How to behave after the blockade of the back. Indications for the blockade of the spine. Types of blockade in medicine

The vertebral pillar plays a crucial role in the work of the musculoskeletal system of the human body. It consists of vertebrae bodies and separating their intervertebral disks. The person's strain creates an excess mechanical and static load on intervertebral discs. They consist of cartilage tissue and quickly wear out. Partially reduce the depreciation load are designed by the physiological bends of the spine and the muscular frame of the back.

But the paradox is that the modern person does not follow his posture and physical form. The lack of regular physical exertion on the muscular frame of the back and the stuff lead to the rapid destruction of intervertebral disks. Osteochondrosis develops. And in this case, it is possible to remove the strongest pain syndrome using such a reception as blockades.

Most often the blockade of the lumbar spine and lumbar-sacrolling is required, since they accounted for maximum load when sitting and walking, running and lifting weights. Only a qualified medical worker has the right to make such procedures. It can be a nurse, paramedic or doctor.

About how the blockade of the lumbar spine acts and why it is dangerous to rely on its therapeutic effects, told in this material.

If you are geographically in Moscow and you have sharp back pains, then we invite you to a primary free consultation. In our clinic of manual therapy, experienced doctors know how to stop a sharp attack of pain on the background of osteochondrosis, protrusions and hernias of the intervertebral disc without the use of controversial and hazardous pharmacological preparations.

What is the blockade of the lumbosacral spine?

To begin with, it is worth understanding what kind of blockade of the lumbelling spine and how it helps to eliminate pain syndrome. For all patients, we give a few facts that it is worth thinking in advance.

It is important to understand that the blockade of the lumbosacral spine is:

  • the introduction of the drug directly into the area where the root nerve is thrown;
  • high risk of injury to nervous fiber;
  • the potential danger of death (necrosis) of the root nerve;
  • probability of the development of the paresium or paralysis of the lower limb;
  • the potential threat to the development of anaphylactic shock, which, without emergency medical care, leads to the death of the patient.

The blockade is usually done using such drugs as novocaine, lidocaine, and other anesthetics. They have a pronounced allergic effect. They are not transferred about 35% of the modern adult population. Therefore, before making a blockade, the doctor must carry out the skin sample and make sure there is no allergic reaction in the patient.

But the primary sample does not guarantee the absence of an allergic reaction of an immediate type in the future. For example, when conducting the first novocainel blockade, the patient has an allergic alertness of the immune system against this drug. However, with each subsequent blockade, it increases. At a certain point, this may lead to the development of anaphylactic shock.

The principle of operation of the blockade of the lumbar and lumbling spine is simple - this is temporary anesthesia due to the "freezing" of nerve endings in the field of damage to intervertebral discs. A similar principle of action of infiltrative anesthesia is observed in the formulation of the injection of the gum at the reception at the dentist. Thus, it can be safely argued that the blockages of the lower back do not possess any medicinal action. They apply only to temporarily relieve pain. On average blockade valid 18 - 26 hours. After that, the re-procedure is required.

In addition to the danger of the development of an allergic reaction, there is the possibility that a medical officer in the formulation of blockage injections will fall into the nerve or a biologically active point. This can provoke paralysis of the lower limb.

Is it worth it to risk your health, using these obsolete methods to treat? After all, there is a more efficient and absolutely safe way to eliminate pain syndrome in osteochondrosis of the spine. This is a traction pulp of the spinal column. The procedure is carried out under the control of the doctor. In its course, the effect of natural elimination of pressure on the root nerves is achieved by increasing the gaps between the vertebral bodies.

When is the novocaine blockade on the area of \u200b\u200bthe lumbar spine?

There are situations where the novocaine blockade of the lumbar spine is made, there must be special medical testimony for this. In most cases, this procedure is shown in osteochondrosis and its complications, such as hernia and an intervertebral disk protrusion.

The testimony for a novocainel blockade to the area of \u200b\u200bthe lumbar spine includes the following states:

  1. acute pain syndrome that fails to stop the formulation of intramuscular and intravenous injections of non-steroidal anti-inflammatory funds;
  2. expressed muscle tension syndrome in the area of \u200b\u200bthe intervertebral disk lesion, and there is a threat of a violation of natural posture due to the development of secondary pathogenic kyphosis or lordosis;
  3. the presence of signs of damage to the root nerves (neurological manifestations in the form of paresthesia, numbness of the lower extremities, changes in the skin sensitivity, the sensation of the crawling of goosebumps);
  4. lack of opportunity to be freely lean and move without help.

The novocaine blockade in the area of \u200b\u200bthe lumbar spine acts as follows:

  • blocks nerve endings in the epidermal layer;
  • due to this, an inflammatory chain reaction is interrupted;
  • comes the gradual relaxation of muscles in the field of lesion;
  • due to this, the outflow of lymphatic fluid and congestion of capillary blood from the focus of the inflammatory reaction begins;
  • all this leads to the elimination of the secondary compression of the root nerve.

The patient experiences temporary pain relief. But after a day, all unpleasant feelings are returned, sometimes with increased force. This is due to the fact that after the blockade in patients there is a false feeling of well-being. And contrary to the recommendations of the attending physician, they begin to show physical activity.

Remember that the tension of the muscles of the lower back, pain and inflammation are protective reactions of the body, which are designed to prevent even greater destruction of the intervertebral cartilage disk. If after blockade all these protective mechanism is stopped, then it is not worth injuring your spine even more. It is necessary immediately after the blockade to lie on a rigid surface and exclude any physical activity for the next day. Next, conduct treatment according to the doctor's recommended scheme.

Danger of blockade in osteochondrosis, protrusion and hernia lumbar spine

The anesthetic blockade in osteochondrosis of the lumbar spine does not possess absolutely nonerapeutic action. This procedure is designed only for a short time to facilitate the suffering of the patient. Therefore, to live the balance of life, periodically spend similar medical manipulations you can hardly get out.

It is important to understand that, making constant blockages in the hernia of the lumbar spine, you do not engage in the treatment of the disease, but only temporarily make it easier for pain. In this case, the intervertebral disk continues to collapse. Sooner or later, the moment comes when any conservative treatment is already late and the doctor will be able to send you only to surgery. During its holding, the destroyed disk will be deleted. And it will launch the chain reaction of the destruction of the entire spine.

The danger that the blockade carries in itself under the protrusion of the lumbar spine, is that patients, receiving a false impression of well-being, all the time move the moment when it is already to start an efficient and safe treatment of osteochondrosis. Losing precious time, patients bring their condition to depressing indicators. Unfortunately, many of such patients who make constantly blockages of the lower back, we are no longer able to help.

If you are offered a novocaine or corticosteroid blockade of the spine, do not hurry to agree on it. First visit for free professors of our clinic of manual therapy. Experienced Doctors Neurologists will tell you how to get rid of pain and cure the osteochondrosis of the spine, including at the stage of development of the protrusion and the hernia of the disk, without harm to health. Only by learning about all the prospects and capabilities of treatment, you will be able to adopt a weighted and correct decision.

What is an alternative to the blockades of the spine?

Well, briefly tell about what an alternative to the blockades of the spine with anesthetics and corticosteroids. First of all, it is worth understanding the mechanism for the development of pain syndrome during diseases of the spinal column.

Its function includes the innervation of the entire body. To do this, inside the spine is a spinal cord, from which paired root nerves depart. They branch into smaller education. Any pinching of the nerve at the level of the spinal column leads to the development of an acute attack of pain.

The second factor in the development of the pain reaction is to squeezing the surrounding soft tissues due to the occurrence of swelling. There is a protective mechanism of an inflammatory response. If the intervertebral disk is destroyed, then it loses its depreciation. In order to compensate, the body consists in the area of \u200b\u200bdefeat the factors of the development of an inflammatory response.

Due to this, in the area of \u200b\u200bdamage to the disc, the increase in capillary blood supply begins, soft tissues swell and filled with lymphatic fluid. At the same time it turns out the strongest pressure on small nervous endings. This causes a painful reaction.

In both cases, to eliminate pain you need to restore the efficiency of the intervertebral disc. This can be done with the following manual therapy techniques:

  • trading exhaust allows you to remove pressure from a damaged disk;
  • reflexotherapy launches the process of its natural recovery due to the use of hidden reserves of the body;
  • massage and osteopathy restore diffuse nutrition of the fibrous ring;
  • kinesiotherapy and therapeutic gymnastics enhance the muscular frame of the back.

Each patient can choose treatment. Take into account the degree of risk and potential perspectives. Manual therapy allows you to forget about osteochondrosis and its complications for many years. And when fulfilling all the recommendations, a doctor of recurrences of this disease does not happen for many decades.

To eliminate pain syndrome, various methods are used for the disease of the spine.

But if conservative treatments do not give results, then resort to spine blockade.

This method is considered to be minimally invasive, not therapeutic, but the patient's condition significantly improves and allows you to continue therapy without pain.

There is a temporary disconnection of the conductivity of the nerves of the fibers that have undergone pain.

Typically, local anesthetics are used for the blockade: Lidocaine, Novocaine.

What does the blockade of the spine mean?

Manipulation that blocks one level of the pain mechanism is called a blockade. The procedure is carried out by the introduction of drugs by injection into certain points of the body..


In addition to eliminating symptomatic pain, injection allows you to determine the place where the focus of inflammation. Doctors can not always detect the squeezing area of \u200b\u200bthe nerve, and the blockade allows you to determine the spinal segment. Which is the pain.

The blockages have many advantages, compared to other methods of combating back pain. First of all, they give a quick result. In addition, the procedure is done without serious consequences, which allows it to make it repeatedly.

Types of blockade

If degenerative processes occur in the spine, then various blockades are used to eliminate pain syndrome. There are criteria for which these procedures are classified.

At the place of administration of drugs: By influence on the structure of nerves: On localization of the hearth pain:
  • Paravertebral blockade.
  • Interrochemical.
  • Blockade of sedellastic nerve.
  • Fabric. The drug is introduced into the tissue surrounding the amazed area of \u200b\u200bthe spine.
  • Receptor. Introduction is made in bioenergetic points of muscles and ligaments.
  • Ganglionary. Injection is done in a certain nervous plexus.
  • Conductive. The drug is blocked by nerve fibers.
  • Blockade of the cervical department
  • Breast (bimphemtebral, vegetative).
  • Lumbar Department (articular, epidural).

The type of blockade of the blockade determines the attending physician, based on the diagnosis. The patient's condition and the presence of concomitant diseases are also taken into account.

Possible complications

Despite the many advantages, the mistake of the doctor or unforeseen situations can sometimes cause complications.

  1. Infectious infection. Epidural blockades often provoke infections, as the adrenaline system is suppressed. Sometimes infection spreads through the body. The abscess indicates soreness, an increase in the number of leukocytes and an increase in temperature.
  2. Bleeding. In the presence of hemophilia, hematomas are formed followed by bleeding. The blockade is carried out only with a contrast agent.
  3. Vascular damage. If the medicine fell into a vessel, then toxic anesthesia occurs, which can cause a heart stop. In this case, the use of corticosteroids leads to painful sensations and anaphylactic shock.
  4. Manifestations of neurological character. Such a complication is caused by direct contact of the needle with nerves, abscess toxic effects of the drug.
  5. Collapse. Overdose disconnects vasoconstrictors departing from chest nodes.

No need to be afraid of the blockade. An experienced doctor will take into account all possible risks, and if they appear, they will quickly eliminate them.

Indications and Contraindications for use

The spinal blockade is carried out in order to relieve pain. This procedure is recommended if there are the following diseases.:

  • Osteochondrosis at the started stage.
  • Protrusia and hernia.
  • Spondyltrosis.

But the diagnosis is not the main indication to carry out the blockade, the main thing, the presence of intensive pain. The method and frequency of injections depends on the type of pathology.

But even with severe pain the blockade is assigned not immediately And only as a last resort, if drug treatment does not bring results.

Oddly enough, many patients negatively relate to blockades, as there are complications. But with the correct implementation of the procedure, the risk of severe consequences is minimal. There are cases when the blockade is the only method of improving the state, eliminating operational intervention.

But still, there are absolute contraindications:

The blockade is also not done up to 18 years and if there are problems with the psyche.

How to make blocade

Do you know that ...

Next fact

Drugs are introduced into different anatomical areas:

  • To all spine departments.
  • Knock a sedellastic nerve.
  • In the joint zone of the iliac bone and the sacrum.
  • In the pear-like muscle.
  • To the area between the smoking and the sacrum.
  • Baseline nerve and neck muscles.
  • In the cerebrospinal space.
  • Facetic joints.

Completed Blocade Technique


Articular blockade of outflow joints. The puncture is done in the lumbar department. The selection of the joint depends on the location of the facets. If the frontal puncture, the needle is introduced into the bone tissue. So that it passes into the hollow of the joint, the connection is obliged to be on the same level with the needle. At this moment there is a reflex reduction of muscles. To eliminate the muscular voltage, anesthesia is carried out throughout the needle path to the articular capsule. When the needle is introduced completely, a sample is made to remove the articular fluid. For the procedure, needles are not less than 12 cm. Such blockades are carried out if the lumbar spondyltrosis is diagnosed. Usually there are no more than 4 injections, from breaks per week.

Paralertelected blockade. Before the procedure, disinfection of the injection site by iodine or alcohol is performed. Analgesic injection is made in a thin needle in four places (near the coarse processes). Then the thick needle introduced Lidocaine. Introduction The needle is produced gradually and for the entire length. Be sure to follow that the one-time dose is not exceeded. This type of blockade is used in combination with other methods of treating the lumbar department. With a paravertebral blockade, anesthetic solution is introduced directly into muscles and ligaments.

Epidural. The blockade is anesthetics sacrochkolchi ligaments. The thin needle is introduced into the sacrum area a few anesthetic, and then make spinal anesthesia. The introduction of the needle is performed before the resistance disappearance (no more than 3 cm), otherwise you can damage the fool bag. If the spinal fluid does not stand out, then the needle turns twice by 90 degrees. This blockade quickly brings a positive effect, since the procedure stops the inflammatory process in the affected segments.

Perivascular. The vertebral artery is blocked. The puncture in the neck is done until it stops in the process (transverse), then the needle is directed along the edge of the process up. The main thing is that the needle does not get into the vessel. If the blockade is done correctly, the pain in the cervical departure disappears, the vision is improved and the hum in the ears disappears.

Corticosteroids

Together with anesthetics, corticosteroids are used. These medicines perfectly cope with edema and inflammation, and not only with pain.

In the injection includes:

  • Dexametanone. There is a short time and suits the presence of hernia.
  • Kenalog. The effect is kept no more than two weeks and is recommended for blockade of joints.
  • Hydrotisut . The medicine is very sought-after. Available in the form of a suspension and mixed with other analgesics.
  • Diprosp. It has a prolonged action. Ideal if there are intervertebral hernias. Provides long anesthesia.

Dosage and type of drug are selected individually.

Additional means

Used as auxiliary substances when carrying out multicomponent blockades.

  • Adrenalin.
  • Vitamins belonging to the group V.
  • Vascular means.
  • Soothing medicines.
  • Spasmolytics.

Alone, these drugs are not painted and separate from the blockade does not apply. The same tablets are used, which enhance the effects of injection.

Conclusion

If the doctor prescribed spine blockade, I should not refuse. This is the only effective method that instantly eliminates pain syndrome. But the blockade is recommended if conservative treatment was not crowned with success. The procedure is obliged to conduct a highly qualified specialist after a thorough study and the right choice of the drug for injection. Before carrying out the blockade, the patient signs an agreement in which possible complications and serious consequences are indicated.

Test!


What is blockade in medicine? We will deal with more details in this matter. This procedure is a medical procedure, within which a person in a certain part of the body is introduced special medicines. Basically, they are introduced into nervous points, as well as fabrics participating in the innervation of affected organs. The blockade of a body of the body makes it possible to facilitate the overall health of the patient and has a beneficial effect on the disease. One of the main goals that the blockade is haunted, and in addition, any injections are eliminating pain and their source. Throw out what the blockages in medicine are. And also learn what drugs are most often used for their execution.

What is blockade in medicine?

One of the most important nuances of the blockade is that the fight against the lesion of the body area should be made as quickly as possible with the minimum number of probable negative consequences. In addition, it is important that in the framework of the blockade it does not occur extra cost.

So, the blockade is an event that acts as efficiently as possible. It is not surprising that modern medicine enjoys this particular method of treatment. Blocages are used in traumatology, surgery, orthopedics, neurology, urology, gynecology, obstetrics, and so on. Now we will find out which types of blockages in medicine are divided. There are several of them.

There is also such a concept as the blockade of the feet of the Gis beam. What it is?

A bundle of Gis is called part of the heart muscle, which is atiypical muscle fibers. She has a trunk and two legs - left and right. The function of these structures is the following - the transfer of electrical impulses arising in the right atrium to the myocardium of ventricles. This makes them shrink them in the rhythm, which corresponds to the atrial rhythm. In case of impaired pulse, the blockade of the Gis beam legs are partially developed.

It happens complete or incomplete, constant intermittent, transient or alternating.

Patients with such a blockade in the absence of a major disease in therapy do not need.

Types of blockade in medicine

The blockade in medicine is divided into local, as well as segmental:


Paravertebral and vertebrus

The segmental type of medical blockade, in turn, is divided into paravertebral, as well as vertebral:

  • The paravertebral blockade is a qualified procedure that is performed to relieve or dull pain. Apply it mainly on the background of back pain. The blockade of the spine from the technical side is the introduction of a special mixture by a specialist in the affected place. Simply put, it is, first of all, an ordinary injection that is performed near the spine. With it, it is possible to turn off reflexes for a while, significantly reducing swelling and improving the nutrition of the nerve roots. Thus, the implementation of paravertebral blocks is necessary for annexiation along with prophylactic measures for the detection of related pathologies. In situations of the occurrence of peeling syndrome chronic type, the muscle spasmodation is not excluded, which ultimately can cause their defective functioning.
  • The vertebral blockade of the spine performs one of the treatment options for the back disease. In the framework of therapy, it allows you to get rid of uncomfortable, and in addition, painful sensations, mainly in the lumbar region, and as a diagnostic method makes it possible to consider the picture of the diseases associated with the spine in more detail.

Medical blocks. Principle of use

According to the principle of application of blockade in medicine, they are divided into therapeutic and diagnostic. What is the difference?

  • Therapeutic blockade performs a safe technique that is necessary for the treatment of syndromes and pathologies, which are accompanied by strong pains that bear neurological, rheumatoid and postoperative issues.
  • Diagnostic blockages give a doctor the possibility as quickly as possible and accurately establish certain causes of pains to make a diagnosis. In some situations, painful sensations may result in any inflammation or irritation of structures with painful receptors. After the introduction of a medical device into a pain generator, all unpleasant sensations disappear for a while, which gives doctors the opportunity to determine a more accurate diagnosis. The effectiveness, as well as the course of treatment directly depends on competent diagnostics. What is blockade in medicine, not everyone knows.

Blockads in Vishnevsky

Basics of blockade in medicine were developed and proposed by Vishnevsky. The main goal was the interruption of impulses in situations of the occurrence of pleurpulmonal shock, which appears due to wounds in the thoracic area. Thus, the author of the blockade came to some conclusions, on the basis of which various categories of blockade were developed:


According to Vishnevsky, variations of the blockade have been developed, thanks to the use of which medicine has greatly stepped forward. It is important to note that only highly qualified doctors should be performed the procedure, since the appearance of complications in patients does not exclude errors.

It is important to note that it happens not only blockade for the back. Preparations are made to other areas of the body.

Views

Thus, scientists proposed the following types:


So, now find out what drugs in medicine are considered the most popular in the framework of the blockade. What exactly to use?

What drugs are used in blockade?

Blockeds, among other things, differ in their own qualifications. Thus, allocate:

  • Monocomponent blockade, within which only one specific drug is used.
  • DicoPonent, in this case use two means.
  • Polycomient, code is used more than two drugs.

"Novocaine"

Popular novocaine blockade. Often, within the framework of the implementation of the blockade in medicine, this drug is used. This remedy acts as an essential anesthetic. Novocaine is produced and produced in the form of a solution, which is intended for injection. This agent is different in their interest. For example, it happens from 0.2 to 2%. Pain after using the blockade based on Novocaine disappears approximately five minutes from the moment of injection. The resulting effect lasts, as a rule, for about two hours. In the overwhelming majority of situations of this time, it is usually enough to eliminate pain impulses, and besides, improving patients' well-being. The disadvantage of this means serve frequent vascular reactions along with allergies.

"Lidokain"

Lidocaine is anesthetic amide property and today ranks second in its popularity in medicine. True, this drug increasingly claims to take a leading position and practically overtakes "Novocaine". Considering that injections with "lidocaine" are characterized by good permeability, and in addition, small toxicity and absolute lack of negative reactions can be said that this medical drug is also the best tool for performing the blockade. Among other things, Lidocaine is distinguished by an increased therapeutic index. The effect that generates a lidocaine blockade can last up to several hours.

"Bupivakain"

Bupivacaine is one of the anesthetics of the amide category. The effect of this drug is characterized by late starts after ten to twenty minutes from the moment of entering. True, its duration of its influence can be from three to five hours. It is used to perform epidural blockade, and in addition, the caudal blockade of peripheral nerves. But if it is used, there is a risk of side effects. At the same time, the main thing for its danger is the impact of toxins on the heart and kidney.

"Hydrocortisan"

"Hydrocortisone" is another means for performing a blockade, which is steroid hormone. Produce and produce it in the form of suspensions. Such a release is due to the fact that this substance is not soluble in water. For this reason, before entering into the body, the "hydrocortisone" must be mixed with anesthetic. The presented means for intra-articular blockade is used.

"Dexamethason"

"Dexamethasone" is also a hormonal agent, the activity of which is thirty times higher, if compared with the "hydrocortisone". This drug almost does not affect the exchange of electrolytes. This drug works very quickly, however, the effect of its use continues not long. Most often, this medicine is used for the blockade of soft tissues. It is important to note that necrosis does not happen within its application.

Which drugs are used in blockade?

"Deposedrol"

"Deposedrol" performs one of the forms of "methylprednisolone", which has a prolonged impact on the body. Most often, the drug is used for intra-articular and intrabobist blockades. It is used to perform injections into soft tissues. As part of the organization of epidural blockade, the medicine is used with special care, as it can serve as one of the main causes of the occurrence of arachnoid.

"Diprospan"

"Diprospan" serves as a steroid properties. The remedy is suitable in the event that it is necessary to eliminate painful feelings or sensations, as well as pathologies in the area of \u200b\u200bthe joints. "Diprospan" is fits and with heel spurs, and in addition, to eliminate pain in the spine. Act the medicine starts after a few hours later, keeping the effect of up to three weeks. "Diprospan" is used to enter a blockade of neural type. Among other things, this medicine is used on soft tissues, including near-hand. Perform through "Diprospan" and blockade in the articular bag. It is very effective.

We looked at what the blockade is in medicine. Take care of yourself and be healthy!

Doctor traumatologist-orthopedist of the highest category. Adult and Children's Specialist, MGMU, 1998

The blockade of the spine is a medical procedure that allows a person in a short time to get rid of painful sensations in the spinal column. Thanks to the introduction of a drug in special cavities, a person is almost immediately disposed of painful sensations.

Take into account that it can carry out such injections with an exclusively qualified attending physician. To achieve a proper therapeutic effect, it is necessary to look for the cause of painful sensations - the blockade allows only for a while to get rid of painful sensations.

In order for the blockade of the spine to bring the most positive result and was able to save a person from painful sensations in a short time, it is very important that the procedure will conduct an exceptionally qualified attending specialist.

To appoint a medicinal product, you need to contact a qualified surgeon Il neurologist. Only after passing the extended diagnostics you will be able to prescribe a drug that will be carried out.

The main purpose of the blockade of the spine is to get rid of sharp painful sensations. With the help of special drugs, it is possible to get rid of the eductions of the tissues, thanks to which the nerve endings begin to work normally.

Natural blood flow is also restored, due to which the blood vessels return to their normal position. Due to this, the natural operation of the spinal cord is restored.

Consider that the spinal blockade is used in exceptional cases when other methods of getting rid of painful sensations do not bring any effect.


Indications for the blockade

The blockade of the spine is a complex and extremely dangerous procedure, which allows you to get rid of painful sensations in a short time. The tool is suitable for the relief of painful sensations caused by diseases:


In the overwhelming majority of cases, the blockade of the spine is carried out with acute degenerative-dystrophic processes in the spinal column. Consider that an exclusively qualified specialist on the basis of advanced diagnostic data can conduct this procedure.

Also, the blockade can only be set if the drug therapy has not brought any effect. Usually, to relieve painful sensations, it is enough to spend from 4 to 10 injections, between which a break of 10 days do. The blockade of the spine can be done no more than 4 times a year.

Effect of application

The blockade of the spine is a procedure that allows a short time to get rid of painful sensations in the spinal column. Conduct it exclusively qualified attending doctors. This extremely serious intervention, which requires an integrated approach.

Using the spinal blockade, it is possible to achieve the following effects:

  1. Stop the passage of sodium in nerve endings;
  2. Expand blood vessels;
  3. Stop the work of nervous endings.

Already a few minutes after the administration of the drug, the patient feels a powerful relief - painful sensations are saved. Also, muscle tissue is noticeably relaxed, painful sensations are significantly reduced. The effect of such therapy continues for 3 hours. After this time, discomfort returns again.

If you compare the spine blockade with traditional methods of treatment, you can allocate the following advantages:

  • Speed \u200b\u200b- a person gets rid of painful sensations literally a few minutes after the introduction of the medicine. It is even faster than when conducting physiotherapy procedures.
  • The small risk of side effects - with the right selection of the drug and conducting the procedure, the patient is unlikely to face any side effects.
  • The possibility of multiple administration is to be carried out by the blockade of the spine 3-4 times a year.
  • Integrated therapeutic impact - a person gets rid of not only from pain, but also from swelling, inflammation and limited mobility.

Blocade varieties

To date, there are several varieties of the blockade of the spine. All of them are able to save a person from painful sensations. There are several varieties of such blockades.

To date, there are the following methods for the introduction of the spinal blockade:

  1. Parablebral - held near the spinal column. The drug is introduced as close as possible to the roots, in the muscular tissue of a person;
  2. Epidural - an anesthetic medicine is introduced into the area between the individual vertebrae, as well as to the solid sheath of the spinal cord;
  3. Conductive - injections are injected into nervous fibers. This is the highest possible method of blocking painful sensations.

Also, experts allocate several goals of similar procedures:


Local blockades are used in the overwhelming majority. The essence of their exposure is to effect on nerve fibers - means allow you to slow down the conduct of pulses, thanks to which a person gets rid of painful sensations.

Allocate the following local anesthetics:


Corticosteroids - another group of blockade for the spine, which allows you to get rid of the inflammatory process in a short time. In addition, the medicine contributes to getting rid of the swelling, stops the attacks of an allergic reaction.

Such a medicine is extremely rarely used for self-administration, they are usually injected only in the joints.

However, they can dilute with other anesthetics for a more directed action. The most popular corticosteroids for the spinal blockade are:


There are other medicines used to relieve painful sensations in the spine. Before starting treatment with these drugs, it should be consulted with a doctor. Only an experienced specialist will say which drug you best apply.

As a blockade for the spine also use:

  • Preparations based on vitamins of the group B - Milgamma;
  • Parain;
  • Voltaren;
  • Platifillin;
  • Thrombolycin.

Blockade

Consider that the spinal blockade can have an exceptionally qualified attending physician. Any incorrect action can easily lead to a serious complication, including pain syndrome.

It is important to conduct an experienced specialist blockade. It must take into account the following features:


On average, the duration of the procedure for the introduction of the blockade into the spine takes from half an hour to an hour. After such manipulation, the patient should not get up within 2 hours. All this time, he must be under the control of the attending specialist.

At the time of treatment, it is necessary to provide a patient a full bed mode. On average, several procedures should be held to achieve a full-fledged therapeutic result.

Contraindications

The blockade of the spine is a serious procedure that has a number of serious contraindications. The procedure in the presence of contraindications can provoke the development of negative consequences.


In order to prevent the occurrence of hazardous consequences, a comprehensive diagnostic examination must be used before carrying out such therapy. Only it will be possible to minimize the likelihood of complications.

Complications

Incorrect blockade can easily trigger the occurrence of serious complications. In order not to encounter similar consequences, contact us exclusively to qualified specialists. The doctor must send you to an extended diagnostic examination that will help eliminate the presence of contraindications. Frequently often the blockade of the spine causes bleeding. There is also a chance of attachment to infection in the treated cavity.

If the medication is incorrectly administered, a person may face soft tissue damage. In case of intolerance to the drug, the patients develop an allergic reaction, which is extremely dangerous for a weakened organism. With the right to carry out the blockade of the spine will show an exceptionally positive result. With it, it will be possible to get rid of painful sensations, as well as to establish metabolic processes.

Turn

Medical pain relief blockade of the spine is a common method of removing pronounced symptoms for diseases of the musculoskeletal system. It is conducted strictly according to indications, as it is a sufficiently complex medical procedure. The material considers which injections are, as they are carried out, which indications and contraindications for conducting.

What is blockade in medicine?

The blockade of the spine is a complex manipulation, during it, a drug composition is delivered in the spinal channel (or mixture thereof). This is done in a medical facility, specialists who have a sufficient level of preparation. In the course of manipulation, under the control of X-ray, puncture of soft tissues with a long needle is made.

The needle is then placed in the spinal space through the physiological openings (between the vertebrae in the anesthesia of the thoracic, cervical departments, through the sacrum hole at the blockade of the lumbar-sacrive department). A medicine is injected through the needle, depending on the composition, which has something or another.

Procedures are two types of drug composition - single-component, multicomponent. Under one-component meant exclusively painkillers, which contains only a local anesthetic (lidocaine or novocaine most often). Multicomponent compositions may also have an antibiotic for removing the inflammatory process, a hormone-corticosteroid to get rid of edema, anti-inflammatory non-steroidal preparations. One-component compositions in medicine are now almost not used.

What is dangerous?

Negative consequences of spinal blockade:

  1. Damage to nervous tissue;
  2. Strengthening / appearance of chronic pains;
  3. Spinal cord contamination;
  4. Damage to the spinal cord;
  5. X-ray irradiation (when performing controlled by X-ray).

However, negative consequences arise extremely rarely, and only when carrying out unqualified personnel, since the technique is frequent, "stream" and complexity is not.

How much does it work?

How many blocade of the spine (lumbar and other departments)? It depends on the selected drug cocktail, an analgesic action continues from 8-10 hours to 7-10 days.

How often can I do?

The frequency of repetition of injections depends on the purpose of their implementation. For therapeutic injection of drugs, the course is shown from several injections introduced with periodicity from 2 to 5 days. When introduced to the agency of anesthesia, it is recommended to observe the interval between manipulations in 2 weeks.

  • Medcentrats Desire, Moscow Ave., D.143, Metro Elektrosila (100 m);
  • Baltmed Ozerki, Polyclinic St. Petersburg, Vyborg Highway, D. 40 Little A, Metro Ozerki (600 m);
  • Realinic (ReaClinic), Network Network Hedgendal Certains St. Petersburg, ul. Uprising, 36, Metro Chernyshevskaya (300 m).

Other institutions also provide such a service.

Output

Injection is an effective way to relieve pain. However, this is an unpleasant procedure that must be carried out by qualified specialists.

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