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Joint diseases always cause a lot of problems. Pain, inflammation, and stiffness of movement are just a small part of what we have to deal with with various disorders of the joints and the musculoskeletal system as a whole.

Often used for severe pain in joints and muscles. various gels and ointments. They help greatly relieve discomfort and also reduce inflammation. In addition, many of them can be used without a doctor’s prescription in emergency cases.

How to choose the most effective and safe pain-relieving ointments, gels and creams from all the variety, which of them are the most effective and safe for joints. Let's look at these and other questions in more detail.

A little about joint pain

The occurrence may be caused for various reasons related to diseases osteoarticular system, which can manifest themselves in both childhood and adulthood. In addition, joint pain can be caused by various sprains and injuries.

In most cases, joint pain occurs when. During this pathology, the following symptoms occur:

• restrictions on the mobility of the inflamed area;
• appearance painful sensations;
• redness and increased temperature at the affected joint.

If out of the blue suddenly arise severe pain in the joints, it is necessary to first identify the cause that caused these sensations. It is better to consult a doctor so that he can conduct an appropriate examination and prescribe the necessary treatment.

Usually to relieve pain, inflammation, as well as acute manifestations Various ointments and gels are used to treat pain. Let's consider the most effective means for external use for various joint diseases.

The role of local drugs in pain relief

Almost everyone can experience joint pain. To eliminate it, you can take a painkiller, but it may instead benefits can cause harm to the body, and it is not recommended to take these drugs often. Therefore, it is better to use a topical drug.

Pain-relieving ointment, cream or gel for joints:

• quickly reduces pain;
• eliminates inflammation;
• warms;
• improves joint structure;
• enhances the supply of nutrients to the composition bone tissue;
• increases blood circulation at the site of inflammation;
• ensures restoration of bone tissue.

But it is worth remembering that not all topical products can reduce pain. Some of them have an analgesic effect, and some are intended for long treatment, bone tissue restoration. Therefore, these drugs are divided into groups that have certain characteristics.

Groups of topical agents

Local preparations - ointments, creams and gels designed to relieve joint pain, as well as treat various rheumatic diseases and for tissue and muscle restoration after traumatic injuries, divided into Various types, namely:

Local NSAID-based products

NSAIDs are a group of drugs that are used to eliminate pain in muscles and joints. External preparations included in this group have a pronounced effect, reduce pain by inhibiting the synthesis of special components - prostaglandins.

Anti-inflammatory drugs help reduce swelling, relieve inflammatory process muscles, joints and ligaments. With regular use of these drugs, limb mobility improves and the patient's condition significantly improves.

All anesthetic ointments in this group contain one or more of the following: active ingredients:

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

The principle of exposure to this group of drugs during treatment various diseases joints consists in suppressing the production of inflammatory components by cells - mediators (prostaglandin, kinin, lysosomal enzymes histamine).

This group includes the following ointments, creams and gels:

These ointments are used according to the following scheme:

• the previously damaged area must be cleaned;
• then a small layer of ointment or gel is applied to the inflamed area;
• It is not advisable to rub the ointment too hard; it should be distributed over the damaged area with gentle movements;
• After about 15 minutes, the product will begin to act, the duration of action lasts from 4 to 6 hours.

Chondroprotectors for local use

Chondroprotectors are used to restore protein composition cartilage tissue, as well as to accelerate the normalization of the condition of cartilage and joints after damage. Also used to prevent bone destruction.

In addition to these actions, chondoprotectors have anti-inflammatory, analgesic and anti-edematous effects, namely all those effects that are characteristic of NSAIDs.

The composition of chondoprotectors includes the following active components:

• chondroitin;
• glucosamine;
• Demixin.

Chondroprotective drugs include the following drugs:

• Revmalgon.

It is worth remembering that drugs of this type have a long-term effect, because their purpose is not to quickly relieve pain, but to restore the structure of the joints. Treatment with these drugs lasts up to 6-7 months.

They should be used externally - applied to the damaged area and rubbed in until completely absorbed. Can be applied up to 3 times a day.

Ointments of local irritant and warming type

Warming ointment is used for quick removal pain in the joints and muscles, after various workouts, various loads, as well as with various rheumatic diseases.

The action of these drugs is based on the expansion of veins and increased blood circulation. As a result, swelling, inflammation, and tension are relieved. The effect of drugs of this type occurs quite quickly, after about 10-15 minutes a decrease in pain is observed.

The composition of warming agents includes the following substances:

• snake poison;
• bee venom;
• medicinal herbs;
• synthetic elements.

The following ointments and gels have a warming and analgesic effect:

• – this ointment contains bee venom and methyl salicylate;
• – this ointment is based on capsaicin – red hot pepper extract;
• – which contains menthol and methyl salicylate;
• – snake venom, camphor, turpentine and salicylic acid;
• – menthol, camphor, clove and Eucalyptus oil.

Rules for using these funds:

1. The first step is to test for allergic reactions.. This is necessary so that unexpected events do not arise. side effects. These products are not highly purified and contain high level natural allergens.
2. It is not advisable to use in inflammatory processes. These drugs have an expanding effect; when exposed, they will only increase the inflammatory effect.
3. Not recommended for use on small children, because these products cause a strong burning sensation.
4. Ointments of this type should not be allowed to enter mucous membranes..

Choosing an ointment for joint pain based on salicylic acid

Ointments containing salicylic acid help eliminate pain, inflammation, swelling and bone destruction. They have a warming effect, dilate veins and increase blood circulation.

As a result, a high level of useful substances and vitamins. Bone tissue is also regenerated.

Drugs containing salicylic acid include:

Additional local remedies

Other local remedies homeopathic, combined type, as well as creams and ointments containing glucocorticoids also help relieve pain in the joints.

They relieve inflammation, restore damaged tissue, and also speed up the healing process. They can be used for joint pain associated with rheumatic diseases, as well as after exercise or in case of traumatic injuries.

These drugs include the following:

• Badyaga Forte;

So what to choose - a difficult but possible answer

It can be understood that many modern creams and ointments help with pain in muscles and joints, but not all of them are equally good, safe and effective, we analyzed dozens of people’s reviews, studied the practical experience of doctors and, guided by logic and common sense made up their TOP 10 the best means for pain relief, inflammation and swelling in the joints of the arms and legs:

It’s not in vain that the people chew their bread

Folk ointments for joints, which are deservedly popular.

Egg and vinegar ointment

To prepare you will need:

• one village chicken egg;
• 50 grams of vinegar;
• Sunflower oil – 200 ml.

How to do:

• First, break an egg into a half-liter jar and place it along with the shell;
• Next, fill it with vinegar so that it covers it by 1 cm;
• then close the jar, put it away for 4 days dark place. During this period, the shell will dissolve;
• after that we fill vegetable oil and put it in the sun for 4 days;
• after this the ointment can be applied.

Medical clay ointment

To prepare this product, you need to purchase a 100 gram package of medicinal clay at the pharmacy. Next, mix the clay with 50 grams of vegetable oil.

After this, apply the mixture to the sore joint and leave for 30 minutes. Then everything is washed away sore spot wrap yourself in a warm scarf for 1 hour.

Ointment made from eggs and ammonia

In a cup you need to mix 2 tablespoons of 5% ammonia, 2 tablespoons gum turpentine and 2 chicken egg. The entire mixture is whipped to a homogeneous emulsion. After this, the mixture must be rubbed into the sore spot.

Ointment on birch buds

You will need 800 grams butter and the same number of birch buds. Place a layer of oil in a glass jar, put a layer of birch buds on top, then oil again, and a layer of buds on top.

So we lay everything out to the very top of the jar. Then close the jar with a lid and put the dough on top of it. Place in the oven and leave to stand at low temperature 24 hours.

After this, take it out and separate the oil from the kidneys. Add 10 grams to the oil camphor oil, mix, and the ointment can be used for its intended purpose.

Ointment made from camphor, mustard and chicken eggs

Pour 50 grams of mustard into a container, add 50 ml of camphor and the same amount ethyl alcohol, at the end lay out two eggs. Mix everything well. The result is an ointment that is especially effective for pain in the joints of the hands.

When using ointments and gels for pain associated with diseases or injuries of the joints, the following rules should be followed:

1. Before applying the product, the area of ​​inflammation or damage should be washed and rubbed thoroughly so that after applying the product an expanding effect is observed. This will ensure good absorption of the drug.
2. If you need to get the maximum quick effect, then it is best to use the product in gel form.
3. The amount of ointment applied should correspond to the size of the damaged area.
4. The local drug should be used no more than 3 times per day.
5. If there are wounds, scratches, or damage to the surface of the skin skin, then ointments or gels with a warming effect cannot be used. They can call severe irritation and pain.

Ointments and creams for joint pain help relieve discomfort and also promote rapid recovery bone tissue. But many doctors advise using them together with other stronger drugs.

They can also be used as preventive treatment various pathologies joints.

Ointment for joint pain is an excellent local medicine. Drugs in this form help to quickly eliminate pain, relieve swelling, remove redness and other local symptoms. Some of them help with muscle pain. Of course, they cannot completely cure the disease, but as a auxiliary treatment they are the most effective. In addition, not only ointments, but also gels with a similar therapeutic effect have been developed.

Exists a large number of medications in a form that helps eliminate. However, there are so many of them that without the help of an experienced doctor it is very difficult to choose on your own the appropriate substance to treat the disease. Depending on where the joint hurts, as well as on the reasons that caused similar phenomena, the doctor can prescribe completely different medications, which are produced as ointments. For example, there are several types that are designed to treat the knee joint.

Warming

The first group includes warming medications for treatment. Most often, the formulation of such drugs includes animals and herbal ingredients. They help stimulate blood flow to the area where the joint is damaged. This creates a warming effect. Thanks to this, the pain disappears very quickly, and recovery occurs more actively. It is better not to use such ointments for pain in the first moments after receiving it, or for early stages inflammatory process. This may result in burns or an allergic reaction.

To test the medicine and the body's reaction to it, you can apply a small amount to the elbow, to a place in the back near the armpits, or to the crook of the hand. If it wasn't negative reaction, then the medicine can be used for other joints. If so, then capsaicin-based medications can be used. It is this that is part of red pepper and creates such a burning effect.

• Finalgon;
• balm " Golden Star" (also known as "Star");
• Kapsin;
• Espol;
• Nicoflex and others.

In addition, there are products that contain salicylic acid:

• Viprosal;
• Nizhvisal;
• Bom Benguet;
• Efkamon and so on.

Anti-inflammatory

To the second group medical supplies, which eliminate joint and muscle pain, include drugs with anti-inflammatory effects. They are the ones who fight against inflammatory processes in the joints. Such remedies can be divided into conventional classical and hormonal. The main task of such funds is to eliminate inflammatory processes in the area of ​​​​damage. The compositions differ, but in any case they include an effective potent remedy which helps relieve pain.

Non-hormonal ones include:

• Voltaren;
• Diclofenac;
• Fastum-gel.

Among non-steroidal anti-inflammatory drugs, the most effective ointments are:

• Nise;
• Finalgel;
• indomethacin;
• Ketonal.

They can be used without a doctor's permission. When the disease becomes more severe, the doctor prescribes hormone-based medications. Their effect is stronger, but they take a long time to use hormonal drugs for joint and muscle pain is prohibited.

Cooling

There is also a third type of products that have a cooling effect. This makes them well suited for pain relief. They relieve pain very quickly if the joint has been injured. Such drugs are safe for the patient, so they are allowed to be used without a doctor’s prescription. But if there are open wounds or burns, then it is prohibited to apply it to this place.

Chondroprotectors

In addition, this classification can include chondroprotectors in the form of ointments. These drugs are used not only to relieve inflammatory processes, but also to restore cartilage tissue in joints after its destruction due to injury or disease. However, the use of such drugs is permitted only after consultation with a doctor.

Contraindications to the use of ointments and gels

For various groups There are various contraindications for medications used for joint pain. However, there are similar factors, the presence of which prohibits the use of drugs for joint pain. For example, if the patient or doctor suspects that the cause of the pain was infectious or purulent phenomena, then it is better to refrain from using them.

The same applies to pathological changes in joints that are caused by inflammatory processes. In this case, you should definitely consult a doctor. If fluid accumulates in the joint cavity, you should also stop using them. Allergy to various components is another contraindication. Moreover, if general state If the patient is severe, the doctor may discontinue the use of such joint remedies. The same applies to stroke, heart attack and some other diseases. During pregnancy, you should also refrain from using it, because... In general, the effect of these drugs has not been studied in such settings. Many drugs will be dangerous for a woman during lactation. For example, those medicines that contain ketoprofen, snake and bee venom are completely prohibited.

For example, if a drug has an irritating effect, then if the patient is hypersensitive to various components, which are part of the drug, you should stop using it to avoid skin damage.

Diclofenac should not be used by people who suffer from allergic rhinitis, dermatitis from aspirin or NSAIDs, as well as bronchospasms. In addition, all NSAIDs should be used very carefully in people who suffer from peptic ulcers, kidney disease, liver disease, asthma and have problems with the heart and blood vessels. For children under 6 years of age, all drugs that are classified as NSAIDs are completely prohibited.

Side effects

If the ointment is used with the wrong dosage, the patient may experience various side effects. For example, NSAIDs cause itching, burning, rash and redness on the skin. In addition, there may be nausea, vomiting, dizziness, headaches, swelling, as well as digestive problems and increased blood pressure.

Some products containing snake and bee venom can cause an allergic reaction.

Drug interactions

All non-steroidal anti-inflammatory drugs enhance their effect due to ultraviolet radiation.

By the way, scientists and doctors believe that the molecules of NSAIDs and chondroprotectors are very large in size, so it is difficult for them to pass through the cell membrane. Scientists have calculated that medicinal substances Such funds arrive only in the amount of 5-7% of the total volume. Ultraviolet radiation is used to enhance the effect.

Some ointments may reduce the effect of diuretics, drugs that are supposed to stabilize blood pressure.

Ointments that help fight joint pain are excellent medicines that help eliminate inflammation, relieve swelling, remove redness and pain. In addition, some of them can restore cartilage tissue. In addition, ointments for muscles with a similar effect have been developed. However, all medicines in the form of ointments must be used very carefully and only after consulting a doctor to avoid side effects such treatment.

MY DEAR, many of us are already at that age when we know firsthand about JOINT disease... it is no longer possible to cure it, if they convince you otherwise - DO NOT BELIEVE... but you can still relieve the pain... and we all collect different recipes about folk remedies, me, for example, help relieve pain simple leaves cabbage, I tear them straight from the head of cabbage, apply them to my knees and fix them elastic bandages, ...for the sake of objectivity, it should be noted official medicine claims that this is “nonsense”, but despite this it helps me personally... and APIZARTRON ointment also helps me, I’ve been using it for a long time and for its good effect I can vouch for it...and I also found information about other OINTMENTS, they write that they are also effective, there is an article about them below:

"Joint pain does not always indicate a person's advanced age; this problem can be caused not only by age-related changes, but also by banal heavy lifting, an inactive lifestyle, or, conversely, excessive and constant stress on the legs. Pain in the knees greatly limits mobility; even short-term movement requires a lot of effort on the part of the patient. It is necessary to combat joint diseases in a comprehensive manner, eliminating the cause of the condition, and special ointments will help to cope with the manifestations of the disease and alleviate the condition.

What ointment to use for pain in the knee joints

A variety of factors can provoke diseases of the knee joints. Among them is rude mechanical impact, and diseases occurring in the body (neurological, infectious, autoimmune). When selecting an ointment, both for elderly and young people, the cause of pain and the processes occurring in the joint element must be taken into account, therefore, to select the composition, it is best to contact a specialist. The following types of funds exist:

• local anti-inflammatory drugs. This group of ointments is the most extensive and popular, as it gives a quick and obvious effect. Such remedies can be used for any type of knee lesions; they are over-the-counter and can be easily purchased at any pharmacy;
• warming and irritating type ointments (usually made from natural ingredients, for example, hot red pepper, bee venom). They stimulate blood flow to the site of application, thereby activating recovery processes in this area;
• painkillers for relief discomfort;
• chondroprotectors local application. The composition of drugs in this group includes components that are basic in the tissues of the cartilage itself, therefore they are prescribed as a means for restoring the structure of the articular element;
• homeopathic remedies.

Names of the best ointments for treating knee joints

Local treatment problems with the knee joint is used very actively; it is an effective and simple method to cope with the situation or at least improve it. Typically, specific drugs are prescribed by the attending physician based on the specifics of the process affecting the knee, but almost all drugs are available in free form without a prescription. Let's look at a few of the most effective ointments for joints.

Anesthetic ointment Chondroxide for the treatment of arthrosis

Chondroxide can be found in aluminum tubes of 30 and 50 grams per package. When applied, the composition is quickly absorbed; the active components reach the affected joint within a maximum of half an hour after surface application. It belongs to the group of chondroprotectors, and in addition to restoring the articular element, it slows down the progression of diseases such as osteoarthritis and osteochondrosis. The drug helps improve cartilage tissue and reduces the activity of the inflammatory process, the joint becomes more mobile and less swollen. There is an analgesic effect, but it is not very pronounced.

The time of active influence on the affected area is 5 hours, so it is recommended to apply the ointment several times throughout the day. Do not apply the composition to the skin if there is damage to its integrity in this area.

Cream Dolgit for joint pain

Today the cream is available in three volumes: 20, 50 and 100 gram tubes. The drug belongs to the group of non-steroidal anti-inflammatory drugs for external use. The concentration of the active substance (ibuprofen) is 5%. Dolgit is used primarily in complex therapy arthrosis, neuritis and injuries of the musculoskeletal system.

Has the following effects on the area of ​​application:

• relieves inflammation;
• reduces the intensity of pain;
• helps relieve swelling and speedy disappearance of hematomas.

The active anti-inflammatory effect is explained by the mechanism of action of ibuprofen - the drug blocks the production of so-called inflammatory mediators, thereby preventing the development and maintenance of negative processes at the cellular level. After application to the skin, the components of the cream penetrate the synovial fluid, from which they are gradually released into the blood and are completely eliminated from the body by the kidneys.

Apizartron with bee venom

This ointment is one of the irritating external preparations, so it should be used with extreme caution. The main active ingredient is bee venom, the effect of which is further enhanced by mustard oil. The peculiarity of the product is that when applied it does not provoke strong burning sensation, but operates in a gentle mode.

After applying Apizartron to the knee joint, the blood vessels dilate and the skin temperature increases. This effect allows you to more actively supply the joint tissues with oxygen and remove decay products. The product also contains an anti-inflammatory component. As a result of a complex effect on a specific area, the muscles relax, inflammatory processes are gradually deactivated, and pain is reduced.

Effective gel “Horsepower”

Horsepower gel is used to combat arthrosis, osteochondrosis, damage to ligaments and articular elements, the consequences of overexertion due to excessive physical activity. The main purpose of using the product is to obtain an analgesic effect due to natural active ingredients (including lavender and peppermint oil, vitamin E). Therapeutic effects The product does not affect the condition of the articular tissues themselves.

To obtain the desired result, the manufacturer recommends applying the gel with light movements until completely absorbed into the skin on the area of ​​the affected joint. You should avoid applying the product if the skin in this area is damaged. After applying the composition, you should leave your foot in warm conditions and completely at rest for at least an hour.

Warming capsicum

Capsicam ointment is a warming composition; it has a local irritant effect. When the product is applied to the skin in the area of ​​the affected joint, the following processes are activated:

• the area warms up, blood circulation increases;
• the severity of painful sensations decreases;
• by improving tissue nutrition and increasing their local immunity the intensity of inflammation decreases.
  Patients notice tangible results within half an hour after using the drug, and the duration of the effect is approximately 5-6 hours without re-application.

The main indications for use of the drug are: osteochondrosis, radiculitis, muscle pain, arthritis. The composition is often used by athletes to warm up muscles before an upcoming workout.

Diclofenac

The drug is very common and affordable, belongs to the group of anti-inflammatory drugs. Recommended use if you have the following problems:

• arthritis;
• degenerative diseases of articular elements;
• inflammatory diseases;
• neurological pain;
• mechanical damage knee

The ointment can be applied several times a day, directly above the site of the inflammatory process. Maximum dose per day should not exceed 8 grams. Daily procedures can be continued for a limited time, no more than two weeks.

If you are tormented by pain in the joints, it is difficult to get up on your feet in the morning, it is impossible to touch your feet, in the evening your legs “ache”, they do not allow you to sleep - check if there are any inflammatory processes in the skeletal system. This is determined and prescribed by the doctor.

Joint pain occurs at any age. Ointments for pain in the joints of the legs can help. The main thing is to eliminate the causes of pain.

Treatment started immediately will provide positive result. Ointment, gel and cream prescribed by the doctor will relieve the patient from pain in the legs and joints of the legs.

Treatment begins with inflammation, which is necessarily present with pain in the joints of the legs. Local preparations - ointment, gel, cream that relieve inflammation. For oral administration, medications are used in the form of mixtures, tablets, and injections.

Preparations with analgesics relieve a person from pain, the joint feels warm, blood flow is activated, and inflammation in the joints of the legs is reduced. You feel lightness in your legs. The knees bend more easily. Relief products include ointments prescribed by a doctor:

• Ketonal
• Fastum gel
• Dolgit
• Diclofenac
• Indomethacin

And now about each separately

Ketonal is a fast-acting anesthetic. Ketoprofen, which is part of the product, penetrates the skin, eliminates inflammation, relieving pain and fatigue.

Fastum gel is used for stretching muscles and tendons, relieves stiffness, swelling, pain and severe fatigue.

Dolgit cream relieves pain. Thanks to the “Ibuprofen” included in the composition, it relieves inflammation as an analgesic. Use the cream morning and night.

TO modern means refers to Diclofenac. Fast, active drug in the fight against swelling, inflammation, swelling. Indomethacin ointment improves movements - they become less painful. Used for severe bruises.

Substances and painkillers

Sabelnik-Evalar cream has a natural base. The composition includes marsh cinquefoil extract. Apply the cream to the sore spot and rub. Inflammation disappears, pain goes away.

Honda cream is able to restore damaged cartilage. The reasons are in a substance produced from the tissue of animals, fish, and birds.

There are no contraindications for creams.

Traditional medicine in the fight against joint pain

IN folk medicine many time-tested recipes.

Pour a glass of kerosene without impurities, a glass of unrefined sunflower oil into a container. Grate 1/4 bars laundry soap, add a teaspoon baking soda. Grind and keep at room temperature for several days. Mix the resulting mixture thoroughly again and smear the joints of the legs. Relieves leg pain.

The essence of joint pain

What are the causes of leg pain? The answer is simple - fatigue. When there are no disorders or inflammatory processes, the heaviness in the legs goes away after rest. Loads should not be frequent. Before using ointments and creams, find out the cause of periodically occurring pain in the legs and muscles.

When to use ointments

Diseases requiring painkillers:

• endarteritis (deformation, narrowing of blood vessels in the legs);
• atherosclerosis;
• arthritis;
• tromphoblebitis;
• osteoporosis;
• myalgia;
• varicose veins;
• consequences of injuries.

Endarteritis is accompanied by numbness, pain when moving, a feeling of “pins and needles”, and heaviness of the feet. Atherosclerosis (ischemia) lower limbs occurs due to non-compliance with the daily routine and the presence of harmful addictions. The pain is pressing in nature, cramps occur, there is heaviness in the muscles, and blood stagnation in the legs. These symptoms are observed when moving uphill or climbing. With arthritis, swelling of the legs occurs as a result of hypothermia and weather changes. Arthritis pain is expressed as a burning sensation. In elderly women, due to a lack of calcium, with osteoporosis, cramps, pain in the calf muscle. After injuries, fractures, sprains in ligaments or muscles, the pain is intense. Numbness of the feet begins.

Treatment with ointments and creams

Ointment, cream and gel are preferred and treat the sore area directly.

Anesthetic ointments are used for myalgia. Muscles with a stagnant process hurt, this dictates the use of cooling and at the same time warming ointments. For varicose veins, ointments that reduce swelling and stimulate blood circulation in the muscles will help.

Use of ointment during pregnancy

Pregnant women need to remember that not all ointments are suitable during pregnancy. The problem is relevant, since joints often hurt during this period. There is a strong load on the muscles, it is impossible to stand for a long time. There are contraindications for pregnant women. Do not use ointment or gel containing bee and snake venom.

Everyone remembers the “Star” balm. Pregnant women should not use this drug. Women expecting a baby are advised to consult a doctor.

No contraindications

The safest ointments are those prescribed to pregnant women, nursing mothers and their children:

• Heparin ointment is used for varicose veins or thrombophlebitis. Use three times a day in small doses. Apply a small layer and rub into the sore spot. Eliminates inflammation and relieves pain.
• Traumeel helps restore tissues deformed due to injuries and bruises. Traumeel is rubbed into the skin and compresses are made. Traumeel will improve immunity and reduce joint inflammation.
• Hepatrombin dissolves blood clots and improves blood circulation. Apply to the skin 1-3 times a day, in the form of a bandage.
• Vishnevsky ointment will cope with varicose veins. Apply to damaged areas on the knee gauze bandage with ointment, leave until dry.

Contraindications

Ointments are used as prescribed by a doctor; many cannot be used for diseases of the knees and joints:

• immune;
• allergy;
• pregnancy;
• renal failure;
• hemophilia;
• diathesis;
• open wounds, scratches, ulcers.

To keep joints mobile

To prevent pain in the joints, improve the condition, reduce pain in the knees, use creams and ointments with a special treatment effect, divided into groups. The first are warming ointments, with the venom of snakes and bees, the second are anti-inflammatory ointments. Each group has its own purpose, which is determined by the doctor.

Ointments with a warming effect

This selection of ointments improves blood circulation in the knees. Warmth spreads through the joint, relieves vascular pain. Treat arthrosis and damaged meniscus. The group has no side effects. Used for arthrosis, arthritis with a swollen knee and accumulated fluid in the joint.

Ointments with poison

Snakes give poison to the Viprosal ointment, bees give it to the Apizatron and Virapin ointments. This group of drugs distracts from pain and warms you up. Entering the body through the pores of the skin, ointments improve elasticity in muscles and ligaments and accelerate blood movement. The effect is greater than that of simple warming ointments. Flaws: allergic reaction and redness due to application to damaged skin. It is not recommended to use ointments of this group for children and women on problem days.

Anti-inflammatory ointments

They bring relief for knee arthritis, other knee diseases, inflammation, tumors. These ointments will not relieve internal pain.

Separately, about one more drug

I especially want to talk about medical bile. This remedy is natural large bile cattle and pigs. Capable of warming and dissolving tumors. Effective drug, With unpleasant smell. Apply as compresses to the knee. Take gauze, fold it into 5-6 layers, soak it in medical bile. Applying it to the joints on the knees, cover with paper and bandage for two hours. The course of treatment lasts three weeks daily. Do not use for fever, pustular rashes on the skin, or inflammation of the lymph nodes.

In advanced forms of knee joint diseases, injections into the knee are used to relieve pain and reduce inflammation. For some diseases, injections are contraindicated. You cannot self-medicate.

In every special case appointed individual treatment, a set of procedures and medications is selected. People suffering from burning feet should be careful about their health. Be gentle with your legs and joints, and monitor the condition of your feet.

When using the ointment, carefully read the instructions. For an appointment, contact a professional.

Good health to you, mutual understanding with your doctor! Live without pain in your legs and muscles!

Ointment for joint pain is rightfully considered the most popular and very effective means local, that is, external effect on pain syndrome.

Today, the range of such drugs is extremely wide, so their choice must be approached with an understanding of the causes of existing pathologies: what ointment for pain in knee joint apply when it is injured, and what ointment for pain in shoulder joint use, say, for inflammatory changes synovial membranes(chronic osteoarthritis), bursitis or traumatic arthritis.

Appreciate the merits of everyone medicines given pharmacological group It’s quite difficult to do in one review, so let’s focus on what names of ointments for joint pain are most often voiced by doctors who recommend these drugs to their patients, and why.

Indications for the use of ointments for joint pain

The main indications for the use of ointments for joint pain include wide range diseases musculoskeletal system and musculoskeletal system of various etiologies: traumatic, inflammatory or associated with metabolic disorders affecting the joints.

Depending on the principle therapeutic effects There are anti-inflammatory ointments and local irritants. Anti-inflammatory ointment for joint pain is used for diseases such as rheumatoid arthritis, deforming arthrosis, spondylitis, osteochondrosis, osteoarthrosis and osteoarthritis; for radiculitis and inflammation of surrounding joints soft tissues(bursitis, tendovaginitis). Pain medications local action It is also recommended to use for injuries of joints and muscles, for lesions peripheral nerves(neuralgia) and myalgia (muscle pain).

Ointments for joint pain are included in the complex systemic therapy arthralgic syndrome, which accompanies some infectious, endocrine, neurological and autoimmune diseases.

In many cases, it is most advisable to use non-steroidal anti-inflammatory drugs (NSAIDs), which not only relieve joint pain, but also act on the inflammatory process that causes it. The form of release of these medicines is ointments, gels or creams in tubes. These include Diclofenac (Diklak-gel, Voltaren, etc.), Ibuprofen (Deep Relief, etc.), Ketonal (Fastum gel, etc.), Piroxicam (Finalgel), etc.

To get rid of pain resulting from a bruise, dislocation or sprain, ointments can be applied topically irritating effect: Bengin (Bom-Benge), Vipralgon (Viprosal, Alvipsal, etc.), Gevkamen (Efkamon), Capsikam (Espol, Finalgon).

Pharmacodynamics of ointments for joint pain

The main mechanism of the anti-inflammatory and analgesic action of Diclofenac (others trade names- Diclak-gel, Diclofenacol, Dicloran, Voltaren emulgel, Ortofen, Ortoflex) launches the active substance diclofenac ( sodium salt phenylacetic acid). It slows down the process of biosynthesis of local mediators prostaglandins, which at the site of damage cell membranes during inflammation, they provide a response from the body - somatic pain.

The active ingredient in Ibuprofen ointment for joint pain (other trade names are Deep Relief, Dolgit, Ibalgin, Ibutop) is the non-steroidal anti-inflammatory drug ibuprofen. In Piroxicam ointment (synonyms Piroxicam-Verte, Finalgel) the main component is piroxicam. And in the drug Ketonal (synonyms: Valusal, Fastum gel, Ketonal Forte, Bystrumgel, Ultrafastin) the active substance is a derivative propionic acid ketoprofen, also belonging to the group of non-steroidal anti-inflammatory drugs. The pharmacodynamics of all these ointments is similar to Diclofenac: they are prostaglandin inhibitors.

For ointments for joint pain, which are classified as locally irritating, pharmachologic effect provide:

• Bengin (Bom-Benge) - menthol and methyl salicylate;
• Vipralgon (generics: Viprosal, Viprapin, Viprobel, Nizhvisal, Alvipsal, etc.) - viper poison, camphor, salicylic acid and turpentine;
• Gevkamen (Flyukoldex, Efkamon) - clove flower oil, camphor, menthol, eucalyptus oil;
• Apizartron (analogs - Apifor, Ungapiven, Forapin) - bee venom, methyl salicylate;
• Capsicum (analogs - Finalgon, Betalgon, Espol) - bitter extract capsicum capsaicin.

The active substances of these drugs act reflexively, stimulating the nerve endings of skin receptors. As a result, the vessels dilate, blood circulation at the site of inflammation or injury increases (as evidenced by redness of the skin), and the supply of oxygen to the tissue increases. Due to this, the production of biogenic amines, which reduce pain sensitivity, increases many times over. And the analgesic effect of capsaicin is explained by its powerful inhibitory effect on the neuropeptide that transmits signals from peripheral nerve endings to the brain.

Pharmacokinetics of ointments for joint pain

Considering external method the use of all gels, creams and ointments for joint pain, the level of absorption of their active ingredients is insignificant. Thus, for ointments based on NSAIDs (diclofenac, ibuprofen, ketoprofen, etc.) it does not exceed 6%, and the connection with proteins is almost 100%. When applying these drugs to the area of ​​the affected joint, the main amount active substances concentrates in synovial fluid, filling the joint cavities. And what gets into the plasma is excreted through the kidneys. Information regarding the metabolism of most irritating ointments, according to their official instructions, absent. IN best case scenario it may be stated that systemic action the drug does not work.

Contraindications to the use of ointments for joint pain

Among the contraindications to the use of Diclofenac and its analogues, there is a history of bronchospasms, allergic rhinitis or skin reactions after using any non-steroidal anti-inflammatory drug or aspirin. At peptic ulcers stomach, liver and kidney dysfunction, chronic heart failure and bronchial asthma Diclofenac and all other ointments with NSAIDs are prescribed with caution. These ointments are not used for children under 6 years of age (and Finalgel for children under 14 years of age).

Absolute contraindications to the use of irritating ointments are hypersensitivity to their components and the presence open wounds, dermatoses or even minor skin damage at the site of application of the drug.

The use of ointments for joint pain during pregnancy is in most cases not recommended, since there is no sufficiently convincing clinical experience their application in a given situation. Diclofenac ointment and its analogs are not used during the third trimester of pregnancy and lactation, and should be used with caution in the first two trimesters. Fastum gel can be used during pregnancy only as prescribed by the attending physician. And ointments that contain ketoprofen, as well as bee or snake poisons, pregnant and lactating women are prohibited from using.

Side effects of ointments for joint pain

The use of ointments for joint pain based on all of the above non-steroidal anti-inflammatory drugs may be accompanied by undesirable side effects as skin itching or burning, redness, or rash. The possibility of systemic side effects cannot be excluded: nausea, vomiting, headache, dizziness, edema, increased blood pressure and gastrointestinal disorders.

The use of ointments Efkamon, Gevkamen or Flucoldex, as well as ointments based on snake or bee venom, quite often causes allergic reactions. skin reactions at the place of their application.

Directions for use and doses

All ointments for joint pain have one method of application - cutaneous. Ointments and gels based on diclofenac are rubbed into the skin over the painful area three times a day - 2-4 g of the drug at a time. Single dose, prescribed to children 6-12 years old, is 1.5-2 g (applied twice a day).

Piroxicam gel (Finalgel) should be applied to the affected area, squeezing out a column of the drug no more than 1 cm long and rubbing it in a thin layer - three times during the day. Finalgon ointment should be applied to the skin, rubbing the ointment using the supplied applicator, 5 mm at a time - no more than three times a day. For increase therapeutic effect It is recommended to wrap the area where the drug is applied.

Ointments with camphor and turpentine are rubbed in 5-10 g once every 24 hours (for intense pain - twice a day). The duration of therapy is no more than 10 days. The same method of application and dosage are for ointments based on poisons.

Since when ointments, creams and gels are used externally, their systemic absorption active ingredients is minimal, an overdose of these drugs is considered impossible. Although the manufacturers of Finalgel warn: if the dosage of the drug is significantly exceeded, in rare cases the appearance of headache, nausea, gastrointestinal disorders was recorded, and in isolated cases- functional renal failure.

Interactions of ointments for joint pain with other drugs

Diclofenac and other NSAIDs can enhance the effect of drugs that cause increased sensitivity To ultraviolet radiation(sulfonamides, antibiotics, antifungal agents). Interactions with other drugs in clinical practice was not observed.