Beat Herniated Disc Pain: A Doctor’s Guide to 7 Targeted Medication Plans

Lumbar disc herniation It is mostly caused by degeneration of the intervertebral disc, rupture of the annulus fibrosus, and compression of the nerve root by herniation of the nucleus pulposus, which is typically characterized by low back pain (tingling, dull pain), radiating pain in the lower limbs (from the waist to the legs), numbness and weakness, and aggravation of symptoms after prolonged standing or bending. Medication needs to be around “ pain relief, Anti-inflammatory , Nourish nerves, relax muscles”Expand, the following is a detailed explanation of 7 targeted medication plans and key points to help you relieve discomfort and protect your lumbar spine.

1. 7 medication plans and applicable scenarios, symptomatic medication is the core

Different symptoms (intensity of pain, with or without numbness, acute phase/relief phase) correspond to different combinations of medication, which need to be selected according to their own situation, taking into account both “rapid relief” and “long-term protection”:

– Scheme 1: Severe low back pain in the acute phase (no numbness in the lower limbs)

Typical manifestations: sudden low back pain (mainly tingling, not daring to bend or turn over), obvious pain points when pressing the waist, no numbness or leg pain, slightly relieved after rest and aggravated after activity.

Applicable stage: Within 1-2 weeks of onset, pain affects daily activities (such as getting up, walking).

Medication combination: Diclofenac sodium Prolonged-release tablets + eperisone hydrochloride tablets

Efficacy: Diclofenac sodium Rapid anti-inflammatory pain relief, relief of soft tissue inflammation in the waist; Eperisone Relaxing the tight muscles in the waist, reducing Muscle spasms Pressure on the disc.

Usage: Diclofenac sodium 0.1 g once daily (take after meals to reduce gastric irritation); eperisone 50 mg three times daily (take after meals); take continuously for 5-7 days (discontinue diclofenac sodium after pain relief and eperisone for another 3 days).

Note: Avoid bending over to carry heavy objects and sitting for long periods of time (get up and move every 30 minutes); it can be combined with hot compress on the waist (20 minutes each time, promote Circulation ).

– Scheme 2: Low back pain with radiating pain in the lower limbs (from waist to legs)

Typical manifestations: low back pain concomitantly, pain radiating along the hips, the back of the thigh to the lower leg or instep (as in “strangulation”, pain aggravated when coughing, sneezing, no obvious numbness in the lower limbs.

Applicable stage: pain radiates to the lower extremities, affecting walking (as in the legs when walking “pain of involvement”).

Medication combination: celecoxib capsules + Methylcobalamin Film

Efficacy: Celecoxib is anti-inflammatory and analgesic, reducing nerve root edema; methylcobalamin nutrition damages nerve roots and relieves ejection pain.

Usage: Celecoxib 0.2 g each time, once daily (take after meals, less irritation to the stomach); methylcobalamin 0.5 mg each time, 3 times daily (take with warm water); take continuously for 10-14 days (after radiating pain disappears, celecoxib is discontinued and methylcobalamin is consolidated for another week).

Note: Choose a mattress with moderate hardness (avoid excessively soft or hard, maintain lumbar spine) Physiological curvature ); You can wear a waist circumference when walking (supports the waist and reduces nerve root pressure).

– Scheme 3: Low back pain with numbness in the lower limbs (obvious nerve compression)

Typical manifestations: mild low back pain, but obvious numbness in the lower limbs (such as the outside of the calf, instep“ ”“over-electrical ”numbing sensation), decreased sensation when touched, and aggravated numbness after standing for a long time.

Applicable phase: prolonged nerve root compression with paresthesia.

Medication combination: Methylcobalamin tablets + Vitamins B1 piece+ Lumbar Painin Capsules

Efficacy: Methylcobalamin + vitamin B1 synergistically nourishes nerves and promotes nerve repair; Low Back Pain Ning Capsules warm the meridians and unblock collaterals, reduce nerve root edema, and relieve numbness and low back pain.

Usage: 0.5 mg of methylcobalamin each time, 10 mg of vitamin B1 each time, all three times a day; 4 capsules of Lumbar Pain Ning each time, once a day (use before going to bed) Rice wine Take it without using warm water for rice wine to help drug absorption); take it continuously for 2-3 weeks (after the numbness is relieved, it is better to reduce the amount to 3 capsules each time and use it for another week).

Note: Avoid bending over for long periods of time (such as washing dishes and mopping the floor); do it 1-2 times a day“ Little “Yanfei” ”(Initially, it needs to be carried out under the guidance of a doctor to enhance the strength of the lumbar and back muscles).

– Scheme 4: Recurrent low back pain in the chronic phase (symptoms are mild and severe)

Typical manifestations: recurrent low back pain (1-2 times per month), mostly dull pain, aggravated by exertion and cold, relieved after rest, no obvious lower limb symptoms, duration of the disease more than 3 months.

Applicable stage: Stable condition, long-term prevention of pain recurrence.

Medicinal combination: Glucosamine Hydrochloride Capsules + Guxian Tablets

Efficacy: Glucosamine Repairing discs Cartilage , delaying degeneration; Guxian Tablets nourish the liver and kidneys, strengthen muscles and bones, enhance the stability of the lumbar spine, and reduce recurrence.

Usage: Glucosamine 0.75 g each time, 2 times daily (take after meals); Guxian tablets 4 times each time, 3 times daily (take with warm water); take continuously for 1-2 months (after symptoms stabilize, can be changed to maintenance once daily to prevent recurrence).

Note: Pay attention to keeping your waist warm (avoid blowing cold wind and wearing clothes with exposed waist); avoid sitting and standing for long periods of time on a daily basis, and do waist every 1 hour Stretching (such as turning your waist or stretching).

– Scheme 5: Severe pain in the acute phase (affecting sleep)

Typical manifestations: severe low back pain (waking up painfully at night, unable to lie down), radiating pain in the lower limbs, poor effect of taking ordinary painkillers, frequent changes in posture to relieve pain.

Applicable stage: The pain is severe, which seriously affects sleep and rest, and the symptoms need to be controlled quickly.

Medicinal combination: Aminophen tramadol tablets + diosmin tablets + eperisone hydrochloride tablets

Efficacy: Aminophentramadol is powerful for pain relief (for moderate to severe pain); diosmin reduces nerve root edema and relieves the source of pain; eperisone relaxes muscles and assists in pain relief.

Usage: Amphenol Tramadol 1 tablet each time (inclusive) Acetaminophen 325mg, tramadol 37.5mg), once every 6 hours (no more than 4 tablets per day, no more than 5 consecutive days, avoid dependence); diosmin 0.9g each time, 2 times a day; eperisone 50mg each time, 3 times a day; both taken after meals.

Note: Aminophenol tramadol is a controlled painkiller and needs to be used as directed by your doctor (do not increase the dosage by yourself or take it for a long time); stop taking the medicine in time after the pain is relieved and switch to normal Anti-inflammatory drugs (such as celecoxib); you can lie on your side before going to bed (put a pillow between your legs to reduce the pressure on your lumbar spine).

– Scheme 6: Low back pain with muscle stiffness (lumbar back muscle tension)

Typical manifestations: low back pain accompanied by stiffness of the low back muscles (such as “slab waist”), tightness of the waist and limited mobility when bending, and a noticeable soreness and swelling feeling when pressing the low back muscles.

Applicable Stage: Muscle spasms are noticeable and affect waist mobility.

Medicinal combination: Compound clozoxazone tablets + topical diclofenac Diethylamine Latex

Efficacy: Compound clozoxazone (containing clozoxazone + acetaminophen) relaxes muscles and relieves mild pain; topical latex agent is anti-inflammatory and relieves muscle stiffness and soreness.

Usage: Compound clozoxazone 2 tablets each time, 3 times a day (take after meals, avoid taking before bed, prevent Somnolence ); Apply external latex 3-4 times a day, take an appropriate amount and apply it to stiff muscles, and massage gently until absorbed.

Note: Avoid strenuous exercise (such as running, jumping); it can be combined with waist massage (manipulated by professionals, avoid blind massage to aggravate protrusion).

– Scheme 7: Postoperative recovery period (1-3 months after surgery)

Typical performance: Lumbar disc herniation After surgery, there was still slight low back pain, numbness in the lower limbs (normal during the recovery period), and the wound had healed without signs of infection.

Applicable stage: Postoperative recovery period, to promote nerve repair and enhance lumbar spine stability.

Medication combination: Methylcobalamin tablets + Calch D3 tablets + Garcinia Cambogia bone tablets

Efficacy: Methylcobalamin promotes postoperative nerve root repair and reduces numbness; Calch Calcium supplementation to enhance bone strength; Garcinia cambogia bone-building tablets to nourish the kidneys and strengthen the bones to assist in postoperative recovery of the lumbar spine.

Usage: Methylcobalamin 0.5 mg each time, 3 times daily; Calcium 1 tablet each time (containing 600 mg of elemental calcium), once daily (take after meals to promote absorption); Garcinia Cambogia Jiangu Tablets 4 tablets each time, twice daily; take continuously for 2-3 months (adjust according to postoperative recovery).

Note: Rehabilitation training under the guidance of a doctor is required after surgery (such as straight leg elevation, strength training of the lumbar and dorsal muscles); avoid bending over and carrying heavy objects too early (preventing recurrence after surgery).

2. “Signals that the drug is effective, suggesting improvement of symptoms”

After 1-2 weeks of regular medication, these changes indicate symptomatic protocol:

1. Reduced pain: reduced frequency of low back pain (as from daily persistent pain to pain after exertion only); reduced intensity of pain (from severe tingling to mild dull pain, relieved without frequent posture changes).

2. Improved function: radiating pain in the lower extremities, reduction in numbness (such as calf pain alone to only slight discomfort below the knee); increased mobility in the waist (ability to bend over to brush teeth and tie shoelaces without significant restriction); improved quality of sleep (no longer waking up from pain at night).

If, after 2 weeks of medication, there is no relief of pain (such as still being unable to get out of bed, waking up at night), or weakness of the lower limbs (such as walking “sparing the leg”), incontinence, and incontinence, the medication needs to be stopped immediately for medical treatment (excluded) Disc herniation Aggravated, severely nerve-compressed).

3. Uncomfortable medication? Dispose of it as such

– Slight discomfort (common reactions): mild stomach pain and nausea after taking anti-inflammatory drugs such as diclofenac sodium and celecoxib, which should be taken after meals or with Gastric mucosal protectants (like Aluminium magnesium carbonate Tablets) can relieve; after taking eperisone and compound clozoxazone, if you have slight drowsiness, just avoid driving and operating precision instruments during the day.

– Obvious discomfort (to be alert): Appears after medication Rash , Itching (may be allergic), stop taking the drug immediately; after taking aminophenol tramadol, dizziness and nausea will worsen (may be drug intolerance), and the dosage needs to be reduced or changed; after long-term use of anti-inflammatory drugs (more than 2 weeks), melena will appear (possibly) Gastric haemorrhage ), immediately stop taking the medicine and seek medical examination.

4. Medication courses and precautions

– Effective time: Pain relief in the acute stage (such as options 1 and 5) can be effective in 1-3 days; it takes 2-4 weeks to relieve numbness and promote repair (such as options 3 and 7).

– Course recommendations:

– Acute phase medication (schemes 1, 5): The medication can be stopped after the pain is relieved (usually 5-10 days, avoid long-term anti-inflammatory drugs and painkillers);

– Medication in the chronic phase/recovery phase (schemes 4 and 7): It needs to be taken according to the course of treatment (1-3 months). After the symptoms stabilize, gradually reduce the dose and do not stop the drug suddenly (for example, methylcobalamin can be reduced from 3 times a day to 3 times a day. Once a day, use it for another week and stop taking it).

5. Keep these taboos in mind and avoid making mistakes

– Core principles: It is contraindicated for those who are allergic to pharmaceutical ingredients (for example, use celecoxib with caution for those who are allergic to sulfonamides); for those with moderate to severe liver and kidney insufficiency, use anti-inflammatory drugs and painkillers with caution (the dose needs to be adjusted to prevent liver and kidney damage); pregnant women and lactating women are prohibited from using Aminophentramadol and Low Back Pain Ning Capsules (you need to consult a doctor to switch to safe drugs).

– Special population: The elderly need to reduce the dosage (0.05g each time) of anti-inflammatory drugs (such as diclofenac sodium), and check liver and kidney function regularly; yes Gastric ulcer , For those with a history of gastric bleeding, nonsteroidal anti-inflammatory drugs (such as diclofenac sodium, celecoxib) are prohibited, and acetaminophen can be used instead (only for pain relief, no anti-inflammatory effect).

– Avoid wrong combinations: similar painkillers are not used in combination (such as diclofenac sodium + celecoxib, which increases the risk of gastric damage); aminophenol tramadol is not used with other acetaminophen-containing drugs (such as compound cold medicine) Take together (to prevent excessive acetaminophen and damage the liver); Topical latex is not administered at the same time as hot compresses (increases skin absorption, may aggravate side effects).

6. Do 2 things well to assist lumbar spine recovery

1. Life care: Maintain the correct posture on a daily basis (rest on the back of a chair when sitting, avoid stooping; hold your chest and abdomen high when standing, and do not carry weight unilaterally for a long time); choose “knee flexion while lying on your back” or “pillow clamping while lying on your side” sleeping position (reduce lumbar pressure); avoid sitting and standing for long periods of time (get up and move for 5 minutes every 30-40 minutes to do waist extension).

2. Rehabilitation training: After pain relief, adhere to lumbar back muscle training (such as “five-point support”, 10-15 minutes each time, 1-2 times a day, to enhance lumbar spine stability); avoid strenuous exercise (such as basketball, weight lifting), choose gentle exercise (such as swimming, walking, to reduce lumbar spine load).

Medication for lumbar disc herniation needs to be used “in stages and selected according to symptoms”, and painkillers should not be blindly relied on to mask symptoms. If symptoms recur for more than 3 months, or lower limb weakness or abnormal defecation and defecation occur, timely medical treatment is required (to check whether physical therapy or surgical intervention is required). Only by combining life adjustment and rehabilitation training during medication can we better relieve discomfort and prevent recurrence.