Injections into the hip joint (HJ) are made directly into the joint cavity. They not only help to quickly relieve pain and inflammation, but also improve the condition of cartilage tissue. Today this is one of the most progressive and effective methods of treating inflammatory and degenerative joint pathologies.
Injections in the hip joint are a kind of first aid for the joint. Injection of drugs quickly relieves pain and returns normal mobility. To achieve maximum results, it is important to choose the right medicine.
Advantages:
Anesthetic injections for pain in the hip joint are a way to relieve severe pain in the shortest possible time. The effect of chondroprotectors and other therapeutic agents lasts for a long time. A course of intra-articular injections allows you to delay and even avoid surgery, reduce the dosage and amount of medications taken, which is very important for problems with the digestive organs. Injection therapy can be repeated many times, since adverse reactions and complications are rare. The procedures have a beneficial effect on cartilage, accelerating healing and slowing down destructive processes.
Causes of pain in the ovaries
Many patients believe that pain in the ovaries is always a sign of inflammation, but there are other diseases that manifest themselves with a similar symptom. In addition, there are physiological pains that can also occur in healthy women. The most common causes of pain are:
- adnexitis is an inflammatory disease of the uterine appendages caused by sexually transmitted infections and fungi. Painful sensations in this case are usually periodic in nature and can radiate to the lumbar region;
- oophoritis is an inflammatory process of the ovarian appendages, characterized by periodic or constant painful sensations in the lower abdomen, sometimes radiating to the sacrum and lumbar region;
- ovarian cyst - in the presence of a neoplasm of significant size, compressing organs and nerves in the pelvis, moderate pain of a constant nature occurs. If the leg of the cyst is twisted and its integrity is damaged, the liquid contents pour into the abdominal cavity, causing acute pain;
- ovarian apoplexy - rupture of an organ, accompanied by bleeding and severe shooting pain on one side, most often on the right. Symptoms associated with this condition include increased heart rate, a sharp decrease in blood pressure, cold sweat, fainting;
- ovarian torsion - can occur due to high mobility of organs in the pelvic cavity or due to excessive physical exertion;
- ovarian hyperstimulation syndrome - a condition that can occur in women undergoing hormonal therapy for infertility, accompanied by an increase in the size of organs and the formation of multiple cysts;
- ectopic pregnancy is a dangerous condition in which the fertilized egg does not enter the uterine cavity, but attaches to the wall of the fallopian tube. As the embryo develops, organ rupture is possible.
In healthy women, pain in the ovaries may be a manifestation of the so-called ovulatory syndrome. This means that painful sensations occur at the moment of rupture of the follicle, from which a mature egg is released. This usually happens in the middle of the cycle. Pain in this condition can be localized on one side or the other. Ovulatory syndrome is not a pathological condition.
Injections into the hip joint: treatment with drugs
The choice of drug depends on the diagnosis given to the patient. During the course of treatment, the doctor may change medications, extend or stop the course ahead of schedule.
For injections into the hip joint, drugs of several groups are prescribed:
- anesthetics;
- glucocorticosteroids (hormones);
- vitamins;
- chondroprotectors;
- hyaluronic acid.
Attention! Anesthetics and vitamins are administered in combination with glucocorticosteroids.
Injections with hormones are indicated for intense inflammation, when a person suffers greatly from pain. In tablets, such drugs also have an anti-inflammatory effect, but directly at the source of pain they work much better. The most popular in this category are Celeston, Kenalog, Diprospan, Flosterone and Hydrocortisone. Anesthetics with which they are often combined are Lidocaine, Novocaine, Trimecaine. Glucocorticosteroids effectively relieve inflammation, relieve swelling and relieve pain. Hormonal injections have no effect on the condition of cartilage tissue.
Pain in the ovaries: diagnosis and treatment in our clinic
If you find yourself experiencing pain in the ovarian area, do not put off visiting a doctor. An experienced specialist from our medical center will conduct a thorough analysis of your complaints, prescribe a number of diagnostic measures to clarify the diagnosis and develop effective treatment tactics.
The following methods are used to study the ovaries:
- gynecological examination;
- ultrasound examination of the pelvic organs;
- laparoscopic diagnostics;
- lab tests.
Treatment can be either conservative or surgical, depending on the identified cause of pain.
Chondroprotectors
Dystrophic changes in joints due to arthrosis and arthritis lead to the destruction of cartilage. The synovial fluid loses its lubricating properties, and instead of sliding between the bones, friction occurs. The cartilage tissue is subjected to additional trauma, which causes pain to intensify.
Chondroprotectors can correct the situation. They speed up metabolism and activate the synthesis of their own collagen, which makes up cartilage. A noticeable effect from their use does not occur immediately, but after several weeks and even months. But it lasts a long time. After a course of procedures, walking becomes easier, movements cause much less discomfort. Chondroprotectors can relieve unpleasant symptoms only in the first three stages of arthrosis, when the cartilage has not yet been completely destroyed. For stage 4 deforming arthrosis, such drugs are useless.
Lower back pain during pregnancy: what to do?
Often during pregnancy, the expectant mother experiences pain in the lumbar spine. This is primarily due to a growing belly and increasing stress on the spine, but there are other reasons why lower back pain may occur.
Let's talk about this in more detail.
During pregnancy, lower back pain can be both physiological and pathological.
First of all, these may be normal processes of adaptation of the musculoskeletal system to the upcoming birth, but there may also be exacerbations of the mother’s chronic diseases, such as pyelonephritis (inflammation of the kidneys), osteochondrosis, scoliosis, etc. And here (ATTENTION!) only a doctor will help you understand the causes of pain, and not girlfriends “who had the exact same thing.”
Physiologically, during pregnancy, the entire ligamentous apparatus is prepared for childbirth. The hormone RELAXIN is produced in the ovaries and placenta, under the influence of which the connective tissue becomes more extensible and loose. This is necessary so that during childbirth the pelvic bones become more mobile and make it possible to give birth to a child through a tight pelvic ring. These changes can cause lower back pain.
Typically, such pain appears from 20 weeks of pregnancy (5 months) and decreases or disappears only after childbirth. A DIET rich in calcium partly helps to cope with them. Be sure to include dairy products, nuts, fish, meat, and greens in your diet.
In addition, there are some practical tips recommended for all pregnant women.
So, AVOID:
- sudden movements;
- standing on your feet for a long time;
- incorrect postures when sitting;
- excessive physical activity;
- uncomfortable shoes with high and/or unstable heels.
For diseases of the spine (osteochondrosis, scoliosis, herniated discs), SPECIAL GYMNASTICS aimed at strengthening the muscles of the back, abdomen, hips and buttocks can also help. Aerobics, aqua aerobics, and swimming are recommended. A CORRECTLY SELECTED BANDAGE and non-drug treatment methods, such as MASSAGE, will also help, since the drugs that are usually used to treat these diseases are contraindicated during pregnancy.
For pain associated with diseases of the spine, CONSULTATION WITH A NEUROLOGIST IS REQUIRED.
If the pain in the lower back is aching (pulling), accompanied by an increase in temperature, the appearance of edema, frequent urination, headache, change in the color of urine, increased blood pressure, then it is necessary to conduct examinations of the urinary system - the bladder and kidneys. With renal colic, the pain is sharp, cramping, and the urine may be mixed with blood. To establish an accurate diagnosis, ADDITIONAL STUDIES are carried out: ultrasound, laboratory tests of blood and urine. To treat inflammatory processes in the kidneys, antibiotic therapy is prescribed, taking into account the sensitivity of the microorganism to the antibiotic.
Treatment must be carried out in a hospital setting under the supervision of a doctor, because These diseases affect the condition of the fetus, the course of pregnancy and the health of the woman.
In addition to all of the above, pain in the lumbar spine may be one of the signs of a threatened miscarriage. More often, such pain is also accompanied by pain in the lower abdomen. In such a situation, it is necessary to urgently CONTACT AN OB/GYNECOLOGIST for an examination and to decide on the tactics of further action, which should be aimed at relieving the tone of the smooth muscles of the uterus.
If you notice such signs before 37 weeks of pregnancy and there is discharge from the genital tract, if pain is felt in the lower abdomen, and the intervals between these pains are reduced, then you should urgently seek medical help, this may indicate a threat of miscarriage.
At later stages, pain in the sacral area may be the first sign of labor that has begun.
Be healthy, take care of yourself and your unborn baby!
about the author
- Sytova Valentina Ivanovna
- Obstetrician-gynecologist of the first category
- All publications by the author
Hyaluronic acid
Injections with hyaluronic acid replenish the deficiency of synovial fluid characteristic of joint pathologies. It is called “synovial prosthesis”, since the consistency and composition of hyaluronic acid is identical to natural synovium. If there is a lack of it, the articulating surfaces of the bones begin to rub against each other when walking and injure the cartilaginous layer. Hyaluronic acid returns synovium to its normal qualities, at the same time relieving inflammation and stimulating the regeneration of damaged areas.
How many injections need to be given?
The effect of corticosteroids can last from 2 weeks to 3 months. Injections with hyaluronic acid are prescribed taking into account the stage of the musculoskeletal system disease. 1 course consists of 3-5 procedures, which are carried out once a week. In the early stages this is enough. If the joint is very bothersome and arthrosis has already entered the 2-3rd stage, the courses are repeated every 6 months. Names of drugs with hyaluronic acid:
- gialgan;
- hialubrix; (hormones);
- Hyalon.
Injections into the joint are made with a syringe with a very long needle, which should fall exactly into the joint space. The procedure is performed under sterile conditions and under ultrasound control.
After intra-articular injections, it is recommended to limit thermal and water procedures for 24 hours; there are no restrictions on physical activity. Intra-articular injections are a very responsible procedure, which should only be performed by qualified specialists. If you have problems with the hip joint - it has become difficult to walk or perform various movements - contact our center. You will receive competent advice: the doctor will assess the severity of the problem and prescribe a course of treatment procedures, selecting the most suitable drug.
Pain in the lower abdomen in women in questions and answers
Pain in the lower abdomen
is the most common complaint in gynecological practice.
This symptom is very non-specific, as it occurs in many diseases. Today, many people have non-steroidal anti-inflammatory drugs (NSAIDs) in their medicine cabinet. The choice is wide, and the doctor and pharmacist must orient the woman in the possibilities of certain drugs and warn her, reminding her of the importance of a timely visit to the doctor, as well as answer all questions. Complaint: pain during menstruation
How it begins: 1) One day before or on the 1st day of the menstrual cycle.
Continues during the first 2-42 hours or throughout the entire menstruation. 2) In the 2nd half of the cycle, it reaches its peak during menstruation. 3) During menstruation. How does it hurt?
The pain is often cramping in nature, but can be aching, tugging, bursting, and can radiate to the rectum.
Severe, often spasmodic pain. What else is worrying?
1) Irritability, depression, nausea, chills, dizziness, fainting, headache, swelling (possible dysmenorrhea).
2) Pain during sexual intercourse, periodic pain during urination, defecation (possible endometriosis). 3) Prolonged or too intense menstrual bleeding. Sometimes bleeding outside of menstruation. There may be an increase in the volume of the abdomen and a frequent urge to urinate (possible uterine fibroids).
Caution: acute pain
Acute intense and/or unilateral pain in the lower abdomen may indicate a gynecological emergency: - perforation or rupture of tumors and tumor-like formations of the ovaries;
- torsion of the anatomical pedicles of the ovary; - ovarian apoplexy; - intra-abdominal bleeding; - acute purulent diseases of the pelvic organs, etc., so consultation with a doctor is necessary. What can hurt?
The causes of pain in the lower abdomen can be very different: pathologies of the development of the genital organs, purulent-inflammatory diseases of the uterine appendages, endometriosis, diseases of the gastrointestinal tract (GIT) and urinary system. One of the most common causes of periodic lower abdominal pain in women is dysmenorrhea. Cyclic pain in the lower abdomen can be caused by endometriosis, polycystic ovary syndrome, sexually transmitted infections, and other serious diseases. Such dysmenorrhea is considered secondary, and treatment of the disease that caused it, as a rule, leads to complete recovery. Primary dysmenorrhea is characterized by the appearance of cyclic pain in the lower abdomen several hours before menstruation and in the first days of the menstrual cycle in the absence of any pathology from the pelvic organs. Primary dysmenorrhea most often occurs in young women.
Pain with dysmenorrhea:
- Reaches maximum intensity at the peak of bleeding. - It can be sharp, cramping, bursting or dull. - Most often it is localized in the midline in the suprapubic region, but may not be clearly localized. - May radiate to the lumbar region, rectum or thigh.
Or maybe it’s worth enduring the pain?
The multifaceted influence of pain syndrome on the human body determines its independent clinical significance.
Pain not only determines the severity of suffering and social maladjustment of the patient, but is also fraught with more serious consequences, for example, disruption of the normal function of organs, especially the cardiovascular system. Enduring pain is not recommended. What medicine will help?
The first stage of rational analgesic therapy is the elimination of the effect of the damaging factor (if possible), as well as the suppression of the body’s local response to damage.
For these purposes, drugs are used that block the synthesis of mediators of pain and inflammation. The main mediators of inflammation - prostaglandins (PG) - are actively synthesized in the area of damage with the participation of the enzyme cyclooxygenase (COX). It is important that the causes of damage (trauma, surgery, inflammation, swelling or ischemia of tissue, persistent spasm of striated or smooth muscles, etc.) do not matter, therefore the use of drugs that block COX and suppress the synthesis of pro-inflammatory PGs will help with any somatic or visceral pain. Well-known NSAIDs have this effect. In the case of dysmenorrhea, one of the main pathogenetic mechanisms is a high level of PG. An increase in their ratio in the menstrual endometrium leads to a contraction of the muscular elements of the uterus. PGs are secreted in almost all tissues of the genital organs: endometrium, myometrium, endothelium of uterine vessels, tubes, etc. An increase in their level leads to increased contractility of the uterus, against which vascular spasm and local ischemia occur, which manifests itself as pain. Moreover, the high level of PG detected during dysmenorrhea causes ischemia of other organs and tissues, which results in symptoms of dysmenorrhea such as headaches, dizziness, weakness, etc. In the treatment of primary dysmenorrhea, NSAIDs are one of the drugs of choice. Which is better, NSAIDs or antispasmodics?
The previously stated assumption about the comparable effectiveness of antispasmodics and NSAIDs in the treatment of primary dysmenorrhea has not found experimental confirmation.
In particular, antispasmodics were inferior to NSAIDs in terms of pain relief. Currently, antispasmodics are not included in the international standards for the treatment of primary dysmenorrhea. Thus, NSAIDs are recognized as the most effective drugs in the treatment of this pathology. Among the drugs widely used for dysmenorrhea, the most common are NSAIDs with a short half-life (dexketoprofen, ketoprofen, nimesupid, diclofenac, ibuprofen, indomethacin, etc.).
Which NSAIDs are the most effective?
There is no ideal NSAID, so an individual approach is required in each specific clinical situation.
On average, the therapeutic effect of different NSAIDs is the same with the appropriate dosage regimen. However, some studies have noted significant differences in individual response between individual patients. Thus, it is impossible to predict which NSAID will be most effective in a particular patient. NSAIDs are available in different dosage forms (tablets, suppositories, injections), which allows you to choose the form that is most suitable for a specific clinical situation. How to take NSAIDs for dysmenorrhea?
For dysmenorrhea, NSAIDs should be taken before the onset of symptoms or at the first manifestations (in the first 48-72 hours) due to the maximum release of PG in the first 48 hours. Short-term use of NSAIDs for dysmenorrhea has virtually no side effects or they are only slightly expressed.
Irritation of the gastrointestinal mucosa can be easily prevented by taking NSAIDs after meals or milk. Important!
Patients should not take NSAIDs: - with erosive and ulcerative lesions of the gastrointestinal tract, especially in the acute stage;
- with severe impairment of liver and kidney function; - with cytopenias; - in case of individual intolerance; - during pregnancy. Basic rules for the use of NSAIDs:
- use of the minimum effective dose for the shortest possible period of time necessary to achieve the therapeutic goal. - if there is no effect within 3 days of use, consult a doctor. Uncontrolled and long-term use of NSAIDs is unacceptable.
First aid for dysmenorrhea will be provided by the so-called “gold standard” NSAID - ibuprofen, and its capsule form is
IBUPROFEN CAPS
. Why in capsules?
The answer is simple. IBUPROFEN CAPS
is the “second modern generation” of ibuprofen in 200 mg capsules with the onset of the therapeutic effect within 15 minutes.
The advantage of IBUPROFEN CAPS
is the rapid onset of action.
And we need to quickly eliminate the pain. In addition, the capsules hide the unpleasant taste and ensure dosing accuracy. When taken orally, IBUPROFEN CAPS
, produced by
Minskintercaps
, quickly disintegrates and dissolves, achieving the maximum therapeutic effect within 45-60 minutes.
Another criterion based on which IBUPROFEN CAPS
is the presence of a number of clinical studies in Belarus and Russia, where the drug
IBUPROFEN CAPS
confirmed its biological equivalence to the original drug Nurofen ultracap.
Adults and children over 12 years of age can take Ibuprofen CAPS
to relieve pain, 1 or 2 capsules up to three times a day, keeping an interval of at least four hours between doses.
IBUPROFEN CAPS
is a modern, ultra-fast-acting form of ibuprofen.
based on materials from the magazine “Pharmacist’s Handbook”, No. 2, 2017
26 Jun 2019
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