15 best low back pain injections

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.

Many people know first hand about lower back pain. Sciatica, lumbago (lumbago) often lead to temporary disability. Such discomfort is most often provoked degenerative-destructive changes in the lumbosacral spine. Also lower back pain may occur due to congenital malformations of the spinal column, infectious processes or neoplasms.

Some people easily tolerate lower back pain. And for others, such a state is sometimes simply unbearable. In any case, not dispense with drugs, exercise therapy, physiotherapy. And most importantly, all this appointed by a competent specialist. If primary is set a disease that provokes lumbar pain is then treated before all of it.

If the lower back hurts chronically without the presence of a specific adjacent pathology, then this condition requires special treatment. Usually they try to get rid of back pain with the help of injections from such groups: NSAIDs, muscle relaxants, B vitamins, chondroprotectors. IN In this review, we have collected the best of them and consider their advantages and limitations.

Rating of the best injections for lower back pain

Nomination a place Name of product price
Best NSAID injections for lower back pain 1 Voltaren 262 rub
2 Dexalgin 262 rub
3 Artoxan 659 rub
4 Ketonal 243 r
5 Ketanov 116 rub
The best injections with muscle relaxants for lower back pain 1 Midokalm 517 r
2 Kalmirex 314 rub
3 Tolmio 587 rub
The best injections with B vitamins for lower back pain 1 Milgamma 459 rub
3 Compligam B 148 rub
4 Binavit 239 rub
Best injections for lower back pain prevention 1 Traumeel C 836 r
2 Don 1 162 rub.
3 Chondrogard 781 rub

Best NSAID injections for lower back pain

Injections with non-steroidal anti-inflammatory drugs are Essential medicines for lower back pain. They guaranteed to eliminate discomfort for 4-6 hours. But they are not should be abused as they negatively affect digestive tract organs.


Popularity Rating: 4.9


Pharmaceutical company Novartis (Switzerland / Slovenia) produces injections Voltaren. The active substance of this drug is diclofenac sodium. It has a pronounced anti-inflammatory, analgesic and antipyretic effect. After injection non-rheumatic pain relief occurs in 15-30 minutes. The drug worked well for various pain spinal syndrome, including lumbago.

Voltaren is sold in ampoules of 3 ml, each of which contains 75 mg of diclofenac sodium. Injections are intended for intramuscular injection 1 time per day and no more than 2 consecutive days. The injection is supposed to be done deeply in the oil. To do this, choose the outdoor buttock quadrant. The solution should be administered immediately. after opening the ampoule. Voltaren injections are suitable for use adults and adolescents from 18 years.

According to reviews, this drug with diclofenac cleans perfectly lower back pain. Patients note that Voltaren injections themselves yourself painless. The ampoule with the medicine is easily opened. how anesthetic and anti-inflammatory agent they work excellent, but often cause side effects from the gastrointestinal tract (nausea, gastric pain, exacerbation of hemorrhoids). But more often this happens if give such injections longer than the prescribed time.


  • remove back pain for 4-6 hours;
  • injections are painless;
  • ampoules are easily opened.


  • bad effect on the digestive tract.


Popularity Rating: 4.8


Pharmaceutical company Berlin-Chemie (Germany / Italy) produces injections Dexalgin. They contain dexketoprofen, which has pronounced analgesic, anti-inflammatory and antipyretic action. Low back pain disappears 30 minutes after parenteral administration and this effect persists throughout 4-8 hours. This drug is widely used to relieve pain syndrome of various origin.

Ampoules (2 ml each) of Dexalgin are made of dark glass. Each of which contains 50 mg of dexketoprofen. The drug is intended for injections in / in or / m. The maximum daily dose is 150 mg (3 ampoules). But without special need more than one injection should not be given. every 8-12 hours. Patients note that with intramuscular The introduction of Dexalgin in itself is quite painless.

Reviews about Dexalgin are mostly good. Many note that for them it is the most powerful pain reliever of NSAIDs. After such an injection, you can almost forget about lower back pain all day. Moreover, the analgesic effect is equally good felt regardless of the nature of the pain (neurological or provoked by pathologies of internal organs). If apply the drug is infrequent, the side practically does not appear.


  • strong pain medication;
  • the effect lasts for 4-8 hours;
  • if used infrequently, then a minimum of side effects;
  • the injections are painless.


  • not everywhere sold over-the-counter.


Popularity Rating: 4.7


Pharmaceutical company Rotafarm Limited (Great Britain / Egypt) produces the drug Artoxan. It contains the active substance is tenoxicam. In addition to anti-inflammatory, analgesic and antipyretic effects, the drug is also interferes with platelet aggregation. Analgesic effect develops in 30-60 minutes and persists throughout of the day.

Artoxan is a lyophilisate from which to prepare solution for intravenous and intramuscular administration. Komplekt contains a vial of lyophilized powder (20 mg tenoxicam) and ampoule with water for injection (solvent). Intramuscular or intravenous injections are done briefly (1-2 days), 20 mg 1 time per day. The injections themselves are painless.

In reviews, people with lower back pain say that Artoxan has a pronounced analgesic effect. Subject to all recommendations for drug administration and injection frequency, side rarely develop. Some note that after the injection Artoxan pain in them passes in 3-5 minutes, which justifies rather high cost of this drug. To reduce side at a minimum, do not give injections on an empty stomach.


  • quick pain relief;
  • 1 injection per day is enough;
  • painless injections.


  • the cost of one set.


Popularity Rating: 4.6


The pharmaceutical company Sandoz produces the drug Ketonal. is he contains ketoprofen with anti-inflammatory antipyretic and analgesic effect. Ketonal injections widely used to eliminate lumbar pain in adults and children over 15 years old. Anesthetic effect develops after 10 minutes after injection and persists for 3-4 hours.

Ketonal ampoules are made of dark glass. 2 ml each and contains 100 mg of ketoprofen. The maximum daily dose is 200 mg (2 ampoules). At home, they often do intramuscular injections, and intravenously, this drug is better administered in conditions a hospital. The injections themselves are quite painful, but a subsequent positive result encourages these temporary discomfort.

According to reviews, Ketonal eliminates lumbar pain well. Patients note that the effect develops quickly enough, but after the first injection, discomfort may return already after 3-4 hours. But the very next day, the analgesic effect lasts longer. However, keep in mind that Ketonal has many side effects that are more pronounced with prolonged its use.


  • quickly anesthetizes;
  • with each new injection the pain recedes for longer;
  • affordable price.


  • painful injections.


Popularity Rating: 4.5


Romanian-Indian Ketanov preparation contains active the substance is ketorolac. It has a pronounced analgesic effect, also has anti-inflammatory and moderate antipyretic action. By the power of anesthesia it is often equated with morphine. Ketanov is significantly superior to other drugs related to NSAIDs.

Ketanov is available in 1 ml clear glass ampoules, containing 30 mg of ketorolac. After intramuscular administration, onset analgesic effect is noted after 30 minutes, and the maximum the effect is achieved after 1-2 hours. The maximum daily dose is not should exceed 90 mg of ketorolac (3 ampoules). Such injections are suitable for adults and children from 16 years.

According to reviews, Ketanov is a strong pain reliever for lower back. But the injection itself is very painful. Patients like that the ampoules with the solution are very easy to open, and the volume of the medicine is small. It is a strong drug with a large number side effects, which has an effect only at the time of administration and does not affects the progress of the disease, so use it only suitable for special cases.


  • the effect of analgesia is equal to morphine;
  • does not cause drug dependence;
  • ampoules are easily opened.


  • sore injections.

The best injections with muscle relaxants for lower back pain

To relieve pain and reduce abnormally high muscle tone in the lower back along with NSAIDs is advisable use muscle relaxants.


Popularity Rating: 4.9


Hungarian pharmaceutical company Gideon Richter launches drug Midokalm. It contains 2 components: tolperisone (central muscle relaxant) and lidocaine (topically anesthetic). It is widely used for hypertonicity and muscle spasms against the background of pathologies of the musculoskeletal apparatus, including localization in the lumbar region.

Midokalm ampoules made of dark glass, 1 ml each 100 mg of tolperisone and 2.5 mg of lidocaine. Injection may be administered intravenously or intramuscularly. I / in injected 1 ml 1 once a day. And intramuscular injections can be done 1 ml 2 times per 24 hours. This medicine is used only for treatment. adults from 18 years old. The first injections of Midokalm are best done under specialist supervision.

In the reviews, patients note that this Hungarian muscle relaxant along with NSAIDs is very effective. As muscle hypertonicity in the lumbar region is eliminated noticeably easier. Many praise Midokalm, noting that the injections painless in themselves, and muscle relaxation does not force itself wait a long time. But some note that during its use, They significantly reduced blood pressure. And a little more uncomfortable that the ampoules should be stored in the refrigerator.


  • effectively eliminates muscle hypertonicity;
  • enhances the effect of NSAIDs;
  • the injections are painless.


  • lower blood pressure.


Popularity Rating: 4.8


Russian PharmFirma Sotex produces an analog of Midokalm – drug Kalmireks. This medicine is also muscle relaxant of central action. Its 2 active substances – tolperisone hydrochloride and lidocaine hydrochloride. This medicine helps a lot with lower back pain caused by hypertonicity and spasm of striated muscles.

Kalmirex is available in 1 ml dark glass ampoules. Administration methods for this muscle relaxant 2: intravenously and intramuscularly. Compared to the Hungarian drug, this more possible side effects. Kalmyrex should also stored in a refrigerator at a temperature of 8 ° C to 15 ° C. Undergoing treatment with such injections, it is better to refrain from driving a car.

Many patients believe that Kalmireks is not inferior Midokalmu. It also effectively eliminates muscle cramps, which noticeably relieves lower back pain. If you follow the instructions for application, then Kalmireks is fairly well tolerated. But especially hypotension may cause dizziness and a strong decrease blood pressure.


  • cheaper analogue of Midokalm;
  • perfectly removes hypertonicity;
  • painless injections.


  • A large list of possible side effects.


Popularity Rating: 4.7


Another generic of Midokalma – Tolmio produces Russian Binnopharm pharmaceutical company. This medicine also applies. to muscle relaxants and contains 2 active components: tolperisone and lidlcain. Tolmio is great for treating painful muscle spasm associated with musculoskeletal diseases system. Such injections are allowed to do since 18 years.

Tolmio is sold in 1 ml ampoules of protective glass. The concentration of active substances is the same as that of Midokalm. Adults are given intramuscular injections of 1 ml 2 times in 24 hours or 1 ml 1 time per day intravenously. So that the drug retains its its effectiveness must be stored in a refrigerator where temperature regime does not go beyond – 8-15 ° С.

According to reviews, Tolmio can perfectly replace Midokalm. Patients who have tried both drugs note that Russian counterpart is not inferior in efficiency, but with it you can save a little. Tolerance in Tolmio is not worse than in Hungarian muscle relaxant. Of the side effects, it also most often causes dizziness and decreased blood pressure.


  • high-quality generic Midokalma;
  • perfectly eliminates painful muscle cramps;
  • the injections themselves are painless.


  • there are side effects.

The best injections with B vitamins for lower back pain

B vitamins are neurotropic. They have a marked influence on various processes of the nervous system (metabolism, metabolism of mediators, transmission of excitation). Vitamins of this group increase analgesia while their use with NSAIDs.


Popularity Rating: 4.9


German pharmaceutical company produces a complex of vitamins Group B – Milgamma. The drug contains: thiamine, pyridoxine, cyanocobalamin and lidocaine. As part of complex therapy, this the drug perfectly removes back pain on the background all kinds of pathologies or syndromes of the nervous system (radiculopathy, lumbar ischalgia).

Milgamma is a red solution for intramuscular introductions with a characteristic odor. It is placed in brown ampoules (2 ml) of sun glass. Injections are performed deeply in oil. If a pain is very pronounced, then to quickly achieve high the level of the drug in the blood, it is advisable to start treatment with 2 ml daily for 5-10 days.

Patients usually speak very well of Milgamma. They note that due to lidocaine injection almost painless. Although especially sensitive people still hurt. If along with NSAIDs and muscle relaxants do injections of vitamins of the group In, then relief comes much faster. Among the possible subcutaneous rashes occur most often in patients with adverse events.


  • in complex therapy, they relieve pain much faster;
  • relatively painless injection;
  • improve the general condition of the nervous system;
  • the ampoule is easily opened.


  • may provoke subcutaneous rashes.


Popularity Rating: 4.8


The Austrian drug Neuromultivit also contains vitamins B1, B6 and B12, but it does not contain lidocaine. This medicine has proven itself in lumbar ischalgia, lumbar syndrome, trigeminal neuralgia and other pathologies that characterized by severe pain in the lumbar region. This complex not used to treat children.

Neuromultivitis is sold in 2 ml dark glass ampoules. They contain a red solution with a characteristic odor of vitamins. Such injections must be stored at a temperature of 2 ° C to 8 ° C. For severe pain, therapy begins with intramuscular injection (deep) 2 ml daily. Treatment continues on for 5-10 days. Then they switch to rarer injections. (2-3 times in 7 days) for 2-3 weeks.

According to reviews, Neuromultivitis is a very painful injection. The introduction procedure itself is a real torture, but pain in the lower back noticeably weaken literally in a few days. Yet patients note that when agreeing to such injections, you need to be prepared to the fact that the whole body will be saturated with a vitamin smell.


  • in complex therapy removes pain well;
  • reasonable price for an imported drug;
  • convenient ampoules.


  • very painful injection.

Compligam B

Popularity Rating: 4.7


Russian PharmFirma Sotex releases an analogue of Milgamma – Compligam B. This medicine contains B vitamins (thiamine, pyridoxine and cyanocabalamine), as well as lidocaine. This the complex is actively used in muscle-tonic syndrome with localization of lower back pain, with radiculopathy, lumbar ischalgia or other pathological processes of a neurological nature.

Compligam B ampoules are made of dark glass. Each of them contains 2 ml of pink-red liquid intended for intramuscular injection. The drug should be administered deep into gluteus muscle and do it slowly. If you hurry, then maybe violation of spatial orientation, violation heart rate, cramps.

Reviews about Complig B are mostly good. Patients note that these Russian injections work no worse Milgamma. For 5 days of complex treatment, you can completely get rid of back pain if they have a neurological origin. But despite the fact that the solution contains lidocaine, some still find these injections quite painful.


  • composition similar to Milgamma;
  • the presence of lidocaine reduces pain during administration;
  • ampoules are easily opened.


  • with rapid administration, dizziness, arrhythmia may appear, cramps.


Popularity Rating: 4.6


Armavir Biofactory produces Binavit, which also is a generic Milgamma and repeats the composition of that complex. Group B vitamins are supplemented with lidocaine. Neurotropic Vitamins have a beneficial effect on inflammatory and degenerative-destructive diseases of the nerves. Thereby effective lower back pain.

Binavit for sale in ampoules of light-protective, neutral glass. Solution for intramuscular administration is transparent, red colors with a characteristic specific odor. For severe pain it is recommended to give injections of 2 ml (1 ampoule) daily on for 5-10 days. After that, 2 ml (1 ampoule) 2-3 times per week for 14 days.

Many in the reviews praise Binavit for being practically painless. And it perfectly complements NSAIDs and muscle relaxants, which helps to get rid of pain in a short period of time lower back. From unpleasant patients note that the whole body it is saturated with a strong vitamin smell. And also confuses some the need to store such vitamins in the refrigerator.


  • affordable analogue of Milgamma;
  • relatively painless injections;
  • ampoules with a colored break point.


  • the body is very saturated with a vitamin smell.

Best injections for lower back pain prevention

For the prevention of lower back pain, drugs are used that stimulate tissue repair.

Traumeel C

Popularity Rating: 4.9


German homeopathic remedy Traumeel C contains a large the amount of natural components of plant origin. it the drug is used for inflammatory and dystrophic diseases musculoskeletal system and injuries. Traumeel C Components able to eliminate the inflammatory process, reduce swelling and pain in the lower back.

This homeopathic remedy is produced in conventional ampoules (2.2 ml) from transparent glass. The solution is also colorless and odorless. Assign 1-2 ampoules 1-3 times for 7 days / m. Also possible periarticular injection. Multiplicity of application and duration of the course should be prescribed by your doctor. Also recommended simultaneous administration of several dosage forms of the drug (tablets, drops, ointment).

According to reviews, Traumeel C injections are completely painless. Noticeable improvements are observed after the first week of use. Many note that it was Traumeel C who put them on their feet. Usually this homeopathic remedy is well tolerated, but occasionally redness, swelling, itching at the injection site appears. Some they even practice taking the contents of the ampoules by mouth, rather than injecting them.


  • completely natural composition;
  • painless injections;
  • effectively eliminates lower back pain;
  • suitable for children from 12 years old;
  • the ampoule is easily opened.


  • may cause local manifestations of allergies.


Popularity Rating: 4.8


The Italian pharmaceutical company Rottafarm produces Don drug. It has anti-inflammatory and analgesic properties. action, makes up for endogenous glucosamine deficiency, which as once and acts as the main active substance. Another medicine contains lidocaine. This tool is appropriate to apply if pain in lower back provoked by osteochondrosis.

Don is sold as a solution kit A (medicine – ampoule 2 ml) and solution B (solvent – 1 ml ampoule). This means Intended for intramuscular administration only. Before using both solutions are mixed in one syringe. The prepared solution (3 ml) is injected IM 3 times in 7 days on for 4-6 weeks.

In the reviews, patients note that Don injections in themselves quite painless. They not only relieve inflammation and anesthetize, but also have a positive effect on cartilage and joints. But since injections should not be injected every day, the treatment process stretched for 1.5 months. The drug has good tolerance, but in some cases, it can provoke side effects from the gastrointestinal tract or allergic reactions.


  • high-quality chondroprotector;
  • eliminates pain and inflammation;
  • the injections are almost painless.


  • digestion or allergies are possible.


Popularity Rating: 4.7


Russian pharmaceutical company Sotex produces chondrostimulating agent Chondrogard. His main acting substance – chondroitin sodium sulfate. During therapy with this pain relieves and mobility improves problem joints. If lower back pain is provoked degenerative diseases, this remedy may prove to be very effective.

Chondrogard is a clear solution. He has pronounced smell of benzyl alcohol. It is sold at 1 ml (100 mg). or 2 ml (200 mg). Ampoules are made of colorless glass. Chondrogard is recommended to inject 100 mg intramuscularly every other day. If the patient tolerates this medicine well, then after the third injections moving to a dose of 200 mg. The therapeutic course is – 25-30 injections.

According to reviews, Chondrogard is a sore injection, but manipulation introduction can be endured. With the course application of this injectable chondroprotector is possible to protect yourself from the appearance of back pain. The drug has good tolerance. Allergic reactions are extremely rare. But many are confused by the price of Chondrogarad and the specific smell of the solution.


  • noticeably reduces soreness;
  • improves joint mobility;
  • the solution is ready for administration.


  • injections are rather painful.

Popularity rating based on analysis of demand data service wordstat.yandex.ru.

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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