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General Practice 2023

8 remédios for low back pain (low back pain)

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8 remédios for low back pain (low back pain)
8 remédios for low back pain (low back pain)

Some medications for low back pain, especially non-steroidal anti-inflammatory drugs, or analgesics, muscle relaxants, such as ibuprofen, paracetamol or cyclobenzaprine, may be indicated by the orthopedist in cases of mild to moderate acute low back pain, caused by poor posture or repetitive strain, for example.

In addition, in the case of chronic low back pain, there are drug options that can be indicated by the doctor, such as antidepressants or corticosteroid injections, as they help reduce pain and inflammation, relieving symptoms of stiffness in the back or difficulty sitting or walking.

The treatment of low back pain should always be guided by an orthopedist, who can indicate the best remedy individually according to its cause. Check out the main causes of low back pain.

Some remedies that may be indicated by the doctor for low back pain are:

1. Analgesics

Analgesics such as paracetamol (Tylenol) or dipyrone (Novalgina) may be indicated by the doctor for mild to moderate low back pain, as they act by inhibiting the production of prostaglandins or cyclooxygenases, which are substances responsible for pain. See how to correctly take paracetamol or dipyrone.

These remedies can be found in pharmacies or drugstores, and although they are sold without the need to present a prescription, the ideal is that they are taken with a doctor's recommendation, as they are contraindicated for people with liver problems or who have the impaired bone marrow function.

In some cases of severe low back pain, the doctor may prescribe the use of analgesics associated with other medications, such as muscle relaxants or opioids, for example.

2. Non-steroidal anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs, also known as NSAIDs, are usually the first treatment option for acute low back pain. These medications, such as ibuprofen (Alivium, Advil), diclofenac (Cataflam, Voltaren), or naproxen (Flanax), for example, work by reducing the production of inflammatory substances in the body, such as prostaglandins and thromboxanes, helping to relieve lower back pain.

Non-steroidal anti-inflammatory drugs should be taken with medical advice, as they are not indicated during pregnancy, breastfeeding or by people who have stomach ulcers, gastritis, kidney disease, chickenpox or suspected dengue.

3. Muscle relaxants

Muscle relaxants such as cyclobenzaprine (Miosan, Mirtax or Musculare) may be prescribed by your doctor as they work by blocking nerve impulses or pain sensations that are sent to the brain that cause muscle contractions, spasms or pain.In this way, these remedies promote muscle relaxation and relief from acute low back pain.

In some cases, muscle relaxants can be used in association with analgesics, such as carisoprodol, which is marketed in association with paracetamol and/or diclofenac, found under the names Torsilax or Mioflex, for example, being sufficient to pain relief.

Muscle relaxants should only be used by adults, for a maximum period of 10 days to 3 weeks of treatment, according to medical advice.

4. Benzodiazepines

Benzodiazepines, such as diazepam, may be indicated to reduce muscle spasm or contractions, which help relieve acute lower back pain caused by injuries to the back muscles, for example.

These drugs are sold only with a doctor's prescription and withholding of the prescription by the pharmacy, and should be used for a short period of time, as they can cause side effects such as dizziness, drowsiness or dependence.

5. Opioids

Opioids such as tramadol (Tramal) or codeine (Codein) are more potent analgesics, indicated by the doctor in cases of acute low back pain, very intense or that does not improve with common analgesics, and should be used by a short time.

There are also associations of opioids with paracetamol, which can also be used, under medical supervision, as is the case with Tylex drugs, with paracetamol and codeine, and Ultracet, with paracetamol and tramadol.

Opioids are not indicated for the treatment of chronic low back pain.

6. Antidepressants

In some cases, the doctor may prescribe certain types of low-dose antidepressants, such as amitriptyline or nortriptyline, for example, which help relieve certain types of chronic low back pain.

Antidepressants should only be used if prescribed by a doctor.

7. Plasters and ointments

Pullets and ointments with analgesic and anti-inflammatory action, such as Salonpas, Calminex, Cataflam Emulgel or Voltaren gel, can also help relieve pain, however, they are not as effective as systemic action, therefore, they are a good option in cases of mild pain or as a complement to the treatment of systemic action.

8. Injections

When back pain is very intense and there are signs of sciatic nerve compression such as pain and burning, difficulty in sitting or walking, when it feels like the spine is locked, the doctor may prescribe anti-inflammatory and relaxants muscle in the form of injections.

Also, in some cases, such as when treatment is not effective enough to reduce pain or when pain radiates down the leg, the doctor may recommend giving a corticosteroid injection such as betamethasone phosphate dipropionate betamethasone disodium (Diprospan), which helps fight inflammation and relieve symptoms quickly.

Other ways to cure lower back pain

Some alternative methods or methods that can be associated with pharmacological treatment for the treatment of low back pain are:

  • Physiotherapy, which must be done with exercises indicated by the physical therapist individually. See how physiotherapy is done for low back pain;
  • Hot compresses on the painful area or electrotherapy sessions, which heat the area, and can be useful to deflate the area and eliminate the pain;
  • Postural Correction Exercises, which can be introduced after pain relief, to prevent symptom flare-ups and strengthen spine muscles. Clinical Pilates and RPG are very indicated, as they bring relief from symptoms in a few weeks, although the complete treatment can take about 6 months to 1 year;
  • Spine Stretches, which help relieve pain and increase range of motion. Learn some stretching exercises to relieve back pain.

Sometimes, when the person suffers from a herniated disc or spondylolisthesis, the orthopedist may recommend spinal surgery, but this does not exclude the need for physiotherapy before and after the procedure. See also other ways to treat low back pain.

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