How to treat cervical osteochondrosis drug

The main objective of drug treatment is to eliminate the symptoms, which allows you to focus on the treatment of the disease.

It is cervical osteochondrosis that is most difficult to treat. The fact is that in the cervical spine there are the most important nerve endings and blood vessels supplying blood to the brain.

The cervical muscles are in constant tension most of the time. All this leads to vivid and prolonged manifestations of characteristic symptoms.

The essence of drug treatment is to take medications, both during seizures and in between. Medications are taken to start tissue regeneration, eliminate pain, improve blood circulation.

Special preparations for vasodilatation should be drunk during the manifestation of various side symptoms, for example, dizziness, increased blood pressure, as well as several others.

The effectiveness of drug treatment of cervical osteochondrosis largely depends on how the disease manifests itself. That is, with the general variety of drugs used, it is impossible to find a general scheme of drug therapy. In each case, drug therapy will focus on the following factors:

  1. individual characteristics of the patient’s body;
  2. prescription of the course of the disease;
  3. the presence of complications;
  4. localization of specific pathological processes.

Types of drugs for cervical osteochondrosis

All drugs that are used in drug therapy should be taken after prescribing by a doctor, as well as under his strict control during the entire time of administration.

You should not consider the information in the current article as a kind of guide to self-treatment. Each medicine prescribed during therapy has specific contraindications.

For example, analgesics or NSAIDs should not be taken for gastrointestinal diseases. In some cases, they even cause asthma attacks. A number of drugs will require a prescription.

With cervical osteochondrosis, the following are usually prescribed:

  • analgesics;
  • sedatives;
  • cartilage tissue repair products;
  • muscle relaxants;
  • preparations for vasodilatation;
  • non-steroidal anti-inflammatory drugs
Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Analgesic drugs

Analgesics for cervical osteochondrosis can significantly alleviate pain during exacerbations. Depending on the manifestation of pain, medications are taken orally or parenterally, that is, in the form of tablets or intramuscular and intravenous injections.

For more information about analgesics and what list of drugs is used for osteochondrosis of the spine, read here.

Naturally, injections are the most effective way to relieve the symptom, due to the speed of exposure to the affected area.

The effective elimination of pain is the introduction of local analgesics and anesthetics. This refers to the so-called blockade of the affected areas. The drug is delivered to the site using an injection. Thus, the drug, as it were, freezes the nerve endings.


With cervical osteochondrosis, not only drugs are used directly to treat the disease, but sedatives. Prolonged pain can cause significant stress and a real clinical depression. These consequences become the reason for the failure of the main therapy.

With sufficiently mild symptoms of a nervous breakdown, sedative teas, motherwort tincture, or valerian are prescribed.

If the disorders are pronounced, then the patient should take various groups of antidepressants, such as: Donormil, Gidazepam, Prozac and others. Sedatives can reduce the need for analgesics and anti-inflammatory drugs. The effectiveness of treatment depends on a properly selected complex of sedative drugs.

Cartilage Repair Products

One of the most important aspects of the treatment of cervical osteochondrosis with medicines is the restoration of cartilage. The patient needs to take drugs such as chronroprotectors, as well as full-fledged vitamin complexes. The first are drugs with anti-inflammatory and restorative effects. They can improve joint mobility.

Reception is administered orally or externally. Most often, medications are taken that include glucosamine and chondroitin, for example, Teraflex. Chondroitin ointment is often prescribed as an external agent. Vitamin complexes contribute to the restoration of damaged ligaments and tendons.

Read more about the use of ointments for cervical osteochondrosis here. treatment of cervical osteochondrosis ointments cheat

Muscle relaxants

Muscle relaxants complement the relief of pain during drug therapy. The drugs have a calming effect on the muscles, relaxing them. This allows you to restore blood circulation, reduce pain, thereby restoring mobility. Without muscle relaxants, the treatment of the disease can take a long time.


The manifestation of the pain syndrome contributes to the narrowing of blood vessels. Tissues begin to lack oxygen, and internal organs gradually lose their functionality. Vasodilators are necessary to prevent such effects.

Read more about vasodilators here.

Drugs such as Trental or Pentoxifyline dilate blood vessels and improve tissue nutrition.

Nonsteroidal anti-inflammatory drugs

NSAIDs are required in the treatment of pain. These drugs effectively eliminate inflammation and swelling in the cervical spine. NSAIDs can be taken both externally and orally, as well as by injection.

It is very important to choose the most suitable group of these drugs for a more effective positive effect.

Contraindications for cervical osteochondrosis

Cervical osteochondrosis during its manifestation has a number of contraindications to various actions. Compliance with the recommendations can alleviate pain and prevent further degeneration.

When the disease is contraindicated:

  • lifting and carrying weights;
  • sleep on a soft bed and a high pillow;
  • motionless lifestyle and lack of physical activity;
  • wrong diet;
  • self-medication;
  • periodic crunching of the joints of the neck.

Doctors in no case recommend self-treatment.

All these measures should preferably be followed even before the diagnosis. This will help prevent the occurrence of serious symptoms and manifestations of syndromes, including pain.


Pavel, 37 years old: I have been suffering from cervical osteochondrosis for several years. Moreover, I have a rather neglected form, since up to 30 years I was constantly faced with excessive loads. Attacks of the disease caused me neurological manifestations, including depression. Now I have been prescribed a course consisting of painkillers, relaxants and sedatives. I feel much better.

Veronika, 48 years old: Despite the fact that everyone vied with each other about the futility of chondroprotectors, they helped me a lot. For a couple of years I have not felt any manifestations of cervical osteochondrosis. Only sometimes a little pain if you are uncomfortable sitting or lying.

Olga, 29 years old: I had cervical osteochondrosis at 25 years old. If it weren’t for the drugs that I was taking, I was very bad, because MRI showed very serious disorders in the tissue and discs of the spine. I take vasodilators, painkillers and NSAIDs. Sometimes they make blockades.

Medications for Cervical Osteochondrosis

It is important to take drugs for osteochondrosis of the cervical spine strictly according to the schedule prescribed by the attending physician. If the disease was diagnosed in a timely manner, and therapy was prescribed appropriately, with the help of medication, it will be possible to stop the progression of the pathology and remove the accompanying symptoms. Effective drugs relieve inflammation, swelling and acute pain in osteochondrosis, but the drugs also have side effects, so self-medication at home or replacing any medicine at your discretion is contraindicated.

Indications for medical treatment of osteochondrosis of the cervical spine

Osteochondrosis of the neck is a chronic disease of a degenerative-dystrophic nature, in which the first intervertebral discs are thinned and then destroyed. Pathology can begin to progress at any age, at risk are people who lead a sedentary lifestyle, are obese or have congenital anomalies in the structure of the musculoskeletal system.

As the pathology progresses, the human condition will gradually deteriorate. Treatment with drugs is aimed at eliminating the root cause of the development of the disease, and drugs also help to combat the accompanying symptoms of osteochondrosis. It is indicated to treat osteochondrosis of the cervical spine if a person has:

  • pressure often jumps and overall health worsens;
  • visual and auditory functions are impaired;
  • acute pain, due to which the mobility of the neck is limited;
  • pain spreads to new areas;
  • headache and dizziness, fainting happen.

What types of drugs have a good effect?


Assign with severe pain symptom, which can be triggered:

  • the development of inflammatory complications in the area of ​​a collapsing disc;
  • infringement of nerve fibers;
  • muscle cramps.

To get rid of severe pain and normalize well-being, it is recommended to use painkillers to treat cervical osteochondrosis:

Along with painkillers for severe signs, the patient is often prescribed tranquilizers:


Preparations of this group are always used to treat osteochondrosis. They contribute to the regeneration and restoration of damaged cartilage structures, and also prevent their further destruction. The selected remedy can be drunk for a long course, used as an ointment, and if intraarticular injections are given, the effect will be more effective. Good reviews after use with such drugs:

Dizziness and numbness preparations

Attacks of headaches and dizziness occur due to impaired microcirculation in the brain. This is due to compression of the paired vertebral artery through the cervical vertebrae, through which blood and nutrients enter the brain cells. Due to the progression of inflammation and the formation of swelling with chondrosis of the cervical spine, the vessels are squeezed, their lumen narrows, as a result, normal blood circulation is impossible. In this case, the effective medicine “Betaserk” for cervical osteochondrosis is prescribed. Pills enhance cerebral circulation, contribute to improving well-being. Drugs “Vestibo”, “Cytoflavin”, “Tebantin” will help get rid of dizziness and spasms.

Cinnarizine will help cope with numbness of the limbs.

Numbness in the extremities is the result of compression of nerve fibers. To eliminate such manifestations, it is recommended to use “Midokalm”, “Neuromultivit”, “Trental,” Cinnarizine. “Cerebrolysin” with cervical osteochondrosis has a good effect. The drug regulates metabolism at the cellular level, improving synaptic transmission of nerve impulses.

The best drugs of the nootropic group

With severe pinching of nerve fibers and blood vessels, the blood supply and nutrition of brain cells are disturbed. The patient complains of a feeling of numbness in the limbs, severe dizziness. Treatment with pills of the nootropic group will help get rid of such signs. Well established “Vazobral” with cervical osteochondrosis, also prescribed:

The drug “Picamilon” with cervical osteochondrosis helps to relieve nausea and impaired vestibular functions.

Nonsteroidal anti-inflammatory drugs

Drug treatment of osteochondrosis of the cervical spine with inflammation and severe pain does not do without the use of NSAIDs. The composition and active active substance may vary, so that the treatment is adequate and safe, a list of necessary drugs is compiled by a doctor. In the acute period, when symptoms are expressed, the doctor prescribes drugs in the form of injections. When the condition returns to normal, the injections are replaced with tablets. The most effective drugs of the non-steroidal anti-inflammatory group:

For headaches

Osteochondrosis of the cervical region is often accompanied by severe and prolonged headaches. Such symptoms appear due to:

Pain in the head can be triggered by impaired blood circulation in the vessels of the brain.

  • disturbances in brain nutrition and blood supply;
  • irritation of nerve fibers;
  • disturbances in the circulation of cerebrospinal fluid;
  • blood vessel pressure.

With severe pain in the head, the appointment of such drugs is mandatory. Recommended to accept:

If headaches are associated with fluid retention in the body, prescribe “Diacarb.” Corrections of cerebral circulation are also prescribed:


This type of drug stimulates blood circulation, eliminates congestive circulation, normalizes the flow of nerve impulses. The doctor will choose the most effective, well-proven:

Muscle relaxants

Contribute to the removal of muscle cramps, which reduces swelling and pain. Effective medications are:

Vitamin preparations

The treatment regimen for cervical osteochondrosis includes the use of vitamins that help strengthen immunity and bone tissue, stimulate the restoration and regeneration of cartilage fibers. In case of cervical osteohodrosis, it is recommended to use such means:

Therapeutic blockade

Blockade injections help relieve inflammation, pain, swelling. With their help, it will be possible to get rid of the disease as soon as possible. When holding blockades for injections, they often use:

  • drugs of the non-steroidal anti-inflammatory group;
  • hormones “Dexamethasone”, “Hydrocortisone”;
  • painkillers Novocain, Bupivacaine, Ropivacaine, Lidocaine.

Other drugs

Antibiotics for osteochondrosis are not prescribed.

With the progression of chondrosis, when constant pain is bothering, and the person cannot even rest normally, you can ask the doctor to prescribe soothing medicines, for example, valerian, Afobazol, Tenoten. To normalize the work of the cardiovascular system, the best remedy is the Riboxin vitamins. In addition to pills and injections, it is useful to treat osteochondrosis of the neck using ointments or gels that have anti-inflammatory, analgesic or warming effects. The vasodilator and analgesic property is possessed by Apizartron. Troxevasin ointment helps relieve swelling, increase vascular tone and strengthen their walls.

With severe headaches and the inability to use painkillers, the herbal preparation Ginkoum is prescribed to improve microcirculation, blood circulation and supply the brain cells with nutrients. After a course of treatment, symptoms of hypoxia pass, metabolic processes normalize, in addition, the drug acts as an antioxidant.

How to treat cervical osteochondrosis with medicines (list of drugs)

How effective is medication for cervical osteochondrosis? In what cases is it necessary, and when can it be treated without the use of drugs? There are a lot of questions for those who are faced with an unpleasant pathological condition, and first of all they want to remove symptoms that prevent them from living and working quietly.

Timely treatment can relieve symptoms that do not allow you to live and work calmly.

Degenerative-dystrophic processes (osteochondrosis), which develop in the cervical spine, quickly and effectively stop, and medication for neck osteochondrosis will help in this. The goal of treatment is to stop the destruction of cartilage in the intervertebral discs and slow down the process of aging of the spine as much as possible. The cervical region is considered the most mobile, which is why it is most often affected by osteochondrosis.

No medicine anywhere

In the early stages of the disease, drug treatment of osteochondrosis of the cervical spine (and the accompanying dizziness) is especially effective. It consists in the appointment of various groups of medications that will effectively eliminate the symptoms of the disease and prevent the occurrence of relapses. The drug treatment regimen is developed strictly individually, according to what the doctor saw as a result of the examination.

For the relief of pain, the following medications are prescribed:

  • NSAIDs (non-steroidal anti-inflammatory drugs)

Presented by tablets, ointments, injections, gels. This group includes Voltaren (candles), Diclofenac, Ibuprofen, Ketorol, Nurofen. Such anti-inflammatory drugs also relieve pain and relieve swelling. After using the drug, it is better to be at ease, its effect lasts about 2 hours, during which time the tone of the muscles of the spine is restored, the compressed roots of the nerves are released, metabolic processes normalize and the dizziness goes through.

In some cases, in order to quickly relieve pain, you need to take a comfortable posture and inject an anesthetic drug (anti-inflammatory suppositories) into the rectum. Apply ointment or cream to the site of pain localization and stay alone for a while. Both suppositories and ointments will help stop unpleasant symptoms.

Most often prescribed Midokalm, which well relieves muscle spasm of any genesis, quickly restoring normal muscle tone. It is recommended that they be treated after a skin test for allergies.

Midokalm relieves muscle spasm of any genesis, restores normal muscle tone

Baralgin, Analgin are prescribed for cervical osteochondrosis rarely. Such drugs are more effective when i / m or / in the introduction.

A steroid medicine for cervical osteochondrosis – Amben, combined, containing solutions: A (Dexamethasone, sodium hydroxide and salicylamide, Lidocaine, phenylbutazone and water for injection) and B (Cyanocobalamin, water for injection, lidocaine hydrochloride). Ambene medicine has a pronounced anti-inflammatory effect and well affects the nervous system of the patient as a whole, treats osteochondrosis and eliminates dizziness.

Are injections effective?

With the low efficiency of the above methods, it is appropriate to treat with paravertebral blockade with a novocaine steroid mixture or novocaine. If the patient is tormented by severe pain, then injections are prescribed – Lidocaine, Milgamma, Ketonal, which well relieve symptoms of pain and inflammation. Injections are prescribed in combination with other types of drug treatment, for example, with vitamin B.

To reduce inflammation and eliminate edema in the cervical region, Movalis, Indomethacin, Nimesulide, Voltaren (suppositories) and other NSAIDs are prescribed.

Injections are prescribed in combination with B vitamins or other medicines

Blockade as a way to quickly eliminate pain

Blockade is the direct introduction of a drug into the pathology area, in this case, into the cervical vertebrae. Medical blockade can only be carried out by a specialist who has the appropriate education and access to such manipulations. At home, it is strictly forbidden to make a medical blockade!

Due to the rapid flow of the drug into the pathology area, the inflammation decreases and the pain relieves. For blockade use, as a rule, a combination of a prolonged-action corticosteroid hormone and analgesic. These medications have a strong anti-inflammatory and analgesic effect.

Injections in the cervical spine are divided into two types:

  1. Introduction d / in the direction of the branches of the nerves of the spinal cord. Medicines are injected into the area of ​​the interspinous and supraspinatus ligaments, into the joint cavity and into the tissues surrounding the intervertebral joint.
  2. Introduction d / in the area of ​​the return branch of the nerve of the spinal cord, which innervate the structure of the spine. These are complex blockages, injections are made into the intervertebral disc itself or into the epidural space of the spinal canal.

In addition, a drug called Cavinton (Vinpocetine) has gained popularity. Cavinton for cervical osteochondrosis is used as a vasodilator, which reduces the likelihood of a stroke in humans. They begin to treat them when severe inflammation is detected in the cervical vertebrae and regular spasms of the vessels occur.

Medical blockade can only be performed by a highly qualified specialist

External and internal means

In some cases, often in uncomplicated cases, the following external medications can help relieve pain:

  1. Anti-inflammatory and warming ointments (Nikoflex, Finalgon, Comfrey, Sophia, Shungit cream).
  2. Pepper plasters.
  3. Compresses on the neck (with dimethyl sulfoxide).

To restore cartilage with osteochondrosis of the cervical spine, chondroprotectors are prescribed. They are the “building” material for chondrocytes, contribute to the normal flow of metabolic processes in cartilage:

  1. Tablets (Structum, Arthra, Don) or powder are taken orally for a rather long time, since a tangible result can be noticed only 3-4 months after the first dose.
  2. V / m injections (Noltrex, Alflutop). The effect of the application is observed much faster, usually after the first 10-20 injections, after which a transition to treatment with tablets is necessary.

Antidepressants are indicated in the case when a prolonged exacerbation with all the symptoms that unsettle from the usual rut leads to the development of a depressive state. Antidepressants help to slightly relieve pain, relax, thereby helping in the medical treatment of osteochondrosis.

The treatment of the disease is carried out comprehensively, vitamins must be prescribed

Vitamins are our true friends

Drug treatment for osteochondrosis of the cervical spine allows the use of fortified drugs:

Treatment with B vitamins calms the nerves, smoothes out various neurological changes in cervical osteochondrosis and restores lost tissue sensitivity, reduces pain. Vitamins can be used in the form of tablets, in / in, in / m (Milgamma, Neuromultivit). Vitamin D works well for the treatment of osteochondrosis in combination with Ca (calcium-D3 Nycomed).

Vitamins A and E have a powerful antioxidant effect, contribute to the oxidation of free radicals (free radicals cause further destruction of the cartilage tissue in the body), which are formed in large quantities in the pathological focus. Treatment with vitamins A and E is recommended to be used in a complex manner, they protect each other from premature decomposition in the intestine, and in tissues strengthen the joint effect. A course of fortified treatment is recommended at least 3-4 times a year.

Anatoly Kudravets

Anatoly Kudravets, Orthopedic Traumatologist. He works with severe cases, practices operative methods of treating connective tissues