If you wake up in the morning and feel that you have back pain What to do if the back pain - methods of eliminating discomfort , you are not alone. Maybe you need to go to the doctor? Not necessary. In most cases the pain lasts for four to six weeks. In many cases, enough home care.

First, you should know that medical care is still needed. You should consult your doctor if you have severe pain in combination with one of the following symptoms:

• The pain is caused by injury
• The pain is so severe that you can not move during the day and sleep at night
• Pain is transmitted up
• Numbness in the leg or groin
• Back pain is accompanied by fever, nausea, vomiting, abdominal pain, weakness, sweating
• Loss of bladder control Urinary bladder - structure and function   or intestines
• Unexplained weight loss
• You have been diagnosed with osteoporosis in the past Osteoporosis - he threatens you?   or cancer
• Did you take hormonal medication or drugs

If any of these symptoms are not, below are some ways to relieve the pain without resorting to the doctor.

Recreation

The very first thing to do - is to give back to rest. This does not mean that you have to lie for weeks as advised in the past. Doctors recommend to comply with the peace within 48 hours after injury or after you feel pain. You can then start again to gradually increase the level of activity. If you start to get up and move as soon as cramps and severe pain will be pain and limited mobility will disappear faster

Cold or heat

Applying hot or cold to the place where you feel pain, helps reduce swelling and inflammation, and reduce discomfort. Studies show that hot cold can be useful, but both eases pain.

Hot dilates blood vessels. This increases the flow of oxygen to the affected area and reduces spasms. Cold contrary, constricts blood vessels and reduces blood flow. This can reduce inflammation. Even if at first seem that the pain gets worse, then it will become weaker.

To make hot, use a heating pad or a modern electric counterparts. For cold - special containers for ice or a bag of frozen vegetables from the refrigerator.

OTC drugs

From back pain can help such drugs, nonprescription as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) - ibuprofen and naproxen. The unequivocal answer to the question of what would effectively not.

However, it should take into account the possible side effects of drugs. Side effects of NSAIDs include problems with the gastrointestinal tract and kidneys, and acetaminophen can cause liver problems. Common side effects occur when taking the medicine for a long time and in large doses.

Creams and gels for local effects, containing capsaicin, salicylate, camphor, eucalyptus oil and menthol, may also reduce pain. These creams are widely available in pharmacies.

Exercises

Although specific exercises aimed at eliminating the pain does not exist, any exercise is important to maintain mobility.

If you have previously undergoing physical therapy, you know what to do - start with a light exercise program. If you are unsure, consult your doctor or physical therapist.

A specialist may recommend exercises to stretch the spine, thus reducing the pressure on the nerves. There may also be a useful exercise for stretching the back muscles and thighs, to strengthen the abdominal muscles. You can recommend stretching exercises Stretching exercises - Be careful   to improve the mobility and advise aerobics for overall improvement of the physical form.

However, at the moment when you feel strong cramps, exercise, of course, do not. It is necessary to wait until the acute pain will pass, and then just start gently stretch the muscles.

Ketorol - a nonsteroidal anti-inflammatory agent with a strong analgesic effect. The drug also has some anti-inflammatory and antipyretic effect. It is widely used in the treatment of pain of various origins.

The mechanism of action ketorol

Ketorol (INN - ketorolac) is produced by the pharmaceutical company "Dr. Reddy's Laboratories Ltd.» (India) in tablets and solution for injection. He is a strong painkiller belonging to the group of nonsteroidal anti-inflammatory drugs (NSAIDs), has also somewhat less pronounced anti-inflammatory and antipyretic properties.

According to the mechanism of action of NSAIDs ketorol it refers to the first row that inhibit the action of the enzyme tsikloogkigenazy (COX). Since COX through a series of biochemical reactions, contributes to the formation of prostaglandins, its inhibition causes a decrease in their revenues into the blood and tissue. Prostaglandins are biologically active substances that perform many important functions in the body, including to protect the gastric mucosa against various impacts and have a great importance for the formation of inflammation, pain and fever.

All NSAIDs are first-line cause of all kinds of COX inhibition, so long-term use can cause irritation of the gastric mucosa and even ulcerative process. Newer drugs inhibit the activity of just the kind of COX, which is responsible for pain, inflammation and fever, but do not affect COX, which contributes to the production of prostaglandins that protect the stomach. For short courses of the drug this side effect is usually not an effect, but long-term rates ketorol is not recommended.

Despite such shortcomings, ketorol is widely used as an anesthetic for the treatment of moderate to severe pain of various origins and location, since its analgesic effect is much more than an anti-inflammatory and antipyretic.

Today ketorol is one of the most effective analgesic NSAIDs, it is often used for severe pain in cancer patients, and after injuries. However, he does not have the side effects associated with the central nervous system, does not adversely affect the cardiovascular system.

Ketorol downside is that it reduces blood platelets and prolongs bleeding time, so it is not necessary to appoint increased bleeding. At the same time, patients who do not have such disorders ketorol therapeutic doses do not cause them.

After ingestion or injection ketorol quickly enters the bloodstream (maximum concentration in blood is achieved within 30-40 minutes after intramuscular injection and after 45 - 50 minutes after ingestion). Food intake reduces the rate but not the extent of absorption ketorol. Then ketorol distributed in the body, concentrating mainly in the inflammation. About a tenth part of it passes through the placenta and passes into breast milk. Then it decays to metabolites and excreted primarily in the urine. The body does not accumulate ketorol.

Indications and contraindications for use ketorol

The main indications for use ketorol are:

• severe pain arising from injuries, operations and burns;
• severe pain in cancer patients - a short course, alternating with the other drug analgesics;
• severe dental pain arising during various dental procedures;
• severe pain in the exacerbation of chronic diseases associated with pain, such as rheumatoid arthritis, osteoarthritis, osteochondrosis - a short course;
• in renal and hepatic colic, together with antispasmodics.

Contraindicated ketorol appointment at:

• erosive and ulcerative diseases of the stomach and intestines, with suspected bleeding from the area;
• in hemorrhagic stroke (bleeding in the brain is a consequence of the violation of the integrity of the blood vessel);
• a tendency to bleed;
• with severe kidney disease in violation of their functions;
• if you are allergic to other NSAIDs;
• prior to any surgery;
• under 16 years
• Pregnancy, childbirth and nursing Breastfeeding - a personal choice   breast;
• In case of hypersensitivity to the drug.

Side effects that may occur in the application and overdose ketorol

Side effects ketorol manifested by the following symptoms:

• the part of the digestive system - poor appetite, nausea, vomiting, diarrhea or constipation, belching Belching: why it happens and that means , Abdominal distension, ulcerative processes in the stomach and duodenal ulcers, stomach bleeding, abnormal liver function;
• the central nervous system - insomnia or drowsiness, anxiety, low mood or euphoria, headache, thirst, hallucinations;
• by the kidneys and urinary tract - flank pain, frequent urination, or urinary retention, renal failure;
• the part of the circulatory system - a rare heart rate, flushing, high or low blood pressure, palpitations, heart pain Pain in the heart - always consult a doctor ;
• with a side of blood - decrease of blood platelets;
• allergic reactions - immediate and delayed-type;
• moreover, ketorol can cause swelling, weakness, weight gain.

Single overdose ketorol causes abdominal pain Abdominal pain: Types and Symptoms , Nausea and vomiting, the occurrence of ulcers and erosions in the stomach lining, transient impairment of renal function. Requires stomach wash and seek medical advice.

Galina Romanenko