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Before you begin to treat muscle pain and soreness, people must first understand how a human muscular system works. There are three main groups of muscles. The first group is skeletal muscles. Skeletal muscles are used to move your bones. They are called voluntary muscles because a human decides when to use them. An example would be the muscles in your legs like quadriceps or an arm muscle like the bicep.
The second group is made up of the cardiac muscle, or heart. This muscle supports basic human life by pumping blood through the human body. This is an involuntary muscle. The third group is called smooth muscles and control internal movements, such as moving food through the intestines. These muscles also appear in blood vessels where they help with blood flow. These muscles are also involuntary.
The pain we experience from muscle soreness or inflammation deals with the skeletal muscle system or voluntary muscles. With that said, it is no wonder why the medications sued to treat muscle pain are called skeletal muscle relaxants or SMR's. Skeletal muscle relaxants are used to help relax these muscles, ease pain and reduce stiffness. They are also used to treat injuries or other conditions related to muscle pain.
Back pain is one of the most common forms of muscle pain and may come as the result of an injury or as a side effect of another condition. A doctor may prescribe rest, physical therapy and/or a pain medication such as a muscle relaxant. It is always recommend that you talk to a doctor before taking medication. In the case of muscle spasms, a muscle relaxant may be prescribed for a short time, or three to four days. Additionally, a non-steroidal, anti-inflammatory drug, such as ibuprofen or naproxen, is often recommended to serve as pain relievers and to decrease muscle inflammation. If pain is severe, a doctor may prescribe a muscle relaxant to go along with the anti-inflammatory drug.
Additional muscle strains and sprains also result in muscle pain, stiffness and spasms. Muscle relaxants do not heal these injuries but help ease the discomfort and stop muscle spasms. Muscle relaxants are also sometimes used to treat Fibromyalgia, a condition that involves aches, stiffness and tiredness.
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Muscles tend to seize up after an injury (muscle spasm). They do this to protect you from re-injury. While that is certainly a worthy purpose, it can get pretty painful and limiting. Sometimes skeletal muscle relaxants are prescribed in conjunction with physical therapy and rest, to help release the tension. A word of caution, though, while on these medications, you may feel better, but this does not mean it is time for vigorous activity or heavy lifting! Take it slowly - you are healing.
1) Skelaxin, the Brand Name for Metaxalone
Skelaxin is only available in brand form. It is tolerated well by most people, but as with any medication, it is important to tell your doctor your complete medical history, and everything you are taking, including supplements. Because metaxalone is meant for acute injuries, it should not be taken longer than 3 weeks. One side effect to be concerned about is drowsiness, especially if you operate machinery.
2) Carisoprodol - Soma, Rela and Vanadom
Carisoprodol is available generically, and also comes in 3 brands:
Soma
Rela
Vanadom
Carisoprodol is very similar to Skelaxin. Remember is is crucial to talk to your doctor about which medication will be best for you -- give him or her your complete history including all medications and supplements you are currently taking.
3) Cyclobenzeprine, or Flexeril
Cyclobenzeprine is more tricky to use safely than Skelaxin or carisoprodol. DISCUSS THIS ONE WITH YOUR DOCTOR! If you take MAO inhibitors, as well as some other meds, drug interactions could be serious, even fatal.
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