Soma

If you have ever suffered a muscle sprain, strain, spasm or injury, you know just how painful it can be. Fortunately, a drug called Soma or carisoprodol may be able to help you deal with the pain. Soma is a muscle relaxant that works by blocking the pain sensations that occur within your body between the brain and the nerves. Many doctors, neurologists, surgeons and other health care professionals prescribe Soma to their patients for effective pain management. If you are looking for a solution to your muscular pain, be sure to discuss the possibility of taking Soma with your family doctor or consult an online pharmacy.

Soma is a drug that is also sold as carisoprodol. It is a muscle relaxant that can relieve stiffness and pain that is caused by muscle injuries, strains, sprains or spasms. Soma is often prescribed by health care professionals such as family doctors, neurologists, surgeons or psychiatrists to help patients manage their muscular pain more effectively.

Benefits Of Soma

• Relieves muscle pain
• Relieves stiffness, pain and discomfort caused by muscle spasms, strains, sprains or injuries
• Relieves acute backaches

How It Works

Soma is a drug that is used to relax the muscles, thus relieving muscular pain. It works by influencing the monosynaptic and polysynaptic reflexes of the spine. In other words, it blocks the nerve impulses sent by your brain via your central nervous system. Although it will not actually treat the cause of the pain or heal your muscles, Soma can make the pain more bearable.

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Muscle relaxants that address back pain are available as prescription and over-the-counter medications (OTC). Over-the-counter muscle relaxant medications include Robaxin® (methocarbamol), Robaxacet® (methocarbamol and acetaminophen) and Robaxisal® (methocarbamol and ASA). Prescription medications include Soma® (carisoprodol), Flexeril® (cyclobenzaprine) and Valium® (diazepam). Soma is typically prescribed on a short-term basis and may be habit-forming, particularly if used with alcohol or other drugs that affect the mind. Flexeril may be used on a longer term basis. This drug may impair mental and physical function and can lead to urinary retention in men with enlarged prostates.

Valium is usually restricted to one to two weeks of use. Due to this drug’s habit-forming potential, and its propensity to alter the sleep cycle, it is not prescribed for the long-term. Since valium is a depressant, it can worsen the depression often associated with chronic back pain.

Treatment for back pain usually involves strengthening the back through special exercises and adjusting the lifestyle to avoid the stressors (physical and mental) that have contributed towards the injury.

In the case of persistent, debilitating back pain, prescription or over-the-counter analgesics (painkillers) and muscle relaxants may be used. Surgery is considered a last resort for continuing, debilitating back pain.

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Diazepam is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Diazepam affects chemicals in the brain that may become unbalanced and cause anxiety.

Diazepam is used to treat anxiety disorders, alcohol withdrawal symptoms, or muscle spasms. Diazepam may also be used for other purposes not listed in this medication guide.

Diazepam can cause birth defects in an unborn baby. Do not use diazepam without your doctor’s consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Diazepam may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. The sedative effects of diazepam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking diazepam. Do not give this medication to a child younger than 6 months old.

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The muscle relaxing properties of “muscle relaxants” arise not from direct activity at the muscular or neuromuscular junction level but rather from an inhibition of more central polysynaptic neuronal (nerve cells that end in synapses) events. These agents have also been shown in some studies to demonstrate superior analgesia to either acetaminophen or aspirin, and it remains uncertain if muscle spasm is a prerequisite to their effectiveness as analgesics.

Range of Motion

Muscle relaxants are often prescribed in the treatment of acute low back pain in an attempt to improve the initial limitations in range of motion from muscle spasm and to interrupt the pain-spasm-pain cycle. Limiting muscle spasm and improving range of motion will prepare the patient for therapeutic exercise.

Types of Muscle Relaxants

In an attempt to determine the mechanism of action of carisoprodol (Soma) in the treatment of low back pain, a double blind study was carried out comparing its effectiveness to that of a sedative control, butabarbital (a sedative), and a placebo in the treatment of 48 laborers with acute lumbar pain. Carisoprodol was found to be significantly more effective in providing both subjective pain relief and objective improvements in range of motion when evaluated by finger to floor testing. The results of this study suggest that the effects of carisoprodol are not secondary to its sedative effects alone.

In 1989, Basmajian compared the effectiveness of cyclobenzaprine (Flexeril) alone with diflunisal (Dolobid), placebo, and a combination of cyclobenzaprine and diflunisal in the treatment of acute low back pain and spasm. During the ten-day study period, the combined treatment group demonstrated significantly superior improvements in global ratings on day four, but not on day two or seven. This study suggested some effectiveness of combined analgesic and muscle relaxant therapy when utilized early in the initial week of pain onset.

Borenstein compared the effects of combined cyclobenzaprine and naproxen (Naprosyn) with naproxen alone and also found combination therapy to be superior in reducing tenderness, spasm, and range of motion in patients presenting with ten days or less of low back pain and spasm. Adverse effects, predominantly drowsiness, were noted in 12 of 20 in the combined group and only four of 20 treated with naproxen alone.

Cyclobenzaprine and carisoprodol were compared in the treatment of patients with acute thoracolumbar pain and spasm rated moderate to severe and of no longer than seven days duration. Both drugs were found to be effective, without significant differences between the treatment groups. Significant improvements were noted in physician rated mobility and in patients’ visual analogue scores on follow up days four and eight. While 60% of patients experienced adverse effects in the form of drowsiness or fatigue, these differences were not significantly different between groups, and only eight percent of patients from each group discontinued treatment.

Baratta found cyclobenzaprine, 10-mg t.i.d. (three times per day), superior to placebo in a randomized, double blind study of 120 patients with acute low back pain presenting within five days of symptom onset. Significant improvement was noted in range of motion, tenderness to palpation, and pain scores on follow up days two through nine. Sixty percent of treatment group patients reported drowsiness or dizziness compared with 25% of those in the placebo group.

In an earlier study, diazepam (Valium) was found to offer no significant subjective or objective benefit, when compared to placebo, in patients treated for low back pain. Carisoprodol was found to be superior to diazepam in the treatment of patients with “at least moderately severe” low back pain and spasm of no longer than seven days duration. In this study, the overall incidence of adverse reactions was higher in the diazepam treated group but was not of statistical significance.

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You may be able to avoid back pain by improving your physical condition and learning and practicing proper body mechanics.

To keep your back healthy and strong:

* Exercise. Regular low-impact aerobic activities — those that don’t strain or jolt your back — can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices. Talk with your doctor about which activities are best for you.
* Build muscle strength and flexibility. Abdominal and back muscle exercises (core-strengthening exercises) help condition these muscles so that they work together like a natural corset for your back. Flexibility in your hips and upper legs aligns your pelvic bones to improve how your back feels.
* Quit smoking. Smokers have diminished oxygen levels in their spinal tissues, which can hinder the healing process.
* Maintain a healthy weight. Being overweight puts strain on your back muscles. If you’re overweight, trimming down can prevent back pain.

Use proper body mechanics:

* Stand smart. Maintain a neutral pelvic position. If you must stand for long periods of time, alternate placing your feet on a low footstool to take some of the load off your lower back.
* Sit smart. Choose a seat with good lower back support, arm rests and a swivel base. Consider placing a pillow or rolled towel in the small of your back to maintain its normal curve. Keep your knees and hips level.
* Lift smart. Let your legs do the work. Move straight up and down. Keep your back straight and bend only at the knees. Hold the load close to your body. Avoid lifting and twisting simultaneously. Find a lifting partner if the object is heavy or awkward.

Alternative medicine

Many people choose hands-on therapies to ease their back pain:

* Chiropractic care. Back pain is one of the most common reasons that people see a chiropractor. If you’re considering chiropractic care, talk to your doctor about the most appropriate specialist for your type of problem. In addition to chiropractors, many osteopathic doctors and some physical therapists have training in spinal manipulation.
* Acupuncture. Some people with low back pain report that acupuncture helps relieve their symptoms. The National Institutes of Health has found that acupuncture can be an effective treatment for some types of chronic pain. In acupuncture, the practitioner inserts sterilized stainless steel needles into the skin at specific points on the body.
* Massage. If your back pain is caused by tense or overworked muscles, massage therapy may help loosen knotted muscles and promote relaxation.

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Generic Name: metaxalone (me TAX a lone)
Brand Names: Skelaxin

What is Skelaxin?

Skelaxin is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) in the brain.

Skelaxin is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Skelaxin may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Skelaxin?
Do not use this medication if you are allergic to metaxalone, or if you have anemia (a lack of red blood cells), or severe kidney or liver disease.

Before using Skelaxin, tell your doctor if you are pregnant or breast-feeding.

Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.

Skelaxin can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of Skelaxin.

How should I take Skelaxin?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Take Skelaxin on an empty stomach, unless your doctor tells you otherwise.

Skelaxin can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Skelaxin.

Skelaxin is only part of a complete program of treatment that may also include rest, physical therapy, or other pain relief measures. Follow your doctor’s instructions.
Store Skelaxin at room temperature away from moisture and heat.

Skelaxin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Skelaxin and call your doctor at once if you have any of these serious side effects:

* nausea, stomach pain, loss of appetite
* low fever
* dark urine, clay-colored stools
* jaundice (yellowing of the skin or eyes)

Less serious side effects may include:

* drowsiness, dizziness
* feeling nervous or irritable
* headache
* mild nausea, vomiting, upset stomach
* skin rash

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Generic Name: cyclobenzaprine (sye kloe BEN za preen)
Brand Names:Flexeril

What is Flexeril?

Flexeril is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain.

Flexeril is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Flexeril may also be used for other purposes not listed in this medication guide.

How should I take Flexeril?

Take this medication exactly as it was prescribed for you. Do not take Flexeril in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take this medicine with a full glass of water. Do not crush, chew, break, or open an extended-release capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Flexeril is only part of a complete program of treatment that may also include rest, physical therapy, or other pain relief measures. Follow your doctor’s instructions.
Store Flexeril at room temperature away from moisture, heat, and light.

Flexeril side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Flexeril and call your doctor at once if you have any of these serious side effects:

* fast, pounding, or uneven heartbeats
* chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling
* sudden numbness or weakness, especially on one side of the body
* sudden headache, confusion, problems with vision, speech, or balance
* feeling light-headed, fainting
* confusion, weakness, lack of coordination
* nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
* seizure (convulsions)
* unusual thoughts or behavior, hallucinations (seeing things)
* easy bruising or bleeding, unusual weakness.

Less serious side effects may include:

* dry mouth or throat
* blurred vision
* drowsiness, dizziness, tired feeling
* loss of appetite, stomach pain, nausea
* diarrhea, constipation, gas
* muscle weakness

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Generic Name: metaxalone (me TAX a lone)
Brand Names: Skelaxin

What is Skelaxin?

Skelaxin is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) in the brain.

Skelaxin is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Skelaxin may also be used for other purposes not listed in this medication guide.

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take Skelaxin on an empty stomach, unless your doctor tells you otherwise.

Skelaxin can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Skelaxin.

Skelaxin is only part of a complete program of treatment that may also include rest, physical therapy, or other pain relief measures. Follow your doctor’s instructions.
Store Skelaxin at room temperature away from moisture and heat.

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Alternative Medicine: The National Center for Alternative and Complementary Medicine (NCCAM) cites back pain as the No. 1 reason why people seek alternative medicine care. Neck pain is No. 3, still a major reason. Reasons for trying CAM include:

* it may work well in conjunction with more traditional type treatment
* other traditional treatments have been tried, with unsatisfactory results
* CAM is less expensive than traditional treatment
* conventional medical professionals suggest it.

Exercise: Consumer Reports Medical Guide rates exercise as the best of all the options for treatment of long-term back pain. Often your doctor or physical therapist will prescribe a set of exercises for your back or neck condition. There are several very popular forms of exercise that appear to help control back pain, among them yoga, Pilates, and the Egoscue Method. Ergonomic experts suggest taking frequent work mini-breaks to do back exercises, as well.

Back surgery: Back surgery is usually tried after conservative treatment methods such as physical therapy, home exercise programs, injections, and other methods have failed after six months or longer of use. While most people don’t need back surgery, the number of surgeries is on the rise. Not all back surgeries are successful. A back surgery that fails to remove the pain, or causes pain or problems not present prior to surgery is a condition known as failed back surgery syndrome.

Implanted Neurostimulation: Implanted neurostimulation, also known as spinal cord stimulation, helps to modulate chronic back pain. This treatment is not for everyone. For one thing, surgery is required to put the device in, take it out, and sometimes to maintain it. It can be inconvenient, as well.

Injections: Injections are an invasive technique that can diagnose the cause of pain, and can treat the pain itself. The great thing about injections for back pain is that they deliver medicine directly to the site of the pain. There are several types of injections. Recent advances in medicine have introduced two new types of injections:

* Botox injections for chronic neck and back pain
* Prolotherapy

Medication: According to the American Chronic Pain Association, analgesics and other medications are the most common chronic pain treatment. While short-term use of drugs from chronic back or neck pain probably won’t get you into trouble, prolonged use may increase the risk for serious side effects. For example, in 2004, Vioxx, a COX-2 inhibitor, was removed from the market after it became evident that prolonged use of these drugs could result in fatal heart problems.

Medications get the best results when used in conjunction with other treatments such as physical therapy, behavioral therapy and more.

Pain Management: The branch of medicine that helps patients manage their pain is called pain medicine or pain management. Pain medicine is a multi-disciplinary approach to managing the presence of pain in your life. Pain management treatment considers physical, social, and psycological lifestyle factors.

Types of Doctors for Back and Neck Pain: Many doctors specialize in one or two areas. Sometimes doctors’ specialty areas overlap with one another. The most important thing to remember when choosing a doctor who specializes is to find one with excellent skills in diagnosing and treating your condition.

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Prior to the development of drug-based muscle relaxants, people have been using natural remedies to alleviate muscle spasms and soothe stiff joints. These natural muscle relaxants are often herbs and common plants that provide the same effect as drug-based relaxants without the compromise of possibly severe side effects. Some of these popular remedies for stiff joints and muscle spasms can be found right in one’s garden or in community health stores.

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