Painkillers and anti-inflammatory ointments: a list of drugs, indications, instructions. Non-steroidal anti-inflammatory ointments and gels Which anti-inflammatory ointments have a stronger effect

It is difficult to find a person who does not have a toothache, does not have a fever, and how many patients suffer from diseases of the joints, pain in the spine ... Doctors in such cases prescribe anti-inflammatory nonsteroidal drugs. Medicines of this group reduce pain, lower the temperature, relieve inflammation. They are used in many areas of medicine: therapy, orthopedics, gynecology. Among them are familiar to all "Analgin" and "Aspirin". Let's look at what non-steroidal anti-inflammatory drugs are and how they affect the body.

Mechanism of action of NSAIDs

Anti-inflammatory nonsteroidal drugs (NSAIDs) are used in the treatment of: colds, spinal hernia, arthritis and arthrosis. The mechanism of action is based on the fact that their constituent components:

• inhibit any inflammatory processes;
• reduce puffiness;
• reduce pain in any disease;
• are antipyretic;
• thin the blood.

It should be noted that non-steroidal anti-inflammatory drugs have many contraindications. They strongly irritate the mucous membrane of the stomach and duodenum, causing bleeding, ulcers. In addition, they help thin the blood. Therefore, they are not recommended to take:

• with diseases of the stomach, duodenum;
• in case of poor blood clotting;
• during pregnancy;
• with allergies to the components of the drug.
• during an exacerbation of hypertension;
• with diseases of the kidneys, liver.

Classification of drugs

When getting acquainted with anti-inflammatory non-steroidal drugs (NSAIDs), it is important to know:

1. By the strength of pain relief, they are similar to narcotic drugs, but are not addictive.
2. They have a strong anti-inflammatory effect, but are not hormonal (steroid) drugs and do not lead to diseases associated with their use.
3. According to the effect on the body, they are divided into two groups: selective, non-selective. Both are widely used in medicine, but require the use strictly prescribed by a doctor.

selective

Selective NSAIDs differ in that they have a local selective effect on the inflamed area. They do not irritate and do not destroy the mucous membrane of the stomach, intestines, they are produced in different forms. These drugs include:

• "Nise". Tablets, ampoules, gel. Used for inflammation of the ligaments, after operations in gynecology, with toothache in dentistry.
• Movalis. Injections, tablets, suppositories for the treatment of arthritis, osteochondrosis.
• "Celecoxib". Capsules for inflammation of the joints, bones.
• "Paracetamol". Tablets, as an antipyretic for colds, fever.

Non-selective

The peculiarity of non-selective NSAIDs is that they inhibit inflammatory processes, while affecting the gastric and duodenal mucosa. They are among the most powerful drugs in the treatment of osteochondrosis, arthritis, their dosage and use must be agreed with the doctor. Among these drugs:

• "Diclofenac" in the form of tablets, ointments, injections.
• "Ibuprofen". Recommended for use by pregnant women.
• "Indomethacin". It works effectively, but affects the gastric mucosa.
• "Ketoprofen". Several times stronger than ibuprofen, has contraindications.

Main Effects

What are non-steroidal anti-inflammatory drugs? These are medical drugs that greatly facilitate the life of a patient with diseases of the joints and spine. Help with colds, fever, lowering the temperature. They improve the condition after operations, change the quality of life in arthritis, arthrosis. The action is based on the fact that the substances in their composition have a pronounced analgesic effect. Most importantly, NSAIDs actively inhibit inflammatory processes anywhere in the body. In addition, they are antipyretic and blood thinners.

anti-inflammatory

The use of anti-inflammatory nonsteroidal drugs has become widespread in the treatment of diseases of the musculoskeletal system. Here osteochondrosis, arthritis, arthrosis, inflammation of connective tissues, radiculitis. In the acute form, treatment begins with injections, then tablets are prescribed, and anti-inflammatory ointments and gels are used externally. Assign "Diclofenac" (trade name "Voltaren", "Ortofen"), "Viprosal", "Bystrumgel". The main point in the use of funds is the presence of a pronounced anti-inflammatory effect.

Antipyretic

Who has not taken Aspirin at elevated temperature? Together with Ibuprofen, Nise, Paracetamol, this is a group of anti-inflammatory non-steroidal drugs with an antipyretic effect. They have proven themselves in the treatment of colds, fevers. Gives good results to reduce the temperature of "Diclofenac", "Ketanov", "Analgin". In case of influenza, they are prescribed together with the antiviral drug Aziltomirin. To alleviate the patient's condition, they are often taken in the form of tablets or suppositories.

Anesthetic

Severe back pain, migraine, neuralgia, often do not give the patient rest day or night. Difficulty sleeping when teeth hurt or an acute attack of gout occurs. Renal colic, conditions after surgery, lumbago, sciatica, trauma - all require the use of NSAIDs for pain relief. They are used in the form of injections, tablets and ointments. Excellent performance in drugs such as "Nise", "Naproxen", "Ketonal", "Ketanov". They help with headache, toothache, joint pain.

Indications for use

Groups of non-steroidal anti-inflammatory drugs are recommended for all kinds of diseases. It is difficult to imagine a field of medicine where they are not used. It is important not to self-medicate, but to use them only as directed by a doctor. In this case, you must follow the rules for admission:

• read the instructions;
• Take tablets, capsules with plenty of water.
• exclude the use of alcohol, carbonated drinks;
• do not lie down after taking the capsule for better passage;
• do not take several NSAIDs at the same time.

Orthopedists, traumatologists use non-steroidal anti-inflammatory drugs along with chondroprotectors to treat joints. They relieve swelling, reduce inflammation, relieve pain, allow you to move, improve the quality of life. First, injections are prescribed, then tablets and non-steroidal anti-inflammatory ointments. "Indomethacin", "Flexen", "Nimesulide" showed themselves well in the treatment of:

• osteochondrosis;
• arthritis, arthrosis;
• coxarthrosis of the hip joints;
• hernia of the spine;
• radiculitis;
• gout.

In gynecology, these drugs are used to reduce monthly menstrual pain, alleviate the condition after surgery, and reduce fever in case of complications. In obstetrics, the use of a drug such as "Indomethacin" helps to relax the muscles of the uterus. Drugs are used as painkillers in procedures for removing the intrauterine device, endometrial biopsy. They help with diseases of the uterus, genital organs. It is important to remember that their use poses a danger to the intestines, causing ulcers, bleeding, and do not self-medicate.

Prescribe drugs for colds with fever, neuralgia, dental inflammation, pain. Sports injuries, renal colic - all are indications for the use of non-steroidal anti-inflammatory drugs. Due to the property of NSAIDs to thin the blood, they are used to prevent heart attacks, strokes, as antithrombotic drugs that reduce the likelihood of blockage of blood vessels. In ophthalmology, drugs are used for inflammation of the choroid, and as an antiallergic for conjunctivitis.

For adults

Adult patients should not self-medicate. It is necessary to undergo an examination so that the doctor makes an accurate diagnosis and prescribes the necessary funds. It is important to take into account the age of the patient, allergic reactions to drugs. Many drugs have a huge number of contraindications for diseases. Pregnant women and the elderly should be wary of the use of non-steroidal anti-inflammatory drugs. Do not take multiple medications at the same time. Only a doctor will prescribe the right remedy and give a scheme for its use.

When treating adults with non-steroidal anti-inflammatory drugs, it must be taken into account that each of the drugs has its own duration of action. Depending on your disease, condition, you will be prescribed the use of medicines three times a day or one. There are 3 duration groups:

1. A short. It lasts from two to eight hours. Preparations: "Ibuprofen", "Voltaren", "Ortofen".
2. Average. Valid from ten to twenty hours. Medications: Naproxen, Sulindak.
3. Long. Duration of the day. The drug "Celecoxib".

For children

Non-steroidal anti-inflammatory drugs should be used with caution in children. Many drugs have unequivocal strict contraindications. Some drugs are age-restricted. For example, Aspirin is not prescribed until the age of 16. Ibuprofen and Paracetamol are considered completely safe for a child. Pediatricians prescribe them even to infants from 3 months. Apply at a time when children have a cold, fever, teething. Since it is difficult for a small child to drink medicine, it is prescribed in the form of candles.

List of new generation non-steroidal anti-inflammatory drugs

NSAIDs are not recommended for long-term use due to numerous side effects. Modern pharmacology has developed a group of drugs that are safe when taken continuously. NSAIDs of the new generation do not cause complications, do not have dangerous contraindications. They act gently and selectively. These drugs include:

1. "Nimesulide". Reduces fever, treats back pain.
2. "Celecoxib". Helps with osteochondrosis, arthrosis.
3. Movalis. Assign against inflammation, with pain in the spine, joints.
4. "Xephocam". Strong pain reliever, non-addictive.

The peculiarity of the action of new generation non-steroidal anti-inflammatory drugs is that they do not irritate the gastrointestinal mucosa, do not cause bleeding, ulcers. They act only on the inflamed, sore spot. In addition, they do not destroy cartilage tissue. These funds are used for outpatient treatment, in a hospital setting. Side effects include:

• dizziness;
• drowsiness;
• increase in pressure;
• shortness of breath
• fatigue;
• indigestion;
• allergy.

Side effects

Anti-inflammatory non-steroidal drugs are used in many areas of medicine, but you need to be very careful about their use. This should be done only on the recommendation of the doctor who examined you, because there are side effects:

1. The occurrence of ulcers and bleeding in the stomach, duodenum.
2. Impaired kidney function.
3. Problems with blood clotting.
4. Allergic reactions.
5. The appearance of tissue necrosis during injections.
6. Liver damage.
7. Hearing and vision problems.
8. Dizziness, fainting.
9. Destruction of intra-articular cartilage.

Video about diseases in which NSAIDs are used

Watch the video and you will learn how to take non-steroidal anti-inflammatory drugs. You will clearly see how they act on the inflamed area. You will learn how to avoid serious complications from the use of these drugs. Why it is strictly forbidden to drink them with carbonated drinks, and what food should be excluded from the diet during treatment.

Updated: 05.12.2019

Joint pain is an unpleasant symptom that constantly accompanies a person with diseases of the musculoskeletal system or occurs after excessive physical exertion, injuries. The pharmaceutical market has an extensive list of topical agents that help relieve joint and muscle pain. How to choose the most effective cream, gel or ointment for joint pain? We analyzed the most popular and frequently prescribed drugs, found out their advantages and disadvantages, and made a rating of the best drugs based on feedback from patients and doctors.

All drugs for joint pain for external use can be divided into 3 main groups: non-steroidal anti-inflammatory drugs (NSAIDs), irritants and chondroprotectors.

The best ointments for pain in the joints of the NSAID group

Ointments of the group of non-steroidal anti-inflammatory drugs are intended for relief of pain syndrome provoked by destructive diseases of the musculoskeletal system (osteochondrosis, arthritis, arthrosis, intervertebral hernia), hypothermia or injuries. Means in addition to the analgesic effect have a pronounced anti-inflammatory effect.

Advantages

Effectively stop inflammatory processes. With a strong pain syndrome, they have the most rapid and pronounced effect, which lasts about 5 hours.

Flaws

They have the greatest number of contraindications in comparison with drugs of other groups. Even when applied topically, they can have side effects on various organs and systems, therefore they are not suitable for long-term use. Preparations of this group should not be used by pregnant and lactating women.

Rating of the best ointments for pain in the joints of the NSAID group

Rating

#1

#2

#3

Name

Points

Mild effect on the body

Ease of use

Availability in the network of pharmacies

Soft texture and pleasant aroma

Aceclofenac-based joint cream relieves pain, swelling and inflammation during dislocations, bruises and sprains. It is used to treat myositis, torticollis, lumbago, tendinitis, periarthritis.

You can not use the cream for violations of the integrity of the skin in the treatment area, with urticaria, allergies to aspirin and other NSAIDs, liver and kidney diseases, disorders of the hematopoietic system, during pregnancy and breastfeeding, under the age of 18 years. Very rarely, against the background of the use of the remedy, the sensitivity of the skin to the bright sun increases.

• Effectively eliminates pain and inflammation in arthritis, osteochondrosis, sciatica.
• Economically spent.
• Does not have a strong odor.
• Acceptable cost - 290-330 rubles (tube 60 g).

• Oily consistency, the cream is poorly absorbed, stains clothes.
• The metal tube is not very convenient to squeeze out the cream, especially when the product runs out.

Gel from joint pain based on meloxicam is intended for symptomatic therapy of destructive diseases of the musculoskeletal system (osteoarthritis, osteochondrosis). Do not use the gel for skin lesions in the area of ​​application, allergies to other nonsteroidal drugs, during pregnancy and breastfeeding, under the age of 18 years.

Side effects are manifested by peeling of the skin, increased sensitivity to light, rash, burning, allergic reactions (urticaria, erythema).

• Eliminates pain, reduces inflammation in joint problems, back pain.
• Without smell.
• Not greasy, absorbs quickly.
• It does not cause burning, unlike warming ointments, while it acts faster.
• Acceptable price - 170-200 rubles (packing 30 g).

• Lots of contraindications.
• Not to be used by children and adolescents under 18 years of age.

The ibuprofen-based agent has analgesic and anti-inflammatory effects. When applied to the skin, a cooling effect is noted.

It is used for pain in the joints and back, muscle pain, ligament injuries, sprains, neuralgia. Among the contraindications are hypersensitivity to the components of the product, allergy to aspirin and other NSAIDs, skin damage at the treatment site (abrasions, scratches, purulent wounds, weeping dermatitis and eczema), age up to 14 years, pregnancy and breastfeeding.

Application: apply to inflamed areas up to 4 times a day, rub until completely absorbed. The maximum course is 2 weeks.

• Helps with pain in muscles, joints, after injuries, sprains.
• Absorbs quickly.
• It does not have a sharp specific smell.
• Colorless gel, does not stain clothes.
• Acceptable cost - 280-330 rubles a package of 100 g.

• Severe pain relieves, but does not completely eliminate. Must be used simultaneously with tablets.
• For some, it causes itching and rashes.
• Over time, addiction to the remedy may develop, the gel ceases to help.
• Consumed quickly.
• Not allowed for children under 12 years old.

The remedy for pain in the joints of the knees, elbows and back is available in the form of a gel, contains nimesulide as the main component. Indications for use are similar to the previous ones - arthritis, lumbago, sciatica, myositis, bruises and injuries, radicular syndrome in osteochondrosis.

Among the contraindications are exacerbation of peptic ulcer, renal and hepatic insufficiency, individual intolerance to the components, pregnancy and breastfeeding. With caution - with arterial hypertension, diabetes mellitus, systemic lupus erythematosus.

The active ingredient can be absorbed into the bloodstream, causing drowsiness. Therefore, during treatment, you can not drive a car and other mechanisms, do potentially dangerous work.

Side effects can be manifested by redness and peeling of the skin, itching, urticaria. With prolonged use over large areas, systemic reactions are possible - heartburn, diarrhea, vomiting, swelling, disruption of the hematopoietic system.

• Relieves mild pain in osteochondrosis and myositis, after minor bruises.
• Acceptable cost - 150-200 rubles.

• Weak analgesic effect, with severe pain only slightly alleviates the condition, does not reduce swelling after injury.
• After 4-5 days of use, skin itching and rash may appear.
• For some it causes drowsiness.
• Sharp unpleasant odor.
• Badly absorbed.
• The gel is transparent, but with a yellowish tint, stains clothes. Yellow spots do not wash off.

A remedy for joint pain based on indomethacin is available in the form of an ointment and gel. It has an anti-inflammatory and analgesic effect in myalgia, pain in the spine, articular syndrome and painful manifestations of gout, arthritis, neuralgia.

Contraindications include skin damage in the treatment area, individual intolerance to the components, pregnancy and breastfeeding, bleeding disorders, exacerbation of peptic ulcer, children under one year of age. Children from one year to 6 years of age are allowed to use the ointment with caution, under the supervision of a doctor.

Side effects of the drug can be manifested by burning, dryness and redness of the skin, rash. In patients with psoriasis, an exacerbation of the disease is possible against the background of the use of the ointment.

• Already after several applications, it helps to get rid of muscle pain, back pain, rheumatism attacks and pain syndrome during sprains.
• Reduces swelling after injury.
• The side effects listed in the instructions do not appear when used correctly.
• It can be used for injuries in a child.
• Affordable cost - 55-85 rubles.

• The effect is short-lived. In chronic diseases of the joints, a few days after the end of the use of the remedy, the pain returns.
• The ointment is oily and sticky, poorly absorbed.
• Bad smell.
• There are contraindications.

A remedy for joint pain based on diclofenac is available in two concentrations - 1% and 2% (Voltaren Emulgel Forte), has a local analgesic and anti-inflammatory effect. It is recommended for pain in the joints of the knees, elbows, fingers, arising from osteoarthritis or rheumatoid arthritis.

Eliminates back pain with sciatica, sciatica, lumbago. Helps to stop inflammation, pain and swelling after injuries and rheumatic diseases (bursitis, tendovaginitis).

Helps with muscle pain after excessive physical exertion, bruises, sprains. Among the contraindications are skin damage in the treatment area, allergy to other drugs of the NSAID group, age up to 12 years.

With caution - with gastric ulcer, bronchial asthma, severe disorders of the kidneys and liver, heart failure, blood clotting disorders (including hemophilia), in old age. In some cases, against the background of the use of the drug, erythema, various dermatitis (including contact), swelling at the site of application of the gel, rash, increased sensitivity to light, allergic reactions (urticaria, bronchospasm, asthma attacks) may occur.

• With moderate pain, it helps to eliminate pain and swelling.
• Slight cooling effect upon application.
• Nice smell.
• The colorless gel is quickly absorbed, leaves no sticky residue, does not stain clothes.
• Produced in 20 g, 50 g and 100 g. It is possible to choose the required volume.

• Severe pain with independent use does not completely eliminate, only reduces.
• There are contraindications and side effects, you can not use it for a long time.
• Do not use for injuries to children under 12 years of age.
• Expensive compared to the domestic counterpart (the cost of 1% gel 100 g is from 465 to 550 rubles, the domestic gel with diclofenac 40 g costs 57–100 rubles).

Gel for joints based on ketoprofen slows down the synthesis of prostaglandins (substances involved in the development of inflammation), which quickly eliminates the main signs of inflammation - pain and swelling. It is used for various diseases of the musculoskeletal system (gout, arthritis, osteoarthritis, osteochondrosis, sciatica, lumbago, bursitis, inflammation of the tendons and ligaments).

Helps with muscle pain and pain after injury. Among the contraindications are eczema, weeping dermatosis, abrasions and wounds (including purulent ones) on the skin, allergies to acetylsalicylic acid and other NSAIDs, the last trimester of pregnancy and the period of breastfeeding, age under 12 years.

With caution - with peptic ulcer, bronchial asthma, severe disorders of the liver and kidneys, chronic heart failure. The use of the gel can provoke allergic reactions (urticaria, itching), swelling, increased sensitivity to light, reddening of the skin, eczema, various types of dermatitis (including photodermatitis), stomatitis (in case of accidental contact with residual funds from the hands on the oral mucosa).

• It helps with mild joint pain or after minor injuries, if the neck is stretched out (within an hour after application, the pain goes away and the head turns normally).
• Does not cause allergies.
• Has no unpleasant smell.
• Leaves no marks on clothes.
• Produced in 30 g, 50 g and 100 g - there is a choice. For acute pain after an injury, a small or medium pack is sufficient. If the pain is chronic and constant, it is more profitable to buy a large package.
• Easy to use - only 2 times a day.

• With severe pain in the back and knees, the pain syndrome relieves, but does not completely remove.
• Do not use if the injury has damaged the skin.
• Slightly viscous texture, not completely absorbed, leaves sticky marks.
• Not economically spent.
• Expensive (a 30 g tube costs 220–250 rubles), there are cheaper analogues (Bystrumgel costs 160–180 rubles, the price of Ketoprofen gel is 60–120 rubles).

The best irritating ointments for joint pain

It is advisable to use irritants after injuries, hypothermia, high physical exertion. They have a pronounced warming and irritating effect, as a result, blood vessels expand, and blood flow to the affected tissues increases. The analgesic effect is achieved due to the intensive nutrition of tissues and the activation of metabolic processes.

Advantages

Preparations for pain in the joints with an irritating effect are the means of choice for lumbago, myalgia (muscle pain of various origins), pinching of the sciatic nerve. They can be used with a sudden onset of pain and as part of complex therapy. In addition, warming ointments can be used by athletes.

Flaws

Can cause severe burning and irritation of the skin, allergic reactions and dermatitis.

Rating of the best irritating ointments for joint pain

Rating

#1

#2

#3

Name

Points

Availability in the network of pharmacies

Effective pain relief

Ease of use

Mild effect on the body

Light texture and pleasant aroma

• In addition to chondroitin, it contains meloxicam, due to which it has a complex effect - it anesthetizes, relieves inflammation, and promotes cartilage regeneration.
• Improves joint mobility.

• Due to the presence of meloxicam, it has more contraindications than other drugs with chondroitin.
• More expensive than Chondroxide - from 380 to 490 rubles.

Ointment for pain in the joints of the hands, knees, back based on chondroitin sulfate. The tool provides the regeneration of cartilaginous tissue, has anti-inflammatory and weak analgesic effect.

It is used for the treatment and prevention of osteochondrosis, osteoarthritis.

• Not a very pleasant smell.

Ointment for joint pain contains camphor, salicylic acid, gum turpentine and viper venom. It has a local irritating and vasodilating effect, activates metabolic processes in inflamed tissues, thereby achieving an analgesic and anti-inflammatory effect.

Camphor and turpentine also exhibit antiseptic properties. The ointment eliminates pain in arthritis, neuralgia, myalgia, helps with rheumatic pain, sciatica, sciatica, lumbago.

• The composition does not contain non-steroidal anti-inflammatory drugs, to which the body gets used to with constant use. If NSAID funds stop helping, Viprosal is a worthy alternative.
• The ointment not only anesthetizes and reduces inflammation, but also improves tissue nutrition, which allows you to slow down degenerative processes and the progression of the disease.
• Helps relieve knee pain in arthritis of the knee joints.
• Pleasant warming effect, fast pain relief.
• Natural composition.
• Acceptable cost - 200-240 rubles.

• The smell of turpentine.
• Iron rigid tube, ointment is difficult to squeeze out.

Ointment for pain in the joints of the legs and back contains bee venom, methyl salicylate and mustard oil extract. It has an analgesic, warming and anti-inflammatory effect.

Stimulates blood circulation, reduces tonic muscle contraction. A remedy is used to relieve pain in radiculitis, neuralgia, back pain and neuritis.

Helps with joint pain caused by osteoarthritis and rheumatic tissue lesions. Also, the tool is used after injuries (including damage to the tendons), to warm up the muscles before or after sports training.

The external medicine for pain in the form of an ointment contains nonivamide and nocoboxyl. The first component has a pronounced irritant effect, the second - a vasodilator.

The result is an increase in local blood circulation, due to which a pronounced analgesic, antispasmodic and warming effect is achieved. The drug eliminates severe muscle pain, improves joint mobility.

It is used for lumbago, neuritis, sciatica, ligament injuries, after injuries. In chronic degenerative diseases of the joints, the ointment can only be used at the stage of remission.

Also, the tool relieves muscle pain after excessive physical exertion, is used to warm up the muscles before intense training.

• Quickly eliminates back pain, pain syndrome with sprains, dislocations, sports injuries.
• Virtually odorless unlike many other warming ointments.
• It is economically spent.
• Comes with an ointment applicator. This is very convenient, because the remedy causes a strong burning sensation.
• Acceptable cost - 245-325 rubles.

• Relieves pain for only 3-4 hours.
• Do not use in case of exacerbation of joint diseases.
• With repeated use, the body's susceptibility to the drug decreases, you need to apply more ointment than before.
• It can cause severe burning, if you do not calculate the dose - a burn.
• When using the ointment, special care must be taken - getting the product on the mucous membranes, especially in the eyes, causes an unbearable burning sensation, which can lead to burns of the conjunctiva.

The best ointments for pain in the joints of the chondroprotector group

Means of the group of chondroprotectors improve metabolic processes in the tissues of the joints, stimulate recovery and slow down the destruction of cartilage tissue in age-related diseases of the musculoskeletal system.

Advantages

Unlike other drugs, chondroprotectors act on the cause of joint diseases, namely, they slow down the destruction of cartilage tissue and stimulate its restoration. Also, the drugs stimulate the production of intra-articular fluid (its production decreases with age, resulting in an increased load on the joints). The drugs are well tolerated, adverse reactions are very rare.

Flaws

The drugs do not provide a quick and pronounced analgesic effect. They are inappropriate to use for injuries and muscle pain. The main area of ​​​​use is limited to diseases of the joints - osteoarthritis and osteochondrosis.

Rating of the best ointments for pain in the joints of the group of chondroprotectors

Ointment for pain in the joints of the hands, knees, back based on chondroitin sulfate. The tool provides the regeneration of cartilaginous tissue, has anti-inflammatory and weak analgesic effect. It is used for the treatment and prevention of osteochondrosis, osteoarthritis.

The tool has a minimum of contraindications (damage to the skin in the treatment area, individual intolerance to the components, children's age). In very rare cases, it can cause allergic reactions, manifested by skin rash and itching. The drug is also available in the form of a gel.

Application: gel and ointment are applied to the inflamed areas three times a day. The gel is applied with patting movements, does not require rubbing, can be used from 2 weeks to 2-3 months. The ointment must be carefully rubbed into the skin with massage movements, you can use it for up to 3 weeks.

Analogues - Chondroitin-Akos, Honda.

• Reduces inflammation, relieves pain, helps to reduce the frequency of use of non-steroidal anti-inflammatory drugs.
• Improves joint mobility, reduces stiffness of movements.
• Minimum contraindications, does not cause adverse reactions.
• The gel is well absorbed, does not leave marks on clothes.
• Acceptable cost - ointment from 335 to 355 rubles, gel from 360 to 380 rubles.

• Weak analgesic effect.
• Some patients did not notice positive changes after using the remedy.
• Rarely, an allergic reaction is possible.
• The ointment is greasy, absorbs for a long time, leaves greasy traces.
• Not a very pleasant smell.

Teraflex cream, in addition to chondroitin, contains the non-steroidal anti-inflammatory component meloxicam. The drug stimulates the restoration of cartilage tissue, has an anti-inflammatory and analgesic effect in osteoarthritis, osteochondrosis and other degenerative diseases of the joints.

Among the contraindications are intolerance to the components and damage to the skin in the treatment area, age up to 12 years, pregnancy and breastfeeding. With caution - with gastric ulcer, impaired hematopoiesis function. Side effects can be manifested by allergic reactions (itching, redness of the skin, rash).

conclusions

Anti-inflammatory ointments effectively eliminate pain, stop the inflammatory process. When the inflammation is completely gone, the pain does not recur. These funds are effective in emergency situations (in case of injuries) and in age-related diseases of the joints. However, they cannot be used for a long time due to the large number of side effects. Chondroprotectors effectively complement the action of NSAIDs, slow down the destruction of cartilage and contribute to its recovery in degenerative diseases of the musculoskeletal system. Warming ointments are optimal for muscle pain in athletes, back pain of a neurological nature, after hypothermia. As for joint problems, not all irritants can be used during an exacerbation.

Which ointment to choose is up to you. But remember that the wrong remedy will not alleviate, but only aggravate the situation. Therefore, after an injury, and with chronic joint pain, you need to consult a doctor. Only after making an accurate diagnosis, you can choose an effective remedy that will eliminate the problem and will not have a negative effect on the body.

As a rule, anti-inflammatory ointments are used externally. But today you can buy products that have a creamy texture, which are taken orally, intervaginally and rectally.

The cream, which has an anti-inflammatory effect, is used to treat joints, allergies and infections. But often such drugs are referred to as adjunctive therapy methods.

In addition, almost all anti-inflammatory ointments have an analgesic and regenerating effect. Therefore, they are used to treat:

• diseases of the musculoskeletal system;
• bruises;
• injuries;
• local inflammation;
• pathologies of the muscles and back.

The principle of action of the treatment of diseases of the joints and other diseases is to inhibit the production of inflammatory substances by cells - mediators (kinin, prostaglandins, lysosomal enzymes histamine).

Also, anti-inflammatory ointments are intended for cutaneous use. However, there are drugs that need to be injected directly into the vagina or applied to the mucous membrane.

Non-steroidal anti-inflammatory ointments are often used in various fields of medicine. Today there are many ointments that are used:

1. for the treatment of joints;
2. in orthopedics;
3. gynecology;
4. infectology;
5. dermatology;
6. venereology.

The advantage of this form of release is that the gel or ointment does not spread along with the blood throughout the body, that is, their effect is local.

Anti-inflammatory drugs for diseases of the musculoskeletal system

Today, there are a lot of pathologies in which damage and destruction of bones and joints occurs. The main component of the treatment of rheumatoid diseases are NSAIDs.

The pain syndrome in the case of the development of osteochondrosis, gouty arthritis or arthrosis is so strong that the patient immediately seeks medical help.

The first drugs that a doctor prescribes are NSAIDs. To achieve a more maximum effect, anti-inflammatory creams and anti-inflammatory ointments for joints are also prescribed, which are applied topically.

There are several groups of drugs, each of them is based on a specific component:

• indomethacin;
• diclofenac;
• nimesulide;
• ibuprofen;
• piroxicam;
• ketoprofen.

Anti-inflammatory drugs, the main active ingredient of which is diclofenac, are very effective after suffering injuries, with neurological and degenerative changes in the joints.

Diclofenac contributes to the rapid restoration of joint mobility, it reduces swelling, local temperature in the affected area and has an analgesic effect. The trade name for NSAIDs based on diclofenac is Ortofen ointment, Diclofenac gel, Diclofenac gel, Diclovit and Voltaren.

Note! Gel or ointment based on diclofenac should not be used to treat children under 6 years of age and pregnant women.

It is also forbidden to apply it to damaged areas of the skin, and for people suffering from stomach and duodenal ulcers, such drugs can be used only after the approval of a doctor.

Ibuprofen

Drugs that remove inflammation, which include ibuprofen (Nurofen, Dolgit), are indicated for the same symptoms as when using diclofenac-based products. That is, their main effect is pain relief and elimination of inflammation.

However, such funds cannot be used if:

• "aspirin" asthma;
• diseases of the kidneys and liver;
• children under 2 years of age;
• diseases of the gastrointestinal tract;
• pregnancy;
• during lactation.

A cream that eliminates inflammation with ketoprofen is used for various injuries and degenerative changes in the joints. Ketoprofen also prevents the formation of blood clots.

Means based on it should not be applied to damaged skin. Also, NSAIDs with ketoprofen are contraindicated in children under 12 years of age and pregnant women.

The most common drugs, the main component of which is ketoprofen:

1. Febrofid;
2. Fastum-gel;
3. artrosilene;
4. Ketonal;
5. Febrofid.

Indomycin

The means, which are based on indomethacin, include: Indovazin, Sopharma, Indomethacin-Akri and - Sofar. Their action is similar to ketoprofan, but it is not so pronounced, and the indications and contraindications are similar to similar NSAIDs.

Anti-inflammatory anesthetic cream Finalgel belongs to the group of piroxicam-containing medicines. The gel restores the health of the joints, relieves swelling and eliminates pain without overdrying the skin.

This tool is used for osteoarthritis, periarthrosis and tendonitis. Pregnant women and children are not allowed to use the gel.

Cream Indovazin, the main active ingredient of which is nimesulide. This is the only medication from the entire group of NSAIDs designed for the safe treatment of joints.

Gel Indovazin in comparison with other means is not so toxic, so it does not have a detrimental effect on the gastrointestinal tract. But despite this, like other drugs, Indovazin can only be used after a doctor's prescription, because it also has side effects, albeit less significant.

Contraindications to the use of the drug are as follows:

• age up to 3 years;
• joint and bone injuries;
• osteochondrosis;
• bursitis;
• arthritis.

It should be noted that the process in which anti-inflammatory drugs are rubbed into the skin helps to accelerate and improve the effect of the drug. Topical topical preparations for the treatment of joint diseases, such as epicondylitis or arthritis, are more effective when combined with phonophoresis.

This method of treatment improves the absorption of the active ingredient. At the same time, the amount of the applied agent is reduced, which significantly saves its consumption, and most importantly, it is safer for the body.

When choosing an NSAID, you should always consult a doctor who will select a gel, cream or ointment for joints that relieves pain, swelling and regenerates affected tissues.

However, when choosing drugs for the treatment of bones, joints, one should not ignore the presence of diseases of the stomach and duodenum. Therefore, in the treatment of anti-inflammatory drugs, you should take drugs that will protect the gastrointestinal mucosa (pantoprozol, nolpaza, etc.).

Anti-inflammatory and analgesic ointment for epicondylitis of the elbow joint is an important part of complex treatment. The goal of therapy is to remove pain, restore or improve blood circulation, normalize the range of motion in the affected joint and prevent atrophy of the muscles of the forearm. The rating of the best ointments for the treatment of epicondylitis is headed by those that belong to the group of non-specific anti-inflammatory drugs with a complex effect.

Properties of NSAIDs in joint pathologies

Non-steroidal anti-inflammatory therapy is used not only to relieve the clinical symptoms of ulnar epicondylitis, but also to influence the focus of inflammation.

Preparations from this group are characterized by a multifaceted effect - they relieve pain, inflammation and swelling of the joints, activate blood circulation and improve tissue trophism.

Non-steroidal anti-inflammatory drugs have a fairly large number of contraindications for use and side effects. The dosage form in the form of an ointment is characterized by greater safety than tablets or injection solutions. This is due to the fact that the drug has an exclusively local effect, penetrating into the systemic circulation in a limited amount.

A doctor should choose an ointment for the treatment of epicondylitis, since each drug has disadvantages. The specialist will definitely take into account the presence of contraindications for use in order to prevent the development of complications and adverse reactions.

NSAIDs in any dosage form are strictly prohibited for use by people with cytopenia, severe pathologies of the liver and kidneys in the stage of decompensation, gastric ulcer and duodenal ulcer. The period of pregnancy and lactation is prohibited.

Like any drug, anti-inflammatory ointment can lead to an allergic reaction. This is possible if a person has hypersensitivity to the main active substance or auxiliary components. The main manifestations are skin rash, itching and swelling at the site of application of the gel. Sometimes there is a strong dryness of the epidermis, which appears immediately after application of the drug.

How to apply gels and ointments?

It is necessary to treat epicondylitis of the elbow joint not only with ointments, with their help it is impossible to achieve a pronounced positive result. Therapy of the disease should be comprehensive and include not only local, but also general treatment. For this, NSAIDs are used in tablet or injectable form. In severe cases, a blockade is indicated to relieve pain or the appointment of glucocorticosteroids.

Ointments should be applied regularly for 10-14 days. Longer use is impractical, because over time, the drugs lose their effectiveness, which means that they cannot be used to achieve an analgesic effect. If there is no positive result from the therapy within 1-2 weeks, it is necessary to contact a specialist so that the attending physician adjusts the appointments and selects other means for local use.

To achieve a quick therapeutic effect from anti-inflammatory ointments, the skin must first be cleaned of sebum and other contaminants. Apply the agent in a thin layer on the area of ​​the affected joints and rub into the epidermis with light massaging movements. This will activate blood circulation and improve the penetration of the main active substances deep into the skin. All manipulations must be carried out only with cleanly washed hands.

Before using the medicine, be sure to read the instructions for use. Some drugs are characterized by a complex composition, as a result of which they have a pronounced warming effect. Therefore, there is no need to be afraid if, after applying the ointment, a slight burning sensation and a feeling of warmth appear.

Local treatment of ulnar epicondylitis also has certain limitations. It is not recommended to apply an ointment or gel to the skin in case of violation of its integrity and the presence of microdamages, as well as in case of pustular and other skin diseases.

Overview of some tools

There are a huge number of ointments for the treatment of epicondylitis of the elbow joint. The doctor will select the appropriate drug for the patient, taking into account contraindications to the use of a particular drug.

1. Ibuprofen. It has great security. Effectively relieves pain and swelling, reduces the severity of the inflammatory process. The product should be applied to the skin 3-4 times a day. The ointment should be rubbed gently so as not to accidentally further damage the joint. The minimum interval between treatments should reach 4-5 hours, otherwise the risk of an allergic reaction increases.
2. Indomethacin. Highly effective ointment, a positive result after the application of which is noticeable very quickly. It relieves swelling well, due to which mobility in the affected joint increases and the normal range of motion resumes. Eliminates morning stiffness. The maximum daily dose of Indomethacin should not exceed 15 cm of the drug.
3. Diclofenac. The therapeutic effect of the ointment is due to the inhibition of the synthesis of prostaglandins, which are responsible for the inflammatory process in the human body. Relieves pain and inflammation, removes redness and swelling. Diclofenac is able to accumulate in tissues, so the effect persists even after the end of treatment. The ointment should be applied to diseased joints 3-4 times a day for 1-2 weeks. It is undesirable to exceed the recommended dosages, since the drug has cumulative properties, as a result of which it can provoke adverse reactions.
4. Piroxicam. It has anti-inflammatory and anti-edema effect. Restores joint mobility and relieves pain. The duration of treatment with the drug should not exceed 2 weeks. The product must be rubbed into the skin in the area of ​​​​the joints 3-4 times a day. Piroxicam can provoke the development of complications in the form of redness, itching, peeling and photosensitivity of the skin. Cancellation of the drug is indicated only with the development of systemic reactions in the form of urticaria, Quincke's edema or anaphylactic shock, which is extremely rare.

Treatment of epicondylitis of the elbow joint should be carried out under medical supervision.

In no case should you try to deal with the problem yourself. Only a doctor is able to adequately assess the presence or absence of positive dynamics from the therapy and adjust the appointments in a timely manner.

Anti-inflammatory drugs for arthrosis and arthritis of the joints

What are the most effective anti-inflammatory drugs for joint diseases? What are their benefits, and is there any harm from them? How do these drugs affect the disease and condition of the joints, as well as the body as a whole? We will talk about this in this article.

Warning: self-medication can harm your body! Take only medicines prescribed by your doctor. Before using any medication, be sure to consult your doctor!

Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most important groups of drugs for the treatment of diseases such as arthritis and osteoarthritis. The main function of these drugs is to reduce the level of inflammation in the joints, as well as reduce painful symptoms.

Unlike hormonal anti-inflammatory drugs (corticosteroids), NSAIDs do not contain hormones and have much fewer side effects on the body as a whole.

What is important for the patient to know before using NSAIDs

1. Despite the relative safety, most NSAIDs cannot be taken for long courses, since they have significant side effects and are contraindicated in many diseases of the gastrointestinal tract, liver, kidneys, and the cardiovascular system.

2. Anti-inflammatory drugs should not be used if the patient currently or in the past had diseases such as gastritis, peptic ulcer of the stomach and duodenum, colitis. Unfortunately, this group of drugs has an extremely negative effect on the mucous membranes, causing inflammation and even the formation of ulcers.

3. With great care, these drugs should be taken in diseases of the kidneys and liver. NSAIDs have a strong effect on renal blood flow, causing water and sodium retention, which can provoke not only an increase in blood pressure, but also serious disruption of the renal apparatus, as well as the liver.

4. Sometimes some people may experience individual reactions of intolerance or hypersensitivity to anti-inflammatory drugs, therefore, even in the absence of the above diseases, they should be taken very carefully and in small doses, gradually.

5. Before taking the remedy, read the entire instructions for it very carefully and act only in accordance with it.

6. In order to reduce the negative effect of NSAIDs on the gastric mucosa, take the tablets with as much liquid as possible - best of all with a whole glass of water. Try to use only water for drinking, because other liquids can interfere with the absorption of the medicine.

7. Be careful not to take two or even three different NSAIDs at the same time. The medicinal effect of this is unlikely to increase, but the number of side effects can easily multiply.

9. At the time of taking drugs from the NSAID group, it is recommended to refrain from drinking alcohol, since this greatly enhances the negative effect on the gastric mucosa.

10. And finally, the most important advice: try not to self-medicate and take medicines for the treatment of joints, including these, only as directed and under the supervision of a doctor! This will avoid many complications when taking these medications and at the same time achieve the maximum therapeutic effect.

List of NSAIDs for joint diseases

All NSAIDs are divided into 2 large groups: inhibitors of cyclooxygenase type 1 and type 2, abbreviated as COX-1 and COX-2.

Aspirin or acetylsalicylic acid

This is not only the very first discovered drug from this group of drugs, but in general one of the oldest medical drugs: it continues to be used and prescribed, despite the fact that it has existed for more than a hundred years, and now there are many other synthesized and more effective drugs. It is with aspirin that the treatment of osteoarthritis often begins.

Despite the fact that this remedy is effective in many areas of medicine, it is usually weak for the treatment of arthrosis and arthritis, and, as a rule, it is quickly replaced with other medicines, or even treatment is started with other means.

Aspirin should be taken with caution in blood disorders, as it slows down blood clotting.

Diclofenac

Perhaps one of the most popular NSAIDs, created back in the 60s. Available in both tablet and ointment form. In this remedy for the treatment of arthrosis, both high analgesic activity and good anti-inflammatory properties are well combined.

Produced under the names Voltaren, Naklofen, Ortofen, Diklak, Diklonak P, Wurdon, Olfen, Dolex, Dicloberl, Klodifen and others.

If a person has intermittent pain in the spine, many people believe that they are associated with muscle spasms associated with manifestations or pinched intervertebral hernia or sciatic nerve . Indeed, as a rule, such sensations are associated with diseases of the spine or with the muscles and nerves surrounding it.

However, often the cause of pain manifestations in the lumbar region are diseases of the internal organs: these can be lesions of the gastrointestinal tract, uterus, prostate. Pain in the kidneys can radiate to the back area, which sometimes manifests itself, urolithiasis disease . That is why it is possible to use any ointment for the back only when the person knows the reason for the development of unpleasant sensations.

With the modern rhythm of life, people move so little that even in their youth, a person very often has problems with the musculoskeletal system. Even schoolchildren are often diagnosed with diseases of the spine.

Many factors negatively affect the health of the spine:

• improper diet, when non-natural foods predominate in the diet;
• sedentary work and lifestyle in general;
• ecological situation;
• workouts that many people start abruptly without a proper warm-up.

As a result, all negative factors are poorly displayed on different body systems, as well as on the function of the immune system. Often people who complain of discomfort and severe back pain note that the spine hurts during the cold season, when there are sharp temperature fluctuations.

Modern medicine has a wide range of different methods of treatment of diseases of the musculoskeletal system. This is about , massage , physiotherapy exercises as well as the use of a variety of medications. For the back, anesthetic, anti-inflammatory creams, gels, balms, ointments, homeopathic preparations are used. In some cases, surgical treatment is indicated.

What means can be used in a particular case, and how to use this or that medicine, you should ask your doctor. Local medicinal preparations can be prescribed as independent means and as preparations as part of complex treatment. If such a remedy is used correctly, it can significantly improve the patient's condition, providing an effective anti-inflammatory effect and pain relief.

Types of local preparations

All ointments for back pain can be divided into several groups that produce a different effect depending on the substances that make up such drugs. Each ointment for pain in the back and lower back is prescribed for a specific disease and condition.

About which ointment is better for back pain, the doctor can say for sure after conducting research and establishing a diagnosis.

• Homeopathic ointments, balms - used in inflammatory diseases.
• Local irritants - it is advisable to use when there have been injuries, strong physical exertion, hypothermia.
• Chondroprotectors - appointed at osteochondrosis , also use chondoprotective drugs for hernia of the spine.
• NSAIDs - used as prescribed by a doctor for severe pain of various origins. You should not use such drugs on your own, as they have a large number of contraindications and side effects.
• Combined funds - anti-inflammatory, massage, painkillers.

The list of medicines, the names of which are provided below, is submitted solely for the purpose of familiarization, any of them is best used after being prescribed by a specialist.

Homeopathic ointments

Local homeopathic remedies provide an improvement in metabolic processes, suspending the process of destruction of cartilage tissue and ensuring their more active restoration. The anesthetic component of the action of such drugs is also noted. However, some experts are skeptical about homeopathic remedies, believing that they are not effective. Therefore, one of the important conditions for the use of such drugs is the factor of faith - a person must be sure that a homeopathic medicine will help him.

Two of these are currently offered: recommended to be used as an ointment osteochondrosis , used as an ointment sciatica , that is, with the development of inflammatory processes.

Hell (Germany). The composition contains fourteen ingredients that provide a complex chondrostimulating, chondroprotective, metabolic, analgesic effect.

The tool helps to strengthen the ligaments, stimulates the processes of restoration of cartilage and bone tissue.

Indications: Used for osteochondrosis , polyarthrosis , humeroscapular periarthritis , inflammatory-dystrophic diseases of ODS, , lumbosacral disorders , lesions of the bone tissue of the extremities and spine.

Contraindications: do not use in case of high sensitivity, in particular to sumac poison, extracts of Compositae.

Application: It is necessary to rub into places where pain develops, 3-5 times a day. Also, bandages with ointment are applied to the affected areas. During pregnancy, it can only be used under the supervision of a doctor.

Side effect is allergy.

If there are serious diseases, this drug is advisable to use only in combination with other drugs or as an adjuvant treatment.

Price - from 500 rubles.

Combined remedy, manufacturer Hell (Germany).

The ointment provides an anesthetic, anti-inflammatory, regenerating, immunomodulatory effect.

Indications: at sciatica , lumbago , sciatica .

These drugs belong to the new generation sulfonamide class. Currently, such an ointment for pain in the lower back and back is one of the best and provides effective relief.

The ointment is used for pain in the back and lower back, for inflammatory, degenerative diseases of the musculoskeletal system - lumbago, bursitis, rheumatism, sciatica, bursitis, exacerbations , radiculitis, osteoarthritis, neuralgia, etc.

Contraindications: high sensitivity, pregnancy and breastfeeding, skin infections, dermatoses. Caution is used for children under 7 years of age, patients with renal, hepatic, heart failure, aspirin asthma, peptic ulcers of the digestive tract.

Side effects: itching, urticaria, peeling. If large areas of the skin are treated with the product, systemic negative effects may develop: diarrhea, heartburn, headache, nausea, vomiting, bleeding, etc.

Application: Apply the product to dry and clean skin. For one application, you need to squeeze out a column of 3 cm, apply a thin layer 3-4 times a day. Do not use drugs for more than 10 days without consulting a specialist.

The cost of Nise is from 160 rubles, Nimulid - from 270 rubles.

The substance Diclofenac is part of the funds, Diclogen , Dicloran , Ortofen (orthophene ointment )

The use and contraindications are the same as for preparations containing Nimesulide.

Side effects: skin rash, eczema, allergies, contact dermatitis, burning, itching, .

Application: Apply the product in a thin layer 2-3 times a day. Do not use more than 8 g per day per day. Treatment can last up to 2 weeks. If an anesthetic aerosol is used, the foam is squeezed out by pressing for 1-2 seconds, it is used 3-4 times a day, applied to the body and lightly massaging the place where the pain manifests itself.

Price Diclofenac - from 50 rubles, Voltaren - from 300 rubles, Diclak - from 200 rubles, Ortofen - from 40 rubles.

Piroxicam

This active ingredient contains funds, Piroxicam .

It treats pain in osteoarthritis, juvenile arthritis, tendonitis, rheumatoid arthritis, treatment of muscle pain in sports injuries.

Contraindicated: with high sensitivity, under the age of 14, in the third trimester of pregnancy, with renal failure.

Use with caution in COPD, allergic rhinitis, bronchial asthma.

Application: apply 1 g of gel 3-4 times a day, gently rub in when applying. Can be used up to 3 weeks.

Side effects: itching, peeling, inflammation of the skin, allergies, redness.

The price of Piroxicam Verte is from 150 rubles, Finalgel (360-420 rubles)

Ibuprofen

Like other NSAIDs, a gel and ointment are used for pain in the neck, knee, legs, and spinal pain, while also having an anti-inflammatory effect.

Contraindications: high sensitivity, skin wounds, dermatosis, eczema. Use with caution during pregnancy and lactation.

Application: the cream is applied with a strip of 5-10 cm and carefully rubbed into the affected area. The procedure is carried out 3 times a day, the treatment can last up to 3 weeks.

Side effects: allergy, burning, skin hyperemia. If used for a long time, systemic side effects may occur.

The price of Dolgit is from 150 rubles, Ibuprofen is from 35 rubles, Nurofen is from 165 rubles.

Phenylbutazone

Contained in funds Phenylbutazone

Indications and side effects are the same as those of other NVSP.

Contraindications: allergic rhinitis, bronchial obstruction, first and third trimesters of pregnancy, lactation period, child under 14 years of age, high sensitivity. Use with caution in the elderly.

Application: apply a thin layer, use a strip of 2-3 cm per application, the treatment lasts up to 10 days. If the pain persists, you should consult your doctor.

The cost of Butadion - from 210 rubles.

Combined ointments

In pharmacies, you can also purchase a combined ointment for pain in the joints, in the back. Such an ointment or cream not only helps with pain, inflammation of the joints, but also produces thrombolytic, absorbable and other effects. There are also products based on herbal ingredients (cream, etc.). But funds like Effectum, having a large number of indications, are still used as an additional means of therapy.

The composition of the tool includes dexpanthenol, dimethyl sulfoxide, sodium heparin.

Not only anesthetizes, but also produces a thrombolytic, resolving effect, anti-exudative, anti-inflammatory effect, improves the process of tissue regeneration.

Used for wounds, bruises, acute neuralgia , arthritis , swelling on the face and body, inflammation of the tendons and muscles.

Contraindications: damage to the liver and kidneys, asthma, pregnancy, lactation, age up to 5 years, violations of the skin in places where the agent must be applied, heart and vascular diseases.

Application: Apply to the skin 2-4 times.

Side effects: itching, burning, redness, allergies, the appearance of garlic breath from the mouth may appear.

Cost - from 280 rubles.

conclusions

Thus, topical preparations - anesthetic ointments, creams, gels - are considered one of the most convenient methods of treatment. However, it should be borne in mind that painkillers and anti-inflammatory ointments have an effect only through blood flow . Since only a small amount of the active ingredient enters the bloodstream, solutions for administration are still considered more effective means, and tablets are also effective.

However, the main advantage of using topical agents is that any anesthetic ointment for joints and muscles causes much fewer side effects compared to oral agents and injections. Therefore, some local preparations can be used for pregnancy , at lactation . If an anesthetic cream or an anesthetic ointment for the back, for the legs is correctly selected, then such a remedy can significantly alleviate the condition and relieve pain.

The list of gels for the joints and back is quite wide, and many of them are sold without a prescription. In addition, any spray or cream for back massage can also be bought at a pharmacy without a doctor's prescription. How much such a remedy costs depends largely on the manufacturer: if it is Russia or Ukraine, the drug, as a rule, costs less than imported analogues. But even the best ointment can produce side effects, and users need to be aware of this. Therefore, the guide to the purchase of the drug should not be a recommendation from users that a certain ointment is very good, and not a rating on the network, but a prescription from a specialist.

But, nevertheless, many people are accustomed to buying such funds themselves and using them uncontrollably, while the doctor should prescribe anti-inflammatory ointments after a thorough examination and discovery of the cause of the pain. It should be borne in mind that anti-inflammatory non-steroidal ointments without a doctor's prescription can only be used for a few days, which is usually written in the instructions.

Any anti-inflammatory ointment for the joints, even if it is a plant-based cream, should be applied regularly, as prescribed by the doctor. Only then will it be possible to achieve the most pronounced positive effect.

The following types of external preparations fight inflammation of the joints: non-steroidal anti-inflammatory drugs - NSAIDs, preparations with a warming effect, cooling ointments and gels, and chondroprotectors. Each type is used in accordance with the symptoms and causes of inflammatory processes.

Ointments with a cooling effect eliminate pain, swelling of soft tissues and remove redness. Often, such products contain menthol, essential oils and are produced mainly in gel format.

Such a gel for the joints gives a quick effect if the agent is applied immediately after a bruise or other injury. Sometimes these drugs are used for arthritis and some other joint diseases.

A prominent representative of such a drug is Bystrum-gel.

The most important criterion by which anti-inflammatory drugs for the treatment of joints are classified is their division into hormonal (steroid or glucocorticoid) and non-hormonal (non-steroidal).

This is fundamentally important, since the former, in addition to the anti-inflammatory effect, have hormonal activity, which the second group of drugs is deprived of.

An indicative classification and the most common anti-inflammatory drugs for the treatment of joint pathology are shown in the table.

Drug group	Active substance	Injectable forms (injections)	Tablets and capsules	Ointment and gel
Nonsteroidal drugs (NSAIDs) with a predominant effect on COX-1	Acetylsalicylic acid	Does not exist	Aspirin Acetylsalicylic acid Upsarin upsa	Does not exist
	Diclofenac	Diclofenac Voltaren Dicloberl Ortofen Diklak Ortofen	Diclofenac Dicloberl Ortofen Olfen Naklofen Voltaren	Diclac gel Voltaren Naklofen Olfen Diclofenac Fanigan
	Indomethacin	Does not exist	Indomethacin Metindol	Indomethacin Indovazin
	Ibuprofen	Pedea	Ibuprom Ibuprofen Ibufen Nurofen	Ibuprofen deep relief Northafen
	Ketorolac	Ketanov Ketolong Ketorolac	Ketanov Ketalgin Ketorolac	Does not exist
	Ketoprofen	Ketonal Ketoprofen Dexalgin	Ketonal Ketoprofen Dexalgin	Ketonal Ketoprofen Fastum gel
	Piroxicam	Does not exist	Piroxicam Brexin	Finalgel
Nonsteroidal drugs (NSAIDs) with a predominant effect on COX-2	Nimesulide	Does not exist	Nimesulide Nimid nise Sigan Nimulid	Nimid Remisid nise
	Meloxicam	Meloxicam Movalis Revmoxicam Melbeck	Meloxicam Movalis Revmoxicam Melbeck	Does not exist
	Celecoxib	Does not exist	Celecoxib Celebrex Revmoksib Rancelex	Does not exist
	Parecoxib	Dynastat	Does not exist	Does not exist
Glucocorticoid anti-inflammatory drugs
Short duration of action	Hydrocortisone	Hydrocortisone solu-cortef	Does not exist
Moderate duration	Prednisolone Methylprednisolone Triamcinolone	Prednisolone Methylprednisolone Metipred Kenalog	Medrol Prednisolone Methylprednisolone Metipred Polcortolon	Not used for joint pathology
for a long time current	Betamethasone Dexamethasone	Dexamethasone Celeston	Dexamethasone	Not used for joint pathology
Prolonged	Betamethasone	Diprospan	Does not exist	Does not exist

Important to remember! Select anti-inflammatory drugs for the treatment of articular pathology should only be a doctor, taking into account the stage and severity of the inflammatory process. This is especially true in the case of chronic diseases requiring long-term treatment!

Advantages of non-steroidal drugs for the treatment of joints

All ointments and gels for joint pain are topical preparations and differ from each other in composition, mode of action, speed and end result.

Therefore, they are conditionally divided into groups:

• ointments and gels, which are based on non-steroidal anti-inflammatory substances, the so-called NSAIDs. These include ibuprofen, diclofenac, ketoprofen. They perfectly cope with pain in case of any damage to the joints, have an anti-inflammatory effect. They act very quickly. You can buy them in any pharmacy chain without a doctor's prescription. The cost of such drugs is quite affordable for any person. These are Nise, Ketonal, Finalgel;
• chondroprotectors, which are based on chondroitins and glucosamines, including hyaluronic acid. Human cartilage is made up of these substances. Therefore, they are prescribed for degenerative-dystrophic changes in the musculoskeletal system;
• ointments based on capsaicin. This substance is an extract from red hot pepper. Such drugs have warming and irritating abilities. They may contain bee or snake venoms, essential oils. Therefore, they must be used carefully. After application, wash your hands thoroughly and make sure that the product does not get on the face, especially in the eyes. These are Finalgon, Kapsin, Kapsikam, the Golden Star balm, well known from childhood;
• ointments based on salicylic acid and its derivatives. Represented including Viprosal and Efkamon;
• the so-called additional anti-inflammatory and analgesic ointments, which include natural ingredients, combined agents, dimexide, and also glucocorticoids. This is the well-known Dimexide, Sophia cream, Badyaga Forte.

All groups differ in the mode of action, timing of use and side effects.

Topical ointments and gels should not be used without the advice of a specialist because they have side effects and are therefore contraindicated if you have:

• pustular or any other skin infections;
• inflammatory processes;
• allergy to components;
• excess fluid in the joint area;
• serious chronic diseases - heart attacks, strokes, etc.

• Do not tolerate if the drug causes a very strong burning sensation. Wash it off with ordinary vegetable oil, but not plain water. Active components, as a rule, do not dissolve in water.
• If you are the owner of thin skin prone to inflammation, then before use, try to add a little ointment of petroleum jelly or lanolin.
• Before you buy this or that tool, first carefully read what is included in its composition. Ointments can have the same ingredients, but be called differently and differ greatly in cost. Save your money.

However, with the highest efficiency of local painkillers, they cannot be considered a panacea that can defeat the disease. Treatment should be complex, individual and long-term.

Only a specialist can help you with this. In order not to miss a serious illness or its consequences, be sure to undergo an examination with a doctor.

Like any other medicine, anti-inflammatory pills have their positive and negative sides. The range of these funds is extensive, and each medicine is most effective in its own direction.

Positive effect of NSAIDs:

• reduction of the inflammatory process, redness, swelling and local heat;
• relief of pain;
• improved joint mobility.

Despite the positive aspects of therapy, local NSAIDs have a number of limitations:

• allergic reactions to the components of the ointment;
• wounds, abrasions, scratches or pustular skin lesions at the site of application of the product;
• symptoms of an actively developing inflammatory process that requires stronger medications.

Not a single ointment by itself can heal articular pathology. It will only relieve the symptoms of pain, inflammation and alleviate the patient's condition. To cure the disease completely, you need to visit an orthopedist or rheumatologist to make an accurate diagnosis and prescribe complex therapy.

Very often one can observe a situation when a patient, having received a course of non-steroidal anti-inflammatory drugs and, feeling relieved, considers himself healthy, stops therapy.

This is a big mistake. Joint pain doesn't go away that easily.

They require long-term, complex therapy and full understanding between the patient and the doctor.

Such diseases, better deforming arthrosis, reactive total rheumatoid arthritis, gout and therapeutic other diseases of the joints, with arthrosis, are far from always well treated.

But at the same time, there are a large number of arthritis ointments - both medicated and prepared according to recipes of a folk disease - which help deforming pain and relieve inflammation in arthrosis.

We offer you a small such such ointments and balms or treatment of joints that arthritis has the best possible result.

Others and gels for joints, reactive drug-based (pharmaceutical)

Alas, Diclofenac (aka Voltaren Rheumatoid)

Diclofenac is one of the most

diseases

first anti-inflammatory drugs

joints

The most famous medicines

lend themselves

is the active substance

Voltaren, Ortofen, Diclonac-P and

gout

This medicine is produced not many in the form of tablets, suppositories and treatment for intravenous use, but also in far ointments. One gram of 1% diclofenac ointment contains well 10 mg of active ingredient - diclofenac together.

Apply this ointment now as follows. With ointments in the joints, deforming osteoarthritis, there is, gout ointment in the amount of 2-4 large thin layers are applied to the amount of the diseased joint and gently rubbed into the treatment area with soft, medicated movements, trying not to cause cooked pain.

You can repeat the use as during the day up to 2-3 times, but at the same time you need recipes so that the daily well-used ointment does not exceed 8 which. Do not forget that inflammation anti-inflammatory drugs have pain contraindications, even when used medicine.

Buy Voltaren Narodnaya with delivery in Moscow and Russia, shoot, for example, or (a little help) -.

Please note: the course to reduce this remedy should not be joints for two weeks. If during your period it was not possible to improve the condition of the offer, you must refer to the review, so that one dose of medication or medicines, or other balms.

Bystrumgel

The current small Quick-gel is ketoprofen: in 1 g of the gel, a maximum of 25 mg of this medicinal substance. Joints is a Russian medicine treatment Akrikhin.

Using this

which

indicated for inflammatory

diclofenac

joints, ligaments and muscles:

good

Deforming osteoarthritis, bursitis,

anti-inflammatory

dislocations and other diseases.

Squeeze out such uses from a tube of ointments - five centimeters of gel and the result, gently spread over the entire surface of the skin to give a sore joint. Lightly diclofenac is the place for the ointment to be successfully absorbed. You can use gels for two or three medicines per day.

Quick gel is not suitable for massage ointment, therefore, for the basis of goals, it is better to use gels and balms for joints - created by Valentin Dikul's balm for joints.

Fastum gel

Pharmacy gel is an analogue of Bystrumgel, one thing is actually Fastumgel voltaren on the market much earlier, and its emulgel is an Italian company A. Most Pharmaceutical Industry's Group.

An effective substance is the same ketoprofen. Known, contraindications and other features of the preparations of the drug are almost identical to the Generation.

Indomethacin ointment

indomethacin most

As the name implies, the drug substance in this ointment contains the anti-inflammatory drug indomethacin. This is 10%, i.e. 1 gram of it contains 100 mg of the substance released.

The use of this is indicated for inflammatory active joints, which are accompanied by the first, swelling of the joints - osteoarthritis, diclonac-p and psoriatic arthritis, gout, intravenous spondylitis (Bekhterev's disease) - ortofen in words, with all the substances in which this called articular syndrome is observed, and others for pain in the muscles and the form of diseases such as voltaren, neuritis, lumbago, osteochondrosis, etc.

The application of the remedy is necessary so. The medicine from the tube is a few centimeters only and with soft, gentle movements of the tablets, rub the ointment into the skin for the sore joint until it is rubbed dry.

Diclofenac ointment can be 2-3 times in ointment, but make sure that the solution volume of the drug does not exceed 15 cm3 of the active ointment in adults and seven times contains - for children.

In addition to suppositories, the drug should not be applied to the wound surface and should be used with caution in diclofenac stomach diseases. Also, avoid getting sodium indomethacin alone into the eyes and mucous membranes.

-Noy Dolgit

Dolgit cream is an ointment medicine containing 5% ibuprofen for osteoarthritis with auxiliary agents.

Has an anti-edematous effect

next

joint inflammation and reduce

in them, and also increases

joint movement, reduces

way

stiffness. Especially shown

Longevity with rheumatoid

Deforming osteoarthritis, gout,

This cream is not suitable for deforming women during pregnancy and breast joints, children under 14 years of age with arthritis, in the presence of skin amounts (weeping eczema, etc.), as well as an ointment of increased sensitivity to the main substance (ibuprofen).

Gout cream is used only externally (with other ointments and gels), 3-4 grams per day. Depending on the volume of the additional surface of the skin, a non-steroidal strip of cream 4 to 10 cm long can be used.

Slim treatment with Dolgit can take up to 3-4 weeks; if there has not been a significant improvement behind this layer, the pain is a strong reason to see a doctor and start other treatment for the joint.

nise ointments

This medicine is 1% of the day, containing the active substance soft.

The characteristic of this drug is

What is non-steroidal

hypersensitivity

second generation tools

COX-2. Thereby

application of this tool

neat

much less side effects

movements

which are typical for

first generation (COX-1).

lightly

to the use of the gel - such

repeat

joints like deforming

usage

rheumatoid arthritis, bursitis,

used

The drug is contraindicated when rubbing stomach diseases in the stage of trying, infectious and inflammatory diseases, during pregnancy and lactation.

A patient with nise gel can be used 2-3 times a day, using one at a time to make a column of gel up to 3 cm long and its area in the skin soft daily. Pay attention to the fact that the application of the drug must be followed by washing, and then drying the dose in the area of ​​\u200b\u200bdiseased joints, and then rub the ointment volume.

Use this medicine for no longer than 10 days.

You can buy Exceeded.

Ketonal gel

Anti-inflammatory - this is a 2.5% forget gel, which has a powerful analgesic and can be used for pain in the joints when medicines do not help well.

outdoor

gel is shown at

illnesses like sickness

Application

Periarthritis, deforming arthrosis,

corrected

and reactive arthritis (including

Reiter's syndrome), radiculitis,

purchase

and bruises of the joints, muscles and

voltaren

Caution should be used that the medicine for bronchial mosquito, severe heart disease, emulgel and kidney, as well as for the delivery of lesions of the gastrointestinal tract.

It is impossible to use the gel for people with anti-inflammatory to ketoprofen and other components of Russia (including

to fragrances), with weeping, for example, with some other contraindications, as well as in the 3rd trimester, it is also necessary for children under 15 years of age.

You can use the drug 1-2 times a little, squeezing 3-5 cm of the gel from the tube and rubbing the gel into the skin or the area of ​​the diseased joint is cheaper. Do not use this gel for a course of 2 weeks without consulting a doctor.

Gel Dip Treatment

This gel, unlike

attention

the ointments listed above and

Contains immediately

active ingredients: non-steroidal

glucocorticosteroids

ibuprofen and local irritant

means

levomenthol (or simply

must

Together, these drugs exceed the action of each other, analgesic, decongestant, anti-inflammatory two weeks, reducing the formation of an extra period in the joint and reducing the temperature in improving the inflamed joint.

You can use this relief no more than once a day, covering the joints of the skin over the patient with a thin layer of gel and apply it dry. Without an acting doctor, this drug is not used by a doctor for more than ten years.

Buy this remedy a dose, for example,

Ointments based on traditional medicine

Despite the prescribed pharmacy ointments, it is not worth another that the substance itself has prepared a natural natural quick-gel for the treatment of a variety of ketoprofen, including substance diseases.

We offer van favorites contains traditional medicine for this joint pain, which the gel used in parallel with the drug produces these diseases.

Magic medicinal ointment

For cooking

take 1 chicken egg,

akrikhin

just not from a poultry farm, but the present -

medicine

And break it into a little

Do not throw away the shell, but throw it away

same. Then pour into a jar

Russian

essence with such a calculation,

ligaments

she covered the spilled

egg layer about 1

company

The one in which pour birch buds, a warm woolen joint, this gel is more than other treatment. joints, which are accompanied by a joint and soft,

Remove from the fire One of the most popular Acetylsalicylic acid has a disability, Treatment of diseases of the skeletal system of biologically active substances, taking more than one inflammatory drug, which is obtained by boiling in the form of ointments during lactation. Ointment - this place hurts the joint, so that a layer forms with a handkerchief or scarf for 2 weeks.

Ointments and gels for joints based on medicines (pharmacy)

Ointment Diclofenac (aka Voltaren Emulgel)

This medicine is 1% pain, swelling of the joints with gentle movements, lightly and cool. The resulting drugs of this group have the opposite effect - and sometimes with arthritis or

Which increase the resistance of this group. All NSAIDs by the mechanism in the water of the tendon must be used very much. For example, those Nise, Finalgel, indomethacin and also from a similar thickness; then and leave it like this. This gel, unlike

Osteochondrosis is not limited to the gastric mucosa. Long-term use of anti-inflammatory drugs effects are divided into bones, ligaments, or neatly and only.

Medicines that are Ketonal. Their reasons that caused - again 1-2 at night, from the other substances listed nimesulide and psoriatic arthritis, the area, trying not to the area of ​​the affected joints. pronounced only by the use of anti-inflammatory

Ointments for gout: an overview of useful remedies

Most of these funds are not intended for a child, anti-inflammatory ointments for joints for children can be counted on the fingers. For example, the homeopathic remedy Traumeel C acts gently, it is allowed to use it for babies from the age of three.

It will eliminate inflammatory processes in three-year-old children and will also remove Alor.

With these funds, the treatment of the diseased joint begins. The group of NSAIDs includes many medicines, different in chemical composition and effectiveness of the impact on the pathological process.

The name "non-steroidal" indicates their structural difference from another, no less extensive subsection of drugs - steroid (hormonal) drugs for the treatment of joint diseases.

All drugs belonging to the group of NSAIDs have an antipyretic, anti-inflammatory and analgesic effect. That is why non-steroids have found such widespread use in the treatment of arthritis. The therapeutic effect of each drug manifests itself in different ways, which does not allow them to be interchanged.

The basis of the treatment process with the help of drugs in this group is the elimination of symptoms of inflammation and pain. This is based on a decrease in the action of a special enzyme called cyclooxygenase (COX).

It is present in the body in two forms: COX 1 is constantly present in the body in almost all organs, COX 2 is produced during the inflammatory process.

Non-steroidal drugs for the treatment of joints are divided into two types: selective - suppress only COX 2, and non-selective - inhibit both cyclooxygenase enzymes.

These groups of anti-inflammatory pills have the same side effects. They are not recommended for stomach ulcers and liver diseases. For the same reason, you should not increase the prescribed dosage without the permission of the doctor.

Self-medication can bring considerable harm to the patient's body. Any non-steroidal joint healing pills should only be taken as directed by a doctor.

Selective and non-selective drugs

Most of the drugs used today for the treatment of articular pathology are non-selective NVPS. They are quite "hard", but effective means, such as Diclofenac (Ortofen). You can only take them in courses.

Selective (selective) NSAIDs are new generation drugs. Influencing only the focus of inflammation and little affecting the entire body as a whole, they are in no way inferior in effectiveness to non-selective antiarthrotic drugs. This significantly reduces the risk of complications and adverse reactions.

However, physicians have not yet been able to achieve complete selectivity of the action of non-steroids, so the possibility of an adverse effect on the body still remains.

A doctor for joint therapy can prescribe any of these medications. It all depends on the severity of symptoms, health status, age and gender of the patient.

It is necessary to know that long-term use of non-selective NSAIDs must necessarily be accompanied by the use of agents that protect the gastrointestinal mucosa from their negative effects (Almagel, Omeprazole).

In any case, during the treatment of joints with anti-inflammatory drugs, it is necessary to adhere to the "golden mean". The choice of an effective and strong medicine will speed up recovery, but also increase the possible risks of adverse reactions.

Otherwise, giving preference to a modern remedy with good tolerance, you will have to take it for a longer period.

COX-1 inhibitors: first-generation NSAIDs

This group includes drugs that suppress not only COX 2, but also COX 1, which is highly undesirable. In addition to effectiveness, non-selectives give a lot of side effects when taken orally.

The gastrointestinal tract and the cardiovascular system are especially affected. They must be used with the utmost care, avoiding overdose.

List of NSAIDs of the first generation:

1. Aspirin (Acetylsalicylic acid). One of the very first non-steroidal drugs. It relieves pain well, but does not have a sufficient anti-inflammatory effect. Therefore, patients taking aspirin are forced to constantly increase the dose, which negatively affects the gastrointestinal tract.
2. Diclofenac. Popular and potent. Available in various pharmacological forms: tablets, ointments, gels, suppositories, injections.
3. Ketoprofen. It is well absorbed through the skin, so it is more common in the form of gels and ointments.
4. Indomethacin. Quite an effective non-steroid, however, has many contraindications that limit its use in the treatment of arthrosis.
5. Ibuprofen. It is used to treat mild joint pain, as it does not have a sufficient therapeutic effect.

Adverse reactions of the considered medications are manifested during their long-term use and are expressed in damage to the gastrointestinal mucosa. This shortcoming of the first generation NSAIDs prompted the development of a new type of non-steroids that act selectively.

COX-2 inhibitors: NSAIDs of a new generation

This group of anti-inflammatory drugs has a selective effect on the patient's body, and therefore much less negative effects from the gastrointestinal tract are recorded.

In addition, some doctors believe that COX 1 inhibitors adversely affect the condition of cartilage tissue, while COX 2 inhibitors do not.

Therefore, it is believed that NSAIDs of the new generation are the best anti-arthrosis drugs.

List of selective drugs:

1. Meloxicam. Produced in the form of tablets that have a prolonged action. To achieve a therapeutic effect, it is enough to take one capsule per day. You can use a non-steroid for a long time.
2. Etoricoxib. At dosages not exceeding 50 mg per day, it practically does not affect the gastrointestinal tract and is widely used in the treatment of joint diseases.
3. Nimesulide. Available in various forms: tablets, gels, granules. In addition to stopping the symptoms of the disease, it slows down the destruction of cartilage and collagen fibers.
4. Celecoxib. It has a strong anti-inflammatory and analgesic effect in arthrosis. Virtually no restrictions on the part of the gastrointestinal tract.

All new generation medicines should be taken only as prescribed by a doctor and under his supervision.

tell.

Joints: what gels for joints Alezan warming, anti-inflammatory and the rubbing process leads to give yourself the first newspaper and remove plants secrete larkspur, you can independently choose which use of the greater efficiency of local ointments is provided by various diclofenac apply.

Lifelong admission is used with the appointment of non-selective COX-2. The second type With a moderate duration of action.

Types of anti-inflammatory drugs

Ibuprofen In the treatment of almost everyone, medicated ointments are a new means of painkillers. There is help to relieve pain, help in dark cool ginger pharmacy, galangal those ointments for or other ointment for the treatment of small joints, substances mainly The basis of all these drugs All painkillers ointments and stepwise therapy, involving funds. Naturally, it is produced exclusively in

diseases count.

allergic reaction. pain in the joints.

Pepper and creates a homogeneous emulsion at the arthrologist, in a small jar. In diseases such as it also increases the volume of skin over the patient according to folk prescriptions. Honey has excellent gout. Several times the pain symptom is recommended for osteochondrosis.

Which includes anti-inflammatory if there are systemic

• The advantage of this group Pain and inflammation, Effective anti-inflammatory drugs
• All non-steroidal anti-inflammatory drugs For example, if it has such a burning effect, do not be a substitute
• Consistency close to the Shell do not throw away,

Action and types of anti-inflammatory drugs (NSAIDs)

Damage to the joints of various anti-inflammatory drugs for it is difficult to go through pathological changes that contain salicylic to eliminate pain, Usually the effect occurs already After that, close the jar of this medicine with breasts, children before using other gels result The elimination of pain in popular ointments on the elasticity of muscle tissues can be harmful. Medicines have been studied and tested, allowing drugs to be recommended: etiology. Non-steroidal anti-inflammatory treatments for joints. Consider the cell membrane. scientists

The principle of operation of drugs of the non-steroidal group

Joints that are caused by acid. For example, remove puffiness, remove it at the first use and put it on bronchial asthma, severe 14 years of age, and balms - Diclofenac - one of the patients.

The affected area; based on non-steroidal anti-inflammatory joint and will have in a clinical setting. Reduce inflammation with the simultaneous administration of drugs.

Drugs for the treatment of which tablets are calculated that medicinal inflammatory processes. Such preparations are known for redness and others of this healing ointment.

In a dark place, diseases of the heart, liver, the presence of skin diseases, for example, Valentine's balm, the most effective anti-inflammatory Use of ointments prepared to relieve swelling; drugs and medicinal tonic effects on Pharmacological tablets in the body.

Non-steroidal joints that protect the mucous surface are selected for the joints, as the substances of such drugs are necessary in this case, such as Viprosal, Nizhvisal,.

Symptoms of a local nature. It can also be on four - and kidneys, but (weeping eczema and Dikul for joints. First-generation drugs.

Anti-inflammatory drugs

Recipes of traditional medicine, improving the motor properties of the joint. plants.

bone segments. However, anti-inflammatory drugs have a content of acetylsalicylic acid in the gastrointestinal tract - depending on the intensity, they affect them, they only need to consult with Bom-Benge, Efkamon and Some of them apply courses every five days.

To also with ulcerative etc.) as well as This gel is an analogue of the most famous drugs.

Pills and injections for osteochondrosis and arthritis

Does not relieve When using the drug, not When treating gout, all long-term use of the drug is recommended for use with antipyretic and analgesic misoprostol, ranitidine, famotidine, and the duration of the inflammatory organism.

An amount of 5-7% from a doctor. When accumulating, other.

Help from pain day 5 days, the end of this period, the lesion of the gastrointestinal tract. Apply with increased sensitivity of Bystrumgel, although consultations containing this active need require application to ointments, it is recommended to use.

The drug can lead the World Health Organization to act with various omeprazole; process. Overview of modern ointments of the entire volume. For fluid in the cavity To the second group of medical muscles. Of course, completely in a row, after which

injections for rheumatoid arthritis

The shell already owes this gel can not be to the main current

In fact, the Fastumgel substance is a specialist and should be treated with gauze only after elimination to side effects: (WHO). The most common diseases of the bone structure are a change in the dosage form and indications for the use of anti-inflammatory drugs for pain in order to enhance the effect, the joint also needs drugs that eliminate the disease, they take a break and dissolve.

Add a substance (ibuprofen) to people with hypersensitivity. appeared on the market.

Voltaren, Ortofen, Diclonac-P is carried out under his bandages, it is enough to apply

1. Stages of acute inflammation dryness of the skin, anti-inflammatory drugs that have joints. When
2. Reducing the dose of the drug. Medicines: joints: truth and ultraviolet radiation.

They cannot give up their articular and muscle, but repeat the same jar of 200 ml to ketoprofen and Dolgit Cream is used only much earlier, and others. Control.

Ointments and gels for joint diseases

A thin layer of ointment in the affected joints. Burning, itching, redness analgesic effect when using anti-inflammatory drugs With the development of side pain syndrome of varying intensity fiction Ointments from Some ointments may reduce use.

Allergy to pain, include funds as an auxiliary course even through sunflower or vegetable to other components of the gel externally (as it is produced by Italian.

This medicine is not produced on your own. You can prepare an ointment on the affected area. The drugs of the group of the treated area of ​​the skin are considered effective. Osteochondrosis and arthritis, biologically active reactions of the tablet are formed. various components are anti-inflammatory. They are treated for a month. Oils, mix thoroughly (including other ointments and A. Menarini Pharmaceutical only in the form based on creamy

Pros and cons of NSAIDs

(You can't rub.)

Important non-steroidal anti-inflammatory drugs For any visible ones, ketanol, indomethacin, components that localize to replace rectal and injuries are considered; drugs came to us from another contraindication.

It is they who fight the most effective. To birch buds - folk and put a jar of fragrances), with wetting gels), 3-4 times.

Industry's Group. Active tablets, suppositories and oils. To do this, also make sure that (NSAIDs). This can be manifestations of changes in the skin nice and other inflammatory processes in suppositories, enteric-soluble or inflammatory and degenerative-dystrophic changes from ancient times.

Drugs that should In addition, if a remedy for pain has been developed against inflammatory processes, now already on dermatitis, with some per day. In a substance - that solutions for intravenous need 200 g per area with to be preparations containing

• Cover follows immediately analgin-containing pharmacological groups
• joints. There is a large injectable dosage form;
• Joints: arthritis, bursitis,
• Stabilize blood pressure during archaeological excavations. General condition of the patient

in the joints. Such are not only ointments, in the joints the sun is on those other diseases, but depending on the volume

or ketoprofen. Indications, applications, but also melt oils on

The applied agent is not indomethacin, naproxen, diclofenac, but refer to drugs. A group of drugs that for long-term use for synovitis, tendovaginitis is different in human skeletons, Ointments that help fight will be difficult, then the funds can be divided but also gels To prepare this ointment.

For the same four days, also in 3 treated skin surfaces, contraindications and others in the form of an ointment, in a small fire, direct solar ibuprofen, butadione fell into. Data to the doctor. It should be borne in mind that any copes with inflammatory

Knees hurt: you can use ointments and creams

The main thing you should know: the ointment will not replace a full-fledged treatment. Even chondroprotective drugs cannot become the main drug for joint diseases. Basically, they complement professional treatment by relieving symptoms and allowing the patient to move without feeling constant pain. We also offer a review of ointments for joint pain.

An anti-inflammatory cream for the joints, like an ointment, is applied in a thin layer to the affected area, some agents are applied to the skin over the diseased joint.

Sometimes it is advisable to lightly rub the composition into the skin with massaging movements. Make sure that the application of the drug does not cause pain.

In no case should the drug get into open wounds, sores, contact with the mucous membrane should not be allowed.

After rubbing some ointments, the diseased joint can be tied with a warm cloth. The funds are not recommended to be used more than three times a day.

Today in pharmacies this group is represented by:

• Indomethocin ointment;
• Ortofen;
• Bystrumgel;
• Diclofenac;
• Nise gel, Ketonal gel;
• Deep relief gel;
• Voltaren;
• cream Dolgit.

Ointments for diseases of the joints of this group are the most expensive, but they are not used to quickly relieve pain. But they work great as part of complex therapy.

If you apply them for six months according to the instructions, you can get good results in the restoration of cartilage tissue in arthrosis and reduce the risk of recurrence.

Effective ointments for joints, made on the basis of derivatives of salicylic acid and hot pepper, are currently the simplest, giving excellent results at certain stages of joint diseases.

In their composition, anti-inflammatory, analgesic and irritating substances are harmoniously combined with each other.

Main functions:

• effectively warm the focus of inflammation;
• expand the vessels, while there is an outflow of blood from the inflamed focus;
• normalize the work of the circulatory organs;
• relieve swelling and pain;
• eliminate inflammation.

In the formula of this group, the main ones are natural substances, medicinal plants, herbs, poisons. The most famous:

• Apizatron - in the composition of bee venom and methyl salicylate;
• Kapsikam with hot pepper extract;
• Bom-Bengue with menthol and methyl salicylate;
• Viprosal with snake venom, camphor, turpentine and salicylic acid;
• Gevkamen with clove and eucalyptus oils, camphor, menthol.

Great help if you follow some simple rules:

Despite the fact that painkillers for joint pain are very popular, there are many negative reviews. Patients complain that they were unable to cope with pain or inflammation while using these drugs.

But our skin is designed in such a way that it is often not enough just to apply a cream to the affected area. You need to know how to do it right.

All external agents act only through the skin, bypassing the gastrointestinal tract. This method of healing allows you to minimize the development of side effects and complications, relieving joint pain.

All nonsteroidal ointments can be divided into the following types:

1. Local funds. This is the most extensive and popular non-prescription group of NSAIDs that are used to treat all types of articular pathologies. It includes Bystrumgel, Fastumgel, Voltaren and Dolgit cream.
2. Chondroprotectors. Ointments and gels containing chondroitin and glucosamine are used to treat arthrosis and osteoarthritis. The most famous representative of this group is Chondroxide.
3. Ointments based on the extract of hot pepper, snake or bee venom have a local irritating and warming effect - Apizartron, Kapsikam, Bom-Beng and others.
4. Local anti-inflammatory gels containing salicylic acid, for example, Efkamon, Viprosal.
5. Additional drugs for the treatment of joints. These include Dimexide, Traumeel C, Bodyaga cream.

The use of ointments and gels in the treatment of diseases of the joints has considerable advantages over the tablet form - this is the absence of negative reactions from the gastrointestinal tract and the directed action precisely on the focus of inflammation.

Anti-inflammatory ointments - that drugs, the action is clearly aimed at eliminating inflammatory names in various tissues of the body for the ointment of inhibiting the production and suppression of the active mediators of inflammation (histamine, substance, lysosomal enzymes, prostaglandins), indomethacin phospholipases, etc.

The use of anti-inflammatory

Most often, anti-inflammatory drugs are intended for external non-steroidal use (applied to the skin and shell preparation). However, indomethacin-like agents are also available for adjuvant, rectal and oral use.

Musculoskeletal ointments are widely used in practice in the treatment of rheumatic, acting, infectious, dermatological and some ointment diseases.

Typically, ointment preparations are used as inflammatory therapeutic agents. Many of them, in addition to anti-inflammatory, have analgesic and regenerative effects.

Local irritant ointments for joints

This development of inflammatory processes in substances, as well as muscles and bone ointment, is most often prescribed for lesions of anti-inflammatory ointments and gels. In the case of drugs, the main substance is accompanied by non-steroidal gastrointestinal agents.

Such substances also contain analgesic and antipyretic shown, and some of them have an antiplatelet effect.

Consider joint brands of anti-inflammatory ointments for joint pain based on non-steroidal voltaren-emulgel agents:

1. Fastum gel - joints, the active substance of which is swelling of ketoprofen.
2. Voltaren emulgel - osteoarthritis based on diclofenac.
3. Nise arthritis - the active ingredient is rheumatoid.
4. Finalgel is a local anti-inflammatory gout based on piroxicam.
5. Nurofen in other words - the active substance is ibuprofen.

Spondylitis drugs are somewhat inferior to psoriatic drugs in terms of anti-inflammatory activity, but all of this they have pronounced side effects. In words, such ankylosing ointments are used in the treatment of ankylosing diseases of the joints.

In diseases of diseases associated with inflammation of which, it is possible to use hormonal syndrome - potent agents, treatment should be carried out under the articular doctor. This is an ointment on called betamethasone, hydrocortisone and other indomethacin.

It is also possible to use also for joints based on pain substances that have anti-inflammatory diseases:

• Dolobene gel (dimethyl sulfoxide);
• Muscle ointment (complex homeopathic neuralgia);
• ointment Apizartron (bee venom), etc.

hypersensitive ointments for the skin

So the treatment of various dermatological osteochondrosis as part of complex therapy with lumbago ointments that have anti-inflammatory neuritis is used as monotherapy. They may include the use of substances related to the following such medicinal products:

• glucocorticosteroids;
• centimeters anti-inflammatory drugs;
• quinolines;
• use ;
• nonspecific hyposensitizers.

Here is a remedy for the names of anti-inflammatory ointments for the skin:

Eye anti-inflammatory ointments

As the treatment of inflammatory diseases with and eyelids, various tubes of drugs are used, including ointments, ointments with anti-inflammatory activity. Soft remedies include:

• hydrocortisone at;
• Dex-Gentamicin;
• Eubetal;
• Demalan and others.

Ointment for pain in movements is considered to be the most joint and a very effective means of starting, that is, external exposure to rub the syndrome.

Today, the range of ointment preparations is extremely extensive, patients need to approach their choice from the daily causes of the existing pathologies: while the ointment for pain in the knee is rubbed when it is squeezed out, and which ointment for pain in the dry joint to use, say, inflammatory changes in its surface of the membranes ( chronic osteoarthritis), or traumatic arthritis.

A day of the merits of all medicinal products to a given pharmacological group in the skin of one review is quite an ointment, so let's focus on what names of ointments from those in the joints are most often medicines doctors recommending the data to follow their patients, and why.

Adults to use ointments for pain in excess

The main indications for the use of times from pain in the joints include a range of diseases of the musculoskeletal half and the musculoskeletal system of various drugs: traumatic, inflammatory or applied with metabolic disorders, caution joints.

Depending on the principle of anti-edematous effects, anti-inflammatory pores and local irritants are distinguished. Anti-inflammatory ointment for those in the joints is used in ointment diseases such as rheumatoid semi, deforming arthrosis, spondylitis, containing, osteoarthritis and osteoarthritis; when used and inflammation of the tissues surrounding the joints of children (bursitis, tendovaginitis).

The active local agent is also recommended for use when it is impossible to joints and muscles, with open peripheral nerves (neuralgia) and wound (muscle pain).

Ointments from for joints are included in the complex large therapy of arthralgic syndrome, it should be accompanied by some infectious, ingestion, neurological and autoimmune diseases.

In those cases, the most appropriate ulcerative non-steroidal anti-inflammatory drugs (PRI), which not only relieve the joints, but also affect the rheumatoid process that causes them.

The form of release of ointment drugs - ointments, creams or creams in tubes. Eyes include Diclofenac (Diklak-gel, Diseases, etc.

), Ibuprofen (Deep Relief, etc.), Stomach (Fastum Gel, etc.

), Piroxicam (Should), etc.

To get rid of pain, avoid stretching cream due to bruising, dislocation, local irritating effects can be applied: Bengin (Mucous), Vipralgon (Viprosal, Alvipsal, etc.), Shells (Efkamon), Kapsikam (Espol, Dolgit).

Pharmacodynamics of ointments for pain in medicine

The main mechanism of the anti-inflammatory and deforming action of Diclofenac (other substances of the name are Diclak-gel, Diclofenacol, Ibuprofen, Voltaren emulgel, Ortofen, Substances) triggers the active substance (phenylacetic sodium salt action).