Ointments for bruises and other injuries not only eliminate pain, but also counteract inflammatory processes. They also dilate blood vessels, warm the tissue and promote its nutrition. Therefore, the therapeutic effect occurs within the first 30-40 minutes after application. The most popular drugs for adults and children are discussed below
Ointment for bruises with an analgesic effect: “Diclofenac”
The active substance diclofenac is included in a number of analogue drugs:
- "Voltaren";
- "Diclofenac"
- "Ortofen".
These are common anti-inflammatory drugs belonging to the non-steroidal group. For use by adults and children over 6 years of age. Apply to the skin 1 to 4 times a day. Has a local anesthetic effect.
Side effects are rare. They may be associated with dermatitis, erythema, and attacks of bronchial asthma. Use during pregnancy is permissible only in the first and second trimesters. Moreover, a preliminary consultation with a doctor is required. You can buy all diclofenac-based ointments without a prescription.
Degrees of bruises
1st degree
A mild degree that does not require special treatment and goes away on its own within a few days.
The pain is mild, the bruise does not appear outwardly, or there are minor hematomas. In the first degree, a good gentle ointment would be First Aid. The drug has a mild restorative effect and is indicated for children.
2nd degree
In the second degree, noticeable damage to tissues and capillaries occurs. The injuries are painful, especially when pressed. The feeling of discomfort hinders movement.
Treatment requires the use of healing anti-inflammatory drugs. Troxevasin and Heparin ointment are effective. It is necessary to apply 2-3 times a day for several days.
3rd degree
Damage to soft tissues: muscles and tendons, injuries to bones, joints, which are accompanied by sprains, ruptures, dislocations. Specialist supervision is required.
For severe injuries, stronger pain-relieving ointments will be needed. Arthrosilene gel is recommended; it is characterized by rapid absorption and good action of the active substance - ketoprofen.
4th degree
Grade 4 is manifested by severe swelling and disruption of the internal organs. Open bleeding is possible. The victim requires inpatient treatment in a hospital.
What to apply to a severe bruise: “Viprosal”
This medicine contains the venom of a common viper and auxiliary components - turpentine, camphor and silicylic acid, which provide additional heating of the affected area.
The product serves as an analgesic, inhibits inflammatory processes, and also improves tissue nutrition by dilating blood vessels. You can buy the product without a prescription and can be taken by adults and children over 12 years old.
Side effects include allergic reactions, including itching and swelling. It is worth remembering that Viprosal cannot be used during pregnancy and breastfeeding. It is important to avoid contact of poison with mucous membranes, including eyes, and damaged areas of skin (wounds, abrasions, ulcers).
Main symptoms of injuries to joints, muscles, tendons
A bruise is damage to tissues or organs that preserves the integrity of the skin. Typically, such an injury is accompanied by pain, shaking and partial necrosis of the tissues that were hit. Bruises often occur when falling from a height, as a result of a blow caused by a blunt object. The skin, subcutaneous tissue, soft tissues, and the bones that adjoin them are most susceptible to this type of injury. 57
With severe bruises, local tissue swelling, rupture of blood vessels, and hematoma (subcutaneous hemorrhage) appear. The functions of the injured organ are limited as the hematoma and edema increase, while human activity becomes difficult and painful. 57
An injury of similar origin is a sprain of muscles, ligaments, and tendons. The main reason for the occurrence of such injuries is the performance of actions that significantly exceed the physiological volume of the musculoskeletal organ (muscle, joint, tendon). One of the reasons for such an injury may be movement of the joint in an unusual direction. Its main manifestations are limited to swelling, pain, and hematoma. 57
Ointment for bruises and injuries: “Apizartron”
"Apizartron" contains bee venom and auxiliary components. It has a pronounced analgesic effect, helps with sprains and bruises. Used to warm up muscles, including during sports activities. Stimulates blood circulation, eliminates symptoms of neuritis and sciatica, as well as rheumatic joint pathologies.
You can buy the ointment at the pharmacy without presenting a prescription. It can be used by both adults and children over 12 years of age (over 6 - with caution). It is not allowed to use during any trimester of pregnancy and during breastfeeding.
If you have an individual intolerance to bee venom, a number of allergic reactions may occur, including redness, swelling, itching and rash. In these cases, it is necessary to replace the drug.
Contraindications
Ointments for bruises and sprains are contraindicated if there is an individual intolerance to the components of the drug, pregnancy, or childhood. Do not apply to damaged skin or open wounds.
Drugs containing nonsteroidal anti-inflammatory drugs (NSAIDs) should not be used for ulcerative-erosive diseases of the gastrointestinal tract.
For medications containing NSAIDs and heparin, a contraindication will be a blood clotting disorder and a tendency to bleed.
Pain-relieving ointments should be used with caution if you have hepatic or renal impairment.
Buy a good ointment for bruises: “Finalgon”
The drug "Finalgon" contains 2 active ingredients at once - nicoboxil and nonivamide. Therefore, it is considered one of the best remedies for relieving pain and counteracting inflammatory processes. Causes a local irritation reaction and quickly relieves pain in the affected areas.
It is used for the symptomatic treatment of various pathologies - lumbago, arthritis, bursitis, acute low back pain, sciatica, arthralgia, for the treatment of the consequences of sports injuries and myalgia associated with increased physical activity. Also used to warm up muscles before starting a workout.
You can buy the product in a pharmacy even without a doctor’s prescription at a price of 450 rubles per 35 g package. It is worth remembering the possible side effects associated with shortness of breath, burning, paresthesia, cough, and allergic reactions. It is also important to understand that the gel should not be used by children under 17 years of age inclusive. Pregnant and breastfeeding women can use the ointment, but only if absolutely necessary and in consultation with a doctor.
Localization of bruises
Legs
For bruises and sprains of the legs, Troxerutin and Heparin ointment are effective. The effect is associated not only with reducing inflammation, but also with preventing the formation of blood clots and improving the condition of blood vessels. Venous congestion most often occurs in the legs, which aggravates the resulting damage.
Fingers
Bruised fingers, especially on the toes, in addition to pain, interfere with normal movement due to constant friction. Therefore, it is better to use gels; they will absorb faster and will not stain your shoes.
Diclofenac is prescribed - along with the anti-inflammatory effect, the ointment helps reduce swelling, helps even if the joint is damaged.
Coccyx and lower back
If you have a bruised tailbone, you need painkillers at rest and in motion. Such a drug is Artrosilene, which is considered one of the strongest painkillers.
The substance ketoprofen included in its composition has a cooling effect and anti-inflammatory effect. Effective in stretching back muscles.
Head
In case of head bruises or suspected concussion, medical attention and diagnosis are required. Treatment uses analgesics to relieve post-traumatic pain.
The following pain-relieving ointments are prescribed for bruises and sprains:
- Sedalgin is a comprehensive remedy for any headache. In addition to metamizole sodium, it contains vitamin B1, which is involved in the functioning of the nervous system.
- Pentalgin is a combination drug with anti-inflammatory, analgesic, antispasmodic, and tonic effects.
- Maxigan – helps reduce pain. Used for inflammation, spasms, acute pain.
Ointment for bruises and hematomas: “Capsicam”
The composition of Kapsicam ointment includes several active ingredients, including nonivamide, dimethyl sulfoxide, turpentine, camphor. The ointment warms up the affected area well, prevents the development of inflammatory processes, and gives a quick analgesic effect. Dilates blood vessels, saturates tissues with blood, which leads to rapid recovery. The cessation of pain is observed within 3-6 hours, and the first results are noticeable after 30 minutes.
You can buy the ointment at a pharmacy without presenting a doctor's prescription. It can only be used by adults; it is prohibited for children. Also, Capsicam should not be used by pregnant and lactating women. It is important to remember about possible side effects associated with allergic manifestations (including itching, swelling).
Since the components of the drug have a warming effect, they lead to an increase in the temperature of the affected area by 2-3 degrees, which is normal. In this case, you should avoid getting the product on mucous membranes, including eyes, and wounds.
The best ointments: bruises, injuries, pain
Various ointments (usually warming ones), gels and creams are widely used in the complex of means for recovery after injuries and diseases of the musculoskeletal system. Their effect on tissue is determined by the properties of the ingredients they contain. Thus, some ointments cause sharp tissue hyperemia (finalgol, gymnastogal, efkamon, etc.), others relieve swelling and inflammation (lazonil, chirudoid, heparin, etc.).
Swelling and pain arising from injuries are a consequence of damage to small vessels, tissue hypoxia and increased capillary permeability. At the same time, blood circulation deteriorates (as a rule, blood flow and nutrition of tissues and, accordingly, their regeneration are disrupted). The use of ointments, gels and creams is aimed at analgesia (pain relief), reducing swelling and hematoma, tissue irritation, inflammation, accelerating resorption, improving microcirculation (blood flow), stimulating tissue regeneration (tissue growth).
In case of acute injury, highly irritating, hyperemic ointments are not indicated. It is recommended to use ointments that have an analgesic and anti-inflammatory effect (i.e., those that contain anesthetics, heparin, plant extracts, antirheumatic drugs, etc.). For fresh injuries, ointments are not rubbed in so as not to cause tissue hyperemia, but gels are used, which have better resorptive (absorption) ability and a cooling effect. During the rehabilitation stage after an injury, ointments and creams are prescribed that improve microcirculation in the tissues. For chronic diseases (buritis, tendovaginitis, etc.), anti-inflammatory drugs are used, which contain iodine and other ingredients.
— Apizartron contains bee venom apitoxin (in 1 g of ointment the venom of an annual bee), 10% methyl salicylate and 1% mustard essential oil. It is indicated for myositis, radiculitis, bruises, neuralgia, etc. Apply 2-3 g of ointment to the painful area and rub in after 1-2 minutes (when tingling or pinching occurs). Then a massage is given, which is repeated 2-3 times a day. Sensitivity to the drug may be increased, so massage with it should begin with a small dose (up to 1 g). If it is well tolerated, it is increased.
— Virapin contains 0.15 mg of bee venom per 1 g of ointment. It is used for bruises, radiculitis, arthritis, myositis and other diseases. Ointment in an amount of 2–5 g is applied to the affected area and massage is carried out for 5–10 minutes.
— Viprosal contains viper poison, camphor, salicylic acid, fir oil, paraffin, glycerin, petroleum jelly and is used for sciatica, radiculitis, myositis, etc. The ointment is applied to the painful area and a massage is performed.
— Vipratox contains venom from various snakes, methyl salicylate, camphor and a base for liniment. It is used for myositis, periarthritis, arthritis, damage to the ligamentous apparatus, bruises, etc. The ointment is applied to the painful area and massaged.
— Methyl salicylate has an analgesic and anti-inflammatory effect, used in pure form and in mixture with chloroform and fatty oils for radiculitis, myositis, lumbago, etc.
— Navtalgin is an analgesic emulsion, which includes: analgin, methyl salicylate and naftalan oil, emulsifier, a mixture of fatty acids of sperm whale oil, distilled water.
— Menthol ointment contains menthol, methyl salicylate and distilled water, yellow wax, anhydrous lanolin.
— Camphocin is a liquid containing salicylic acid, castor oil, purified trepentine oil (turpentine), methyl salicylate, camphor, pepper tincture.
- Capsitrin : tincture of capsicum, tincture of St. John's wort, green soap, ammonia solution - 20 percent, ethyl alcohol - 60 percent.
— liniment : capsicum tincture, green soap, distilled water, 96 percent ethyl alcohol, ammonia.
— Pepper-camphor liniment : tincture of capsicum and camphor alcohol.
— Navtalgin, Sanitas balm , Bom-Benge, menthol complex ointment, camphocin, capsitrin, compound-pepper and pepper-camphor liniments are used for rubbing painful areas with lumbago, neuralgia, myositis, radiculitis, bruises, etc.
— Tiger ointment contains clove oil, eucalyptus oil, camphor, menthol, paraffin, petroleum jelly. It is used for radiculitis, sciatica, migraine, neuralgia, myositis, lumbago, etc.
— Nicoflex is a sports cream that contains active substances: capsacin, ethyl nicotinate, ethyl glycol salicylate, lavender oil. It is used for bruises, muscle pain, cramps, etc. Apply 1-3 g of cream to the painful area and massage. If you have scars on the skin, this cream cannot be used.
— Gymnastogal includes: H-4, hydroxy-3-methoxy benzene-8-methyl-trans-b-nonylic acid amide, benzene ester of nicotinic acid, ointment base. The ointment is used for bruises, sprains of the ligamentous apparatus, lumbago, bronchitis (lubricate the chest), radiculitis, arthritis, myositis, etc. Apply 1-2 g of ointment to the painful area and massage. The ointment has a strong thermal effect. After the massage, hands should be washed with hot water.
— Heparin ointment quickly resolves infiltrates, swelling, and has a vasodilator and anti-inflammatory effect. It is used for thrombophlebitis, lymphostasis, varicose veins, infiltrates and other inflammatory processes. Squeeze out 3–5 cm of ointment from the tube, rub it in carefully or apply a bandage.
— Heparoid includes 6000 conventional units. units heparin in 30 g ointment. It is used for inflammatory processes, leg ulcers, venous edema, bruises, etc. Ointment is applied to the sore spot and secured with a bandage.
— Efkamo includes: camphor, clove oil, eucalyptus oil, menthol, methyl salicylic acid, etc. It has an analgesic effect. It is used for myositis, radiculitis, bruises, lumbago, etc. Apply 1–3 g of ointment to the painful area and massage.
— Reparil-gel contains horse chestnut, heparin, salicylic acids, which enhance the analgesic effect. It is quickly absorbed through the skin, has a cooling effect, relieves heaviness, swelling, reduces pain, has an anti-inflammatory and regenerative effect. It is used for inflammation of the veins, lymphostasis, edema, and inflammatory processes. A gel is applied to the injury site and secured with a bandage. In case of acute injury, this must be done several times during the day.
— Picaryl liniment contains chloroform, methyl salicylate, benzyl nicotine, etc. It is used for radiculitis, various injuries of the musculoskeletal system, myositis, lumbago, etc. 3–5 ml of linement is applied to the painful area and a massage is performed. Picaril should not be used for abrasions! — Reonevrol contains methyl salicylate, camphor and other components. It is used for sciatica, myositis, radiculitis, neuritis, etc. Ointment is applied to the painful area and massage is performed.
— Nikoven contains heparinoid, benzylnicotine and other active substances. It is used for venous enlargement of the veins, hematomas, bruises, sprains, etc. Ointment is applied to the painful area, then a massage is performed or a bandage is applied.
— Nikodan contains heparin and other active ingredients. It is used for rheumatism, muscle pain, chronic bronchitis, sprains of the ligamentous apparatus of the joints, etc. A little ointment is applied to the painful area (be sure to check the sensitivity of the skin to it), and then a massage is performed or a bandage is applied.
— The anesthetic liquid contains menthol, novocaine, anesthesin, and alcohol. It is used for radiculitis, myositis, sprains of the ligamentous apparatus of joints, bruises, etc. Apply a little liquid to the painful area and rub it in.
— Finalgon contains 2.5% nicotinic acid butoxyethyl ester and 0.4% vanillyl amide. It is used for sprains of muscles and ligamentous apparatus of joints, radiculitis, myositis, lumbago, intercostal neuralgia, bronchitis, etc. A small amount of ointment is applied to the painful area and lightly rubbed in (you can also do a massage). The ointment should not come into contact with abrasions and mucous membranes. After the massage, hands should be washed with hot water and soap.
— Venoruton-gel is used for acute injuries, bruises, thrombophlebitis, edema, etc. Contains active herbal ingredients and alcohol. It has an analgesic effect, relieves the feeling of muscle tension, and has a cooling effect. The gel is applied to the injured area several times during the day and secured with a bandage. Thermal procedures should not be used!
— Pulmotin contains camphor, thymol and other components. Used for bronchitis, flu, colds and lung diseases. A small amount of ointment is applied to the chest, then massage is performed (2–3 times a day).
— Elacur ointment , which includes capsacin, methyl salicylate, propyl nicotinate and other components. It has an antirheumatic effect and causes skin hyperemia after a massage. It is used for myositis, lumbago, sciatica, arthritis, myogelosis. Ointment is applied to the sore spot and massage is performed.
— Capsoderm is an ointment that contains capsacin, camphor and other components. Causes severe hyperemia. It is used for myositis, lumbago, sciatica, rheumatoid arthritis, muscle pain, buritis, sprains, etc. A little ointment is applied to the painful area and a massage is performed. Do not use if you have scars on the skin!
— Lidocaine contains lidocaine and other components. Used for bruises, sprains, lumbago, myositis. Apply ointment to the painful area and rub in. In case of acute injury, this must be done several times during the day.
— Hemorid contains adrenaline, camphor, menthol, prokin and other active ingredients. Used for hemorrhoids.
— Neo-capsiderm includes camphor, various oils and other active ingredients. Used for damage to the ligamentous apparatus of the joints, bruises, lumbago, myositis, etc. The ointment is applied to the painful area and massaged.
— Richtofit-sport includes medicinal plants, oils and other ingredients. Massage with this cream promotes muscle relaxation, skin regeneration, and accelerates the healing process of minor injuries and inflammations. It is used for myositis, myalgia, muscle cramps, bruises, sprains, etc. The cream is applied to the painful area and rubbed.
— Mellivenone contains chloroform, bee venom and other ingredients. It is used for muscle pain, periarthritis, lumbago, myositis, osteochondrosis, various arthritis, buritis, etc. A little ointment is applied to the painful area (as it causes strong heating and tissue hyperemia) and a massage is performed. It is necessary to avoid getting the ointment on mucous membranes and abrasions! After the massage, you should wash your hands with hot water and soap. Ultrasound is used with mel-livenone.
— Perclusone contains clofezone and clofexamide hydrochloride. Has an analgesic effect. It is used for phlebitis, thrombophlebitis, bruises, sprains, lumbago, etc. The ointment is applied to the painful area and fixed with a bandage or massage.
— Myoton contains medicinal plants, oils and other ingredients. It has an analgesic, anti-inflammatory effect, increases blood flow in massaged tissues, relieves muscle fatigue, etc. There are several types of this cream. Myoton-A is used after training sessions, has a hyperemic (warming) effect, relaxes muscles. During a restorative massage, the cream is rubbed into the muscles. Myoton-B and myoton-C are used before a training session or competition. They have a warming effect and are used for injuries to muscles, tendons, various inflammatory processes, etc. It is necessary to avoid getting these creams on the mucous membranes!
— Raymon-gel contains active ingredients: etafenamit, flufenamic acid, etc. It is used for muscle pain of a rheumatic nature, lumbago. periarthritis, sciatica, bruises, sprains, etc. A gel is applied to the injured (painful) area and secured with a bandage.
— Troxevasin gel contains active substances, has anti-inflammatory and analgesic effects, and ensures rapid resorption. It is used for swelling, pain caused by venous insufficiency, post-traumatic syndrome, etc. The gel is applied to the damaged area and secured with a bandage.
Types of ointments
For bruises or sprains, external remedies of 4 groups are used. Each of them has its own effect, but they can be combined and complement each other in complex preparations.
The choice of group depends on the type of damage. For example, for hematomas, absorbable rather than warming drugs are prescribed.
Table - Types of pain-relieving ointments for bruises and sprains
| Group | Name | Action |
| Nonsteroidal anti-inflammatory drugs (NSAIDs) | Diclofenac, Dolgit, Artrosilene, | Pain relief, swelling relief |
| Absorbable | Badyaga 911, Heparin, Dolobene, Comfrey, Ambulance | Improvement of vascular tone, resorption of hematomas |
| Warming up | Finalgon | Vasodilation, increased microcirculation |
| Venotonics | Troxerutin, Lyoton, | Reducing vascular permeability at the site of injury |
Non-steroidal ointments contain substances that relieve pain, relieve swelling and reduce erythema, regardless of the etiology of inflammation. They should be applied directly to the site of the injury at least once a day with light massaging movements.
Absorbable ointments are used to quickly relieve tissue swelling, reduce hematomas and compactions. Diclofenac, Ibuprofen, Ketoprofen, Nimesulide, Ketorolac are prescribed.
Warming ointments usually contain red pepper, leech extract, viper or bee venom, camphor, and essential oils. The drugs improve local blood flow, resulting in an anti-inflammatory effect.
When anesthetic ointments of this group are applied to the site of a bruise or sprain, the blood vessels dilate, thereby causing an analgesic effect.
Venotics tone the veins, improve the quality of the walls of blood vessels, allow for proper distribution of lymph and improve blood flow. The general pharmacological effect of venotics is an increase in muscle tone on the walls of blood vessels and a positive effect on capillary permeability.
Rating of pain relieving ointments by price
The cost of drugs depends on the manufacturer and delivery conditions. Larger volume products are in less demand, as buyers focus on one-time, temporary use.
If ointments with an analgesic effect are used frequently or as a course of treatment, then packaging with a large number of doses is preferable.
Table - Comparison of prices for pain-relieving ointments for bruises from the cheapest
| Name | Dosage, g | Cost, rub. |
| Comfrey | 100 | 89 |
| Badyaga 911 | 100 | 91 |
| Ambulance | 75 | 123 |
| Heparin | 35 | 75 |
| Diclofenac | 30 | 120 |
| 50 | 165 | |
| 100 | 265 | |
| Artrosilene | 50 | 360 |
| Troxerutin | 40 | 60 |
| Lyoton | 30 | 346 |
| 50 | 490 | |
| 100 | 919 | |
| Dolobene | 45 | 361 |
| 90 | 652 | |
| Dolgit | 20 | 80 |
| 50 | 143 | |
| 100 | 245 |
The most inexpensive Comfrey and Badyaga 911 have the lowest rating of 4 points in the overall rating. Heparin ointment and Troxerutin - 4.5, the cheapest. For short-term use or minor injuries or sprains, it is worth considering Dolgit 20g (~5-7 doses), since its cost is 80 rubles. If you need to undergo a course of treatment, it is better to choose Badyagu 911, Dolgit, Diclofinac.
