Diseases of the peripheral nerves can cause a lot of problems, such as numbness of the limbs, the appearance of cutting and stabbing pains, etc.
One of the most common diseases of this kind is neuralgia or inflammation of the sciatic nerve (sciatica) .
Since the main prerequisites for the development of sciatica are systematic eating disorders and a sedentary lifestyle, this disease is observed even in young patients (starting from 30 years old).
Pinching of the sciatic nerve leads to severe pain syndrome, inflammation of the nerve endings, limitation of mobility in the legs and lower back.
In the treatment of sciatica, various techniques are used to get rid of activity restrictions and pain sensations, incl. injections.
What is sciatica?
Sciatica is called a syndrome accompanied by the appearance of severe pain in the places where the sciatic nerve passes . The reason for the development of this syndrome is compression of the roots of the spinal cord in the lumbar region or parts of the nerve itself.
Since the prerequisites for compression of the roots of the spinal cord and nerve can be different, the manifestations of sciatica, in addition to pain in the sciatic nerve, can be varied and polymorphic.
Today, the term sciatica is used exclusively to refer to a syndrome. As for the disease, manifested by its development, it received the name “lumbosacral sciatica” .
Also, the terms “radiculomyeloischemia”, “radiculoischemia” and “radiculopathy” are used to denote the varieties of the disease caused by causes of a different nature.
What types of medications are used for sciatica?
Sciatica medication involves the use of different forms of medication. In particular, the following types of drugs can be used.
Tablets and potions
The disadvantages of these forms of release include the fact that they often turn out to be not only ineffective, but also aggravate the course of pathological processes. In some cases, there are side effects from the kidneys, stomach, gallbladder and cardiovascular system. Long-term use of tablets increases the likelihood of a negative effect of the drug on the heart muscle.
Tablet forms are not prescribed to patients with contraindications, for example, with pathologies of the gastrointestinal tract. Prescribing pills to pregnant women is also unacceptable: getting the medication into the blood can harm the baby.HOW TO TREAT SCIATICA AT HOME
Regardless of the components contained in the composition of such drugs, ointments give only a temporary effect, based mainly on a distracting effect. In addition, they contain insignificant concentrations of anti-inflammatory and pain-relieving substances, which means that it is better to use ointments to consolidate the result.
Gels and ointments prescribed for sciatica have a wide range of effects :
- have a warming effect;
- normalize microcirculation and prevent the development of edema;
- in combination with massage prevent the development of stagnant processes in soft tissues.
The most effective ointments are considered such drugs as Ortofen, Diclofenac, Finalgel, Voltaren, Nise gel, Apizartron, Kapsikam, Traumeel S.
Dropper medications must be prescribed by a doctor. Usually, a therapeutic “cocktail” contains vitamins and medicines that restore metabolic processes, normalize blood supply to nerve endings, and relieve muscle spasms. Sleeping pills and antidepressants are sometimes prescribed (if pain is severe)
Specialized injections that reduce the intensity of pain syndrome are considered the most effective way to relieve sciatica symptoms. In addition, such therapeutic manipulations make it possible to nullify the resulting inflammatory process. The use of injections is especially important in those moments when the patient’s well-being is sharply deteriorating.
Treatment of sciatica with injections is an extreme measure that allows you to quickly relieve inflammation and pain with a sudden exacerbation of the disease. Injections are prescribed if medical treatment with conservative methods is ineffective.
They are done by the lumbar puncture method as close as possible to the sciatic nerve . This contributes to a local effect on the inflamed nerve, obtaining a strong and quick effect. It is advisable that injections for sciatica are carried out by an experienced medical professional.Common misconceptions about sciatica
What groups of drugs in the form of injections are used for sciatica?
Sciatica pain can spread not only to the lumbar region, but also to the upper thigh. Usually several exacerbations of the disease occur during the year. With sciatica, not only pain relievers are prescribed, but also other drugs. When choosing a medicine, the characteristics, symptoms and consequences of the disease are taken into account.
Usually, the following medications are used in the form of injections :
- Non-steroidal anti-inflammatory drugs and analgesics . NSAIDs are a category of medicines that have anti-inflammatory, antipyretic and analgesic properties. Treatment of the disease with non-steroidal drugs allows you to relieve pain. Analgesics and NSAIDs are prescribed to patients with intolerance to the tablet forms of these drugs. They act on the body in the same way as tablets. Usually, injections of Analgin and its analogues are given.
- Corticosteroids . These drugs are hormonal, but in terms of the strength of their effect, they are superior to non-steroidal anti-inflammatory drugs. Corticosteroids are fast and effective in severe inflammation. They have many side effects, so they should only be used under medical supervision.
- Novocaine blockade . Local blockades are used for very severe pain syndrome. Usually use blockade based on novocaine. Patients with intolerance to this drug are injected with blockades based on lidocaine and its analogues.
- Peace-relaxants . Pinching the sciatic nerve is fraught with the appearance of muscle spasms that prevent normal movement. As a rule, muscle relaxants are prescribed in combination with non-steroidal anti-inflammatory drugs and effectively relieve muscle spasms.
- Narcotic pain relievers . They are used in exceptional cases, if the sciatic nerve is pinched against the background of other pathologies with severe pain syndrome.
Often, patients with sciatica are prescribed vitamins in injections . When the sciatic nerve is pinched, this form of administration is more preferable, since absorption occurs in large volumes and faster. As a rule, B vitamins are administered, but the results of examinations may show that the patient also needs vitamins of other groups. Vitamins have immunostimulating and immunomodulatory properties, help relieve pain, activate metabolic processes, and regenerate affected tissues.11 effective ways to relieve sciatic nerve pain
Advantages and disadvantages of injections
Administration of medications by injection has several advantages, namely :
- the supply of anti-inflammatory and analgesic drugs to the pain center, and therefore, a quick effect;
- no strong effect on the digestive tract, reducing the risk of developing ulcers.
Most people think shots are better than pills because act quickly and do not cause serious adverse reactions. On the one hand, this is true.
Unlike tablets that can affect the gastrointestinal tract, injectable drugs immediately enter the site of inflammation, quickly relieve pain, and do not cause such undesirable effects as vomiting and nausea.
However, injections have a significant drawback : improper needle insertion can lead to significant damage to the sciatic nerve, hematomas, infiltrates, bruises and post-injection abscesses. In addition to the negative mechanical effect, the injection can cause the development of allergic and toxic reactions.
Sciatic nerve damage can occur when the doctor chooses to inject the lower or inner quadrant of the gluteus muscle, or when the injection is made obliquely (and not strictly perpendicular, as required by the rules). In these cases, nerve damage occurs, which is accompanied by acute symptoms.
Symptoms may appear immediately after the injection or develop gradually over several weeks . In this case, pain is rarely observed, and movement disorders do not appear as often as sensitive ones. The patient may be faced with drooping of the foot, difficulty in extending the toes, abduction of the foot forward, to the sides and back. In some patients, the tibial nerve is damaged, which is manifested by the absence of the Achilles reflex with partial flexion of the foot in the ankle joint.10 things you should know to relieve sciatic nerve pain
Where is the injection given for sciatica?
Injections with sciatica are generally used in a first treatment period. They may be:
- Epidural . The drug is injected into the intervertebral space, which leads to blockage of large nerve endings. Before the procedure, the doctor asks the patient to take a sitting position and round the back.
- Intravenous . Introduced drip or jet. In the first case, a dropper is used, and in the second, a syringe.
- Intramuscular . Injected into the gluteus muscle.
List of drugs for sciatica in the form of injections
Typically, the following anti-inflammatory pain relievers are prescribed for sciatica :
- Prednisolone . This medication is the most common steroidal remedy for pain in neurological diseases. With sciatica, it is used in the vast majority of cases.
- Ketorol . Considered a common pain reliever; is not a hormonal agent. It is able to reduce body temperature, fight any inflammatory processes. It is well tolerated, does not cause addiction and addiction. Side effects on the background of its use are rare. The closest analogues of Ketorol (in terms of effects on the body) include Diclofenac.
- Proserin . It is prescribed in exceptional cases, for example, if a patient comes to a medical facility with unbearable pain. Proserin is used only under medical supervision.
- Diclofenac . Suitable for quick relief of pain. It has a positive effect on the work of the musculoskeletal system. The disadvantage of Diclofenac is a negative effect on the functioning of the kidneys, liver, gastrointestinal tract.
The use of these drugs allows you to get rid of pain and reduce inflammation in sciatica – pinching of the sciatic nerve. It is important to remember that injections are not necessary in all cases, so you should not practice self-medication.
With an exacerbation of the disease, you should consult a doctor for an examination, choosing a treatment regimen and, if necessary, injecting anti-inflammatory and anesthetic drugs.
Please note that injections can numb the pain for a while, but not eliminate its cause. That is why sciatica treatment should be comprehensive and supported by massage, exercise therapy, physiotherapy. Usually, pain relief with injections lasts for three days, after which they switch to the use of local agents (creams, ointments) with anti-inflammatory and analgesic effects.
List of references
- System “Healthy spine”. V. Pikulenko – 2017.
- 8 steps to a healthy back. E. Gauckley – 2017.
- The path of health. O. Pankova – 2017.