number of contraindications.

disadvantages

  • increases photosensitivity.

Teraflex chondrocream forte

Rating: 3.8

Teraflex chondrocream forte

In addition to the anti-inflammatory substance – meloxicam – contains chondroitin sulfate, contributing to the restoration of articular tissue cartilage.

We put it at the end of the rating section because far from with all joint problems not only anti-inflammatory drugs, but also chondroprotectors. Usually similar drugs are prescribed for osteoarthritis (the old name is osteoarthritis), chronic diseases in which it is destroyed articular cartilage.

The drug is not recommended during pregnancy and lactation, so how meloxicam in experiments on rats increased the likelihood development of pathologies of the fetus. It is difficult to predict how much will enter the bloodstream and pass through the placenta or breast milk, but experimenting with yourself is hardly reasonable. Do not apply cream allergic to aspirin or other non-steroidal anti-inflammatory, for children under 12 years old and in areas of damaged skin.

Advantages

  • contains not only anti-inflammatory, but also chondroprotector;

disadvantages

  • limited range of evidence.

The best analgesic ointments for muscle pain

About the fact that muscles can ache from increased load or after injuries, many know. But few non-specialists know that calf muscle pain and leg cramps at night most often causes varicose veins. According to statistics, up to 30% suffer from it all people, and up to half of patients do not know about their disease.

The fact is that the first stages of varicose veins do not appear externally, making themselves felt only in the evening and night pain, incomprehensible itching or burning, swelling, cramps. As the development of the disease appear “spiders” on the skin, which perceived as unpleasant but harmless cosmetic disadvantage. And only in the later stages of the disease, venous nodes are a classic sign of disease. At this stage, no pills, ointments and creams can no longer restore normal venous wall structure, so the only way to get rid of node – remove it surgically or using a laser or sclerotherapy. But painkillers can support microcirculation and reduce pain caused by venous congestion. On the early stages, when there are still no symptoms that could be to present to the doctor, such funds may be the main method therapy, later – used in complex treatment, especially in the summer when compression knitwear is uncomfortable.

Leg pain is caused by varicose veins if:

  1. appear in the evening, after a working day spent sitting or standing up;
  2. decrease if you lie down with raised legs;
  3. disappear after a walk or other physical exertion;
  4. worse before menstruation.

But the funds from this section of the rating are effective not only for varicose veins, but also with injuries or muscle pain caused by increased load. Despite various causes, the pathological itself the process under these conditions is quite similar: swelling caused by increased permeability of the vascular wall, hypercoagulation due to slowing blood flow, pain. Therefore, any analgesic cream from This section can also be used for trauma, overtraining, to get rid of the bruise and other similar conditions.

Lyoton gel

Rating: 4.7

Lyoton

It has already become a classic remedy based on heparin. Theoretically, it has many analogues, ranging from cheap heparin ointment. In practice, clinical treatment recommendations varicose veins indicate that local remedies containing heparin, effective at a concentration of at least 500 – 1000 IU in 1 gram, so most of the commercially available drugs screened out due to too low concentration of the active substances. In addition to heparin, it contains neroli and lavender oil.

Colorless transparent gel with a characteristic, but not pronounced smell. Improves microcirculation, helps reduce swelling, has a moderate anti-inflammatory effect, warns thrombosis. It can be used not only for varicose veins, but also after injuries or to accelerate the resolution of bruises – however, this refers to most painkillers ointments and creams that fall into this section of the rating.

It has a minimum of contraindications: damage to the skin and bleeding disorder.

Advantages

  • high concentration of the active substance.
  • minimum contraindications

disadvantages

  • relatively high price.

Trombless plus

Rating: 4.3

Trombless

It is based on the same heparin (1000 IU in 100 g), dexpanthenol, increasing tissue regeneration; troxerutin, toner blood vessels, contributing to the restoration of the vascular wall, as well as anti-inflammatory, decongestant and antioxidant activity; local anesthetic benzocaine.

Comprehensive action combined with affordable price, it would seem make this gel the leader of this rating section. But u there is a downside to the complex composition – the more components, the higher the likelihood of adverse events and the more contraindications. Uncontrolled use may impair local sensitivity, hyperemia (redness) appears contact dermatitis. The gel cannot be used by people under the age of 18, in violation of the integrity of the skin, reduced coagulation blood.

Advantages

  • multidirectional mechanisms of action,
  • affordable price.

disadvantages

  • the possibility of adverse events.

Venitan

Rating: 3.9

Venitan

Rating 3.9.

Unlike previous funds from this section of the ranking of the best analgesic ointments, the product has a completely plant basis – horse chestnut extract. Reduces vascular permeability walls, thus reducing swelling, increases the tone of the veins, reducing the intensity of venous stasis, strengthens the walls of the capillaries during their fragility, inhibits the activity of prostaglandins – mediators inflammation supporting the pathological process. Like everyone else funds from this section of the rating apply both for injuries and for varicose veins.

Of the contraindications, only broken integrity can be noted skin. The product is not recommended for use by children under 12 years old, pregnant and lactating due to lack of safety data for these categories of patients.

The manufacturer recommends using the drug with caution when tendency to thrombosis – and this is perhaps the only drawback a drug created to treat conditions characterized as times the same tendency to increased thrombosis.

Advantages

  • natural active substance.

disadvantages

  • use with caution with a tendency to increased blood coagulability.

Hirudoven

Rating: 4.7

HirudoVen

At first glance, the composition of this tool is excellent. Extract medical leeches improves microcirculation and inhibits thrombosis; horse chestnut extract stabilizes vascular wall and improves tone of veins, menthol and camphor instantly refresh and cool, reducing pain.

There is only one snag: the cream is not registered as drug, unlike most drugs of this rating, and not even as a dietary supplement, but as a cosmetic product. I.e the manufacturer is not required by law to indicate the concentration of active substances. But when it comes to topical preparations, it’s concentration of the active substance and will determine the effectiveness facilities. Changing the dosage of a drug or dietary supplement is a reason for it re-registration, while the cosmetics manufacturer is free to change amount of active substances as he pleases to please profitability. Therefore, despite the natural composition and low prices, we put this gel at the end of the rating.

Advantages

  • natural composition.

disadvantages

  • cosmetic cream.

The best anesthetic ointments and creams

In this section of the rating of the best analgesic creams ointments, we raised funds with local anesthetics – substances directly acting on pain receptors. The range of their application is quite wide – from cosmetic treatments to burns or teething pain in a child. Therefore the values The ratings for this section are relatively arbitrary: too different indications for use.

All funds from this section of the rating are categorically impossible take with allergies to novocaine or lidocaine.

Dentinox gel

Rating: 4.6

Dentinox

This tool is recommended for babies with teething. Besides, in fact, the anesthetic of lidocaine contains chamomile tincture and menthol, which reduce inflammation and swelling. Gel can use 2 to 3 times a day, applying a drop the size of a pea on the baby’s gums.

Advantages

  • complex composition, not only anesthetizing, but also reducing inflammation;
  • over-the-counter.

disadvantages

  • high price.

Oflomelide Ointment

Rating: 4.2

Oflomelide Ointment

In addition to the local anesthetic, lidocaine contains ofloxacin – broad-spectrum antimicrobial – and methyluracil, stimulating tissue healing. Synthetic ointment base actively absorbs exudates, providing an outflow of pathological contents of purulent wounds, ulcers, etc. Used in the treatment of trophic ulcers, burns, long non-healing wounds.

Contraindicated before age 18, pregnant and lactating. at intolerance to fluoroquinolones or local anesthetics.

Advantages

  • not only anesthetizes, but also treats;
  • relatively affordable price.

disadvantages

  • prescription drug.

Emla

Rating: 3.6

Emla

Rating 3.6

Possible analogues: Acriol Pro.

One of the most famous creams with analgesic effect, used in cosmetology, tattooists and other similar situations. Contains lidocaine and prilocaine. Need to apply on skin 2 – 3mm layer and be sure to grind with a film – without occlusion effect sharply reduced. It takes effect an hour after application, the duration of pain relief is 2 hours.

Advantages

  • can be easily found at any pharmacy.

disadvantages

  • high price.

When you need to see a doctor

Most diseases with painkillers ointments and creams, quite ordinary and, worsening the quality of life, not shorten it. But pain can hide directly threatening situations health. In this section, we tried to list the signs, signaling that the pathology is perhaps more serious than it seems on first glance, and a thorough examination is needed.

For back pain:

  1. the first attack of pain occurred before the age of 20 or after 55 years old;
  2. there is an oncological pathology in the history;
  3. the pain occurred after a back injury and does not go away;
  4. pain is not related to movement;
  5. pain does not decrease while lying down;
  6. and at night its intensity also does not change;
  7. discomfort accompanied by increased temperature
  8. the intensity of pain gradually increases;
  9. spinal deformity appeared;
  10. impaired urination;
  11. pain is accompanied by weakness or numbness of the legs.

For joint pain:

  1. the joint is swollen and reddened;
  2. pain is accompanied by fever;
  3. pain persists day and night;
  4. the pain intensifies in the second half of the night and in the morning, accompanied by “morning stiffness” when, after waking up at first it’s difficult to move, but over time the patient “pacing”
  5. after rest, the pain does not decrease,
  6. decreased range of motion in the joint.

For pain in the legs

  1. severe swelling, the skin looks smooth and stretched, not visible “bones” on the leg;
  2. asymmetric edema: one leg is “normal”, the second changed
  3. the appearance of an ulcer that does not heal and does not even decrease in for two weeks;
  4. redness and swelling appeared along the vein;
  5. the vein has turned into a painful dense cord;
  6. the skin has become pale or bluish;
  7. sensitivity was disturbed.

Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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