The best ointment for the back. Choosing an ointment for back and lower back pain is a professional view. Anti-inflammatory ointments for back pain

Where to begin? 01.10.2021
Where to begin?

Have you ever had back pain in your life? If you answered - no, you are lucky, you are part of a small group of those who are unfamiliar with this trouble. However, judging by the fact that you are reading this article, this problem is familiar to you. In such a situation, the question arises: what to do, how to be treated? There are many remedies available to help relieve pain. Let's dwell on such a form as ointment, ointment for back and lower back pain. It is affordable, easy to use, effective and safe under certain conditions.

The reasons are extremely varied. Such pains can be symptoms of serious and even deadly illnesses:

  • Kidney.
  • Gynecological.
  • Hearts.

  • Neurological.
  • Endocrine.
  • Infectious.
  • Tumor.

We do not cover such diseases in this article. Often, back and lower back pain is the result of such diseases as hernia, lumbago, pinching and inflammation of the sciatic nerve, muscle spasms, neuralgia, myositis, injuries and bruises of the back and lower back, joint diseases.

Advantages and disadvantages of ointments as a dosage form

Ointments as a dosage form have their own advantages and disadvantages. Medicinal substances contained in ointments penetrate to the focus of the disease through the skin. One of the main functions of the skin is barrier, i.e. the skin protects the body from the penetration of substances from the outside. No matter how wonderful the composition of the ointments is, not much will get to the sore spot. The deeper the structure to be influenced is, the fewer medicinal substances will reach it.

This video will tell you about the good and bad sides of ointments and make you think about the need to use such remedies:

However, on the other hand, certain substances penetrate through the skin, for this there are special structures and mechanisms in it that carry out this process. In particular, there is a mechanism when one substance (carrier) delivers another into the cell. Knowledge about the mechanisms of transfer is used in the manufacture of ointments, for example, carriers are introduced into them, which facilitates the penetration of the active substance. The consequence of the described disadvantage is one of the main advantages of ointments. Ointments act locally, so the likelihood of causing systemic harm is incomparable, for example, with that that exists when taking pills or injections. Therefore, the frequency of side effects and the list of contraindications for ointments are small. Side effects at the level of the body are also possible here, but their likelihood is much lower.

Ointments containing the juice of medicinal plants are also called balms. The indisputable advantage of ointments is ease of use, a wide selection of names and a large price range, allowing almost everyone to choose an inexpensive and effective ointment for back pain. You can point out another advantage of ointments, when we apply them, we do a light massage of the sore spot, which provides additional blood flow and a positive effect

Before you rub in the ointment, you need to properly warm up your hands, rubbing them intensively against each other.

In addition to ointments, there are also creams and gels that are also used for the back. What's the difference? All these types of medicinal substances belong to the so-called mild forms. They have a lot in common, but there are still differences. All these funds represent some basis in which the active substance is evenly distributed. They have a different basis. Ointments have a hydrophobic base, which are vegetable or animal fats, fat-like substances, petroleum products or synthetic substances. All of these substances are insoluble in water. When the ointment is applied, a film forms on the skin, special conditions are created under this film (remember the greenhouse), the substances penetrate slowly, but can enter the bloodstream, which means they have an effect on the entire body.

There are many similarities between ointment and gel. The basis of the gel is a substance with hydrophilic properties, which makes it easier to penetrate into cells. As a basis for the gel, for example, derivatives of gelatin, cellulose, polymers of certain acids are used. The gel is more easily absorbed, does not clog the pores, with this consistency the active substance is more easily released. It is these properties that explain the fact that a large number of modern external products have the consistency of gels.

The cream is an emulsion - substances mixed to a homogeneous consistency, dissolved in water.

The creams are well absorbed and remain almost entirely in the upper layers of the skin without entering the bloodstream. Therefore, the creams have a strong local anesthetic effect with an almost complete absence of a systemic effect.

Classification of pain relief ointments for the back and lower back

This division is based on what types of active substances are contained in the medicinal product. According to this principle, ointments are:

  • Warming or local irritating effects - based on poisons, essential oils, burning plants. These components are able to warm the area where the ointment is applied. They have a local irritating effect. In this case, a reflexive rush of blood occurs to the area of ​​application of the ointment, metabolic processes are accelerated, pain decreases, and muscle nutrition improves. It feels like a burning sensation, which has a distracting effect.
  • Chondroprotectors - based on chondroitin sulfate and glucosamine. Chondroprotectors are substances that can protect and restore cartilage. They improve metabolic tissue processes, nutrition of the paravertebral muscles and ligaments, and really treat the disease.

In this video you will learn how chondroprotectors work:

  • - based on ketoprofen, diclofenac, Nimesulide, Piroxicam, ibuprofen, phenylbutazone. They have an analgesic and strong anti-inflammatory effect.
  • Combined - based on dexpanthenol, sodium heparin, dimethyl sulfoxide. It has a pronounced analgesic, as well as anti-inflammatory, thromboletic, resorption effects. Improves tissue repair.
  • Homeopathic - can be one-component, for example, based on Arnica officinalis or Bryony alba. They can be multicomponent with a large number of components. The content of active ingredients is very low.

Ointments of almost all groups have an analgesic effect, therefore they are used for myalgia, sciatica, lumbago, myositis, bruises. Chondroprotective ointments, which are used for osteochondrosis and osteoarthritis, are somewhat off to the side.

Contraindications for all groups of ointments are:

  1. Pregnancy and lactation.
  2. Children under 12 years of age.
  3. Intolerance to the components of the ointment.
  4. Open wounds.
  5. Dermatological problems.

If a drug has additional contraindications, they will be indicated when describing a specific therapeutic substance.

Almost all ointments can cause allergic reactions.

Local irritant ointments

Pain relieving ointments for the back of this group include:

  • Finalgon is the most famous ointment for back pain in this group. The active ingredients are niboxil and nonivamide. A very well-known and effective drug. A specific feature is an unpleasant odor.
  • Capsicam. The composition includes camphor, turpentine, dimethyl sulfoxide, benzyl nicotinad.

play an important role in the treatment of the disease, we watch carefully the video below:

  • Apizartron contains bee venom, methyl salicylate and allyl isothiocyanate. Contraindicated in those with serious liver and kidney disease, mental problems, acute arthritis.
  • Viprosal contains viper venom, salicylic acid, turpentine. Contraindicated in liver diseases, tuberculosis, fever, can be used in children from 6 years of age.
  • Efkamon has a complex multicomponent composition, which includes camphor, capsicum tincture, menthol, mustard, clove essential oils, eucalyptus oil, thymol, methyl salicylate.

The list of ointments of this group used for pain in the lumbar region and back, of course, is not complete. All drugs in this group should not be smeared with an unprotected hand, it is recommended to apply them with gloves or a spatula, make sure that the ointment does not get on the mucous membranes.

Before use, the drug should be smeared on a small area of ​​the skin to check for an allergic reaction.

Price range from 200 to 400 rubles.

Chondroprotective agents

A distinctive feature of this group of ointments is a long period of treatment. Their main task is not to remove the symptoms, their action is directed to the cause of the disease. Ointments in which the active ingredient is chondroitin sulfate:

  1. Chondroxide.
  2. Chondroitin-akos.
  3. Chondroinin gel.
  4. Honda cream.

Complex contains chondroitin sulfate and glucosamine. These include:

  • Teraflex M, enriched with peppermint and camphor. Teraflex M, is able not only to relieve pain well, but has irritating, antiseptic and anti-inflammatory effects in addition to chondroprotective.
  • Sophia's cream contains cinquefoil, comfrey, elecampane, collagen hydrolyzate, sea buckthorn oil, beeswax, St. John's wort. In addition to the chondroprotective effect, it has anti-inflammatory and analgesic effects.

Prices from 80 to 370 rubles.

Ointments containing NSAIDs

Ointments help with almost any back and lower back pain. To those already considered, you can add arthritis, arthrosis, sprains. The peculiarity of these ointments is that they cannot be used for more than 2 weeks. NSAIDs, even when used topically, can have systemic side effects. Therefore, the list of contraindications in this case is wider: erosion and ulcers of the gastrointestinal tract, serious diseases of the kidneys and liver.

The group of NSAID-based ointments is the most numerous and in one article, it is simply impossible to mention everything. Ointments for pain in the lumbar region of this group are used most often.

Means based on Ketoprofen:

  • Fastum gel (Russian analogue of Bystrum gel) is a well-known effective drug for back and lower back pain.
  • Artrosilene gel.
  • Ketonal gel.
  • Febrofid gel.
  • Ketoprofen cream.

Side effects: cutaneous exanthema, photosensitization, purpura. Price range from 50 to 250 rubles.

Nimesulide is the active ingredient in new generation NSAIDs.

On its basis, the most effective ointments for lower back and back pain are produced:

  1. Nise gel.
  2. Nimulid.

Contraindications and side effects are the same as in the previous group. Prices from (120 to 150) rubles.

Piroxicam - active ingredient of ointments:

  • Piroxicam Verte.
  • Finalgel.

Cannot be used up to 14 years old, with renal failure, bronchial asthma. Skin irritation possible. Prices from 90 to 420 rubles.

Ibuprofen based creams:

  1. Ibuprofen.
  2. Long.
  3. Nurofen gel.

Ibuprofen is a drug, a non-steroidal anti-inflammatory drug from the group of propionic acid derivatives, which has analgesic and antipyretic effects. In more detail about the drug:

Side effects: possible systemic reactions, on the part of the skin - redness, burning. Prices from 30 to 250 rubles.

Ointment based on the active substance phenylbutazone - butadione. Side effects: allergic rhinitis, bronchial obstruction. Do not use under 14 years of age. The price is from 100 to 150 rubles.

Combined funds

The most famous remedy is Dolobene gel, a very effective ointment for pain in the lower back and back.

Contraindications: severe form of liver, kidney, heart and CVS diseases, bronchial asthma. Cannot be used by children under 5 years of age. Side effects: skin irritation at the site of application of the gel, odor of garlic from the mouth. Price from 250 to 590 rubles.

Homeopathic ointments for back pain

These include:

  • Traumeel S is a multicomponent product. Contraindications: autoimmune diseases, children under 3 years of age, leukemia, tuberculosis, multiple sclerosis. Price from 570 rubles.
  • Purpose T. Contains a large number of components, which contradicts the principles of classical homeopathy, in which it is recommended to use one component. It is, from the point of view of homeopathy, a remedy from a home medicine cabinet, like aspirin and analgin. Goal T is recommended for osteochondrosis. Contraindications: skin diseases. Price from 790 rubles.

  • Bryony. In this case, one active ingredient is used, so that the principle of homeopathy is respected. The price is 200-230 rubles.
  • Arnica is a homeopathic ointment. Indications: bruises, bruises, trauma. The price is from 50 to 240 rubles.

It should be especially noted that most allopathic doctors do not recognize homeopathy, therefore they will be against prescribing such drugs. Patient reviews are also different: from enthusiastic to negative. In this case, as in a famous song: think for yourself, decide for yourself. If you are a fan of homeopathy, then you can use the appropriate remedies. Even if a pronounced positive effect does not appear, there will not be much harm either.

Conclusion

If the causes of pain are the ones discussed in this article, then you can use ointments for back pain. Which ointment is best? It is impossible to answer this question, everything is determined by a specific situation. When choosing a remedy for back pain, you must carefully read the instructions. Especially carefully study the indications, contraindications, side effects. The effectiveness of a drug is not always determined by its price; sometimes cheap drugs work no worse than expensive ones. The article did not consider how to apply this or that ointment, because each of them has its own scheme and duration of treatment. This must be taken into account and the recommendations of the instructions for use must be strictly followed.

Comparative characteristics of ointments

If there is any doubt about the cause of the pain, the pain does not go away, you should consult a doctor. Remember: NSAIDs can only be used for up to two weeks. If side effects appear, you must stop treatment and consult a doctor. Ointments for back pain are a simple and effective remedy. Like any medicine, they must be used in strict accordance with the instructions, carefully monitoring your well-being. Only when these conditions are met will they benefit your health.

Probably, it is difficult to find a person who has not experienced back pain at least once in his life. Injuries, diseases, excessive loads and hypothermia, problems in the genitourinary sphere - all this can cause painful sensations, and sometimes quite excruciating. There are various ways to alleviate the condition, but one of the most popular is the use of external agents - ointments, creams and gels with analgesic and anti-inflammatory effects. To choose the right ointment for back pain, you need to know which group the drug belongs to, what indications and contraindications it has.

External use of drugs has an undeniable advantage: when applied topically, a minimum amount of the active substance enters the bloodstream, which means that side effects are significantly reduced. As a rule, four types of ointment are used for back pain:

  • anti-inflammatory;
  • ointments with irritating properties;
  • chondroprotectors;
  • homeopathic.

Each group has its own principle of action, and drugs differ in the degree of effectiveness and safety. The main criterion for choosing an ointment is the cause of back pain and the symptoms that manifest the disease. These funds can be used both separately and in combination with other therapeutic techniques. Now let's take a closer look at each type.

Anti-inflammatory ointments

This type includes analgesics and NSAIDs, which have a fast-acting effect. Most of them are aimed at eliminating the symptoms, and not at the cause of pain, therefore, they should be used as part of complex therapy. True, there are already new generation drugs that can affect the development of the disease, and which can be used as an independent method of treatment.

NSAIDs are very effective in relieving musculoskeletal pain and are indicated for all diseases of the musculoskeletal system, including pinching of the nerve roots. They relieve inflammation and swelling so that pinched nerves are released and pain goes away. The largest group of NSAIDs is made on the basis of diclofenac, in other groups the active ingredient is ibuprofen, indomethacin, ketoprofen, piroxicam, nimesulide.

Important! anti-inflammatory drugs have many contraindications and side effects, so they must be used with caution and as directed by a doctor. In addition, they cannot be used for a long time, so as not to provoke complications.

NameDrug characteristicsApplication
Available in the form of a colorless gel in tubes. Effectively relieves fever, inflammation, swelling, relieves pain and stiffness in the muscles. The remedy is prescribed for acute and chronic diseases of ODA, injuries, muscle pain. Contraindication is age up to 6 years, the presence of skin lesions, hypersensitivity to the active substance. Do not use it for pregnant and lactating women. Side effects include skin rashes, edema, or local irritation. Analogs: "Artrozilen", "Bystrumgel", "Fastum gel".The composition is applied in a small amount and distributed in a thin layer with light rubbing movements. For adults, the procedure is performed 2-3 times a day, for children - no more than 2 times. The duration of treatment is a maximum of 14 days.
It is made on the basis of diclofenac. The drug has a water-alcohol basis, and in addition to the anti-inflammatory effect, it has a mild anesthetic effect. It also contributes to the regenerative process in tissues with damage to tendons and muscles. It is indicated for rheumatism, pinching, injuries and diseases of the spinal column. Adverse reactions are expressed in the form of itching, rash, edema, and the development of allergic dermatitis. Contraindications are pregnancy, age up to 12 years, hypersensitivity, bronchospasm, as well as the presence of allergic reactions caused by taking analgin. Analogs of the drug: "Diclofenac gel", "Olfen", "Rapten gel".The product is applied 3-4 times a day with a thin layer. Duration of use is 14 days.
It is made on the basis of ibuprofen, it is produced in the form of a transparent gel. Differs in fast action, relieves inflammation and painful sensations well. It is indicated for any back pain, injuries, ligament injuries. Pregnant women and during lactation, with asthma, diseases of the kidneys, liver and gastrointestinal tract should be used with caution and only as directed by a doctor. Contraindication is age up to 12 years, hypersensitivity to the components of the gel, skin trauma, the presence of allergic reactions caused by the intake of salicylates or other NSAIDs. Analogs: "Long cream".Apply the drug in an amount of 50-120 mg at a time and rub gently until absorbed. You can use the gel no more than 4 times a day with an interval of 4 hours.
The active substance is indomethacin, the form of release is a yellow ointment with a specific odor. The drug quickly penetrates the skin and fat layer and begins to act a few minutes after application. It has an antipyretic effect, relieves inflammation and pain, eliminates edema. It is indicated for all pathologies of the spine, injuries, muscle pains. A contraindication is hypersensitivity to the components of the ointment, skin damage at the intended sites of application and the presence of allergic reactions caused by the intake of salicylates. Not recommended for use by pregnant women and lactation. The ointment should be used very carefully for diseases of the kidneys, liver, problems with the cardiovascular system. Analogue - "Indovazin".Apply a small amount of ointment and rub gently until absorbed. The interval between applications is 6 hours, the frequency of use is 3-4 times a day. Cannot be used for more than 10 days.

Fastum gel

If you want to know in more detail what exist and the rules for their application, as well as consider the features of use, you can read an article about this on our portal.

Irritant ointments

Preparations of this group contain substances with irritating properties - menthol, pepper extract, camphor and others, due to which vasodilation occurs in the diseased area and blood flow increases. This leads to intensive tissue nutrition, improved metabolism and accelerates regeneration, and at the same time relieves pain.

Such ointments are indicated for hypothermia, lumbago, pinching, pain caused by osteochondrosis. But doctors recommend using them only during the acute phase of the disease, and not regularly, and it is better not to use such drugs in chronic diseases. After applying irritating ointments, hands should be thoroughly washed, avoiding contact with mucous membranes and eyes.

NameDrug characteristicsApplication
Ointment containing niacin. After application, it causes a distracting effect by irritating the skin, promotes long-term expansion of capillaries. A remedy is prescribed for joint and muscle pain of any origin, trauma, pinched nerve. Contraindications are damage to the skin - abrasions, wounds, scratches, as well as individual intolerance to the drug.The skin must be clean and dry. The ointment is squeezed onto the applicator (no more than 0.5 cm), spread over the affected area, rubbed into the skin and covered with a woolen cloth. The procedure is repeated 2-3 times a day for no more than 10 days in a row.
Bee venom ointment. It has warming properties, promotes vasodilation, relieves pain well. The drug is prescribed for muscle and joint pain, neuritis, sprains, rheumatism. Side effects are manifested in the form of allergic reactions on the skin. Contraindications are intolerance to bee venom, skin diseases, childhood, cancer, liver and kidney disease.Apply a thin strip of ointment (about 3-5 cm) to the painful area, distribute it in an even layer. As soon as the skin begins to redden and a feeling of warmth appears, you need to intensively massage the treated area, rubbing the ointment until it is partially absorbed. In conclusion, the sore spot is wrapped in something warm. The procedure is repeated 2-3 times a day until the symptoms are eliminated, but not more than 10 days.
The components of the ointment include turpentine and snake venom, which have analgesic properties. The drug relieves inflammation, swelling, promotes tissue regeneration. Side effects are manifested by skin redness, itching. Contraindications for use: Fever, skin diseases, hypersensitivity, physical exhaustion, cardiac and cerebral circulation disorders, pregnancy, kidney and liver damage.Wipe the skin with a napkin dipped in warm water, apply a small amount of ointment and rub it in for 2-3 minutes until the product is absorbed. The procedure is carried out once a day, with severe pain - 2 times, the duration of treatment is no more than 10 days.
Contains gum turpentine and camphor, has a warming effect and quickly relieves inflammation. It is prescribed for muscle pain, neuralgia, trauma, pain in the spine and lower back. Contraindications include only hypersensitivity to the components of the drug.Apply 1-2 g of the product, rub it easily over the skin and wrap it up with something warm. The procedure is repeated 2-3 times a day until the symptoms are eliminated, but not longer than 10 days.

Chondroprotectors

Preparations from the group of chondroprotectors by the type of action differ from other types of ointments. They do not eliminate the symptoms, but act on the very cause of the disease: they stop the process of destruction of the cartilaginous structure, improve the trophism of the ligaments and paravertebral muscles, and contribute to the normalization of cartilage nutrition. Their composition necessarily contains an important component of cartilage tissue - chondroitin sulfate. To achieve a positive result, it is necessary to use these ointments for a long time - on average, the course of treatment lasts 1.5-2 months.

NameSpecificationsApplication
Contains peppermint oil and camphor as auxiliary components, due to which it additionally has an irritating and antiseptic effect. Rare side effects are redness, itching, and mild rashes. Contraindications are skin damage and high sensitivity to the drug.A strip of ointment up to 3 cm long is applied to the painful area and gently rubbed until the drug is absorbed. Repeat 2-3 times a day throughout the course of treatment.
The ointment accelerates the regeneration of cartilage, reduces the loss of calcium in the bone tissue, stops the progression of arthrosis and osteochondrosis. Additionally, it gives an analgesic and anti-inflammatory effect. Contraindicated in case of skin lesions and intolerance to the components of the ointment.A small amount of the composition is applied to the skin and rubbed in until it is absorbed. The procedure is repeated every day, 2-3 times a day for 3 weeks.
The drug acts similarly to chondroxide, it is prescribed for degenerative-dystrophic diseases of ODA. It is well tolerated, side effects are observed in rare cases and are manifested by a mild allergic reaction. Contraindicated in skin diseases and injuries, as well as in the presence of individual intolerance to the components.The ointment is applied in a strip of 1-3 cm and rubbed thoroughly until it is absorbed. The interval between procedures is 8-12 hours, the minimum course of treatment is 3 weeks.

Homeopathic ointments

The effectiveness of homeopathic remedies is still disputed by many experts, but still these medicines are in high demand. They are made on the basis of plant and mineral components that have a complex effect on the symptoms and cause of the disease. Such drugs can be used as a separate therapy, but they give the best result in combination with other therapeutic methods. The most famous homeopathic ointments are Traumeel S and Target T.

Differs in a wide spectrum of action. This ointment relieves inflammation, promotes regenerative processes, and has an anesthetic effect. In addition, it normalizes the metabolism in the affected tissues and has a beneficial effect on the immune system. The drug is prescribed for acute and chronic diseases of the joints and spine, injuries, muscle pain. The ointment is well tolerated, side effects are observed in very rare cases. A contraindication to the use of the product is only an individual intolerance to the components of the ointment.

With moderate pain, the ointment is applied 2-3 times a day to the problem area and rubbed easily. In the acute phase of the disease, the number of procedures is increased up to 5 times a day. The treatment course usually lasts 2-4 weeks, depending on the effectiveness of the drug. analgesic ointments for the back, as well as consider the composition and methods of application, you can read an article about this on our portal.

Ointment is a combined preparation, the mechanism of action of which is based solely on the pharmacological properties of its active ingredients. The ointment improves blood circulation, relieves swelling and inflammation, relieves pain, slows down destructive processes in cartilage tissues. After its application, the elasticity of muscles and ligaments is noticeably increased, and the flexibility of the spine improves. The drug is prescribed for various pathologies of ODA, injuries, sprains, pinched nerves. Rare side reactions are expressed in the form of allergic rashes and itching, and a contraindication to use is hypersensitivity to the components of the ointment.

How Objective T is used: A small amount of the product is applied to the painful area and gently rubbed. You can put a gauze bandage on top. The procedure is repeated 2 to 5 times a day, depending on the severity of the symptoms. The course of treatment usually lasts 2-3 weeks.

There is another group of ointments worth mentioning. it combined means, combining the main properties of these groups: they relieve pain, inflammation, eliminate edema, normalize tissue metabolism, have a thrombolytic, resorbing effect. The most famous drug in this group is Dolobene gel. It perfectly helps to cope with back pain, but, like other external agents, it has its own contraindications and side effects.

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Back pain affects 20 percent of people in the world, or one in 5 people. It is caused by various diseases, usually it appears with disorders in the spine - osteochondrosis, herniated disc, scoliosis, muscle spasms, which are the result of excessive stress, improper lifestyle (long sitting at the computer, low physical activity), unbalanced diet. Pain also appears as a result of back injuries, diseases of the genitourinary system, kidneys.

Treatment of these ailments is carried out with the help of medicines of various forms, but an invariable participant in the process will always be an ointment for back pain in the lumbar region and other parts of the spine. You can use these drugs separately and in combination. True, there are no universal topical remedies for all diseases. Pharmacists propose them according to their action.

Ointments based on chondroprotectors

A serious problem that requires the correct determination of which ointment to use during the treatment of a particular disease, and in our case, back pain. An important role in this is played by remedies for periodic or persistent lower back pain - chondroprotectors (translated from Greek "protecting cartilage"), called drugs for the future, which do not give an instant effect. Their task is not to relieve pain, but rather to treat the underlying disease.

Back ointment from this category is indispensable for pain caused by damage to cartilage tissue (osteochondrosis, osteoarthritis). Chondroprotector has the ability to slow down its destruction and regenerate (restore).

There are 2 groups of chondroprotectors. In the main group, the active ingredient is natural chondroitin sulfate, which is capable of forming connective tissue. Ointments and gels of this series with proven effectiveness ("Chondroitin", "Chondroxide", "Artrocin) are aimed at combating the destruction of cartilage.

Another group is complex preparations containing chondroitin sulfate with glucosamines. Among them, Teraflex M cream is especially popular, enriched with peppermint oil and camphor. It is more expensive, but immediately endowed with chondroprotective, analgesic and anti-inflammatory properties, which justifies its cost.

Pain relievers

These relatively safe pain relievers with analgesic action are especially in demand today, as their use gives a quick effect in treatment.

The German "Finalgon ointment" with two active substances (nicoboxil and nonivamide) is considered the best remedy for back and lower back pain. These substances dilate blood vessels, which leads to the establishment of blood circulation in the diseased area of ​​the back. It has a powerful and strong analgesic effect on the back, while at the same time pain relieving and warming up. In this regard, "Finalgon" is recommended for injuries, lumbar pain caused by heavy loads, myalgia, lumbago.

Ointments with a similar effect for lower back pain are often prescribed by doctors, because they are endowed with the ability to effectively relieve pain in a short time. Anesthetic ointments for pain of any localization in the back are in great demand among consumers. For example, these properties are inherent in Apizartron, Efkamon, Kapsikam, Nurofen gel. They are able to relieve pain sensations, quickly alleviate the patient's condition.

Means in the form of ointments for relieving back pain are popular due to their greater safety compared to other medicinal types - tablets, injection solutions. But if used thoughtlessly, they can also cause harm, for example, cause allergies.

Based on NVPS

Non-steroidal anti-inflammatory drugs are used for inflammation, pain in joint, spinal, muscle diseases. They are available in different versions (cream, gel, ointment) and are used to relieve back pain. Many contraindications with side effects do not allow their use for a long time.

The most effective drugs:

  1. "Fastum Gel".

This remedy of the German company "Berlin-Chemie" is one of the most demanded NVPS ointments for the treatment of the back. It contains ketoprofren and additives in the form of lavender and neroli oils, menthol. The gel is effective for pain in the lumbar spine, hypothermia, renal colic, after surgery, trauma. It is in demand for osteochondrosis, radiculitis. "Finalgel", "Ketanal" and "Fast Gel" with a similar composition and action are its analogues.

  1. Nise gel.

The main substance in the preparation is nimesulide. It is considered one of the best ointments for pain relief. This is a new generation tool (as well as "Nimulid" with similar properties). It is indicated for bursitis, rheumatism, osteochondrosis with radicular syndrome, radiculitis, muscle pain and other diseases of the back that occur with inflammation.

  1. Diclofenac.

It is similar in composition, indications, contraindications to the above-described agent.

  1. Ibuprofen.

The active ingredient is ibuprofen. This is an ointment against inflammation of the skin and soft tissues of the back, pain in them. Other ointments with the same substance - "Dolgit", "Nurofen gel" have the same indications for use.

These are strong remedies that should not be used for more than 10-14 days.

Video

Video - ointments for back pain

Irritating action

To drugs with local irritating effects, which practically do not act against inflammatory diseases, are not able to relieve pain, but their use leads to an alleviation of the patient's condition, include warming ointments for the back. This explains the "distraction effect" from the foci of pain on the area of ​​application of the drug.

In irritating ointments, drugs with snake venom and other "aggressive" compounds (camphor, menthol, bee venom, hot pepper extract) are used if the lower back or other areas of the back hurts. They are applied to slightly larger areas than the site of pain localization.

Other warming ointments with an irritating effect for the back: Viprosal (with snake venom), Apizatron (with bee venom), Efkamon (with camphor, natural herbal ingredients), Finalgon, etc.

They warm up sore spots due to the effect of its constituent components. The best of them will be achieved in the treatment of myalgia, sciatica, pinched nerves in the lumbosacral spine, low back osteochondrosis, hypothermia, sports injuries.

Based on homeopathy

A small effect on back pain affecting the lower back is given by treatment with homeopathic ointments due to ultra-low doses of the active substance. Although their big plus is the absence of side effects for the same reason.

The most effective homeopathic ointments made in Germany:

  1. Traumeel S.

This is a combination drug. It is used as an analgesic, immunomodulator, anti-inflammatory agent. Prescribed for diseases with inflammation (sciatica, sciatica). Virtually no side effects, but has a wide range of applications.

  1. Objective-T.

Consists of 14 herbal elements with analgesic, chondrostimulating effect. It is usually used in the presence of pain from osteochondrosis, periarthritis of the shoulder scapula, lesions of the bones of the spine.

The use of homeopathic remedies for back pain, lower back pain is not a common option. Doctors do not offer them often, since they do not have direct evidence of their effectiveness (homeopathic remedies are little researched).

Steroid drugs

Steroid ointments (glucocorticoids) are sometimes prescribed as a powerful drug for the spine for inflammation. They are made on the basis of a hormone produced by the human adrenal glands - cortisol. They are able to relieve inflammation by suppressing the functions of the immune system by reducing the production of white blood cells. It has no analgesic effect, but getting rid of inflammation leads to the elimination of pain.


Steroid gels (ointments) are prescribed for back pain, resulting from inflammation of the joints, destroying the surrounding tissues, which causes rheumatoid arthritis, myositis, in which such drugs are effective. Back skin diseases also cause pain and are treated with these drugs.

Regenerating

Among the remedies for severe back pain, regenerating ointments and gels are used. They are used when cartilage tissue is affected (ostechondrosis, osteoarthritis). They are made with chondroitin, which slows down the destruction of the cartilage of the spine, and helps to enhance the regeneration process.

These are Chondroitin sulfate ointment, Chondroitin gel, Chondroitin Akos. An effective gel with a similar action "Artrocin", which contains chondroitin, regenerates cartilage. There is this element in Teraflex-M, which, together with glucosamine, restores cartilage tissue 2 times faster.

Ointments with phytoextracts and oils


A good effect is obtained when using such drugs:

  1. "Efkamon".

It contains mustard, clove and eucalyptus oils, camphor, menthol and other substances. Acts as a vasodilator, increasing blood flow to the affected area.

  1. Shungite.

This is a cream-balm containing unique substances - shungite mineral, wax, mumiyo, wormwood, aloe, vegetable oil, ginseng and other natural materials. Often used for back problems in older people.

  1. Comfrey 911.

It is based on allantoin, supplemented with comfrey root, rosemary oil, camphor, sesame and other components. Prescribed for the treatment of osteochondrosis, sciatica, myositis, hernia.

The inexpensive Sophia ointment made from natural ingredients (chondroitin sulfate, nimesulide, comfrey, sea buckthorn oil, cinquefoil, etc.), which perfectly relieves pain, restores cartilage tissue, is also in demand.

Massage

The list of ointments used to treat back ailments is extensive. These are balms, herbal remedies, ointments. Most often, they consist of plant extracts, together with the venom of bees, snakes, mumiyo, etc. Massage ointments act as an anesthetic or absorbent, relieve inflammation, help restore cartilage (the type of effect depends on their composition).

The most effective is “Valentin Dikul's balm” with plant extracts, mumiyo, bee venom, bear bile. It is indispensable for back massage, complementing the complex of the main treatment.

Medicines with snake and bee venom

Of all the topical preparations that are used to smear the back with lumbar pain, ointments with snake and bee venom have proven effectiveness. The mechanism of their influence is poorly understood, but there are suggestions that the therapeutic effect is achieved due to the specificity of the effect and the reflex that appears when skin receptors are irritated.


The most popular ointments that warm the lower back well:

  1. Viprosal.

Consists of gyurza poison, turpentine, camphor and other natural ingredients. Effectively relieves pain, reduces inflammation. Vipratox, which contains the venoms of several types of snakes, has a similar effect.

  1. Apisatron.

Contains bee venom, mustard essential oil, methyl salicylate. Thanks to the stimulation of nerve endings, metabolism improves, tissues are better saturated with oxygen. Has an analgesic, warming effect.

These drugs should be used with caution due to the possibility of allergic manifestations and a number of contraindications (diabetes, kidney, heart disease, pregnancy, lactation).

Combined ointments

Remedies for back pain are distinguished by the presence of several components that have different effects - anti-inflammatory, healing, thrombolytic, absorbable, decongestant. They are indispensable in the treatment of injuries, hematomas, edema, inflammation, and help with pain in the lower back.

The most popular ointment for back pain in the lumbar region is the German-made Dolobene gel. It contains 3 active substances (heparin, demytylsulfoxide, dexpanthenol). Reliably relieves pain, eliminates inflammation, reduces swelling of soft tissues, regenerates them, and has a resorbing effect. It best affects sports injuries, neuralgia, periarthritis of the shoulder scapula.

A cheap ointment among the combined remedies for back pain, which is not inferior to them in effect, is "Hepatrombin C" (still inexpensive "Heparin Ointment", "Diclofenac", "Venolife").

Folk remedies

What is the best ointment for low back pain? Often, patients stop at traditional medicine recipes, which turn out to be an effective remedy for back pain.


It can be removed well with rubbing, compresses made from medicinal plants such as chamomile, marshmallow herbs, horseradish, birch leaves, oregano, calendula flowers. On their basis, infusions are made by pouring boiling water over the herbs and then infusing for 3 days. Use as a compress. If the mixture is infused with vodka, then it is used for grinding.

Willow bark balm for back treatment is effective for osteochondrosis. It is prepared as follows: take willow bark (2 tbsp. L.), Bay leaf (5 pieces), lilac bark (1 tbsp. L.), Mix, pour 0.5 liters of vodka and an alcoholic solution of camphor (50 mg). The balm is infused for 21 days, then filtered, used as a rubbing for a sore spot.

Ointment for back pain and lower back pain is the most convenient option of medicines.

Local use of drugs has little therapeutic efficacy, side effects are significantly reduced.

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The site provides background information. Adequate diagnosis and treatment of the disease is possible under the supervision of a conscientious doctor. Any drugs have contraindications. A specialist consultation is required, as well as a detailed study of the instructions! ...

Pain ointments

There are 4 types of pain relieving ointments for the back:

  1. Anti-inflammatory.
  2. With an irritating effect.
  3. Homeopathic.
  4. Chondroprotectors.

They have varying degrees of effectiveness and safety.

The selection of the necessary medicinal ointments is carried out by the doctor.

The principle of action of these drugs should be known to everyone.

Useful homeopathic remedies

These ointments improve metabolism. Decreases the destruction of cartilage tissue. Its rapid recovery takes place.

Medications include anesthetics that relieve pain. The effective means of this group are - Objective T, Traumeel S.

Objective T is used when the phenomenon:

  • Osteochondrosis;
  • Rheumatoid arthritis;
  • Polyarthrosis.


The substances in the composition of the ointment strengthen the ligaments, stimulate the restoration of bone and cartilage tissue. The drug is used from 3 to five times a day, it is possible to apply the agent to the bandage.

Traumeel S relieves pain, stops inflammation and restores tissues with lumbago.

The ointment is applied up to 3 times a day. The treatment lasts 4 weeks.

What are chondroprotectors

They stimulate metabolic reactions, suspend the destruction of cartilage tissue, saturate the paravertebral ligaments and muscles with the necessary substances.

The active ingredient in these ointments is chondroitin sulfate.

Chondroprotectors are used for pain in:

  • Back;
  • Loin;
  • Joints;
  • Shoulder blades.

Chondroitin sulfate is prescribed for symptoms of osteochondrosis and osteoarthritis. It has anesthetic and anti-inflammatory properties, and has a fibrinolytic effect.

Available as a gel. Rub up to 3 times a day. Treatment up to 3 months.

Teraflex M. has a similar effect. It dilates blood vessels, restores blood circulation and relieves pain.

Local irritants

This type includes:

  • Finalgon;
  • Capsicum;
  • Apizartron.

Finalgon is an effective drug from this group. Thanks to active substances with analgesic action (nicoboxil and nonivalide), the vascular lumen expands and blood flow to the site of inflammation increases.

As a result, a better saturation of tissues with nutrients and an improvement in metabolic reactions are achieved.

The use of the ointment is indicated for:

  • Pain symptoms in the back, lower back;
  • Many types of injuries;
  • Lumbago disease.

Effective anti-inflammatory ointments

The effectiveness of anti-inflammatory ointments is achieved quickly. The main action of these drugs is to relieve pain.

Only drugs of the latest generation, whose action is aimed at eliminating the disease itself, have a therapeutic effect. For a disease with a symptom of dorsalgia, anti-inflammatory ointments are indicated.

The action of anti-inflammatory ointments:

  • Elimination of edema.
  • Anesthesia.
  • Relief of inflammation.

Removal of edema and inflammation is the elimination of the cause of dorsalgia. The disappearance of the edema relieves the pinched nerve.

The most effective anti-inflammatory drugs are:

  • Diclofenac;
  • Fastum gel;
  • Ketoprofen.

These drugs are of the “youngest” generation.

The listed drugs have side effects:

  • From the gastrointestinal tract;
  • Blood clotting;
  • Bleeding is possible.

The use of combined formulations


These include Dolobene gel:

  • Relieves pain;
  • Possesses regenerative and thrombolytic properties;
  • Relieves inflammation.

Dolobene became widespread due to the relief of back pain (the consequences of injuries) with the existing edema and hematomas. The gel is used for symptoms of humeral-scapular periarthritis.

Video

Typical pain syndromes

Pain due to existing osteochondrosis is relieved with anesthetic and anti-inflammatory drugs (ointment, gel, rubbing).

Active substances:

  • Acts on skin receptors and subcutaneous tissue;
  • Increase blood flow;
  • Improves metabolic reactions;
  • They have a distracting irritating effect.

For an improved effect of ointments on the skin, rub the sore spot, wash, then apply the drug and wrap it with a woolen scarf.

Before treating back and lower back pain, you need to consult a doctor to avoid allergic reactions to the drug. As a last resort, you can ask a pharmacist about the composition and action of drugs.

Poison-based ointments (snake and bee ointments) have an effective therapeutic effect. Their effect on inflammation and pain has not been fully studied.

It is assumed that they have different effects on receptors, therefore, biogenic substances are released with their subsequent absorption into the site of inflammation. Bee venom has active substances that trigger the body's immune function.

Effective ointments based on poisons:

  • Viprosal;
  • Vipratox;
  • Apizartron;
  • Virapin.

There are contraindications from many systems, so consultation is required.

The "Vietnamese Gold Star" is used as an annoying and distracting agent. It is effective for rubbing painful areas thanks to its essential oils.

It is impossible to say for sure which ointment is best for the back. There is an individual intolerance to the drug. Depending on where the pain is localized - in the muscles or joints, the necessary ointment is selected.

Associated leg pain

With back pain, you may experience discomfort in your legs. The use of ointments for sore legs is carried out depending on the reason for the unpleasant symptom.

Leg pain can be relieved by using anti-inflammatory ointments or gels. Thanks to these drugs, rapid relief of pain is achieved.

You can buy it yourself at the pharmacy.

According to statistics, one in five people suffer from back pain. In our time, diseases of the musculoskeletal system (MAD) have become significantly "younger" and now even middle-aged people often experience unpleasant sensations in the lower back. it associated with a sedentary lifestyle(office work, long-term driving), uneven physical activity, unhealthy diet and poor environmental conditions. Often, ODE diseases are exacerbated in the cold season, due to hypothermia.

Back pain can be caused by various diseases such as: osteochondrosis, lumbago (lumbago), herniated disc, scoliosis (curvature of the spine), myalgia, and muscle spasms. In addition, back pain occurs due to problems in the genitourinary sphere, with kidney pathology and as a result of injuries.

Various methods are used to treat back pain - physiotherapy, reflexology (acupuncture), physiotherapy exercises and massage, balneotherapy, manual manipulation and medications.

Among the medicines used to relieve and treat back pain, one of the main places is taken by means for external use - gels, ointments, creams, balms. They can be used both separately and in combination therapy. Here is a classification and a brief overview of the most popular and effective ones.

Ointments for back pain

1. Preparations for external use containing NSAIDs (non-steroidal anti-inflammatory drugs), other anti-inflammatory substances and / or analgesics.

Fastum Gel (avenue Berlin-Chemie, Menarini Group) contains the NSAID ketoprofen and a number of auxiliary ingredients that enhance the effect of the active ingredient (menthol, neroli oil, lavender oil). Currently, it is one of the most popular and well-known drugs for relieving back pain associated with hypothermia, aching discomfort in the lower back during menstruation, with renal colic, as well as for the relief of post-traumatic and postoperative pain. It is also used in the complex treatment of lumbago (lumbago), lumbosacral radiculitis and osteochondrosis with radicular syndrome.

Domestic analogue of the drug Fastum Gel - Fast gel has a similar composition and mechanism of action. This group of drugs also includes other ketoprofen-containing drugs - Ketonal, Finalgel, Febrofid.

In addition, preparations containing nimesulide(Nise gel), diclofenac(Voltaren, Diklovit), idomethacin and ibuprofen(Nurofen, Dolgit).

More information on NSAIDs

Meta-research reviews

  • Main characteristics and results of comparative, randomized clinical trials evaluating the efficacy and safety of NSAIDs in patients with chronic back pain
  • Safety of non-steroidal anti-inflammatory drugs (NSAIDs) in the pharmacotherapy of chronic back pain

Back ointments in the German online pharmacy

Selected research from the news feed

  • Anti-inflammatory drugs and the risk of side effects

Related Articles

  • Anti-inflammatory diet if the back is blown (myositis)
  • Back gels. Fastum-gel, Dolobene-gel, Dikul's balm

2. Combined drugs.

These include Dolobene gel (ave. Ratiopharm), which not only has an analgesic effect, but also relieves inflammation, improves tissue regeneration, and has a resorbing and thrombolytic effect. Dolobene gel contains three active ingredients: heparin, dexpanthenol and dimethyl sulfoxide. Dolobene's range of applications is unusually wide. So, the drug can be used for back pain associated with injuries, especially accompanied by edema and hematomas. Dolobene is also indicated for humeroscapular periarthritis.

3. Drugs that have a local irritant and analgesic effect.

Finalgon ointment (ave. Boehringer Ingelheim) contains two active ingredients - nonivamide and nicoboxil. Together, these substances cause vasodilation, increase blood flow to the site of inflammation, improve metabolism and tissue nutrition, and have an analgesic effect. The use of Finalgon is indicated for back pain arising from heavy physical exertion, injuries, as well as lumbago and myalgia associated with hypothermia.

The drugs in this group also include Nikoflex ointment, Analgos cream, Kapsikam ointment, Apizartron ointment.

  • More about Finalgon

Drugs in the German online pharmacy:

4. Chondroprotectors with anti-inflammatory effect.

Chondroxide ointment (Nizhpharm pr.) is one of the most famous representatives of this group of funds. The drug contains two active components - chondroitin sulfate and dimethyl sulfoxide. Chondroitin sulfate helps to restore cartilage tissue, slows down the course of degenerative processes in osteochondrosis. The main indication for the use of Chondroxide ointment is osteochondrosis.

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