Factors Influencing The Effectiveness Of Anti
- Concentration The concentration of anti-inflammatory medication in the gel/cream obviously has a strong bearing on how much is absorbed by the tissues. Voltaren has recently released their voltaren gel osteo 12 hourly product, which has twice the concentration of diclofenec compared to their standard product.
- Formula The formulation is crucial for skin penetration. Without getting into too much detail, gel is more effective than cream.
- Blood Flow If blood flow to the area is increased due to exercise, a heat pack, a hot shower, massage, etc there is a better chance of the medication being absorbed.
- Wraps Sports Doctors often recommend wrapping the affected area in glad wrap after applying the anti inflammatory gel to increase the time the gel has to penetrate the skin before being rubbed off or evaporating.
- Massage Dont forget about the beneficial effects of massage including pain relief and increased blood flow. Some believe that the beneficial effects of anti-inflammatory creams can be attributed in full to the massage and not the actual cream/gel. However research has proven that anti-inflammatory gels and creams provide significantly more pain relief than placebo gels and creams when massaged into the affected area.
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When Should I See A Neurosurgeon For Back Pain
A neurosurgeon is a physician most qualified to perform nonsurgical and surgical treatments on the central and peripheral nervous system, which includes the brain, spine, and nerves. Oftentimes, back pain is caused by problems with the spine and nerves, and a neurosurgeons training makes them the best specialist for the job.
There was a time when only neurosurgeons could operate on the spine, but now, orthopedic surgeons can subspecialize in spine care. However, neurosurgeons remain the best specialists for patients with spine conditions. Due to their extensive training and experience, they can treat even the rarest and complex spine disorders.
What Is The Company Behind Voltaren Emulgel
The company involved with manufacturing Voltaren Emulgelis is called Voltaren. They specialize in pain relief products and have several other products that come in different forms of delivery including tablets and liquids capsules.
They also have a strong online presence and a well-established website where they describe how their product works, the ingredients and other basic information.
Besides, there is a blog section at their site with tons of helpful pain support information, which may benefit both the users and the public.
Additionally, the company emphasizes that this particular gel is a topical supplement and is only suitable for external use.
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Some Skin Side Effects For Some People
I am definitely not saying Voltaren is completely safe or risk free. No drug is. The drug is still being absorbed, but instead of being a gut burner it can be a skin burner. From the Voltaren® Gel website
The most common adverse reactions reported in Voltaren Gel clinical trials were application site reactions in 7% of treated patients. With all NSAIDs there may be an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal.
Sounds bad, doesnt it? But those warnings are primarily there in an abundance of legal and medical caution provoked by the problems with oral NSAIDs. For short-term, moderate topical use, I believe the benefits clearly outweigh the minor risks.
Voltarol Back And Muscle Pain Relief 116% Gel
With its triple effect, Voltarol Back and Muscle Pain Relief Gel relieves pain, reduces inflammation and helps speed up recovery. It brings targeted local relief for pain and swelling in muscles, back and neck. In addition, the gel relieves pain in joints, sprains, strains and bruises, as well as minor sports injuries.
Voltarol Back and Muscle Pain Relief Gel is available in major supermarkets and pharmacies in 30g, 50g, and 100g tubes.
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Does It Really Work
Voltaren gel is as good if not better than other OTC topical arthritis pain products, says Jonathan M. Greer, MD, president of Arthritis and Rheumatology Associates of Palm Beach and affiliate clinical professor of biomedical sciences at Florida Atlantic University. There are good clinical studies with this product that demonstrate effectiveness, he says. However, he notes that its a mild agent and that it is not as potent as oral NSAIDs.
The Science Behind Voltaren
The active ingredient in most Voltaren products is diclofenac. This is a powerful nonsteroidal anti-inflammatory which inhibits pain-signaling chemicals. The Voltaren range includes oral and topical treatments. The diclofenac in topical Voltaren products such as gels or medicated patches, works by penetrating deep through the skin, relieving pain and reducing inflammation directly at the source.
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Exhaustiveness And Applicability Of The Evidence
Considering that Brüggemann et al. was classified as having high risk of bias, we carried out a sensitivity analysis excluding this study in the meta-analysis for the primary outcome in patients with LBP. We found a higher OR for this outcome .
In terms of overall therapy for back pain management, none of the studies mentioned self-care or psychotherapy, or the use of alternative medicine or supplementary forms of treatment . Physical therapy was permitted in Vetter et al. , but neither the number of sessions nor the type of session involved in each of the study arms was reported. However, this type of treatment was not allowed in the studies by Kuhlwein et al. or Mibielli et al. during the first three days of the study. Brüggemann et al. did not mention the use of this therapy. The concomitant use of analgesics other than those assessed was not allowed in any of the four acute LBP studies included in the meta-analysis and was considered by the investigators an exclusion criterion.
Q: How Powerful Is The Active Ingredient In This Product
A: Its hard to say exactly, but fortunately, there is a range of strengths available, so you can find what works for you. The products label will tell you how much of the active ingredient is in it: for example, 1.16% vs. 2.32%. The latter will be twice as strong as the former. This can be convenient if you can only find one or the other: you could simply apply half as much of the stronger compound for the same result.
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Is Voltaren A Painkiller
Voltaren is not an opiate-based pain killer such as oxycodone or Percocet. It works by decreasing substances in the body that directly cause joint pain and inflammation. Voltaren, also known as Diclofenac, is very similar to Ibuprofen. Furthermore, both Voltaren and Ibuprofen are nonsteroidal anti-inflammatory drugs, also known as NSAIDs, and both drugs are used to treat pain, fever, and inflammation.
How Does Voltaren Work
Text: Introducing Voltaren Arthritis PainVO: When you have arthritis pain, you need relief where it hurts.VO: Voltaren Arthritis Pain gel is the first full prescription strength nonsteroidal anti-inflammatory gel now available over the counter.Text: First full prescription strengthVO: Voltaren targets pain directly at the source for powerful arthritis pain relief.VO: VoltarenVO: The joy of movementText: The joy of movement
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Can A Lumbar Epidural Steroid Injection Cause Long
While its very rare, receiving a lumbar epidural steroid injection can lead to some long-term complications, including:
- Permanent neurologic deficit due to spinal cord or nerve root damage from the epidural injection.
- Chronic pain due to spinal cord or nerve root damage from the epidural injection.
- Permanent paralysis from a hematoma that occurs when theres a buildup of blood between the dura mater and your spinal cord.
Effective Relief Of Pain And Reduction Of Inflammation13
In a randomised, double-blind, placebo-controlled study of patients with acute neck pain, Voltarol Back and Muscle Pain Relief Gel delivered significantly greater reduction in pain-on-movement and pain-at-rest over three times that of placebo. Additionally, recovery time* was about twice as fast as placebo.1
*Recovery time was defined as a clinically relevant decrease in pain plus an increase in neck function.72 patients with acute neck pain received 2 g Voltarol Back and Muscle Pain Relief 1.16% Gel four times daily or placebo for 5 days.
Product Information can be found at the bottom of the page
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What Are The Causes Of Back Pain
Most cases of back pain do not have a serious cause, but are minor injuries of the muscles or ligaments of the back. Back pain may occur immediately, such as a twist or a sports injury, or may develop gradually with poor sitting or standing posture.
Triggers of back pain include:
- sitting or driving for long periods in a hunched position
- holding a standing or bending position for extended periods
- lifting, bending, twisting, pulling or pushing incorrectly
- sudden stretching or twisting of the back, such as a fall or sport injury
- overuse of the muscles by repetitive movements or exercise
Common Questions About Diclofenac
Diclofenac is a non-steroidal anti-inflammatory drug . It works by reducing hormones that cause inflammation and pain in the body.
When you apply diclofenac gel, plasters or patches to your skin, it works in the same way as when you take it as a tablet or capsule. But the gel, plaster or patch only works on the area you have put it on.
Diclofenac takes 20 to 30 minutes to work if you take it as tablets or capsules.
Suppositories take a few hours to work. There’s no difference in how well the tablets, capsules or suppositories work. The doses of diclofenac are the same for each.
If you’re using diclofenac gel, plasters or patches on your skin, it usually takes 1 to 2 days to work. For arthritis, you may need to use the gel for up to 7 days on the painful joint to feel the full effect.
Depending on why you’re taking diclofenac, you may only need to take it for a short time. For example, if you have a sore back or toothache, you may only need to take diclofenac for 1 or 2 days.
You may need to take it for longer if you have a long-term condition, such as rheumatoid arthritis.
If you need to take diclofenac tablets or capsules for a long time, your doctor may prescribe a medicine to protect your stomach from side effects. It’s best to take the lowest dose of diclofenac for the shortest time to control your symptoms.
Talk to your doctor if you’re unsure how long you need to take it for.
It’s best to take the lowest dose that works for the shortest possible time.
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What Is Voltaren Gel Used For
Voltaren gel is used topically on the skin to provide temporary relief of joint pain. This pain remedy is recommended for treating pain and tenderness from the most common type of arthritis: osteoarthritis in the knees, hands, and other joints. Voltaren pain-relieving gel may also be used to help ease aching joints due to rheumatoid arthritis or soothe sore muscles and minor back pain.
Voltaren gel and other pain-relieving gels and creams may be a good option if you prefer to take less pain medication by mouth such as oral nonsteroidal anti-inflammatory drugs . In higher doses, diclofenac gel is also used to treat a skin condition called actinic keratosis. However, Voltaren gel for arthritis pain does not contain a high enough concentration of the active ingredient diclofenac to be used for this condition.
Voltaren Gel: Does It Work
The science of the topical pain-killers, which can be effective without dosing your entire system
Think of Voltaren® Gel as ibuprofen in a gel. Its actually the drug diclofenac, but ibuprofen is a much more familiar drug name in North America, where the product is still relatively new. Its a topical anti-inflammatory medication,NSAIDNon-steroidal anti-inflammatory drug, usually pronounced en-sed. and FDA-approved to treat osteoarthritis in joints amenable to topical treatment, such as the knees and those of the hands.1 The evidence shows that it provides clinically meaningful analgesia, and quite safely, a claim that has been repeatedly validated by extensive testing over many years now.234
This is an appealing treatment idea that actually works reasonably well: what a pleasure to be able to say that!5 It is undoubtedly one the best of the OTC pain-killers.
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Other Treatments And Activities That Dont Help
Bed rest is not helpful for back pain, and might even slow recovery. However heavy physical work should also be avoided in the first few days after a back pain episode starts.
Other treatment options including acupuncture, ultrasound, electrical nerve simulation, and corsets or foot orthotics are not recommended, since there is no strong evidence supporting their use.
Even if the cause of back pain is unknown, imaging is unlikely to influence management or provide meaningful information.
One Back Pain Treatment You Probably Dont Need
Back pain can be incredibly frustrating, and going under the knife may seem like the quickest, easiest fix to bring relief. But the truth is, many people dont need surgery for lower back pain management, Dr. Park says.
If your back pain is musculoskeletal, you will not require surgery, but if its a pinched nerve thats due to a disc herniation or something else, you may need to have surgery, he says. But even in those people, when you go through a six-to-eight-week course of treatment that includes physical therapy and activity modification, 85 to 90 percent of the time, they wont need surgery.
However, if you try the treatments above and dont see any improvement or still feel pain, talk to your doctor about a referral to a pain management specialist, as more specific tests or treatments may be required to get to the bottom of whats going on.
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Diclofenac Tablets Capsules And Suppositories
You’ll usually take diclofenac tablets, capsules or suppositories 2 to 3 times a day.
The usual dose is 75mg to 150mg a day, depending on what your doctor prescribes for you. Follow your doctor’s advice on how many tablets to take, and how many times a day.
If your doctor prescribes diclofenac for your child, they’ll use your child’s weight to work out the right dose for them.
If you have pain all the time, your doctor may recommend slow-release diclofenac tablets or capsules. You’ll usually take these either once a day in the evening, or twice a day. If you’re taking slow-release diclofenac twice a day, leave a gap of 10 to 12 hours between your doses.
How to take tablets and capsules
Swallow diclofenac tablets or capsules with a drink of milk. If you need to take them with water, take them after a meal or snack. Taking them with milk or food means they’ll be less likely to upset or irritate your stomach.
Swallow them whole, do not crush, break or chew them.
How to use suppositories
What if I use too many plasters or patches or too much gel?
If you use too many plasters or patches or too much gel by mistake, it’s unlikely to do you any harm. But if you use too much and get any side effects, tell your doctor straight away.
What Happens During A Lumbar Epidural Steroid Injection Procedure
You will likely have your lumbar epidural steroid injection in a hospital or an outpatient clinic. In most cases, a lumbar ESI takes 15 to 30 minutes. Its important to be very still during this procedure.
There are different ways your healthcare provider can access the epidural space around your spinal cord in your low back, which include:
The general steps of a lumbar epidural steroid injection procedure include:
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Feel The Joy Of Movement
An alternative to pills, Voltaren helps you take on your day by targeting pain directly at the source to deliver clinically-proven nonsteroidal anti-inflammatory medicine. Discover powerful arthritis pain relief with a proven safety profile.
Where to Buy Voltaren Gel
Available in stores and online at major retailers nationwide.
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When Surgery Is Necessary
When conservative treatment for low back pain does not provide relief or neurologic symptoms are worsening or severe, surgery may be needed. Candidates for surgery present any of the following:
- Reasonably good health
- Back and leg pain limits normal activity or impairs quality of life
- Progressive neurologic deficits develop, such as leg weakness, numbness or both
- Loss of normal bowel and bladder functions
- Difficulty standing or walking
- Medication and physical therapy are ineffective
If surgery is recommended, neurosurgeons have a variety of options available to help relieve pressure on the nerve roots. If several nerve roots and discs are causing the pain or if degeneration and instability exist in the spinal column, the neurosurgeon may choose: a minimally invasive approach a more open decompression or fusing the vertebrae together with bone grafts and stabilizing them with instrumentation, including metal plates, screws, rods and cages, depending on the extent of disease. After such surgery, patients may gain restored mobility in the back, including the ability to bend over. In addition, patients may require postoperative physical therapy.
The benefits of surgery should always be weighed carefully against the risks. Although a large percentage of patients with low back pain report significant pain relief after surgery, it is not guaranteed that surgery will help.
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