How do antibiotics help with hernia pain management. What role do local anesthetics play in hernia treatment. How effective are NSAIDs for hernia-related discomfort. When are general anesthetics used in hernia cases. How can antianxiety agents benefit hernia patients. What types of analgesics are prescribed for hernia pain relief.

Understanding Hernia: Types, Causes, and Prevalence

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in the surrounding muscle or connective tissue. Various types of hernias exist, including inguinal, femoral, umbilical, and incisional hernias. Each type presents unique challenges and requires specific treatment approaches.

The prevalence of hernias varies depending on age, gender, and other factors. Inguinal hernias, for instance, are more common in males, while umbilical hernias are frequently observed in infants and young children. Understanding the epidemiology of hernias is crucial for effective management and prevention strategies.

Risk Factors for Hernia Development

• Genetics and family history
• Obesity
• Pregnancy
• Chronic coughing or straining
• Previous abdominal surgeries
• Age-related muscle weakness

Are certain occupations associated with a higher risk of hernia development? Studies have shown that individuals engaged in heavy lifting or strenuous physical activities may be more susceptible to hernias. However, anyone can develop a hernia, regardless of their occupation or lifestyle.

The Role of Antibiotics in Hernia Management

Antibiotics play a crucial role in hernia management, particularly in cases where infection is present or as a preventive measure during surgical interventions. While not all hernia cases require antibiotic treatment, their use can significantly impact patient outcomes in specific scenarios.

Do antibiotics directly alleviate hernia pain? Antibiotics themselves do not provide pain relief. However, by treating or preventing infections associated with hernias, they indirectly contribute to pain reduction and overall patient comfort.

Common Antibiotics Used in Hernia Cases

1. Cephalosporins
2. Fluoroquinolones
3. Penicillins
4. Macrolides

The choice of antibiotic depends on various factors, including the type of hernia, the presence of infection, and the patient’s medical history. Healthcare providers carefully consider these elements when prescribing antibiotics to ensure optimal treatment outcomes.

Local Anesthetics: Enhancing Comfort During Hernia Procedures

Local anesthetics are instrumental in providing pain relief during hernia repair procedures, especially in outpatient settings. These medications work by blocking nerve signals in a specific area, allowing surgeons to perform necessary interventions with minimal discomfort to the patient.

How long do the effects of local anesthetics last? The duration of local anesthetic effects can vary depending on the specific medication used and the individual patient. Typically, the numbing effect can last anywhere from a few hours to several days, providing extended pain relief during the initial recovery period.

Commonly Used Local Anesthetics for Hernia Procedures

• Lidocaine
• Bupivacaine
• Ropivacaine
• Mepivacaine

Each of these local anesthetics has unique properties, including onset time, duration of action, and potential side effects. Surgeons select the most appropriate option based on the specific requirements of the hernia repair procedure and the patient’s individual needs.

General Anesthetics in Complex Hernia Surgeries

While many hernia repairs can be performed under local anesthesia, complex cases or extensive surgeries may require general anesthesia. General anesthetics induce a state of controlled unconsciousness, allowing surgeons to perform more intricate procedures without patient discomfort or movement.

What are the risks associated with general anesthesia in hernia surgeries? As with any surgical procedure involving general anesthesia, there are potential risks such as respiratory complications, allergic reactions, and postoperative nausea. However, modern anesthesia techniques and careful patient monitoring have significantly reduced these risks.

Factors Influencing the Choice of General Anesthesia

1. Complexity of the hernia repair
2. Patient’s overall health status
3. Duration of the procedure
4. Presence of comorbidities
5. Patient preference (in some cases)

The decision to use general anesthesia is made collaboratively between the surgeon, anesthesiologist, and patient, taking into account the specific requirements of the hernia repair and the individual’s medical history.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) for Hernia Pain Relief

NSAIDs are a cornerstone in managing hernia-related pain and inflammation. These medications work by inhibiting the production of prostaglandins, which are responsible for pain and swelling. NSAIDs can be particularly effective in reducing discomfort associated with hernias, both before and after surgical intervention.

Can NSAIDs be used long-term for chronic hernia pain management? While NSAIDs can provide effective pain relief, long-term use should be approached cautiously due to potential side effects such as gastrointestinal issues and increased cardiovascular risks. Patients should always consult with their healthcare provider to determine the appropriate duration and dosage of NSAID therapy.

Popular NSAIDs for Hernia Pain

• Ibuprofen
• Naproxen
• Celecoxib
• Diclofenac

The choice of NSAID depends on various factors, including the severity of pain, the patient’s medical history, and potential drug interactions. Healthcare providers carefully consider these elements when prescribing NSAIDs for hernia pain management.

Antianxiety Agents: Addressing the Psychological Aspects of Hernia Treatment

Hernia diagnosis and treatment can be a source of anxiety for many patients. Antianxiety agents play a crucial role in managing the psychological aspects of hernia care, helping patients remain calm and comfortable throughout their treatment journey.

How do antianxiety medications improve hernia treatment outcomes? By reducing anxiety and stress, these medications can contribute to better overall patient experiences, improved compliance with treatment plans, and potentially faster recovery times. Reduced anxiety can also lead to more stable vital signs during surgical procedures.

Common Antianxiety Agents Used in Hernia Care

1. Benzodiazepines (e.g., diazepam, lorazepam)
2. Selective Serotonin Reuptake Inhibitors (SSRIs)
3. Buspirone
4. Hydroxyzine

The selection of antianxiety medication depends on various factors, including the patient’s anxiety levels, medical history, and potential interactions with other medications used in hernia treatment.

Analgesics: Tailored Pain Management for Hernia Patients

Analgesics are essential in providing pain relief for hernia patients, both in the preoperative and postoperative phases. These medications can range from over-the-counter options to prescription-strength opioids, depending on the severity of pain and individual patient needs.

Is opioid use common in hernia pain management? While opioids can be effective for severe pain, their use in hernia cases is generally limited due to concerns about addiction and side effects. Healthcare providers often prefer a multimodal approach, combining different types of analgesics to achieve optimal pain control with minimal risks.

Types of Analgesics Used in Hernia Care

• Acetaminophen
• Tramadol
• Codeine
• Oxycodone (in severe cases)

The choice of analgesic depends on various factors, including the type of hernia, the stage of treatment, and the patient’s pain tolerance. Healthcare providers carefully balance pain relief with potential side effects to ensure the best possible outcomes for hernia patients.

Innovative Approaches in Hernia Pain Management

As medical science advances, new approaches to hernia pain management continue to emerge. These innovative techniques aim to provide more effective pain relief while minimizing side effects and promoting faster recovery.

How are nerve blocks changing the landscape of hernia pain management? Nerve blocks, such as transversus abdominis plane (TAP) blocks, are gaining popularity in hernia care. These techniques involve injecting local anesthetics near specific nerves to provide targeted pain relief, reducing the need for systemic medications and their associated side effects.

Emerging Trends in Hernia Pain Management

1. Long-acting local anesthetics
2. Multimodal pain management protocols
3. Enhanced recovery after surgery (ERAS) programs
4. Non-pharmacological approaches (e.g., cryotherapy)

These innovative approaches are revolutionizing hernia care, offering patients more options for effective pain management and potentially improving overall treatment outcomes.

The field of hernia pain management continues to evolve, with ongoing research focused on developing more targeted and effective treatments. As our understanding of hernia pathophysiology and pain mechanisms improves, we can expect to see further advancements in medication options and treatment strategies.

In conclusion, effective hernia pain management requires a comprehensive approach, utilizing a combination of medications and techniques tailored to each patient’s unique needs. From antibiotics to analgesics, and from local anesthetics to innovative nerve blocks, healthcare providers have a wide array of tools at their disposal to ensure optimal comfort and care for hernia patients throughout their treatment journey.

Antibiotics, Local Anesthetics, General Anesthetics, Antianxiety Agents, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Analgesics

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Living with a Hernia: Ways to Relieve Hernia Pain

Do you have a nagging ache in your belly or groin that you think maybe a hernia? Don’t ignore it. While it may be causing only slight discomfort now, hernias do not go away on their own. That’s why it’s important to seek medical attention right away if you think you may have a hernia.   

While a hernia cannot heal itself, it can almost always be treated effectively with surgery.

The good news is that most hernias can be repaired with minimally invasive surgery – which has a low complication rate – and most patients are able to get back to their normal routine quickly. If left untreated, however, a hernia can cause serious complications such as a bowel obstruction (resulting in severe pain, nausea or constipation) or intestinal strangulation (if the trapped section of the intestines does not get enough blood).

Tips to relieve hernia pain temporarily before treatment:

Depending on the severity and type of hernia you have, there are some at-home treatment measures you can take to help relieve hernia pain until you can be treated by an experienced hernia surgeon. Here are some tips we recommend:

• Avoid lifting heavy objects and other strenuous exercises or activities. These activities may result in increased pressure and strain that could worsen your hernia. Stick to light and low-impact exercises like walking or swimming. Remember to listen to your body; if an exercise or activity is causing discomfort, avoid it until you can seek treatment.

• Maintain a healthy weight. Extra weight can exacerbate hernia pain. If you are overweight and dealing with a hernia, shedding a few extra pounds may help you improve your symptoms and avoid certain complications such as strangulation.

• Modify your diet. Diet can play a big role in controlling hernia symptoms. This is especially true for those with Hiatal hernias, where part of the stomach bulges upward through an opening in the diaphragm. Avoiding foods high in acidity as well as others associated with heartburn and indigestion can also help. Additionally, eating smaller meals and avoiding foods that may cause constipation can also provide hernia relief.

• Use an ice pack. If you have a hernia in the abdomen or groin, applying an ice pack to the affected area can help reduce pain and inflammation.

• Over-the-counter medications may relieve symptoms. If advised by your doctor, over-the-counter medications like Tylenol and ibuprofen may be used temporarily to relieve mild pain and discomfort caused by a hernia.

It’s important to note that some hernias will require immediate surgery and should not be delayed. Your physician will be able to help determine the best treatment plan for your specific case.

You may be able to delay surgery, but the only way to effectively repair a hernia is through surgery.

Although the tips above may provide non-surgical relief from hernia symptoms, these measures are not intended to replace the need for surgery. Fortunately, hernia repair surgery is common and usually successful, but it’s important to choose a surgeon who specializes in hernia repairs to help avoid recurrence and other complications.

Selecting an experienced hernia surgeon with a high level of technical skill will significantly reduce the risk of recurrence or other complications. At the Hernia Center of Northeast Georgia Medical Center (NGMC), our hernia repair surgeons are experienced and highly skilled in open, laparoscopic, and robotic hernia repair. Our surgeons also successfully treat patients who had initial hernia repair elsewhere but need revision surgery because their hernia has returned.

Our surgeons each perform between 15 to 30 hernia surgeries a month. This means that by choosing the Hernia Center of NGMC, you will see a hernia doctor who is highly experienced and will provide the highest quality hernia repair and surgical care possible. In fact, our hernia surgeons at the Hernia Center have been recognized by Surgical Review Corporation for their quality outcomes and expertise.

Contact us today for an appointment. If you think you have a hernia, don’t delay getting treatment. Call 770-219-4040 today to speak to our care team about questions or to schedule an appointment.

Back pain: a review of pain medications

This year, summer was expected, perhaps more than ever, to forget about distance learning and go to their dachas. But, if self-isolation at home somewhat limited us in movement, then the freedom provided, countryside vacations, trips and opportunities for outdoor activities can become causes for injuries and back pain.

In the article, we will consider the causes of back pain, the causes and symptoms, how to eliminate it and what means to use.

Back pain

The spine is the most important part of our body, on which, literally, life rests. Hundreds of nerve fibers run inside and from it, which are connected with internal organs, muscles, ligaments and the brain. With “natural wear and tear” in combination with loads and injuries, this “detail” sooner or later begins to malfunction: the neck is jammed, the lower back is shot, the shoulder blades are numb, abrasion of the intervertebral discs, protrusions, hernia, pinching, osteochondrosis.

A sore back deprives of normal mobility, constrains movement, causes discomfort and even suffering. In this case, it is important to quickly provide assistance and take measures to eliminate unpleasant symptoms.

How to relieve back pain

Let’s talk about the most common causes and types of back pain in practice, as well as methods for relieving pain.

Intervertebral disc abrasion

Or thinning of the intervertebral discs – the cartilage that acts as a cushion between the bones of the spine and a shock absorber. Abrasion can have a natural course, that is, it can get worse with age, or it can be the result of diseases and pathologies:

• overweight
• sedentary work and sedentary lifestyle
• excessive and uneven load on the spinal column
• frequent inflammation of the muscles near the spinal column
• lack of fluid in the body, malnutrition, as a result of which the body does not receive enough vitamins and minerals
• postural disorders
• resolution processes in the joints of the lower extremities
• clubfoot, flat feet, hollow feet and other types of violation of the position of the foot when walking and playing sports

Abrasion of the intervertebral disc is a frequent companion and one of the causes of osteochondrosis. The nature of the pain can be very diverse: dull, aching pain resulting from compression of the nerve endings extending from the spinal nerves. Sometimes there is a desire, in the literal sense of the word, to shake the spine, like laundry after washing, stretch, straighten out, so as not to experience a pulling sensation, pressure, tingling in places of pathology.

In this case, only a specialist should deal with treatment, but to alleviate discomfort, the systematic use of massage mats and applicators (Kuznetsov’s applicator), massage rollers and rollers, medicines are suitable:

Osteochondrosis

The beginning of osteochondrosis proceeds imperceptibly. Deformation, abrasion and dehydration of the intervertebral disc provokes the appearance of microcracks and loss of elasticity. All that a person can feel at the initial stage is discomfort between the shoulder blades and in the neck during prolonged immobility, a desire to stretch, backaches during intense loads, sudden movements.

These pains can often be mistaken for a heart attack or heart pain. The main differences between heart pain and neuralgia:

with neuralgia, there is a sharp pinching of the sternum with the inability to breathe, cough, turns and any body movements become painful. Pain of a neuralgic nature increases with palpation in the area of ​​​​its distribution. Neuralgia location zone loses sensitivity

In such situations, the condition can be alleviated by:

• Nise gel
• Ketonal gel
• Fastum gel
• Nurofen Express Gel

Protrusion

This is a complicated stage of osteochondrosis, in which the contour of the disc protrudes beyond the physiological boundaries while maintaining the integrity of the fibrous membrane. Protrusion is also a reversible state. If you relax the muscles of the lower back, it disappears in a few hours. For these purposes, manual therapy is suitable, all the same massage mats and applicators for the back, massage vacuum jars. True, banks can only massage the muscles along the spine without capturing the spine itself. You can quickly relax your muscles with a hot 10-minute shower.

More often the pain is localized in the cervical region and lower back . This is explained by the fact that the largest number of nerve endings and two large arteries pass in the neck and in the lumbar spine. Because of what, frequent headaches (typical in principle for any pathologies associated with the spine) and dizziness (due to lack of blood circulation and oxygen in the brain) can torment.
Therefore, for the relief of precisely “vertebral” headaches, the following are suitable: tablets baralgin, nise, ibuprofen, moment, novigan, pentalgin. And:

• Teraliv 275
• Nalgezin
• Ketonal
• Ketonal duo
• Nurofen
• Artrozan
• Airtal
• Dexalgin
• Dexonal
• Diclofenac-Akrikhin
• Nimesil
• Meloxicam-Akrikhin

Protrusion is a serious call that is important to hear in time, because the next irreversible stage is a herniated disc .

Spinal hernia

Depending on the severity of the course of the disease, both observation and therapeutic treatment, as well as surgical intervention, may be required. However, in order not to bring the matter to the knife, the best thing to do is to contain the pathology as much as possible and achieve a stable remission.
It is worth remembering that a hernia of the spine does not belong to age and can affect a person even at a young age. The provoking factors of destruction and degeneration of the intervertebral disc and, as a result, hernia are not fully understood and not studied. Among the many causes, genetic and hereditary factors are essential and dominant. The rest is in the hands of the person himself. But even with an unfavorable genetic prognosis, a hernia is not a death sentence.

Pain in a hernia is a real suffering for those who are not lucky enough to have this diagnosis. It often manifests itself suddenly, very brightly and sharply, with paralysis of movement, sharp, dagger-like, hardly tolerable. One rugs and physical education is not enough here.
It is possible to urgently relieve pain in case of a hernia of the spine
In case of severe pain, when a person becomes practically immobilized, intramuscular injections should be made using:

• Ketonal solution
• voltaren solution
• ketane solution

• diclofenac solution

• artrozan
• movalis solution

Most often, prescription drugs and before using it is important to either consult a specialist or contact the emergency service.

Other causes of back pain

One way or another, destructive changes in the spine have one common beginning – osteochondrosis, which later develops into facet syndrome, sciatica, lumbago and other diseases.

Facet syndrome

In another way – arthrosis of the vertebral bones and joints. In which there are degenerative changes in the bone tissue, characteristic of any other type of arthrosis. The causes of spinal arthrosis are common: spondylitis – destruction of spinal tissues, which has an inflammatory and infectious nature, obesity and metabolic disorders in the body; rheumatoid type arthritis; inflammatory processes in tissues and joints, injuries.

A companion of the facet syndrome is constant inflammation in the zone of the disease location. But inflammation can gradually spread to nearby tissues. Therefore, it is important to accurately diagnose the pathology and start timely therapy.

Osteophytes

These are pathological growths on the bone tissue. Bone tissue grows along the edge of the bone, and this process can affect not only the spine. Osteophytes on the bones of the foot, for example, have a second name – heel spur.

Growing over time, osteophytes immobilize and cause pain, because they grow in the form of a characteristic spike.
Osteophytes can be caused by various metabolic disorders. Bone growths often occur as a result of high loads on the joint, which leads to the destruction of cartilage. Also, the cause may be a direct injury to the joint or spine.
To date, osteophytes are removed only surgically. Topical agents and injections can relieve the condition only temporarily.

Inflammation, myositis

Myalgia is a pathology of a muscular and tendon nature. Any inflammation, myalgia are not independent diseases, but are always a consequence.

P r and the treatment of myalgia try to combine symptomatic and etiological approaches. The easiest way to manage myalgia is with proper rest, analgesics, and relaxation treatments that bring quick relief. The inflammatory process and acute pains are stopped by non-steroidal anti-inflammatory drugs: nise, ketonal, nurofen . With an infectious origin, myalgia is prescribed antiviral or antibacterial drugs and drinking plenty of fluids to quickly remove microbial toxins from the body.

After the pain syndrome is eliminated, they proceed to physiotherapeutic procedures that activate local metabolism and accelerate regeneration. Recommended techniques include: microcurrents; IR therapy; magnetotherapy using the Almag apparatus; massotherapy.
The Almag device from this list is the most affordable home physiotherapy tool.

Read more about Almag and Almag Plus here…

Sciatica and lumbago

Radiculitis is a mechanical pinching of one or more spinal nerve roots, which occurs as a result of pathological processes occurring in the spine and musculoskeletal system. Such pathologies include, in addition to osteochondrosis, scoliosis, kyphosis, lordosis (types of curvature).

1. Sometimes influenza, tuberculosis, rheumatism, syphilis, cerebrospinal meningitis, tick-borne encephalitis, tumors provoke the development of sciatica. But such root causes require medical supervision.
2. Treatment of sciatica at home involves the use of locally dry heat or cold (with emergency first aid). As a local heat – the offer of locally irritating and locally warming ointments is suitable: salvisar , finalgon
3. Immobilization of the lower half of the body (using a tight circular bandage or lumbar brace) may also help relieve pain. Fixation belt options: ORTO lumbosacral brace, lumbar brace
   

During the period of acute pain, it is necessary to connect medications – such as, for example, Diclofenac-Akrikhin, Ketonal duo, Dexonal, Nimesil.

• Also in the treatment of sciatica, a sparing sedentary regime is important, but not more than 3-5 days.

• Manual therapy, therapeutic exercises and physiotherapy, special exercise machines and massagers for home use must be connected only as pain symptoms decrease, not during the acute period of the disease.

Lumbago

Lumbago is often confused with sciatica because of very similar symptoms – pain appears, sudden, sharp, throbbing, which is localized in the lumbar spine. The patient “freezes” in the position in which he was overtaken by an attack, and takes a forced half-bent position. Severe pain can last from several minutes to several hours. A characteristic cause of acute backaches in the lumbar part of the back (lumbago) is physical activity, as a result, displacement of the vertebrae and intervertebral discs. And also, overheating of the lower back or hypothermia. One of the causes of recurrent lumbago may be an intervertebral hernia in an inoperable stage, which compresses the nerve roots.

Prevention of back pain

It is difficult to call the prevention of back diseases prevention. Because this, ideally, is a lifestyle that by default implies self-care in every sense: physical education, nutrition, orthopedic insoles and foot correctors, annual vitamin and massage courses and a complete anti-stress regimen.

Be healthy!

How to get rid of the pain of a hernia of the spine

How to get rid of the pain of a hernia of the spine – pain pills for exacerbation of a hernia of the lumbar

Gimranov Rinat Fazylzhanovich
Neurologist, neurophysiologist, experience – 33 years;
Professor of Neurology, MD;
Clinic for Rehabilitation Neurology. About the author

Publication date: December 7, 2022

Sharp pain that occurs with every hand movement or step, an exhausting feeling of stiffness – these are signs of an inflamed vertebral hernia. If you do not take action in time, then unpleasant sensations will worsen life.

Contents of the article:

• 1 Symptoms
• 2 Causes of exacerbation
• 3 First aid
• 4 Medications
• 5 Physiotherapy
• 6 Treatment bathing exercises
• 7 massage
• 8 surgical treatment
• 9 How to prevent pain
• 10 What not to do in the presence of a hernia
• 11 References:

Symptoms

that it is her. Look out for additional symptoms.

Symptoms in the lumbar region:

• Sharp pain when trying to move in the lumbar region. Changes in the position of the torso and attempts to lean in any direction become especially painful.
• Soreness radiates to the lower limbs. Depending on the size of the tumor and its location, discomfort can be felt up to the lower leg.

• Feeling of goosebumps on the skin of the legs, slight numbness. Gradually it develops into limited mobility.
• Problems with the functioning of the urinary system.
• Changing the timing of the menstrual cycle and increased pain during menstruation.

Sometimes it is difficult for a person to stand and sit, rarely paralysis of the lower extremities can occur.

Hernia in the thoracic region:

1. Sharp, drawing pain in the area of ​​the ribs.
2. Peeling of the skin in this area.
3. Numbness and tingling in shoulders and arms.

Neck:

1. Loss of neck mobility.
2. Muscle tension.
3. Headaches.

In a severe case, the arms stop raising, they weaken, they cannot perform work that depends on fine motor skills.

If symptoms and acute pain appear with a hernia of the lumbar or sacral spine, what to do, how and how to anesthetize the exacerbation, relieve pain in the lower back and back, which lumbar ointment to use, what treatment will be most effective for you, it is better to ask your doctor.

Causes of a flare-up

To find out which pain medications and pills can help with back pain in a herniated lumbar spine, it is important to understand what triggered the flare-up.

Etiology:

• Trauma.
• No movement.
• Vascular pathologies.
• Overweight.
• Carrying a child.
• Diseases that cause metabolic disorders.

• Regular physical labor, heavy lifting.
• The need to move quickly after a period of low mobility.

First aid

How to relieve pain in case of a hernia of the lumbar or any other part of the spine in the back, how to remove pain in the lower back – this is the only thought that worries a person. It is important to know the procedure so as not to harm a person, not to increase inflammation. [1]

Everyone who has such a diagnosis should know what to do and how to treat the lower back, how long it will take if the back hurts badly due to spinal hernia.

Proper first aid is important:

• Lie down on a hard or medium soft surface.
• Drink an available analgesic.
• Take a muscle relaxant. Muscle spasm will be relieved.
• Use cold dressings. If drugs are not currently available, cool the site of pain. However, remove the ice after 10 minutes. For people with liver disease, this technique is contraindicated.

If acute inflammation has already developed, there has been a pinching due to edema, the back hurts unbearably, then only a doctor should decide how to quickly relieve pain in the lower back, what to remove with a hernia of the lumbosacral spine.

Medications

In case of exacerbation of an intervertebral hernia in the lumbar region, the course of treatment, how to relieve pain, what to do to anesthetize, what painkillers to use, what drugs to remove an attack and inflammation in the back, depends on how much it already hurts intervertebral hernia. When measures are taken immediately when symptoms appear, then light remedies will help, and the attack will end in 2-3 days. If you decide to resort to the help of medicines after a few days, then the course of treatment is up to 2-3 weeks.

Specialists can choose a complex of medicines. Commonly used:

1. NSAIDs in tablet form, as well as injectable solution and ointments . Often you can use two types of the drug at once. They relieve pain and relieve inflammation. The most famous and affordable are Ketoprofen, Nimesil, Diclofenac. Aertal is another of the drugs that cope well with lower back pain on the right side due to spinal hernia. When applying, it is worth remembering the undesirable action. Do not take medications on your own, consider contraindications.

1. Muscle relaxants – relaxing preparations . Their job is to relax the muscles. The most popular are Mydocalm, Tizalud. It is extremely important to choose the right dosage, as using too many tablets will negatively affect the functioning of the heart.
2. Blockade is prescribed only after examination by a doctor . This is the introduction directly into the area of ​​\u200b\u200bthe oppressed nerve root of a strong anesthetic. The injection should only be performed by a professional. This method is used for very severe pain and works for quite a long time.
3. Chondroprotectors are used to prevent the appearance of new hernias. These drugs prevent the intervertebral disc from collapsing.
4. Corticosteroids are strong pain relievers and anti-inflammatory drugs. They are taken in short courses strictly according to the doctor’s prescription.

If the pain in the lower back with a herniated lumbar spine in the back has become severe and acute, then it is up to the doctor to decide how to relieve it, what to treat and what to do, such pain may require treatment with strong prescription drugs.

Physiotherapy

Treatment with physiotherapy begins after the pain syndrome of spinal hernia is relieved. Some of the effective procedures that allow you to quickly remove inflammation and not experience pain in the future are dangerous to use during pain attacks, so you should not use them without the consent of your doctor.

The most effective in the treatment of hernia inflammation are:

• Electrophoresis . With the help of electrical impulses, the medicine is delivered directly to the site of pain localization, acting much more effectively and with less likelihood of side effects.
• Magnetotherapy perfectly fights swelling and inflammation. Magnetic fields, constant or variable, affect the sore spot, significantly speeding up metabolism, improving blood flow, which will saturate the back with oxygen, substances and vitamins.
• Laser therapy . Exposure to a beam of laser beams allows you to warm it up well, which accelerates tissue regeneration. Because of this, the movement of blood is accelerated, which allows you to reduce inflammation.
• UHF . The whole body is affected by high-frequency magnetic waves. This allows you to significantly accelerate tissue regeneration, improve blood circulation and nerve conduction.

A full course of physiotherapy usually includes 10-15 sessions, during which the patient’s condition improves, and the chance of an early recurrence of an attack is reduced to almost zero, provided that the patient follows the advice.

Therapeutic gymnastics

A universal remedy that is prescribed for almost everyone who has faced the problem of hernia in the back – a course of exercise therapy.

Exercises are started only after the acute phase of the attack has completely passed. Performing most exercise therapy movements during a period of acute pain will only intensify them.

Exercise therapy is an excellent preventive tool available to everyone. However, to achieve the desired effect, regular exercises are needed.

At the first training sessions, the trainer must show how to correctly perform individual complexes. For the first time, each exercise of the complex is performed 3-4 times. In the future, the number may increase to 10, but it is impossible to go beyond this line of activity, since too much load can provoke the onset of a new attack.

Massage

There are special techniques that allow you to increase the distance between the vertebrae and start the regeneration process, significantly speeding up the recovery and speed of recovery of damaged nerve endings. Thanks to the hands of a specialist, the muscles relax, spasms disappear, and muscle tone improves.

Massage should only be performed by a specialist, because with an inept impact on the muscles and spine, you can not only not help, but also seriously harm. With special attention, it is necessary to approach the choice of a massage therapist if your hernia is sequestered, that is, it has moved from its original place. Also, before prescribing the procedure, the attending physician checks if the patient has any diseases that are contraindications for massages.

Surgical treatment

Anesthesia, even with strong drugs, in case of intervertebral hernia of the lumbar spine and pain in the leg does not always have the desired effect. In some cases, conservative medicine is powerless in trying to save the patient from suffering. In such cases, it is necessary to resort to surgical removal of the problematic neoplasm. [2]

The operation is prescribed in hopeless situations, such as:

1. No result.
2. Pain cannot be completely removed within 2-3 months. Such a long course of drug treatment is dangerous.
3. A person gradually loses the mobility of the limbs, there is a danger of paralysis.
4. Hernia too large.
5. Violation of the internal organs.

There are several types of surgery depending on the complexity of the case. The duration of the rehabilitation period depends on what kind of operation you will undergo. With minimal intervention, it will end in a few days, and with complete removal, recovery can take up to 2 months. [3]

How to prevent pain

Thinking about the question of how to permanently get rid of pain in the case of a hernia of the lumbar spine in the back, improve the lower back, it is worth remembering that prevention is easier than cure. Once recovered from an attack, it is enough just to follow preventive methods so as not to repeat an unpleasant and painful experience.

The most effective ways to prevent pain:

• Give up physical inactivity . Be sure to walk daily, exercise several times a week, giving priority to swimming. Strengthen your back muscles.
• Keep a close eye on your back . Beware of slouching not only when walking somewhere, but also when sitting at a table.
• Do not gain weight .
• Adjust your diet to eliminate junk food , but get all the necessary vitamins and minerals, pay special attention to B vitamins. If necessary, take special vitamin and mineral complexes.
• Drink the right amount of water, avoid dehydration . In this case, preference should be given to clean water.
• Get the right place to sleep . Buy an orthopedic mattress, a pillow that suits your height. This will allow you to have the most comfortable rest at night. Avoid too soft surfaces.
• Buy orthopedic corset and wear it when playing sports and in cases where you have to carry something heavy, strain your back.
• Pay special attention to back safety , choose shoes with non-slip soles.

In order not to look for the most effective, best, most powerful painkiller for spinal hernia and an attack of vertebral back pain, it is enough to follow the restrictions imposed by the doctor and follow the advice of professionals, changing your life. By maintaining health with preventive measures, you not only avoid attacks of pain, but also prevent the further development of degenerative diseases.

What not to do if you have a hernia

If you have already been diagnosed with a hernia, then you need to reconsider your habitual behavior for life, eliminating dangerous activities that can provoke a new attack of the disease. A list of what can not be done so that the hernia of the spine does not worsen is given by the doctor after the course of treatment. [4]

However, there are universal restrictions that apply to everyone with a similar diagnosis:

1. Move sharply . It is necessary to exclude any activity that implies the possibility of sudden or regular rapid movements. Including abandon sports, the main of which is a quick response to the opponent’s actions.
2. Perform exercises with dumbbells, barbells, spinal twists . An additional load on an already deformed spinal column will instantly lead to an attack of pain. In addition, this can provoke the appearance of another hernia.
3. Lift any weight . The restriction applies not only to the gym, but also to ordinary life. It is worth forever abandoning the habit of carrying heavy bags or moving massive objects.
4. Pull-ups and push-ups . Forcing the body to be in an unusual position, increasing the load on the back muscles, you put too much pressure on the spine, which can lead to an exacerbation of the disease.
5. Lean forward with legs straight . This position is not physiological and creates additional tension in the muscles of the back and spine.
6. Visit saunas, steam baths, take a hot bath. Excessive overheating is extremely harmful in the development of hernias. High temperatures can provoke not only an attack of pain, but also contribute to inflammation of nearby tissues.