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Back pain is a common symptom that each of us has experienced. However, only 20-30% of people go to the doctor. That is, most of them simply do not know the cause of the pain and, if necessary, use ointments that were recommended to them by friends or a pharmacist.
Visiting a doctor and making a correct diagnosis is an important step. After all, back pain can indicate various diseases that require an integrated approach or even surgical intervention. Ointment or gel for external use is only part of the therapy. We have selected 10 of the most effective and inexpensive back pain ointments that have proven clinical effectiveness and are regularly prescribed by doctors in many specialties.
Rating of the top 10 inexpensive and effective ointments for back pain according to KP
10. Friend
NSAIDs are a class of sulfonamides. The active substance is nimesulide 10 mg. It has analgesic and anti-inflammatory action. When distributed on the skin, it provides a decrease in pain at the site of application, a decrease in swelling and morning stiffness of the joints.
Indications:
- diseases of the musculoskeletal system (sciatica, sciatica, lumbalgia, osteochondrosis, arthritis, arthrosis);
- pain in the muscles;
- pain syndrome after bruises, injuries, sprains.
Nyz contraindicated with allergies to the components of the drug, with ulcers and bleeding from the gastrointestinal tract, with renal and / or liver failure, during pregnancy and lactation. Simultaneous reception with diuretics, digoxin, methotrexate, antihypertensive drugs and drugs for diabetes mellitus is possible only after consulting a doctor.
9. Voltaren Emulgel
NSAIDs are a derivative of acetic acid. The active substance is diclofenac diethylamine. The drug has anti-inflammatory and analgesic effects. After application, it is possible to use a bandage bandage. The gel is available in a dosage of 1% and 2%. At 1%, it is recommended to use 4 times a day, at 2% – 2 or more times a day with insufficient analgesic effect.
Indications:
- pain in the back, joints, muscles;
- swelling or inflammation of the soft tissues due to injury or bruising.
Not applicable with hypersensitivity to the components of the drug, during pregnancy and lactation, with damaged skin. It is used with caution in people with a history of gastrointestinal ulcers, with bleeding disorders, with serious diseases of the liver and kidneys. Voltaren Emulgel may enhance the effect of drugs that cause photosensitivity.
8. Dolgit
NSAIDs are a derivative of propionic acid. The active substance is ibuprofen 5 g. It reduces the severity of pain, removes tissue swelling, and reduces morning stiffness of the joints.
Indications:
- inflammatory changes in muscles, joints;
- pain in the muscles;
- injuries, bruises.
Dolgit contraindicated in case of allergy to the components of the drug, in violation of the integrity of the skin. It is used with caution during pregnancy and lactation. Possible simultaneous reception with other NSAIDs in the form of tablets, suppositories.
7. Amelotex
The active substance is meloxicam. The drug has anti-inflammatory and analgesic effects.
Indications:
- diseases of the joints, which are accompanied by pain;
- arthritis, osteoarthritis, sciatica.
Contraindicated with hypersensitivity to NSAIDs, ulcers of the gastrointestinal tract, serious diseases of the heart, liver and kidneys. Not allowed during pregnancy and lactation. Simultaneous use with acetylsalicylic acid and other NSAIDs increases the risk of bleeding.
6. Chopped
The drug belongs to anticoagulant agents of direct action in combination with other drugs. The active substances are heparin, dexpanthenol, dimethyl sulfoxide. Dolobene has anti-edematous, anti-inflammatory and analgesic effects.
Indications:
- swelling or bruising of soft tissues, muscles;
- injuries, bruises;
- inflammatory processes in the joints and periarticular tissues;
- neuralgia.
Contraindicated with allergies to the components of the drug, during pregnancy and lactation, in the presence of bronchial asthma, serious diseases of the cardiovascular system, liver and kidneys. After applying the gel, there may be a change in taste sensations, which disappears after a few minutes. During treatment, you should not often be in direct sunlight and go to the solarium.
5. Capsicum
Kapsikam refers to local irritants. The active substances are nonivamide, dimethyl sulfoxide, camphor, turpentine, benzyl nicotinate. They provide a local irritant and vasodilating effect. This allows you to change blood circulation and redistribute nerve impulses. An increase in temperature by 1-2 degrees in the area of application of the ointment is observed within two hours. The analgesic effect occurs after 30 minutes and lasts for 3-6 hours. With repeated use of the ointment, its activity is observed up to several days.
Indications:
- pain in muscles and joints.
Противопоказания to the use of the drug: hypersensitivity to the components of the drug, pregnancy, lactation, ulcers in the area of application of the ointment. After each application, hands should be washed with plenty of cool water and soap.
4. Fastum gel
NSAIDs are a derivative of propionic acid. The active substance is ketoprofen 25 mg. Unlike Ketonal and Ketoprofen, it contains Neroli essential oil (obtained from the flowers of the bitter orange tree). In addition to a pleasant aroma, this oil has anti-inflammatory, analgesic, antimicrobial and antioxidant effects.
Indications:
- pain in the back, muscles and joints;
- pain after bruises, injuries, sprains;
- phlebitis, thrombophlebitis.
Contraindicated with hypersensitivity to acetylsalicylic acid, ketoprofen and other NSAIDs. It is not used during pregnancy, lactation, in case of serious diseases of the gastrointestinal tract, liver, kidneys, in violation of blood coagulation.
3. Ketoprofen
Ketoprofen is available in the form of a gel with an active substance content of 25 mg or 50 mg. Since the active substance is similar to Ketonal, the main points – bioavailability, ease of use, contraindications, addiction to these substances are the same. Difference in testimony.
Indications:
- inflammatory diseases of the musculoskeletal system (arthritis, spondylitis, gout, sciatica, sciatica, lumbalgia);
- pain in the muscles;
- conditions after injuries, bruises and sprains.
Contraindicated children under 6 years old.
2. Ketonal
NSAIDs are a derivative of propionic acid. The active substance is ketoprofen. Available in dosages of 2,5% and 5% (corresponding to 25 mg and 50 mg). The drug has anti-inflammatory and analgesic effects.
Indications:
- osteoarthritis, myalgia, neuritis, sciatica, injuries, bruises, ruptures of muscles, ligaments, tendons.
Contraindicated with allergies to the components of the drug, other NSAIDs, sunscreens, perfumes. Prohibited in the third trimester of pregnancy, children under 15 years of age. Exposure to UV radiation is prohibited during treatment and 2 weeks after. Simultaneous administration with Ketonal tablets or capsules is allowed if the ointment is ineffective.
1. Diclofenac
NSAIDs are a derivative of acetic acid. Available in dosages of 1%, 2% and 5%. Diclofenac has analgesic, anti-inflammatory and antipyretic effects.
Indications:
- pain in muscles and joints.
Contraindicated with a history of allergic reaction to acetylsalicylic acid or other NSAIDs. During pregnancy (especially in the 3rd trimester) and lactation, the use is not recommended. Co-administration of diclofenac with warfarin may increase the risk of bleeding. When prescribing ACE inhibitors, ARA II, their hypotensive effect is reduced. Simultaneous administration of methotrexate with diclofenac increases the toxicity of the cytostatic.
How to choose an ointment for back pain
Ointments for back pain are divided into several categories:
- NSAIDs (non-steroidal anti-inflammatory drugs), which contain one active substance in their composition (ketoprofen, nimesulide, diclofenac);
- combined preparations that have analgesic, anti-inflammatory, antibacterial and regenerating effects;
- preparations that contain irritants (turpentine, menthol) and allow active substances to reach the deeper layers of the epidermis;
- drugs based on chondroprotectors: they allow you to restore bone and cartilage structures;
- ointments with bee or snake venom.
To find an effective ointment for back pain, you should always consult with a specialist. Since painkillers only temporarily reduce the severity of the pain syndrome, but do not treat the cause. In addition, the use of certain drugs can be dangerous for certain conditions.
Popular questions and answers
We discussed important issues related to back pain with therapist Tatyana Pomerantseva.
Why can your back hurt?
Diseases of the spine:
● osteochondrosis – a chronic disease in which degenerative changes in the vertebrae and intervertebral discs occur, which subsequently leads to the impossibility of normal functioning;
● spondylosis – a degenerative lesion of the spine due to aging, overload or injury, which leads to displacement of the vertebrae and compression of nerve endings;
● intervertebral hernia – protrusion of the disc nucleus into the spinal canal due to a violation of the integrity or weakness of the fibrous ring;
● osteomyelitis is a purulent-necrotic process that develops in the bone marrow, bones and adjacent soft tissues;
● ankylosing spondylitis – a chronic systemic disease of the joints, which is mainly localized in the sacroiliac, vertebral joints.
Muscular diseases:
● Fibromyalgia is a common symmetrical musculoskeletal pain.
● polymyositis – chronic inflammation of the muscles;
● Dermatomyositis is a progressive disease of connective tissue and muscles.
● polymyalgia rheumatica.
Diseases of the chest, abdomen and kidneys:
● aortic aneurysm;
● myocardial infarction;
● PE (pulmonary embolism);
● angina pectoris;
● pneumonia;
● stomach ulcer and/or 12 duodenal ulcer;
● pancreatitis;
● pyelonephritis;
● urolithiasis.
Pathologies of the spinal cord:
● compression of the membranes due to fracture of the vertebrae, tumors, hematomas;
● violations of cerebral blood supply;
● multiple sclerosis;
● complications of certain diseases (HIV, syphilis);
Malignant neoplasms or metastases.
When to See a Doctor for Back Pain?
After receiving the results, the doctor will send you to a specialized specialist (neurologist, orthopedist, orthopedic surgeon, rheumatologist, neurosurgeon, physiotherapist).
The use of ointments for back pain only helps to reduce the severity of the pain syndrome, but does not eliminate the cause.
Can I treat my back pain myself?
● increase physical activity (morning exercises, walking);
● pick up comfortable shoes;
● control weight;
● avoid hypothermia, stress;
● eliminate bad habits – smoking and alcohol (due to tobacco, insufficient oxygen enters the lungs, which disrupts the nutrition of the intervertebral discs and cartilage);
● do not abuse coffee (750 mg of caffeine per day promotes excessive excretion of calcium and magnesium from the body in the urine);
● fatty, fried, smoked and salty alternate with boiled, stewed and fresh;
● eat more foods containing calcium (dairy products, cabbage, sesame, seafood, nuts, legumes).
Sources:
- Pain: a guide for doctors and students / Yakhno N.N. – 2009.
- Clinical neurology / Nikiforov A.S., Konovalov A.N., Gusev E.I. – 2002.
- Traumatology and orthopedics / ed. Kornilova N.V. – 2011.
- Traumatology and orthopedics. Guide for doctors / Shaposhnikov Yu.G. – 1997.