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лидокаин) — для быстрого обезболивания [1](https://liniyamed.ru/service/blokada-myshcy/); \n- кортикостероиды — для снижения воспаления [1](https://liniyamed.ru/service/blokada-myshcy/); \n- миорелаксанты — для расслабления мышечных волокон [1](https://liniyamed.ru/service/blokada-myshcy/); \n- комбинированные препараты, сочетающие несколько эффектов [1](https://liniyamed.ru/service/blokada-myshcy/). \n\n**Принцип действия**: препараты временно блокируют передачу болевых импульсов по нервным волокнам, что даёт быстрое обезболивание [4](https://nfdoc.ru/services/blokady/).\n\n\n\n## Показания\nБлокада применяется при выраженном болевом синдроме, когда традиционное консервативное лечение (медикаменты, физиотерапия, ЛФК) не даёт достаточного эффекта [6](https://stimulpro.ru/news/medicina/lokalnaja-inekcionnaja-terapija-lechebnaja-medikamentoznaja-blokada/). Некоторые показания: \n* мышечные спазмы и контрактуры [1](https://liniyamed.ru/service/blokada-myshcy/); \n* миофасциальный болевой синдром [1](https://liniyamed.ru/service/blokada-myshcy/); \n* травмы мышц и связок [1](https://liniyamed.ru/service/blokada-myshcy/); \n* воспалительные процессы в мышечных тканях [1](https://liniyamed.ru/service/blokada-myshcy/); \n* хронические боли в спине, шее, конечностях [1](https://liniyamed.ru/service/blokada-myshcy/); \n* реабилитация после травм и операций [1](https://liniyamed.ru/service/blokada-myshcy/); \n* неэффективность консервативной терапии [1](https://liniyamed.ru/service/blokada-myshcy/). \n\n**Важно**: блокада не устраняет основную причину заболевания, а временно снимает боль и воспаление [4](https://nfdoc.ru/services/blokady/).\n\n## Противопоказания\nНекоторые противопоказания к блокаде мышц: \n* индивидуальная непереносимость препаратов, используемых для блокады [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/); \n* инфекционные заболевания в острой стадии [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/); \n* кожные заболевания или повреждения кожи в области предполагаемой инъекции [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/); \n* общее тяжёлое состояние пациента [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/); \n* нарушения свёртываемости крови [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/); \n* беременность и период лактации [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/); \n* острые воспалительные или дегенеративные процессы в области предполагаемого введения препарата [5](https://simplehealth.clinic/napravleniya/nevrologiya/blokada-myshc/).\n\n## Техника проведения\nБлокада мышцы выполняется под контролем врача с соблюдением мер стерильности [1](https://liniyamed.ru/service/blokada-myshcy/). **Этапы процедуры** [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/): \n1. **Определение точки введения** — врач выбирает зону инъекции в области поражения [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/). \n2. **Обработка кожи** — выбранная зона дезинфицируется антисептическим средством [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/). \n3. **Введение препарата** — осуществляется инъекционно под контролем ультразвуковой навигации [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/). \n4. **Оценка результата** — после процедуры врач анализирует эффективность блокады [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/). \n\n**Продолжительность** — не превышает 25–30 минут [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/). После введения препарата пациент остаётся под наблюдением медицинского персонала, чтобы исключить возможные осложнения [2](https://lit-clinic.ru/medicinskie-uslugi/blokada-myshc/).\n\n## Осложнения\nВ редких случаях возможны осложнения [9](https://cmrt.ru/lechenie/lechebnaya-blokada/): \n* аллергические реакции на препараты [9](https://cmrt.ru/lechenie/lechebnaya-blokada/); \n* инфекции в месте введения (крайне редкое осложнение при соблюдении правил асептики и антисептики) [9](https://cmrt.ru/lechenie/lechebnaya-blokada/); \n* гематомы и кровотечения [9](https://cmrt.ru/lechenie/lechebnaya-blokada/); \n* временное усиление боли после процедуры [9](https://cmrt.ru/lechenie/lechebnaya-blokada/). \n\n**Рекомендации после блокады**: ограничить физическую активность, следовать рекомендациям врача и при необходимости проходить курс физиотерапии или массажа [1](https://liniyamed.ru/service/blokada-myshcy/). 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