15 best shots for low back pain

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 know firsthand about back pain. Radiculitis, lumbago (lumbago) often lead to temporary disability. Such unpleasant sensations are most often provoked by degenerative and destructive changes in the lumbosacral spine. Also, back pain can occur due to congenital anomalies in the development of the spinal column, infectious processes or neoplasms.

Some people tolerate low back pain quite easily. And for others, this state is sometimes simply intolerable. In any case, you cannot do without drugs, exercise therapy, physiotherapy. And the main thing is that all this should be prescribed by a competent specialist. If a primary disease is established that provokes low back pain, then it is treated first of all.

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 lower back pain with injections from the following groups: NSAIDs, muscle relaxants, B vitamins, chondroprotectors. In this review, we have collected the best of them and consider their pros and cons.

Rating of the best injections for low back pain

Nomination a place Name of product price
The best NSAID shots for low back pain 1 Voltaren 262 r
2 Dexalgin 262 r
3 Artoxan 659 r
4 Ketonal 243 r
5 Ketanov 116 RUB
The best injections with muscle relaxants for back pain 1 Mydocalm RUB 517
2 Calmirex RUB 314
3 Tolmio 587 r
The best injections with B vitamins for lower back pain 1 Milgamma 459 r
3 Compligam B 148 RUB
4 Binawit 239 r
The best shots to prevent back pain 1 Traumeel S 836 RUB
2 Don RUB 1,162
3 Hondroguard RUB 781

The best NSAID shots for low back pain

Nonsteroidal anti-inflammatory drug shots are the main medicines for relieving low back pain. They are guaranteed to eliminate discomfort for 4-6 hours. But they should not be abused as they negatively affect the organs of the digestive tract.


Popularity rating: 4.9


The pharmaceutical company Novartis (Switzerland / Slovenia) produces Voltaren injections. The active ingredient of this drug is diclofenac sodium. It has a pronounced anti-inflammatory, analgesic and antipyretic effect. After injection, relief from non-rheumatic pain occurs in 15-30 minutes. The drug has proven itself well for various pain syndrome from the spine, 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 once a day and no more than 2 consecutive days. The injection is supposed to be done deep in / m. For this, the outer quadrant of the gluteal region is selected. The solution should be injected immediately after opening the ampoule. Voltaren injections are suitable for use by adults and adolescents from the age of 18.

According to reviews, this drug with diclofenac perfectly removes lower back pain. Patients note that Voltaren injections themselves are painless. The ampoule with the medicine is easy to open. As a pain reliever and relieves inflammation, they work perfectly, but often cause side effects from the gastrointestinal tract (nausea, stomach pain, exacerbation of hemorrhoids). But more often this happens if you make such injections longer than the prescribed period.


  • remove back pain for 4-6 hours;
  • painless injections;
  • ampoules are easy to open.


  • badly affect the digestive tract.


Popularity rating: 4.8


The pharmaceutical company Berlin-Chemie (Germany / Italy) produces Dexalgin injections. They contain dexketoprofen, which has a pronounced analgesic, anti-inflammatory and antipyretic effect. Low back pain disappears within 30 minutes after parenteral administration and this effect lasts for 4-8 hours. This drug is widely used to relieve pain of various origins.

Ampoules (2 ml each) of Dexalgin are made of dark glass. Each contains 50 mg of dexketoprofen. The drug is intended for intravenous or intramuscular injections. The maximum daily dose is 150 mg (3 ampoules). But without special need, you should not do more than one injection every 8-12 hours. Patients note that when administered intramuscularly, Dexalgin itself is quite painless.

Reviews about Dexalgin are mostly good. Many people say that for them it is the most powerful NSAID pain reliever. After such an injection, you can forget about lower back pain for almost the whole day. Moreover, the analgesic effect is equally well felt regardless of the nature of the pain (neurological or provoked by pathologies of internal organs). If the drug is used infrequently, then there are practically no side effects.


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


  • not available without a prescription everywhere.


Popularity rating: 4.7


The pharmaceutical company Rotapharm Limited (UK / Egypt) produces the drug Artoxan. It contains an active ingredient – tenoxicam. In addition to anti-inflammatory, analgesic and antipyretic effects, the drug also prevents platelet aggregation. The analgesic effect develops in 30-60 minutes and lasts throughout the day.

Artoxan is a lyophilisate from which a solution is prepared for intravenous and intramuscular administration. The complex contains a vial of lyophilized powder (20 mg tenoxicam) and an ampoule with water for injection (solvent). Intramuscular or intravenous injections are given for a short time (1-2 days) at 20 mg 1 time per day. The injections themselves are painless.

In reviews, people with lower back pain note that Artoxan has a pronounced analgesic effect. Subject to all recommendations for the administration of the drug and the frequency of injections, side effects develop extremely rarely. Some people note that after the injection of Artoxan, their pain disappears in 3-5 minutes, which justifies the rather high cost of this drug. To minimize side effects, do not inject 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 manufactures Ketonal. It contains ketoprofen, which has anti-inflammatory, antipyretic and analgesic effects. Ketonal injections are widely used to eliminate lumbar pain in adults and children over 15 years old. The analgesic effect develops 10 minutes after the injection and lasts for 3-4 hours.

Ketonal's ampoules are made of dark glass. Each of them is 2 ml and contains 100 mg of ketoprofen. The maximum daily dose is 200 mg (2 ampoules). At home, intramuscular injections are more often done, and it is better to administer this drug intravenously in a hospital setting. The injections themselves are quite painful, but the subsequent positive result prompts you to endure these temporary unpleasant sensations.

According to reviews, Ketonal is good at eliminating low back pain. Patients note that the effect develops rather quickly, but after the first injection, discomfort may return after 3-4 hours. But the next day, the analgesic effect lasts longer. However, it should be borne in mind that Ketonal has many side effects, which are more pronounced with prolonged use.


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


  • painful injections.


Popularity rating: 4.5


The Romanian-Indian drug Ketanov contains the active ingredient ketorolac. It has a pronounced analgesic effect, also has an anti-inflammatory and moderate antipyretic effect. In terms of pain relief, it is often equated to morphine. Ketanov is significantly superior to other drugs related to NSAIDs.

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

According to reviews, Ketanov is a strong pain reliever for the 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 itself is small. This is a strong drug with a large number of side effects, which has an effect only at the time of administration and does not affect the progress of the disease, therefore, it is advisable to use it only in special cases.


  • the effect of pain relief is equivalent to morphine;
  • does not cause drug dependence;
  • ampoules are easy to open.


  • sore injections.

The best injections with muscle relaxants for back pain

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


Popularity rating: 4.9


The Hungarian pharmaceutical company Gedeon Richter produces the drug Midocalm. It contains 2 components: tolperisone (a centrally acting muscle relaxant) and lidocaine (a local anesthetic). It is widely used for hypertonicity and muscle spasms against the background of pathologies of the musculoskeletal system, including localization in the lumbar region.

Ampoules of Mydocalm, made of dark glass, 1 ml each contain 100 mg of tolperisone and 2.5 mg of lidocaine. The solution for injection can be administered intravenously or intramuscularly. Intravenous inject 1 ml 1 time per day. And intramuscular injections can be given 1 ml 2 times in 24 hours. This drug is only used to treat adults over 18 years of age. The first injections of Mydocalm are best done under the supervision of a specialist.

In the reviews, patients note that this Hungarian muscle relaxant, along with NSAIDs, is very effective. As the hypertonicity of the muscles in the lumbar region is eliminated, the pain syndrome is noticeably relieved. Many praise Midocalm, noting that the injections themselves are painless, and muscle relaxation does not take long. But some note that during its use, their blood pressure is noticeably reduced. And it is also a little inconvenient that the ampoules need to be stored in the refrigerator.


  • effectively eliminates muscle hypertonia;
  • enhances the action of NSAIDs;
  • injections are painless.


  • lower blood pressure.


Popularity rating: 4.8


Russian PharmFirma Sotex produces an analogue of Midocalm – the drug Kalmyrex. This drug is also a centrally acting muscle relaxant. Its 2 active ingredients are tolperisone hydrochloride and lidocaine hydrochloride. This medicine is good for back pain syndrome caused by hypertonicity and spasm of the striated muscles.

Calmirex is produced in 1 ml ampoules of dark glass. There are 2 ways of administration for this muscle relaxant: intravenously and intramuscularly. Compared to the Hungarian drug, this one has many more potential side effects. Calmirex should also be kept refrigerated at 8 ° C to 15 ° C. While undergoing treatment with such injections, it is better to refrain from driving.

Many patients believe that Calmirex is in no way inferior to Midocalm. It also effectively relieves muscle spasms, which noticeably relieves lower back pain. If you follow the instructions for use, then Kalmyrex is quite well tolerated. But especially in hypotensive patients, it can cause dizziness and a strong decrease in blood pressure.


  • a cheaper analogue of Mydocalm;
  • perfectly relieves hypertonicity;
  • painless injections.


  • a large list of possible side effects.


Popularity rating: 4.7


Another generic drug Midocalma – Tolmio is produced by the Russian pharmaceutical company Binnopharma. This medicine also belongs to muscle relaxants and contains 2 active components: tolperisone and lidlcaine. Tolmio is excellent for treating painful muscle spasms associated with musculoskeletal disorders. Such injections are allowed from the age of 18.

Tolmio is sold in 1 ml light-protective glass ampoules. The concentration of active ingredients is the same as that of Midocalm. Adults are given intramuscular injections of 1 ml 2 times in 24 hours or 1 ml 1 time a day intravenously. In order for the drug to retain its effectiveness, it must be stored in a refrigerator, where the temperature regime does not go beyond – 8-15 ° C.

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


  • quality generic Mydocalma;
  • perfectly eliminates painful muscle spasms;
  • the injections themselves are painless.


  • there are side.

The best injections with B vitamins for lower back pain

B vitamins are neurotropic. They have a noticeable effect on all kinds of processes in the nervous system (metabolism, metabolism of mediators, transmission of excitement). Vitamins of this group enhance analgesia when used simultaneously with NSAIDs.


Popularity rating: 4.9


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

Milgamma is a red solution for intramuscular administration with a characteristic odor. It is housed in brown sunscreen vials (2 ml). Injections are performed deeply in the / m. If the pain syndrome is very pronounced, then to quickly achieve a high 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, the injections are practically painless. Although especially sensitive persons still hurt. If, along with NSAIDs and muscle relaxants, injections of B vitamins are given, then relief comes much faster. Among the possible side effects, patients most often experience subcutaneous eruptions.


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


  • can provoke subcutaneous eruptions.


Popularity rating: 4.8


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

Neuromultivitis is sold in 2 ml dark glass ampoules. They contain a red solution with a characteristic vitamin odor. Such injections must be kept at temperatures between 2 ° C and 8 ° C. With severe pain, therapy begins with intramuscular (deep) injection of 2 ml of the drug daily. The treatment continues for 5-10 days. Then they switch to more rare injections (2-3 times in 7 days) for 2-3 weeks.

According to reviews, Neuromultivitis is very painful injections. The very procedure of introduction is a real torture, but the pain in the lower back is noticeably weakened literally in a matter of days. Patients also note that when agreeing to such injections, one must be prepared for the fact that the whole body will be saturated with a vitamin smell.


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


  • very painful injection.

Compligam B

Popularity rating: 4.7


Russian Pharmaceutical Firm Sotex produces an analogue of Milgamma – Compligam B. This drug contains B vitamins (thiamine, pyridoxine and cyanocobalamin), as well as lidocaine. This complex is actively used in muscular-tonic syndrome with localization of lower back pain, in radiculopathy, lumboishalgia or other pathological processes of a neurological nature.

Ampoules Kompligam B are made of dark glass. Each of them contains 2 ml of pink-red liquid intended for intramuscular administration. The drug should be injected deep into the gluteus maximus muscle and done slowly. If you hurry, then there may be a violation of spatial orientation, heart rhythm disturbances, convulsions.

Reviews of Compligam B are mostly good. Patients note that these Russian injections work no worse than Milgamma. In 5 days of complex treatment, you can completely get rid of lower back pain if it is of neurological origin. But despite the fact that the solution contains lidocaine, some still consider these injections quite painful.


  • composition similar to Milgamme;
  • the presence of lidocaine reduces pain when administered;
  • ampoules are easy to open.


  • with a rapid introduction, dizziness, arrhythmia, convulsions may appear.


Popularity rating: 4.6


Armavir Biofactory produces Binavit, which is also a generic of Milgamma and repeats the composition of that complex. The B vitamins are here supplemented with lidocaine. Neurotropic vitamins have a beneficial effect on inflammatory and degenerative-destructive diseases of the nerves. Due to this, lower back pain is effectively eliminated.

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

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


  • available analogue of Milgamma;
  • relatively painless injections;
  • ampoules with a colored breakpoint.


  • the body is strongly saturated with a vitamin scent.

The best shots to prevent back pain

To prevent back pain, drugs are used that stimulate tissue repair.

Traumeel S

Popularity rating: 4.9


The German homeopathic remedy Traumeel S contains a large amount of natural ingredients of plant origin. This remedy is used for inflammatory and dystrophic diseases of the musculoskeletal system and injuries. Traumeel C components are able to eliminate inflammation, reduce swelling and pain in the lower back.

This homeopathic remedy is produced in conventional ampoules (2.2 ml) of transparent glass. The solution is also colorless and odorless. Assign 1-2 ampoules 1-3 times in 7 days / m. Periarticular administration is also possible. The frequency of use and the duration of the course should be prescribed by the attending physician. It is also recommended to take several dosage forms of the drug at the same time (tablets, drops, ointment).

According to reviews, Traumeel C injections are completely painless. Noticeable improvements are observed after the first week of use. Many people say that it was Traumeel S that put them on their feet. Usually this homeopathic remedy is well tolerated, but occasionally redness, swelling, itching at the injection site may appear. Some even practice the contents of the ampoules to be taken orally, rather than injecting.


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


  • can cause local manifestations of allergies.


Popularity rating: 4.8


The Italian pharmaceutical company Rottapharm produces Don's drug. It has anti-inflammatory and analgesic effects, replenishes the endogenous deficiency of glucosamine, which is just the main active ingredient. Another medicine contains lidocaine. This remedy is appropriate to use if lower back pain is provoked by osteochondrosis.

Don is sold as a set of solution A (medicine – 2 ml ampoule) and solution B (solvent – 1 ml ampoule). This product is intended solely for intramuscular administration. Both solutions are mixed in one syringe before use. The prepared solution (3 ml) is injected in / m 3 times in 7 days for 4-6 weeks.

In the reviews, patients note that Don's injections themselves are quite painless. They not only relieve inflammation and relieve pain, but also have a positive effect on cartilage and joints. But since the injections should not be injected every day, the treatment process lasts 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 practically painless.


  • digestive disorders or allergies are possible.


Popularity rating: 4.7


The Russian pharmaceutical company Sotex produces the chondro-stimulating agent Hondrogard. Its main active ingredient is sodium chondroitin sulfate. During therapy with this remedy, pain decreases, and the mobility of problem joints also improves. If lower back pain is provoked by degenerative-dystrophic diseases, then this remedy can be very effective.

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

According to reviews, Hondroguard is a painful injection, but the manipulation of the injection can be tolerated. With the course use of this injectable chondroprotector, it is possible to protect oneself from the appearance of lower back pain. The drug is well tolerated. Allergic reactions are extremely rare. But many are confused by the price of Hondrogarad and the specific smell of the solution.


  • significantly reduces pain;
  • improves joint mobility;
  • the solution is already ready for administration.


  • the injections are painful enough.

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

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.

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