15 best low back pain remedies

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Many people are familiar with lower back pain. Sometimes they occur against a background of overstrain (active training, carrying weights, long static incorrect postures). But in some cases, pain signals a serious health problem. Most often, they indicate various diseases and injuries of the spine or back muscles.

Regardless of the reasons for the appearance of back pain, medication is not complete. It is not uncommon for doctors to prescribe pain medications to their patients in the form of pills or injections. Means for topical application have proven themselves well: ointments, creams, gels, patches. This review looks at the best oral and topical treatments for low back pain.

Review of low back pain remedies

Nomination	a place	Name of product	price
back pain pills	1	Voltaren Acti	RUB 186
	2	Movalis	RUB 636
	3	Nimulide tablets lingual	240 RUB
	4	Nalgezin	252 RUB
	5	Ketonal	164 r
	6	Ibuklin	121 RUB
back pain patches	1	Voltaren transdermal patch	168 RUB
	2	Nanoplast Forte	197 RUB
	3	Ketonal thermo plaster	1217 RUB
ointments, creams, gels for back pain	1	Fastum gel	RUB 290
	2	Nikoflex	293 r
	3	Apizartron	249 r
	4	Nise gel	178 r
	5	Diklak	231 r
	6	Ketonal cream	369 r

Low back pain pills

When pain in the lumbar region occurs, first of all, they resort to non-steroidal anti-inflammatory drugs (NSAIDs). They have analgesic, antipyretic effects, and reduce inflammation.

Voltaren Acti

Popularity rating: 4.9

Voltaren Acti contains diclofenac potassium (12.5 mg). This remedy is indicated for pains with different localization and etiology. Voltaren Acti is intended for adults and children over 14 years of age. It is great for relieving low back pain, but people with gastrointestinal problems should use this NSAID with caution.

Voltaren Acti tablets are available in a white film shell. They are smooth, without dividing lines, practically odorless. The tablets are swallowed quite easily. They are located on blisters with a convenient dotted division. The maximum daily dose is 6 tablets (75 mg). At the beginning, they usually take 2 pieces, and then 1-2 pieces every 4-6 hours. The tablets should be taken whole, without chewing, with water.

According to reviews, pain relief occurs a quarter of an hour after using the drug. With severe lower back pain, you can take Voltaren Akti for no longer than 5 days in a row. Doctors note that this imported drug is better tolerated by patients than domestic diclofenac. Their gastrointestinal tract reacts sharply only with prolonged use on an empty stomach.

Advantages

• lower back pain disappears after a quarter of an hour;
• swallowing pills is easy;
• comfortable blisters with dotted division;
• up to 6 tablets can be taken per day.

disadvantages

• side effects from the gastrointestinal tract with prolonged use.

Movalis

Popularity rating: 4.8

German Movalis tablets can contain 7.5 or 15 mg of meloxicam. This substance belongs to NSAIDs and has a pronounced anti-inflammatory, analgesic and antipyretic effect. Meloxicam is well absorbed from the gastrointestinal tract and begins to act quickly. Movalis has worked well for all kinds of dorsopathy, including pain in the lumbar region.

Movalis tablets have a round shape. At the same time, one side is convex with a beveled edge, and the other is concave with a dividing line. The color of the tablets is pale yellow. They are usually swallowed without problems. The tablets are located on blisters with dotted division. The maximum daily dose is 15 mg of meloxicam. This remedy should be taken with meals with clean water.

In the reviews, persons suffering from lower back pain note that Movalis is very effective. It works milder than NSAIDs containing diclofenac, but it is excellent in pain relief. Those who drank Movalis with a course note that this tool makes them more 'agile' – they can bend-unbend without fear of the lower back. The drug is well tolerated, but in some it provokes an exacerbation of hemorrhoids.

Advantages

• high-quality original drug;
• modern convenient tablets;
• perfectly eliminates back pain;
• convenient blisters with pills.

disadvantages

• in some, it causes recurrence of hemorrhoids.

Nimulide tablets lingual

Popularity rating: 4.7

The Indian drug Nimulide contains 100 mg of nimesulide. It has a pronounced anti-inflammatory, as well as analgesic and, to a lesser extent, antipyretic effect. This remedy well removes pains of various origins. Nimulid copes with lumboishalgia, arthralgia, as well as with pain that arose after injury or surgery.

Nimulid lingual tablets (for resorption) – round, biconvex, pale yellow. The composition contains an orange flavoring, so they leave a rather pleasant aftertaste in the mouth. For persons over 12 years old, Nimulid is usually prescribed orally, 1 tablet 2 times a day. They are taken after meals. Hold the tablet on the tongue until saliva dissolves, and then swallow.

There are mostly good reviews about Nimulid. For many, this remedy helps get rid of back pain for 4-6 hours. Conveniently, the tablet does not need to be washed down with water. Together with effective pain relief, this remedy can provoke diarrhea, nausea and heartburn, but in this matter, everything is individual. If you do not exceed the prescribed dosage and do not use the product for too long, then Nimulide is usually well tolerated.

Advantages

• lozenges;
• pleasant taste;
• pain does not return for 4-6 hours;
• approved for use from 12 years old.

disadvantages

• can provoke diarrhea, nausea, heartburn.

Nalgezin

Popularity rating: 4.7

The drug Nalgezin is produced in Slovenia. It contains the active ingredient naproxen. It is another NSAID that can effectively relieve pain, fever, and inflammation. This remedy is often prescribed by neurologists and orthopedists to their patients with pain syndromes of the spinal column, neuralgia, myalgia.

Nalgezin is produced in the form of oval, biconvex tablets. They are covered with a blue shell. Each of them contains 275 mg of naproxen. They are swallowed practically without problems. The usual daily dose, which is sufficient to effectively relieve pain, is 2-4 tablets (550-1100 mg). They should be consumed with a glass of clean water.

People suffering from back pain respond well to the drug Nalgezin. They like that the analgesic effect occurs very quickly. It also appears to be effective even when other more popular NSAIDs fail to relieve back pain. Usually the action of the drug is enough for 4-6 hours. This often depends on the dosage chosen. The most common side effects are epigastric discomfort or skin rash.

Advantages

• quickly relieves pain;
• swallowing pills is easy;
• relieves pain even in cases where the body is already used to other NSAIDs;
• acceptable price.

disadvantages

• can cause epigastric discomfort, skin rash.

Ketonal

Popularity rating: 4.7

Another pharmaceutical company from Slovenia, Lek, produces Ketonal. This is a representative of an NSAID because it contains ketoprofen. Its analgesic, temperature-reducing and inflammation-reducing properties are appropriate for radiculitis, inflammation of muscle fibers, neuralgia and other pathologies that cause pain in the lumbar region. Ketonal has been used for therapy since the age of 15.

Ketonal tablets are small, round, in a blue-colored shell. the content of ketoprofen in each of them is 100 mg. They can be placed in a dark glass bottle or on plates. This medication is taken with or immediately after food. You cannot chew the pill, and you also need to drink it with half a glass of purified water or milk. Usually Ketonal is prescribed 1 tablet in the morning and in the evening.

According to reviews, Ketonal perfectly eliminates lower back pain and more. Many people see this drug as an emergency remedy. It works well when other medicines no longer cope with severe pain. If you do not use the drug in excessive quantities, then its tolerance is good, but in some patients it can cause nausea, vomiting, dyspepsia, and abdominal pain.

Advantages

• strong pain reliever;
• tablets are easy to swallow;
• eliminate pain for 6-8 hours.

disadvantages

• can cause disturbances in the digestive tract.

Ibuklin

Popularity rating: 4.7

For the effectiveness of the drug Ibuklin, 2 substances are immediately responsible: ibuprofen and paracetamol. This combined remedy relieves pain, relieves inflammation and helps with hyperthermia. This drug should be considered as part of symptomatic therapy. It does not affect the progress of the pathological process, but at the time of taking the medicine, pain is noticeably reduced.

Ibuklin tablets outwardly resemble capsules, coated with a bright orange color. On the one hand, there is a dividing risk. Since the tablets are quite large, they can be divided in half for more comfortable swallowing. The drug is taken 2-3 hours before or after the same time after the main meal. Do not chew the tablet. You need to drink it with a glass of clean water without gases.

In reviews, people with lower back pain are often very praised by Ibuklin. They love that this remedy not only paints the lower back well, but it can be useful for colds and many other things. Consumers note that it acts quickly and the analgesic effect lasts for 3-4 hours. But with the uncontrolled use of this remedy, violations from the gastrointestinal tract cannot be avoided.

Advantages

• combined composition;
• has many areas of application;
• the presence of dividing risks.

disadvantages

• can cause disturbances in the digestive tract.

Best patches for back pain

Medicated patches can also be used to relieve lower back pain. A plastic mass of active ingredients is applied to the fabric made using a special technology. The main advantage of this dosage form is the rapid entry of NSAIDs into the systemic circulation, bypassing the gastrointestinal tract.

Voltaren transdermal patch

Popularity rating: 4.9

The Voltaren transdermal patch, which is produced in Japan and packaged in Greece, contains 1% diclofenac sodium. This dosage form has an analgesic effect in the application area, and also eliminates inflammatory processes. Against the background of the use of such a product, pain is eliminated and swelling in the lumbar region is noticeably reduced.

The shape of the Voltaren plaster is rectangular with rounded edges. An adhesive layer with a medicinal substance is applied to the polyester base. On top of this layer there is a protective film with notches and a pattern that tells you how to remove it from the surface of the patch. Each product can be designed for an area of ​​70 cm² or 140 cm². The package can contain from 2 to 5 patches.

According to reviews, one Voltaren patch is really enough for 24 hours. The pain goes away rather quickly and does not return throughout the day. Levomenthol is present as an auxiliary component, therefore, at the beginning, a cooling effect is felt, and then a slight warming. But not everyone succeeds in gluing the plaster the first time. And also some complain that he does not hold well on the lower back.

Advantages

• perfectly removes pain;
• cooling effect, replaced by light warming;
• no discomfort when worn on the body;
• there is no unpleasant smell.

disadvantages

• does not adhere well to the skin.

Nanoplast Forte

Popularity rating: 4.8

Chinese medical plaster Nanoplast Forte is made using modern nanotechnology. It contains a rare earth magnetic powder, a nanopowder producing infrared radiation in the far infrared region of the spectrum. This product is able to eliminate pain, reduce inflammation and have muscle relaxant effects.

The size of the Nanoplast Forte patch can be varied. Any package always contains 3 identical products. There is a ZIP package inside the carton. Rectangular pieces of fabric on one side are carriers of nanoparticles. If you peel off the protective tape, then the entire surface becomes sticky, and the active substance itself is in the center in the form of a black oval. Disposable plasters. They are fixed on the painful focus for 12 hours.

In the reviews, consumers note that Nanoplast Forte immediately causes a strong burning sensation, but this sensation quickly passes and a slight warming effect appears. The patch adheres well to the skin and does not come off. After removal, leaves behind a light brown sticky spot. With back pain, he worked well. The analgesic effect develops immediately, and persists throughout the entire time while the patient wears the patch.

Advantages

• developed using nanotechnology;
• adheres well to the skin;
• pleasant warming effect;
• good pain relief.

disadvantages

• leaves a light brown sticky spot on the skin after removal.

Ketonal thermo plaster

Popularity rating: 4.7

The Sandoz Registered and Manufactured in China Ketonal Thermo Patch contains iron powder. Thanks to prolonged heat (lasts up to 12 hours), it effectively relaxes deeply located muscle fibers, bringing relief from lower back pain. Such a product should not be applied to damaged areas of the skin, as well as at the site of injury or after injection.

Ketonal thermo patch is a rectangular piece of cloth soaked in iron powder, activated carbon, salt and water. On one side there is a protective sticker on which arrows show how to remove it correctly. Compared to other similar products, it is rather plump. The plaster is usually glued to dry skin, but in people over 55 years old it is better to fix it on a cotton shirt, and not directly on the lesion. The package contains 10 plasters.

The Ketonal thermal patch is usually well received. Consumers note that this product gently warms up the lower back for 10-12 hours. At the same time, it does not cause discomfort. The patch is securely fixed and does not slip from the affected lesion. It does not harm the skin and does not leave sticky marks on them after removal. Its analgesic effect is well pronounced.

Advantages

• provides dry heat;
• effectively relaxes deep muscles;
• leaves no sticky residue;
• fixes well on the skin.

disadvantages

• the plaster is thick.

The best ointments, creams, gels for back pain

When back pain occurs, many are accustomed to using ointments, creams or gels first of all. These drugs are often good pain relief and do not cause such side effects as oral medications.

Fastum gel

Popularity rating: 4.9

The pharmaceutical company Berlin Chemie produces Fastum gel. The main active ingredient of this agent is ketoprofen. The composition also contains neroli and lavender oil. Ketoprofen, by penetrating the skin barrier, enters the inflammation focus. This remedy is excellent for lumbar pain that occurs against the background of lumbodynia or injuries.

Fastum gel is on sale in soft aluminum tubes of 30, 50 or 100 g. It is a colorless, almost transparent gel. Its consistency is viscous, the smell is not disgusting. It is recommended to squeeze out a strip of the product (5-10 cm) and distribute it in a thin layer in the area of ​​the pathological focus. It is advisable to repeat the procedure 1-2 times a day. Also, some doctors prescribe Fastum to their patients for physiotherapy. The average therapeutic course is 10 days.

According to reviews, Fastum gel, when applied, is well distributed over the skin. Stickiness is felt right away, but the product dries out pretty quickly. It does not have a warming effect. Lower back pain disappears in about 40 minutes after applying the gel. Usually the drug is well tolerated, but in some patients it can cause erythema, itching or eczema at the site of application.

Advantages

• easily spreads over the skin;
• absorbs quickly;
• rather pleasant smell;
• back pain goes away in 40 minutes.

disadvantages

• at the site of application may cause itching, erythema or eczema.

Nikoflex

Popularity rating: 4.8

Hungarian ointment Nikoflex refers to local irritants. It contains 3 active ingredients: natural capsaicin, ethyl nicotinate, ethylene glycol salicylate. Lavender oil is also present as an auxiliary component. This remedy has a well-pronounced local anesthetic property for lumboischialgia, radiculitis. The drug is approved for use from the age of 18.

Nikoflex is a homogeneous white ointment with a specific odor. It is placed in an aluminum tube (50 g). The ointment is squeezed out and distributed over the skin without problems. The agent (strip 3-5 cm) is distributed in a thin layer on clean skin, without violating the integrity of the pathological focus. The first 3 days the ointment is used once a day, and then Nikoflex is used in the morning and in the evening.

In the reviews, patients report that immediately after applying Nikoflex ointment, the skin turns red and begins to bake. The burning sensation and heating are quite strong. After 15-20 minutes, relief comes and the back pain recedes. It is important to wash your hands immediately and not to touch the mucous membranes of the eyes and nose, as the oven will be unbearable. Despite its not the most sparing effect, Nikoflex ointment is very popular and many people prefer to have it in their home medicine cabinet all the time.

Advantages

• provides strong heating;
• pain subsides in 15-20 minutes;
• easily spread over the skin.

disadvantages

• initially causes severe burning.

Apizartron

Popularity rating: 4.8

German ointment Apizartron contains bee venom, methyl salicylate (NSAIDs), allyl isothiocyanate (mustard oil extract). This combined agent has a pronounced analgesic and anti-inflammatory effect. It perfectly helps with sciatica (pain in the lumbar region), radiculitis. This ointment is contraindicated in children under 6 years of age. And up to 12 years old it is used with caution.

Apizartron is a homogeneous ointment with a slightly yellowish tint and a specific odor. It is recommended to squeeze out a strip of ointment (3-5 cm) and evenly distribute it on the skin with a thin layer. After waiting for redness after 2-3 minutes, the ointment is gently rubbed. It is allowed to use the remedy 2-3 times a day until the symptoms disappear completely.

According to reviews, after applying Apizartron ointment, a rapidly growing burning sensation appears, which must be tolerated for 10-15 minutes. But after 20-30 minutes after applying this remedy, the pain in the lower back disappears without a trace. Sensitive persons do not like the process of treatment, but they are very happy with the result. Apart from the natural burning sensation from the ointment, Apizartron is usually well tolerated. Only in some cases can it provoke allergic skin reactions.

Advantages

• effective combined composition;
• removes pain without residue within 20-30 minutes after application;
• spreads easily over the skin.

disadvantages

• strong burning sensation for 10-15 minutes.

Nise gel

Popularity rating: 4.7

Indian gel Nise contains an active substance – nimesulide. It is a new generation non-steroidal anti-inflammatory drug. When the gel is applied topically, pain relief or disappearance is observed. This remedy has worked well for radiculitis, sciatica, lumbago. In children's practice, it is allowed to use it from the age of 7.

Nise is a transparent gel without splashes with a yellowish tinge. It is in tubes of laminated aluminum of 20, 50 and 100 g. The agent is distributed normally, but is not completely absorbed, therefore it can stain clothes. Nise's aroma is sweet, herbal. The agent is squeezed out in a column (about 3 cm) and distributed in a thin layer over the most painful places, without rubbing. The procedure is repeated 3-4 times a day.

Reviews of Nise in the form of a gel are mostly good. Patients note that this remedy does not have a thermal effect. The gel is consumed economically. He copes with pain in the lumbar region perfectly. The drug is usually well tolerated, but in some it can cause local reactions: itching, hives, peeling, transient discoloration of the skin.

Advantages

• New generation NSAIDs;
• unobtrusive perfume;
• spreads easily on the skin;
• excellent pain relief.

disadvantages

• not completely absorbed;
• may cause unwanted local reactions.

Diklak

Popularity rating: 4.7

German Diclac gel contains diclofenac sodium. In the field of application, this remedy eliminates pain and reduces swelling associated with the inflammatory process. It is often prescribed for pain syndrome against the background of inflammatory and degenerative diseases of the spine and joints (radiculitis, osteoarthritis, lumbago, sciatica). Approved for use from 12 years old.

Diclac is a transparent, colorless or slightly yellowish gel. It is homogeneous, without bubbles, with a specific smell. Diklak gel is on sale in tubes of 50 or 100 g. A single dose of the drug – up to 2 g (about 4 cm with a completely open tube mouth). Diclac gel is spread over the skin 2-3 times a day and rubbed lightly. It is advisable to wash your hands thoroughly after the procedure.

In the reviews, consumers note that Diclac gel is easy to apply and absorb. After it, the hands are not greasy and not sticky. After applying this remedy, the pain subsides noticeably. This drug is very comfortable to use and has many uses. It is usually well tolerated, but it can sometimes cause peeling, itching and swelling of the treated skin area.

Advantages

• easy to apply and quickly absorbed;
• hands after application are not sticky;
• excellent pain relief;
• helps with bruises.

disadvantages

• at the site of application can provoke peeling, itching and swelling.

Ketonal cream

Popularity rating: 4.7

German cream Ketonal contains ketoprofen. Its main properties are pronounced analgesic, anti-inflammatory and antipyretic effects. Ketonal cream is often prescribed for radiculitis, neuralgia and other types of back pain. This tool is approved for use from 15 years old.

Ketonal cream is on sale in tubes of 30, 50 or 100 g. The consistency of the cream is uniform. The color is almost white. It is applied evenly and absorbed quickly. A small amount of cream (3-5 cm) with light rubbing movements is applied in a thin layer to the skin of the inflamed or painful area of ​​the body in the morning and in the evening. The duration of a therapeutic course without consulting a specialist should not exceed 2 weeks.

Reviews about Ketonal cream are mostly positive. Patients like that this product does not burn or sting after application. It does not have a pungent smell. The cream is well absorbed and does not stain clothes. Pain relief occurs within 20-30 minutes after applying the drug. Usually, this external form of ketoprofen is well tolerated, but occasionally itching and erythema may occur at the site of application.

Advantages

• easy to spread, quickly absorbed;
• does not have a pungent odor;
• does not stain clothes;
• excellent pain relief.

disadvantages

• itching, erythema may occur at the site of application.

The popularity rating is based on the analysis of demand data from the wordstat.yandex.ru service.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.