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.
Old age cannot be defeated, but you can make it more comfortable
Modern pharmaceuticals, not to mention cosmetics, accompanies a person from the first birthday to his last day of life. And if he has no diseases, he is not shown any drugs, there’s always something for prevention. So, aspirin prevents heart attacks and strokes, hepatoprotectors help protect liver cells from stress in in the modern world, chondroprotectors are designed to protect cartilage the cloth.
For a long time, this state of affairs seems familiar. Exist a variety of diseases, or conditions that manufacturers beneficial to consider diseases. With some of them, people have long been get used to, and takes them for granted. Speech, of course, goes not serious illnesses such as heart attack and stroke, but more safe conditions. Perhaps the most famous of them is osteochondrosis.
Our story today is dedicated to osteochondrosis, we’ll try consider this nosological unit from all sides, and make conclusion: is it necessary to treat osteochondrosis, what you can spend your money, and which generic drugs or supplements does not make sense to acquire. We will try to provide information so that there is no more misunderstandings, and begin by determining what osteochondrosis.
- What is osteochondrosis?
- Is osteochondrosis a disease?
- What then to treat?
- About drug aggression
- Causes and symptoms
- How is chondrosis manifested?
- The best medicines for osteochondrosis: what to choose?
- Local NSAIDs
- Indications for use
- Dimexide for complications of osteochondrosis
- How to apply?
- Contraindications and side effects
- Release form, vacation, expiration date, price, analogues
- Muscle relaxants
- Tolperisone (Midocalm)
- Tizanidine (Sirdalud)
- What does osteochondrosis, protrusion and hernia not treat?
What is osteochondrosis?
Name diagnoses are subject to strict law. All inflammations end in “-it”, for example, bronchitis, thrombophlebitis. On “-oz” diagnoses that speak of sprawl, increase any tissue in the body. For example, phlebothrombosis is a condition in which there are many blood clots in the veins, amyloidosis is amyloid pathological protein accumulation in tissues, and chondrosis is pathological change in cartilage tissue, including in its places contact with the bones. After all, the cartilage at the edges are attached to the bones, providing their mobility and forming joints. Under osteochondrosis spinal pathological changes are understood numerous intervertebral discs that serve as cartilage pads between vertebrae, providing cushioning and comfort of movement in the back.
What happens to cartilage in osteochondrosis? Appear in them foci of dehydration, calcification, discs gradually become more fragile, thin and brittle, range of motion in the back gradually decreases with age, and as a result, the elderly of a person, even growth becomes slightly lower than in youth. Cartilage adjacent areas of the spongy bone of the vertebrae also undergo changes: due to increased load, which irritates the growth areas of the bone, so-called osteophytes, or coracoid growths along the edges of the vertebrae.
The further osteochondrosis goes in its development, the more vertebrae also experience changes. Osteochondrosis among diseases has not inflammatory, but dystrophic and degenerative character, that is, associated with a gradual deterioration in nutrition cartilaginous tissue, and a deterioration in their function. But let’s ask ourselves: is there always a gradual, inevitably age-related deterioration function of any tissue is a disease?
Is osteochondrosis a disease?
If you come to the Institute of Physical Education and ask students, which can’t be called sick people, go to the clinic, and do an x-ray of the spine, then what will be revealed? Show up that for every person who has reached the age of at least 23-24 years, X-ray, one or another, still very delicate signs of osteochondrosis of the spine.
The older the person, the more such signs there are: first on radiograph, and then in the clinic, that is, the actual complaints. In old age you can rarely find such a person, who would not complain of back pain, a feeling of stiffness, or even if he didn’t become as flexible as in his youth, it’s naturally. Therefore, osteochondrosis can be considered not a disease, but natural, aging process of the musculoskeletal system. Why does osteochondrosis of the cartilage of the elbow, shoulder and wrist joints, and basically, everyone is talking about the spine? Dystrophy and degeneration applies to all things, but most strongly those that have the greatest load wear out. And here we are talking primarily about the ankle joints, knee joints, Hip, and small joints between the vertebrae.
But not only the level of load determines the risk of changes in cartilage and surrounding bone tissue. For example, the maximum load is experienced by the ankle joint. During running it accounts for the entire body weight, with the exception of mass of the supporting foot. But at the same time, the ankle joint is blocky, and makes movement in only one frontal axis, only bending or unbending is possible. This “narrow” specialization allows him to maintain his function.
The intervertebral discs already have three degrees of freedom, and man can bend back and forth, as well as perform side inclinations, In addition, you can rotate around a vertical axis, standing at one place. Thus, each intervertebral disc can have an uneven load on their edges, which, in the end, with exposure to critical force will lead to its destruction, protrusion or hernia of the intervertebral disc will form.
If osteochondrosis is considered a disease, then this disease will be very interesting: only a person is always sick, and the older he is, the he suffers from “chondrosis” more often and more. In laboratory animals it is impossible to study osteochondrosis, since they do not have it. At other mammals have no such signs of osteochondrosis. it due to the fact that almost all of them use for movement of four limbs. Even higher primates do not always walk on two legs, this is done only by a person, having made upright posture the only way to travel.
Homo erectus is a unique adaptation of human an organism that had the task of freeing up hands and making them a tool of labor. Now on one side of the scales – progress, civilization, and on the second – osteochondrosis. Therefore, osteochondrosis and varicose veins of the lower extremities, flat feet, violation of posture – also purely human diseases, retribution for civilization. After all, marine mammals coming our relatives – dolphins, whales and killer whales do not have no signs of osteochondrosis because axial loads they don’t have a skeleton. Predators – lions, tigers and cheetahs, too the spine is practically not loaded, but sagging, and only in moment of attack or jump intervertebral discs use experience high blood pressure, but it does not last long.
It turns out that in the living nature of the analogues of osteochondrosis we can’t find we can. Therefore, osteochondrosis can be considered a unique manifestation aging of the musculoskeletal system, inherent exclusively to a person, which is the result of a long upright posture. If a do not want osteochondrosis – crawl your whole life on all fours, or live in the sea like Ichthyander.
What then to treat?
But this does not mean at all that osteochondrosis and its manifestations do not need to be treated and prevented. The patient develops acute and chronic back pain, limited range of motion, and quality of life is declining. All these adverse signs can significantly facilitate, and if you set your task to save activity for many years, then warn. Therefore, you need to immediately correctly call the object of treatment: this is not a person sick osteochondrosis, the doctor does not treat osteochondrosis, but caused by it effects.
Medications can relieve pain, secondary muscle pain. spasm of deep back muscles, eliminate acute radicular symptoms when swelling and shooting pains occur. Can successfully fight aseptic inflammation, but eliminate osteochondrosis as the aging process is impossible. Also impossible with chondroprotectors reverse the history wheel and do again “ancient” intervertebral discs are elastic and resilient. It is approximately the same as trying to crank back the stuffing, and get back on exit from the meat grinder a piece of meat. It’s impossible. Nevertheless, there is a giant pharmaceutical industry that from all parties “serves” osteochondrosis, and first of all – this a huge number of very different chondroprotectors, which are very successfully sold.
About drug aggression
Osteochondrosis is a very “tasty” and profitable disease, with which manufacturers literally produce a huge amount various dietary supplements and drugs that are not medications are. Why osteochondrosis is very beneficial for pharmaceutical companies? First of all:
- it flows for a very long time, for decades, the first signs appear in mature, sometimes young, and almost until his death a person can purchase one or another product;
- there are no serious complications and emergency conditions that may end in death, and which really need to be treated real medicines. Osteochondrosis is not intestinal bleeding, not peritonitis, and not an extensive heart attack, so with it much safer to deal with;
- it is impossible to cure osteochondrosis and restore youth to cartilage in principle, how it is impossible for an elderly person to put new, clean from cholesterol plaque vessels, therefore the success of constant purchases and “eternal” treatment, and most importantly – financial investments guaranteed ”
- safety: chondroprotectors are harmless because composed of chondroitin sulfate and glucosamine, these can be considered “concentrated aspic” or pork leg jellied products in capsules or tablets. Great harm even from their overdose will not be. So there will be no side lawsuits effects
- the medicine should not be potent, and sold without prescription;
- the tool should be cheap to manufacture;
- finally it is very important that there is no quantitative assessment the effectiveness of these drugs. If we take medicine for pressure, then the criterion of effectiveness will be a decrease in numbers pressure, if we treat hyperthyroidism – then as a result of taking a good remedy would be to lower thyroid hormone levels to normal values, and so on. In the case of osteochondrosis, the main the criterion is increased comfort, freedom of movement, and weakening of the pain syndrome.
But the severity of pain is a subjective sensation. It cannot be measured. Two patients with the same pain pain sensation syndrome may be different. If one came the good news that he had a long-awaited in his family addition, pain will be easier to tolerate against a background of good mood. If the second patient was sent, on the contrary, bad the news that his house was robbed can be imagined that in the first patient the emotional coloring of pain will lead to decrease in its intensity, and in the second patient – to a significant worsening.
Therefore, all these tricks associated with the assessment of pain arbitrary way, allow pharmaceutical companies to fish in turbid water, add non-steroidal chondroprotectors anti-inflammatory compounds. They certainly relieve pain and reduce inflammation, and no one to abandon this market going because the swollen osteochondrosis problem is billions of dollars in revenue for pharmaceutical companies, and indeed safe.
Osteochondrosis and vitamins – these are two whales, due to which you can exist pharmaceutical companies, and completely comfortable. No need modern expensive research, billions of dollars spent on pharmaceutical plants, molecular genetic technology.
Such an impressive introduction was necessary so that the reader fully appreciate the taste of the problem of osteochondrosis, and its exorbitantly inflated meaning. Before moving on to a small a group of drugs that really work, recall what the real reasons we are for this suffering, and how this pathology is manifested.
Causes and symptoms
Since we now know that osteochondrosis is like aging discs – an inevitable process, we will not talk about the causes of osteochondrosis as a disease, but about the reasons that accelerate the onset of old age intervertebral discs, and make this old age uncomfortable. it the presence of flat feet, a lot of overweight, a sedentary lifestyle and lack of physical activity, limitation of pure water in the diet, wrong food set. If a person does not receive fiber, fish, meat, vitamins, and tries to eat fast food, refined sweet fizzy drinks products, including canned ones – this does not violate only trophic cartilage, but also leads to the suffering of everything organism.
Bad habits, improper weight transfer, hypothermia also speeds up disk aging. Of course, you can’t be discounted. and congenital disorders, changes in the structure of bones and cartilage tissue scoliotic deformity stoop that lead to premature wear of the intervertebral discs. But speaking of the average person, then the onset of osteochondrosis entirely on his conscience, since he himself is to blame, and wrong Lifestyle. Anyone who tries to eat right does gymnastics, engaged in swimming – has every chance of a long and active life.
How is chondrosis manifested?
And now that we know that osteochondrosis is aging the spine and its auxiliary apparatus, it will not be difficult for us name all the main symptoms yourself. First of all, it is:
- limitation of mobility, it is a necessity in the morning and after sleep “diverge”. It is difficult for the patient in the morning, especially in old age get out of bed and start moving, and after 2-3 hours he gradually included in the form;
- chronic, aching back pain, most often in the lower back, which lead to limited range of motion. These are intensified and provoked after a sharp movement, and especially after hypothermia. The cause will be chronic muscle spasm.
Perhaps these are the main signs of such a sluggish process. It may be objected that there are still sharp, shooting pains when a person can neither breathe nor turn, resembling a blow electric current.
They can say that with osteochondrosis “all the time” patients headaches, dizziness attacks, appear nausea and vomiting, there is a violation of sensitivity, crawling “goosebumps” and numbness of fingers and toes, and even progressive muscle weakness, i.e. flaccid, or peripheral paralysis.
Yes, all of these symptoms can also occur, but only with complications. This is the presence of protrusions and hernias with compression of the nerve roots, spinal cord lesions, or myelopathy, syndrome ponytail, which causes numbness of the perineum, urination disorders and erectile dysfunction.
But all these conditions are no longer normal, calm aging. spinal apparatus, and complications. Such patients need consultation of a neurosurgeon regarding the need for prompt interventions. After all, with the progression of neurological symptoms, all conservative therapy, all medications, physio, exercise therapy will be ineffective. Moreover, if the above progressive symptoms bother you, then you need to contact it first to a neurosurgeon after an MRI of the spine.
Now consider those few drugs that may help a patient with acute and chronic back pain. it will be more correct than looking for a panacea for a hypothetical osteochondrosis as a disease.
It is known that in the treatment of musculoskeletal diseases apparatus with the help of drugs the main role is played by non-steroidal anti-inflammatory drugs. With osteochondrosis, inflammation initially does not underlie the pathological process, but it is quite joins, so to speak, in the course of action. Changes in cartilage changes, protrusions, osteophyte growth lead to compression of the nerve roots, the occurrence of inflammatory focus, swelling, and the appearance of classic signs inflammation. Therefore, it is NSAIDs, in the form of tablets, injections, in the form of topical preparations, ointments, creams and gels are applied first queue.
Also to relieve the secondary muscle component – spasm and a group of muscle relaxants is used to improve blood circulation central action, a complex of vitamins of group B, which called neurotropic, and other drugs. We are already many times described by many representatives of these groups, so we restrict ourselves only with such medicines, which have not yet been said.
The best medicines for osteochondrosis: what to choose?
|Nomination||a place||Name of product||price|
|Local NSAIDs||1||Dimexide||71 rub|
|Muscle relaxants||1||Tolperisone (Midocalm)||353 rub|
|2||Tizanidine (Sirdalud)||185 rub|
Arcoxia is not only a modern NSAID, a selective inhibitor cyclooxygenase type 2, but the drug also shows a high degree of selectivity. Almost 95% is the connection with the right enzyme isoform (COX-2). That’s why this drug is safe, and can be used even in patients with compromised the mucous membrane of the stomach and duodenum, that is, patients with various forms of gastritis and even peptic ulcer stomach, though in remission and with certain cover drugs (omeprazole). Etoricoxib, or Arcoxia, is capable of inhibit cyclooxygenase depending on the dose. Nor does he has no effect on the first type of enzyme, on which very “ancient” medicines such as Diclofenac affect.
After taking a standard dose of Arcoxia, the maximum concentration in plasma occurs after an hour. The drug is being processed, or metabolized in the liver, and even its metabolites do not affect cyclooxygenase type 1.
Like other drugs from the NSAID group, etoricoxib is indicated for treatment of pathology of the musculoskeletal system. It is different forms of osteoarthrosis, severe inflammation in systemic pathology (rheumatoid and ankylosing spondylitis). Shown Arcoxia also as a symptomatic treatment for pain gout arthritis-related inflammation syndrome and complicated forms of osteochondrosis.
Arcoxia copes with pain and inflammation, but rupture of the mechanism inflammation and amelioration of symptoms does not mean elimination causes of inflammation. Therefore, this drug should be prescribed better only in short courses, in the first days after acute back pain, or in the lumbar spine. Therapeutic dose that relieves pain in the intervertebral well hernias, – no more than 90 mg once a day, and after stopping acute pain, the drug is prescribed in a dosage of 60 mg once a day. The duration of Arcoxia drug therapy should not exceed a week.
An immutable law applies to this remedy, which can be applied to all drugs from the NSAID group. The dose should be as low as possible, and the treatment course should be as can be shorter.
It should be mentioned that Arcoxia, like other drugs from the coxib group, are not available in parenteral ampoules introduction. Therefore, in the case of acute back pain, especially in the first and the second day, that is, during the debut of an intervertebral hernia, or her severe exacerbation, injection can be used first drugs, the same Movalis or even Ketanov.
After two to three days of injecting medication, you can switch to tablets, and here etoricoxib will at the same time quite powerful and safe drug.
- Contraindication to use is:
- universal combination of bronchial asthma, sinus polyposis and intolerance to aspirin;
- history of ulcerative bleeding;
- an active state of erosive gastritis or a stomach ulcer and the duodenum;
- exacerbation of inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis;
- hemorrhagic syndrome and hemophilia, decreased coagulation blood
- severe renal and hepatic insufficiency;
- high numbers of blood pressure.
Arkoxia is contraindicated during pregnancy and during breastfeeding, as well as children and adolescents, young men and girls under 16 years old. The drug can be used, but carefully in the presence of ulcerative history, Helicobacter pylori infection, in people with diabetes and chronic alcoholism, and also in individuals taking anticoagulants, such as warfarin, or disaggregants, e.g. Curantyl, clopidogrel or acetylsalicylic acid.
Dimexide, or dimethyl sulfoxide, has been known to science for more than 150 years old. The industrial production of dimexide was started in 1960, when chemists became interested in him, because he represents very good non-proton bipolar solvent. Respectively, increased number of publications in scientific journals, and again The open beneficial properties of Dimexidum have become widely used in medicine.
Dimexide is used only externally, and is anti-inflammatory agent completely separate, not belonging to the well-known group of NSAIDs. Dimexidum action – local mild analgesic, mild antiseptic (antimicrobial), and fibrinolytic that promotes resorption of hematomas and bruises.
With applications of Dimexidum, inflammatory edema decreases tissues due to increased microcirculation and improved outflow from small veins. The fact is that Dimexide has a local irritant action, and increases blood flow to the capillaries, and, accordingly, outflow. Dimexide also improves activity. neutrophils that destroy harmful microorganisms (in their tissues called macrophages), and reduces the content in the peripheral blood immune complexes.
It is very important that Dimexidum is not toxic and not accumulates in the body, that is, it is not capable of cumulation. If a moisten a tissue with Dimexidum and apply it to the skin, i.e. make the application of the drug, then after 10 minutes Dimexide appears in the blood serum, and reaches its maximum peak concentration, on average, after 6 hours. Through for two days, Dimexide is completely excreted from the body without residue, through the kidneys.
An interesting feature of Dimexidum can be considered its allocation through the lungs, with exhaled air. We all know a bad smell “fumes” from individuals who consumed a large amount on the eve alcohol drinks. This is because ethanol processed in the body, and also excreted by the lungs. Dimexide also leaves the body with exhaled air, but only in the form restored form, and therefore, if the patient is intensively treated Dimexide, then it smells like garlic. This is due to the presence of sulfhydryl groups, which provide a specific smell in both cases.
Indications for use
The properties of the solvent allows Dimexidum to penetrate many tissues that are biological barriers across membranes, and it is absorbed deep into the skin. That is why he is most It is indicated in the treatment of diseases of muscles and joints, that is, with pathology of the musculoskeletal system. Pain medication and anti-inflammatory effect, improved microcirculation, decrease the release of biogenic amines such as histamine and bradykinin in the outbreak inflammation, as well as antiseptic and fibrinolytic effect – made it indispensable in the treatment of other diseases of the bone – muscle system. The combined use of dimexide with others drugs, for example, with electrophoresis leads to enhancing their impact. Dimexide in this case is a conductor through the skin of many drugs.
The main indications for topical use of dimethyl sulfoxide are:
- rheumatoid arthritis;
- injury to tendons, ligaments and soft tissues, bruises, accompanied by edema;
- Ankylosing spondylitis (ankylosing spondylitis);
- sciatica and intercostal neuralgia, sciatica;
- discogenic complications of osteochondrosis (protrusion and hernia).
Particularly emphasized is the effectiveness of Dimexide in infectious and inflammatory skin diseases such as erysipelas inflammation, furunculosis, streptoderma.
Dimexide for complications of osteochondrosis
Of course, Dimexidum does not cause any disappearance of the hernia. ABOUT how to immediately and permanently cure a herniated disc is described at the end articles. Dimexide acts like injections and pills. Recall slightly pathological physiology.
With the development of protrusion, and especially a hernia of the intervertebral disc, she begins to put pressure on the surrounding ligaments, muscles, and nerve roots. Due to the fact that a person tilts, turns, bends the spine, hernial protrusion begins produce not only static pressure, but also mechanical constant irritation of soft structures in the same way as it does tight shoes, leading to the appearance of corns.
In the case of a hernia, aseptic, i.e. non-microbial, develops inflammation associated with a physical traumatic factor. Soft tissue swelling appears, circulatory deterioration occurs deep back muscles in this segment, their spasm occurs, and persistent and prolonged secondary muscle pain appears. You can even to feel the condensed tubercles of spasmodic muscles, and this phenomenon called myofascial-tonic syndrome. It is he causes chronic back pain.
In addition, edema compresses the nerve roots, which leads to the development of neurological symptoms: acute attacks of pain in back, like lumbago electric current, such as lumbago, and also conduction disorders, for example disorders sensitivity of the radicular type: “crawling creeps in the legs” and numbness in stripes, like stripes.
In this case, the effect of using this tool will be exactly the same as taking non-steroidal anti-inflammatory preparations. The main effects of Dimexide are as follows: decrease inflammatory manifestations, reduction of edema. Swelling reduction leads to the elimination of lumbago, because nerve roots cease to experience excessive compression.
But the main effect of Dimexidum is the effect on deep back muscles. Secondary myofascial syndrome resolves, muscle microcirculation is restored, and muscle spasm disappears. This allows you to improve the quality of life and increase range of motion in the back. Additionally Dimexidum slightly warms up the deep layers of the skin, and this is also an additional healing Effect.
How to apply?
Dimexide can be used only locally, in the form of lotions, compression dressings, and apply it only to the skin, not to mucous membranes. Pure Dimexide can not be applied immediately, and most often 50% diluted twice with water is used. In that case, if we are talking about sensitive areas of the skin, then Dimexide should dilute even more.
First, before the first treatment, it is necessary to check skin sensitivity. To do this, you need Dimexide, diluted in half with water, apply to the wrist area or elbow and wait 10-15 minutes. If there will be no reactions in the form of itching, intense redness and irritation, then treatment can begin.
Dimexide, diluted in half with water, moisten gauze a napkin or a clean, small cotton towel. His imposed on the back, in the area of the affected disc with a grip neighboring vertebrae. Usually a square napkin 2020 is enough see. The wetted napkin must be covered with waterproof cellophane or plastic wrap, and even higher put dry towel. Thus, conditions are created for the accumulation of heat and more effective effects of Dimexidum. Application Duration – from 20 to 30 minutes, procedures are carried out daily, for 1-2 weeks. Since the skin of the back, and especially the lower back, is thick and insensitive, then some patients can be bred Dimexidum in the amount of 1 part of the drug to 0.5 parts of water, or even apply stronger solution, up to a pure preparation without dilution, but you always need to start with half concentration, observing gradualness.
Contraindications and side effects
Dimexide has a fairly large number of side effects and contraindications. It is forbidden to use in children under 12 years old, pregnant and lactating women. It is forbidden to use it when strokes, and especially in the acute period. Contraindication is coronary heart disease, myocardial infarction, angina pectoris, and severe hepatic and renal failure.
When prescribing, remember that Dimexide may enhance the influence of local drugs, and not only their effect, but also their toxicity, if any. In some cases there may be redness of the skin after removing the bandage, and even the phenomenon contact dermatitis. The treatment area may gradually increase pigmentation, and the skin becomes dry. Patient may experience lung burning sensation. In the air exhaled by the patient will be felt the smell of garlic, and in some cases, with poor tolerance, there may be bronchospasm and difficulty exhaling. Naturally, there is patients who just don’t like the smell of this remedy and it they feel nauseous.
Release form, vacation, expiration date, price, analogues
Dimexide is currently available in pharmacies in two forms, and both are for local use. The most a well-known and long-produced form is a concentrate for preparation of the solution in 100 ml and 50 ml vials. Price a large bottle ranges from 33 to 50 rubles, and the cost a small bottle – from 35 to 75 rubles. Here is such an interesting price politics. There is a second form, Dimexide in the form of a gel. He is more easy to apply and one tube weighing 30 grams containing 25% Dimexidum, costs in pharmacies from 140 to 178 rubles.
These prices are relevant for pharmacies of all forms of ownership in major cities of the Russian Federation as of November 2019.
As for any analogues, then at Dimexidum they are absent. This means that there are no other names for this tool, and get confused, or mistakenly buy something, it doesn’t work out in any way. Produces Dimexide in bottles domestic Tula pharmaceutical factory, as well as OAO Tatkhimpharmpreparaty, “Iodine technologies and marketing”, and some other manufacturers. The gel form of Dimexide is produced by the Russian pharmaceutical Farmamed LLC, as well as a number of manufacturers. Imported Dimexide manufacturers in Russia are not registered. Any Dimexide – domestic production. You can buy Dimexidum without recipe, it is stored at room temperature, but not longer than 2 years old.
Treatment for acute back pain will be incomplete without a prescription muscle relaxants. By eliminating secondary muscle spasm, they improve blood circulation, and help reduce the severity of chronic pain in the back, which often accompanies more or less even a state of remission with protrusions and hernias.
Currently, the following are most commonly used. muscle relaxants: Midokalm and Sirdalud. The advantage of Midokalm is that it can be used in the early days of acute pain, since it is available not only in tablets, but also in ampoules for intramuscular injection. This form of release is called Midokalm – Richter. “Tizanidine, or Sirdalud, is not prescribed in the acute period, since it is available only in tablets. Other drugs that have a strong and rude effect, such as Baclofen, for the treatment of acute back pain with protrusions and hernias not applicable.
Tolperisone – the original drug Midokalm, produces Hungarian pharmaceutical company Gideon Richter, packaged in 5 ampoules (1 ml). In addition to tolperisone, lidocaine was added to the solution for pain relief since tolperisone alone is enough painful with intramuscular injection. Such packaging costs 475 rub.
Lidocaine belongs to the group of central muscle relaxants, and affects special reflexes of the spinal cord. The result is reflex readiness in the reticulospinal tract decreases, and peripheral blood circulation in the muscles increases. Along the way tolperisone has a slight anti-adrenergic and antispasmodic effect.
This drug is indicated for all conditions in which spasm and increased tone of striated muscles are observed. it not only acute and chronic back pain, but also a stroke, multiple sclerosis, muscle spasticity with large arthrosis joints. It is also used in complex treatment after traumatological operations. Apply Midokalm necessary intramuscularly, one milliliter twice a day. Contraindicated Midokalm in severe forms of myasthenia gravis, pregnancy, feeding breast, as well as in children up to 18 years.
Sirdalud is available only in tablets, which means that it it is undesirable to use in the early days with especially severe pain syndrome. His task is mild, supportive therapy during fading exacerbations, when the pain is not so strong, but secondary myofascial syndrome is still preserved.
Sirdalud produces a noticeable side effect: preferably not apply to persons who drive a car since Cirdalud causes drowsiness, and very often. But if he is appointed by which prevent back pain from falling asleep, is quite effective decision.
It must be remembered that tizanidine should be withdrawn slowly, especially in the event that the treatment was long. If cancel it sharply, then the patient may increase blood pressure, and develop a tachycardia attack. If you know about these features the drug, then it can be used for protrusion and hernia during 10-12 days, and then transfer the patient to the hardware or manual physiotherapy and swimming. Cirdalud is produced by Novartis, and a package of 30 tablets of 4 mg costs 300 rubles.
What does osteochondrosis, protrusion and hernia not treat?
It should immediately be clarified that in the Russian Federation there is no the ability to treat even very severe acute back pain, caused by a hernia with narcotic analgesics, for example with applying a patch Durogezik. What is applied in developed countries such as USA, UK, Israel, where hernia treatment conducted according to modern standards and with great efficiency, in Russia is almost impossible. The doctor who prescribed for acute and non-stopable back pain Durogezic at least at risk to remain without a position, and, in extreme cases, – to take over close attention of the relevant authorities.
It is also not accepted to treat intervertebral hernias and osteochondrosis with using drugs called antispasmodics. For example, Baralgin or No-shpa will be ineffective because they relax in mostly smooth muscles of internal organs, and do not have relationship to the back muscles, although they anesthetize cramps with gallstone disease.
It is useless to “treat” an intervertebral hernia with analginum, and others “ancient” drugs. Aspirin will not have any effect on pain, all varieties of acetylsalicylic acid, as well as paracetamol. Their task is to lower the temperature. By the way, with exacerbation osteochondrosis and the appearance of back pain due to protrusions and hernias temperature never rises.
If there is a fever amid back pain, then it is possible a serious sign of exacerbation of pyelonephritis, the presence of atypical forms cholecystitis and appendicitis with irradiation in the back, and other serious diseases.
Do not treat osteochondrosis, protrusion and hernia, using various angioprotectors, such as pentoxifylline, trental and others. Them the goal is to improve capillary microcirculation in such diseases, like diabetes, Raynaud’s syndrome, and so on. Insofar as since the intervertebral cartilage is completely devoid of any vessels, then apply them pointless. And to improve microcirculation in spasmodic muscles is not makes sense, since muscle spasm should be removed first (using muscle relaxants), and then the muscle itself can cope without additional funds.
Various “droppers” or intravenous infusions are not shown: because the primary task is to remove inflammation and remove swelling, and adding fluid to the body prevents this, and can only intensify the pain. True, in some cases on the first day with acute back pain can additionally relieve edema by prescribing lungs diuretics that will not harm the heart and keep potassium in the body. So, spironolactone (or Veroshpiron) for one to two days for this purpose.
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