The leading symptoms of an intervertebral hernia formed in the lumbar region are pain and restriction of movement. For the relief of acute clinical manifestations, injection solutions and tablets are used. And with pulling, aching, dull pain arising at the stage of remission, it is advisable to use funds for local application. With a hernia of the lumbar spine, neurologists include painkillers and anti-inflammatory ointments, creams, gels, and balms in therapeutic regimens.
- Features of the treatment of hernia of the lumbar spine with ointments
- Types of Ointments
- Nonsteroidal anti-inflammatory
- Classification by mode of action
- Warming preparations
- Cooling ointments
- Traditional medicine for spinal hernia
- Rules for the use of ointments
Features of the treatment of hernia of the lumbar spine with ointments
Ointments, as a means for external use, have a more gentle effect on the human body, unlike tablets, capsules, solutions for intravenous and intramuscular administration. Their active ingredients penetrate the bloodstream in small quantities, therefore, do not cause the development of systemic side effects.
Including external funds in therapeutic regimens, doctors pursue several goals at once:
- a decrease in the severity of symptoms of displacement of the intervertebral discs;
- prevention of the progression of pathology, involvement of healthy vertebral structures in the destructive process;
- relapse prevention, which are characterized by sharp, shooting, piercing pain.
Prescribing ointments to patients can reduce the pharmacological burden on their body by reducing the doses of systemic drugs. This helps to avoid the toxic effects of muscle relaxants and glucocorticosteroids on the kidneys, liver, and gastrointestinal tract.
Types of Ointments
In the treatment of a hernia of the lumbosacral spine, external agents of various clinical and pharmacological groups are used. Some are designed to eliminate the symptoms of the disease, others are able to improve the condition of vertebral structures, including muscles and ligament-tendon apparatus.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Ointments with non-steroidal anti-inflammatory ingredients always become the first choice in the treatment of lumbar hernias. The greatest therapeutic efficacy was observed in the following NSAIDs:
Ointments and gels are applied to the pain area up to 4 times a day with a thin layer, and then rubbed with light massaging movements. The duration of the therapeutic course is 10-14 days. If necessary, the doctor can extend the treatment for up to 3 weeks.
NSAIDs have a wide range of contraindications, including pregnancy, lactation, severe stomach diseases.
Chondroprotectors include chondroitin sulfate, glucosamine sulfate or hydrochloride. These ingredients stimulate the partial restoration of cartilage in the damaged intervertebral disc. Ointments with chondroprotectors are used up to 4 times a day for a long time – from several months to 2 years. As the ingredients accumulate in the tissues, their anti-inflammatory and analgesic effects are manifested. What drugs are used in the treatment of lumbar hernia:
Doctors prefer to prescribe chondroprotectors to patients in the form of injections, tablets, capsules. While the ability of glucosamine and chondroitin to penetrate from the surface of the skin into the lumbar segments of the spine has not been clinically confirmed.
This is one of the varieties of external products, usually produced in the form of biologically active additives (BAA). Unlike pharmacological preparations, they may contain 15 or more active ingredients of natural origin and useful synthetic additives. In the treatment of hernias, balms with the following components are often used:
- hot pepper extract;
- phytoextracts of Cinquefoil, livestock, Boswellia, aspen bark, golden mustache, Indian (Chinese) onions;
- snake and bee venom;
- chondroitin, glucosamine, collagen, hyaluronic ac >
Most of these substances are contained in the balms of Dikul and Sophia, intended for the treatment of all pathologies of the musculoskeletal system.
Homeopathy is a type of alternative medicine that involves the use of external remedies with low concentrations of active ingredients. Ointments and gels may include minerals, phytoextracts, and various chemical compounds. Demanded homeopathic remedies:
The course application of such drugs “accustoms” the body to the effects of negative factors, reminiscent of signs of displacement of the intervertebral discs. Therefore, subsequently, any symptom of a lumbar hernia will not appear with the same intensity.
Homeopathy was officially recognized as pseudoscience in our country several years ago due to the lack of any evidence base for its effectiveness. Therefore, this method of treatment should be coordinated with a neurologist.
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During the behavior of a classic or segmental massage, ointments with a warming, moisturizing effect are often used. They enhance the therapeutic effect of healing procedures, prevent the occurrence of discomfort. The clinical effect of massage is enhanced by such external products:
They include components that improve blood circulation in the lower back, stimulating the elimination of harmful mineral salts. This is ant spirit, gum turpentine, essential oils obtained from the processing of conifers and shrubs.
The combination of several active ingredients enhances the therapeutic effect of ointments, gels and creams. The use of combined drugs allows you to simultaneously achieve several therapeutic results. For example, patients with circulatory disorders in the lumbar region are prescribed Indovazin gel. Its active ingredients:
Dolobene gel, which exhibits anti-inflammatory, antiexudative, venoprotective and regenerative activity, is included in therapeutic regimens. Combined external preparations have a wide list of contraindications, therefore they should be used only after a thorough examination of the patient.
Classification by mode of action
When prescribing funds for local application to patients with lumbar hernias, the doctor must take into account the pharmacological effect of the ingredients. For example, with inflammation in the vertebral segments, it is forbidden to use drugs with a warming effect. And with increased sensitivity of the skin, you can not use funds with a locally irritating effect.
After stopping inflammation, patients are recommended to apply means with a warming effect on the lower back to eliminate pain: Turpentine ointment, Viprosal, Apizartron, Nayatoks. They include components that, when in contact with the skin, stimulate the flow of blood to its surface. There is a pleasant sensation of warmth, and sometimes a slight burning sensation.
Warming preparations can quickly eliminate stiffness, reduce the intensity of pain. Such funds are used 1-2 times a day for 2 weeks or once with the appearance of discomfort or back pain.
Means with a locally irritating effect include Kapsikam, Finalgon, Efkamon. They contain ingredients that act on subcutaneous tissue receptors. Impulses are generated that enter the central nervous system and block the brain’s perception of painful sensations.
Irritating agents are used in case of discomfort in the lower back after hypothermia or excessive physical exertion.
In the treatment of hernias, not only cooling pharmacological preparations are used in the treatment, but also biologically active additives with phytoextracts of medicinal plants, essential and cosmetic oils. These are ointments and gels, which include camphor or menthol – Bom-benge, Ben-Gay, some Dikul balms. With the help of these external agents, it will be possible not only to quickly cope with lower back pain, but also to eliminate inflammatory edema. Because of their formation, infringement of the spinal roots often occurs.
Traditional medicine for spinal hernia
Folk remedies are used in the treatment of displacement of the discs only after achieving stable remission with the permission of the attending physician. They are used to prevent exacerbation of pathology.
|Warming||In a mortar, rub a teaspoon of sea salt with 30 g of petroleum jelly. Add 10 g of gum turpentine, 50 g of butter and baby cream. Mix, transfer to a jar, store in the refrigerator. Rubbed in the lower back to eliminate pain|
|Locally irritating||50 g of vaseline and badger fat are mixed, 2 drops of essential oils of juniper, cypress and thyme are added. Store the ointment in the refrigerator, apply to the lower back when uncomfortable sensations appear|
Rules for the use of ointments
When choosing an ointment for a patient with lumbar hernia, the doctor takes into account the stage of the pathology, the type and size of the protrusion, the presence of neurological disorders in the clinical picture. Therefore, they should be used in the dosage regimen determined by the doctor. Exceeding the duration of treatment, the use of external agents in large quantities will cause skin irritation, the development of an allergic reaction.