Nausea therapy
The easiest way to treat the nausea (at least acutely) is to take an antiemetic. This is a medication against nausea. These include over-the-counter drugs such as dimenhydrinate (Vomex) or prescription drugs such as Domperidone (Motilium), Vergentan (Alizapride) and Ondansetron (Zofran).
Since the pain triggered by the cervical spine syndrome is often the cause of the nausea, an adequate pain treatment is also necessary in most cases in order to achieve a quick improvement of the nausea. For this purpose, over-the-counter painkillers (analgesics) such as paracetamol, diclofenac, ibuprofen and naprofen should first be taken. Diclofenac, ibuprofen and naprofen have the advantage that they not only relieve pain but also have an anti-inflammatory effect.
Since inflammation is often part of the clinical picture of the cervical spine syndrome, this makes sense. At the same time, these drugs, which belong to the group of NSAIDs (non-steroidal anti-inflammatory drugs), promote gastric secretion. As a result, they are potentially harmful to the stomach and can cause nausea.
It is therefore only advisable to take them in combination with a magic-protective drug such as pantozole over a longer period of time. If pain medication with over-the-counter drugs is not sufficient, theoretically stronger analgesics such as metamizole (Novalgin) or weak opiates (Tramal, Tilidine) can be used. In practice, however, opiates in particular are of little use, as they promote nausea at the level of the central nervous system.
A local anaesthetic for pain therapy is the last choice. Here, a long-acting local anesthetic (e.g. bupivacaine) is injected into the spinal muscles or near the nerve exit points next to the spine. This usually results in an effective elimination of pain.
However, in addition to pain therapy, supportive therapies should always be used. The inclusion of different therapeutic concepts is called multimodal therapy. These include, above all, massages and physiotherapy, which on the one hand serve to relieve pain, but on the other hand also have the goal of targeted muscle building and learning a healthy posture.
Thermotherapy in the sense of heat treatment can also be helpful. For example, red light or warm pillows and compresses are used.
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