general information
There are 12 pairs of intercostal nerves in the human body. They originate from the roots of the thoracic spinal cord and cover the entire chest, adjacent to the peritoneum, muscles, skin and mammary glands. The individual fibers of each nerve are responsible for tissue sensitivity, motor function and regulation of the functioning of all structures. Accordingly, damage or inflammation in any area can radiate pain to a variety of parts of the body.
The sensations can imitate diseases of internal organs: myocardial infarction, angina pectoris, pancreatitis, gastritis, cholecystitis, etc. In some cases, only a doctor can accurately determine the nature of the pain after a full examination. That is why it is important to seek help promptly if chest pain occurs.
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Chest pain (heart or nerves?)
Alexander, Komsomolsk-on-Amur
534 views
December 18, 2018
Hello, please help me get rid of my worries, or choose the right course of diagnosis, thank you very much in advance for your answer! :). I am worried about periodic short-term pain in the chest. The pain occurs spontaneously, mainly at rest (I don’t notice any pain during any active activities), and is absolutely independent of physical activity and emotional stress (I tried to artificially provoke the appearance of pain with physical activity, but it was not possible to achieve success). Pains occur of a very different nature (sharp/dull, stabbing, aching, pulling), occasionally you can notice an increase/weakening of pain from a deep inhalation/full exhalation, changing the position of the body, but more often it does not really depend on this. The pain is mostly point-like (I can show with my finger where it hurts), but it can also spread over the left half of the chest. The pain is localized mainly within the chest (in the center/left), but at different times it can also appear locally under the armpit, under the shoulder blade, in the shoulder, in the elbow and in the hand (the left arm sometimes ache for a long time), sometimes radiating to the fingers, predominantly the middle and little fingers, very rarely acute pain occurs in the lower jaw on the left (I would like to note that pain in all parts of the body does not happen simultaneously, all pain occurs at different times during the day, with very rare exceptions pain can appear in two places at the same time). As I already noted, the pain is short-term (lasts within 2-5 seconds, sometimes it can last for a minute) and occurs throughout the day. I can’t note any swelling, cyanosis, excessive fatigue, weakness, shortness of breath at the slightest exertion, or high blood pressure, except for a slight periodic drowsiness. When the above pain occurs, there is also no increase in heart rate, no shortness of breath, or any other noticeable changes in the functioning of the heart. Under various kinds of stress (especially when nervous before visiting a doctor or boss :)), tachycardia occurs in the range of 90-110 beats/m; in normal life, tachycardia does not occur at rest; I periodically measure the pulse, it is always within 70-80 beats/m. m. At one time, the diagnosis was VSD, NCD, and osteochondrosis. Once, while undergoing an ECG with a load, the doctor noted the appearance of signs of hypoxia in the left lower wall, which, in principle, creates the ground for existing worries about the heart. After this ECG, I underwent an ultrasound of the heart 1.5 years later - all indicators were within normal limits, no deviations were detected except for tachycardia, I had an ECG several times, but without stress - the doctors also noted no visible deviations. At the last examination, single extrasystoles and sinus tachyarrhythmia were detected (albeit by ear by a doctor). So, the question: Please help me get rid of the feeling of anxiety, uncertainty, worries (when pain occurs, I always think about the worst, like probably most people :)), tell me from personal experience, the nature of the pain I described is most likely cardiac and you need to undergo more in-depth examinations ( like Holter, vascular studies, etc.), or is this pure neurology, psychology, and the like, and you need to look for a solution to the problem at an appointment with a neurologist and in a psychologist’s chair? :) The other day I visited a cardiologist, but he doesn’t trust me much I convinced him, since the clinic is private - he prescribed expensive tests and ultrasounds, including of the thyroid gland (focusing on the tachycardia that occurs in me during strong experiences, despite my statements about a normal pulse in everyday life), but it is not clear how much I need them, since I checked the thyroid gland 5 years ago, under the same condition of tachycardia during excitement - everything turned out to be normal. Also, please tell me, in the presence of stable hypoxia of the left lower wall, would any visible abnormalities appear after a year or two on ECG and ultrasound? I apologize for the very long text, I tried to present everything in as much detail as possible!
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pain
breast
heart
Forms
There is no special classification of the disease. There are several separate forms depending on the mechanism of occurrence:
- radicular: associated with irritation of the spinal cord roots at the point of their exit from the spinal column;
- reflex: associated with overstrain of muscle fibers at the site of the nerve passage.
There is also a classification of neuralgia depending on:
- causes: primary (associated with damage or inflammation of the nerve itself) and secondary (due to other diseases);
- localization: unilateral and bilateral;
- course of the disease: acute and chronic.
Osteochondrosis of the chest. Intercostal neuralgia
Osteochondrosis is a degenerative-dystrophic disease of the cartilage tissue of the human body, affecting the most mobile joints. Most often, the cervical and lumbar spine suffer from the disease. treatment of osteochondrosis of the thoracic region is noted by statistics much less frequently, but due to the anatomical specificity of the structure of this segment, in most cases the disease is diagnosed quite late and requires more time and effort to cure the patient.
Features of the structure of the thoracic spine
The thoracic segment of the spine contains 12 vertebrae connected to the ribs and sternum, forming a rather rigid structure designed to protect the internal organs (lungs, heart, liver, digestive system, etc.). Functionally, the chest is inactive, especially when compared with the cervical spine, and does not experience such significant mechanical stress as the lower back. Therefore, the symptoms of osteochondrosis in this area in the early stages of the disease do not cause much discomfort, and therefore practically do not alarm patients with their severity.
Pathology is usually discovered unexpectedly for the patient, during an x-ray or when serious pain has become a signal of the development of complications such as: protrusion or herniation of intervertebral discs, spinal canal stenosis, displacement of vertebral bodies, etc. Provocateurs of damage to the thoracic spine can be youthful postural disorders, such as scoliosis or Scheuermann-Mau kyphosis.
Symptoms of osteochondrosis of the thoracic region
Symptomatic manifestations of the disease can be different and are directly related to the location of the lesion. First of all, these are pain sensations of a chronic, aching nature, especially after prolonged physical exertion, and acute pain with sudden movements (turning, bending, lifting weights, sometimes even when sneezing or coughing). Stiffness and spasms of muscles, limited movements become the body's response to pain.
When the upper vertebrae of the thoracic region are affected, the pain is localized in the shoulder girdle, and tingling occurs between the shoulder blades or in the sternum. Damage to the middle areas usually manifests itself as pain in the heart area (which has nothing to do with diseases of the cardiovascular system) and intercostal space or girdle pain just below the heart (resembling hepatic colic). The appearance of osteochondrosis in the lower part of the chest affects the functioning of internal organs and can radiate pain to the abdominal cavity or lower abdomen.
Spasms of muscle structures and circulatory disorders in the affected area provoke a lack of supply of cartilage tissue with water and nutrients. Gradually, the intervertebral discs dry out, lose mobility and elasticity, and over time, their walls (fibrous rings) crack and the gelatinous substance (nucleus) filling them protrudes outward, forming an intervertebral hernia, the treatment of which requires a more serious approach, and in some cases, surgical intervention .
Depending on the location of the formation of herniated discs, they can cause compression of nerve endings and the manifestation of neurological symptoms, such as decreased sensitivity in the upper girdle of the extremities, slowing down of reflex reactions, radiating pain from the shoulder to the hand, etc. Protrusion of the herniated formation into the spinal canal causes compression of the spinal brain and leads to partial or complete immobility (paresis, paralysis) of the upper half of the body and/or disruption of the functioning of internal organs.
Compression of blood veins or arteries often provokes headaches, surges in blood pressure, interruptions in the blood supply to the brain and other vascular pathologies. Quite often, osteochondrosis is accompanied by treatment for intercostal neuralgia or thoracalgia (these are severe pain caused by compression or irritation of the intercostal nerves).
intercostal neuralgia (thoracalgia)
Thoracalgia is one of the most powerful pain syndromes of an acute, piercing, aching, burning, paroxysmal or periodic nature, with difficulty and limitation of respiratory capabilities. It may be accompanied by increased sweating, pulsation or spasms of muscle tissue, decreased sensitivity, paleness or, conversely, redness of the skin. When palpating the spine in the thoracic area along the intercostal spaces, the patient feels a dull pain.
Tissue numbness is observed directly at the site of compression or nerve damage. The feeling of pain with neuralgia can be felt not only in the heart area, but can be felt under the collarbone, in the lower back, under the shoulder blades. In this case, a neurologist or chiropractor must clearly differentiate clinical symptoms to exclude heart pathologies or peptic ulcers.
The main signs for diagnosing thoracalgia:
- The pain syndrome does not go away for a long time (does not weaken either day or night). With angina, the pain subsides 15-20 minutes after taking nitroglycerin.
- The pain syndrome intensifies with changes in the position of the body, sudden movements, deep inhalations and exhalations, coughing, sneezing, and slight squeezing of the chest or pressing on it. Heart attacks do not give such a reaction to movements of the body in space, but may be accompanied by arrhythmia or surges in blood pressure.
- Pain caused by stomach colic is quickly relieved with antispasmodic drugs, but for neuralgia, such drugs will have no effect.
- The reasons for this condition of the patient are pinching of the nerve roots of the intercostal system at the point of their exit from the spinal column by intervertebral discs damaged or flattened by osteochondrosis, herniated formations, overgrown osteophytes (bone formations on the vertebrae), tumors or injuries of the chest.
- Thoracalgia, as a rule, affects older people, when all the reasons for the progression of the disease intensify against the background of age-related changes (slowdown of metabolic processes, inactivity, accelerated leaching of calcium and other trace elements from the body, changes in the cardiovascular system, etc.). In children and adolescents, intercostal neuralgia is practically not observed.
Treatment of the disease
It should be noted that with both thoracic osteochondrosis and intercostal neuralgia, it is necessary to treat osteochondrosis, since neuralgia is only a pain symptom caused by degenerative-dystrophic changes in cartilaginous tissues. As practice has shown, traditional conservative treatment of the spine still remains quite effective.
During the acute period of the disease, the patient is prescribed complete rest, a maximum reduction in physical activity in combination with medications. Medicines used for neuralgia:
- analgesics - orally, intramuscularly, locally (in the form of novocaine or lidocaine blockades);
- non-steroidal anti-inflammatory substances - to relieve inflammation and swelling of soft tissues;
- muscle relaxants - to eliminate muscle spasms and release nerve roots;
- complexes of microelements and B vitamins - for general strengthening of the body and calming the patient’s nervous system.
When the pain syndrome subsides, you can begin the main therapy. It will consist of physiotherapeutic procedures, special dosed physical activity, exercise therapy, massages, attending manual therapy sessions, and diet.
An important role in the treatment of osteochondrosis of the thoracic spine is played by the patient’s attitude, his desire to recover and return to normal life.
It requires a rethinking of some life habits, awareness of giving up bad habits, increased physical activity, good nutrition, morning exercises, constant monitoring by the attending physician and an annual sanatorium-resort vacation. Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr
Causes
The list of main causes of intercostal neuralgia includes:
- degenerative-dystrophic diseases of the spine: osteochondrosis, arthrosis, hernias and protrusions of discs, etc.;
- uneven or excessive load on the spine and back muscles (due to carrying heavy objects, poor posture, etc.);
- spinal column deformities (primarily scoliosis);
- diseases of the nervous system, in particular multiple sclerosis;
- infectious lesions: tuberculosis, herpes zoster, influenza;
- injuries of the spine and chest, surgical interventions in this area;
- tumors in the ribs, sternum, spinal column;
- taking certain medications;
- increased load on the respiratory muscles and abdominal muscles;
- increased intra-abdominal pressure, including during pregnancy.
In addition, intercostal neuralgia can occur secondary to other diseases, for example, pleurisy, pathology of the digestive system, kidney disease, thyrotoxicosis, and immunodeficiency states. Adolescents during the period of active skeletal growth may also experience similar symptoms.
What is intercostal neuralgia
Intercostal neuralgia is a pathology of the intercostal nerves due to their compression, irritation, pinching, accompanied by severe pain . Burning, numbness, tingling or sharp pain in the presence of the disease is caused by pinching of the thin intercostal nerve. During the transmission of a nerve impulse in the area of the spinal column, acute pain occurs, spreading throughout the body.
All people, regardless of gender, can suffer from the disease. But among older people and women, the disease is more common . People who lead a sedentary lifestyle are especially susceptible to the disease.
Women are most susceptible to the disease during menopause, when hormonal changes occur in the body. Plus, at this age, women develop osteoporosis, which also provokes spinal injuries and, as a result, intercostal neuralgia.
Symptoms
The main symptom of intercostal neuralgia is severe pain in the chest along the nerve. As a rule, it occurs suddenly and resembles an electric shock, gradually spreading along the ribs. The nature of the sensations can be different: shooting, pulsating, constant, burning or dull.
Deep breathing, turning the head or body, bending, pressing or simply touching the chest causes a pronounced increase in pain. In addition, characteristic signs of neuralgia are:
- persistence of pain at night;
- the ability to determine the epicenter of pain;
- redness or paleness of the skin in the affected area;
- a feeling of tingling, crawling or, conversely, numbness along the affected nerve;
- slight muscle twitching in the affected area.
As a rule, during an attack of neuralgia, a person tries to lie or sit motionless in a position in which the pain becomes slightly less.
If the cause of the pain syndrome is herpes zoster, first redness appears on the skin along the affected nerve, then numerous blisters that burst, forming crusts. After recovery, increased pigmentation remains in this area for some time.
Differences from myocardial infarction
Chest pain, especially on the left, can be a consequence not only of intercostal neuralgia, but also of more serious problems. The most dangerous is myocardial infarction. This condition requires emergency medical attention. The characteristic differences in pain are:
- occurrence against the background of physical, less often psycho-emotional stress;
- spread to the left arm, shoulder, left half of the neck and lower jaw;
- no changes when turning the body, bending, pressing on the sore area;
- decreased intensity when taking nitroglycerin and its analogues.
A heart attack is often accompanied by cold, sticky sweat, pale skin, dizziness, and fear of death.
It is important to remember that the signs of a cardiovascular accident and intercostal neuralgia are not always so radically different. An accurate diagnosis can only be made by a doctor.
Symptoms of pathology
When a nerve is pinched in the thoracic spine, the patient experiences pain of varying degrees of intensity. Symptoms are localized on the left or right side. The pain often acquires a girdling character, radiating to the back, forearm and upper limbs. The intensity of symptoms of chest neurosis increases when the patient makes movements, inhalations or other actions.
Neuralgia is characterized by a decrease in skin sensitivity in this area. Due to damage to the nerve endings, symptoms manifest as stiffness in the chest and inability to take a deep breath.
Another feature of neuralgia is that pain can return in the absence of irritants. So, the patient experiences discomfort in the chest area during sleep or at rest.
The localization of the pain syndrome depends on which part of the nerve plexus has ceased to function normally. If the pathological process affects the fibers lying on the anterior wall of the sternum, symptoms appear in the heart area. When localized near the shoulder blades, the pain syndrome increases with inhalation and exhalation. In case of damage to fibers in the thoracic region (5-7 vertebrae), the clinical picture of neuralgia manifests itself as gastritis or other gastric pathologies.
The difficulty in identifying the disease lies in the occurrence of symptoms characteristic of other pathologies. At the same time, neuralgia does not pose a serious threat to life and health, while cardiovascular diseases with similar symptoms often cause the death of the patient. Therefore, it is important to exclude concomitant pathologies before the examination begins.
Neuralgia can be differentiated from other diseases by the characteristics of its manifestation. The following symptoms indicate a heart attack and angina:
- intense and squeezing pain localized on the left side of the chest;
- feeling of lack of air;
- paleness of the skin;
- feeling cold;
- nervous and physical tension.
Diseases not associated with heart damage are indicated by:
- dull and aching pain in the left side of the sternum;
- physical and nervous stress.
When intercostal neuralgia is concerned:
- severe, shooting pain that manifests itself along the intercostal nerve;
- increased sweating;
- blood pressure surges;
- increased pain during movement;
- redness or paleness of the skin.
Herpes zoster has similar symptoms.
But unlike other pathologies, this disease has a clear external symptom: numerous blistering rashes on the body, the growth of which is accompanied by severe itching.
Diagnostics
Intercostal neuralgia, regardless of the severity of the pain syndrome and its location, requires a full diagnosis. The following examinations will help distinguish it from other pathologies:
- questioning and medical history: identifying the nature of the sensations, the conditions of their occurrence, the duration of the attack, concomitant diseases;
- examination and palpation: the doctor evaluates the appearance of the skin, checks the reaction to movements, pressing, turning, bending, assesses the severity of reflexes;
- laboratory diagnostics: general and biochemical blood tests, general urine tests: allows to identify signs of damage to the heart muscle (tests for troponins, CPK), inflammation, renal pathology, gastrointestinal diseases, etc.; the exact set of tests depends on the location of the source of pain;
- ECG, ultrasound of the heart: allow you to identify or exclude cardiovascular pathology;
- X-ray, CT or MRI of the thoracic spine: helps to identify osteochondrosis, osteoporosis, tumors, hernias and protrusions of intervertebral discs, etc.;
- Chest x-ray: allows you to assess the condition of the lung tissue and identify signs of tumors;
- Ultrasound of the kidneys, abdominal organs (excludes relevant pathology);
- FGDS to exclude pathologies of the esophagus, stomach, duodenum;
- myelography, contrast discography, electrospondylography to assess the condition of the spine, intervertebral discs, spinal cord and its roots.
If necessary, consultations with narrow specialists and additional examinations are prescribed.
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What causes the disease?
Elderly people are at risk. The natural processes of aging in the body do not pass without leaving a mark on bone tissue, the spine, and the nervous system. This in no way means that young people do not suffer from this disease. There are other reasons that provoke pinched nerve roots.
Neuralgia often develops against the background of vegetative-vascular disorders affecting not only the thoracic region. Almost everyone has this dystonia, which significantly expands the potential risk group. Such a violation manifests itself as weather dependence, that is, a reaction to changing weather conditions, severe headaches.
Autonomic nerves are characterized by increased sensitivity to any moral and psychological overload. People who consider themselves absolutely healthy often suffer from attacks of headaches and intercostal pain after enduring severe stressful situations.
Exercises for pain in the thoracic spine. Signs of disturbance in the thoracic region.
The most common cause leading to a pinched nerve in the chest area is an exacerbation of a disease such as osteochondrosis, as well as increased muscle tone caused by a back problem. These two factors most often lead to the disease in question.
Exacerbation of osteochondrosis provokes convergence of the vertebrae against the background of deformation changes in bone tissue, which gives impetus to pinching of the nerve ending. Hypertonicity leads to spasms and does not allow muscles to relax, which has detrimental consequences. Both phenomena most often occur in people who deal with significant physical activity.
Pinching a nerve ending is not just pain, but also much more serious consequences. There is a disruption of normal blood circulation, which negatively affects the vascular system and does not allow the body to receive a sufficient amount of important enzymes transported by the blood. Nerve compression can also occur due to the presence of a hernia in the chest.
Nerves can become pinched when taking an uncomfortable position due to prolonged stress on the spinal region. The problem is preceded by the development of an intervertebral hernia. People suffering from osteochondrosis need to start treatment in a timely manner. Otherwise, pinching will begin to occur regularly.
Treatment
Intercostal neuralgia requires complex and often long-term treatment, including medication, physiotherapy, massage, etc.
Drug therapy
In the acute phase of the disease, therapy is aimed at relieving pain and improving the patient's condition. Depending on the specific clinical situation, the following are prescribed:
- non-steroidal anti-inflammatory drugs (NSAIDs): products based on diclofenac, nimesulide, ibuprofen, meloxicam and their derivatives; used in tablet, injection and local (creams, ointments, patches) form;
- analgesics: analgin and products based on it; like NSAIDs, they relieve pain;
- muscle relaxants to eliminate muscle spasms: mydocalm, etc.;
- group vitamins: milgamma, neuromultivitis, etc.; necessary to restore normal functioning of nerve fibers;
- sedatives to reduce the psycho-emotional component of pain and improve sleep.
If necessary, the following may additionally be prescribed:
- anticonvulsants: inhibit the passage of pain impulses;
- antidepressants to relieve tension;
- antihistamines and diuretics: relieve tissue swelling, especially relevant for pinched nerve roots;
- antiviral drugs for herpes zoster;
- glucocorticosteroids for persistent pain and severe inflammation that cannot be relieved by milder means.
Physiotherapy and exercise therapy
Physiotherapeutic procedures are prescribed after the acute pain subsides. Help speed up recovery:
- UHF;
- reflexology;
- magnetic therapy;
- electrophoresis;
- laser treatment;
- paraffin applications;
- mud therapy.
These procedures help improve blood circulation and metabolism in the affected area and accelerate the regeneration of nerve tissue.
Physical therapy exercises are prescribed after complete recovery. The main goal of gymnastics is to unload the back muscles. The complex is developed individually. The first classes should be carried out under the supervision of a specialist; in the future, home exercises are allowed.
Other treatments
Since very often the cause of intercostal neuralgia is pathology of the spine and spinal cord, the following are often used as additional methods of influence:
- acupuncture;
- manual therapy;
- therapeutic massage, including the use of warming agents;
- Shiatsu massage (acupressure);
- osteopathy;
- underwater traction and other techniques.
Like all medical procedures, these techniques are used only in a clinical setting and are carried out by specialists with medical education and the appropriate certificate.
Treatment options
Intercostal neuralgia requires serious treatment. Only a doctor can determine the root causes, symptoms and treatment. If you do not treat the disease, it will become severe.
Elimination of pain is the primary goal of complex therapy. In acute cases of intercostal neuralgia, strict adherence to bed rest is necessary. The patient is placed in a bed with a hard surface. They recommend that he find a comfortable position in which the pain will subside.
Drug treatment
For pain on the left side, medications with analgesic and anti-inflammatory effects are prescribed. They quickly relieve pain in the hypochondrium and significantly alleviate the patient’s condition.
Medicines are prescribed taking into account the patient’s age, severity of the disease and pathology of the digestive system. For treatment the following is prescribed:
- non-steroidal anti-inflammatory tablets or injections: Diclofenac, Meloxicam, Indomethacin, Rofecoxib;
- medications that relieve spasms: Tolperil, Mydocalm, Baklosan, Siralud;
- drugs with a sedative effect: Persen, Sedasen, motherwort extract, Novopassit;
- B vitamins: Neurorubin, Neurobion, Milgamma. (they restore nerve fibers).
Intercostal neuralgia is treated with local medications. To relieve symptoms the following is prescribed:
- drugs with anti-inflammatory effect: DIP-relief, Dolobene, Fastum-gel;
- ointments and gels that have an anesthetic effect: Capsicam, Voltaren, Menovazin, Finalgon;
Physiotherapy, massage and exercise therapy
Helps fight intercostal neuralgia:
- acupuncture;
- exposure to ultrasound and laser;
- manual therapy;
- electrophoresis;
- magnetic therapy;
- physiotherapy;
- massage.
ethnoscience
Traditional medicine helps treat the disease. Using them, they get rid of pain and relieve inflammation. Signs of intercostal neuralgia are eliminated using the following recipes:
- Place flaxseeds in gauze and steam them. Make an application on the left side.
- The juice is squeezed out of horseradish root. Apply the product to the affected side.
- Steamed wormwood is combined with sea buckthorn oil. Applications are made to the left side of the chest, at the location of the pain.
- The affected side is treated with alcohol, wiped dry, and a pepper plaster is fixed to the skin.
- Apply dry heat to the affected side: bags of heated salt or sand.
The disease quickly recedes if the patient takes medicinal baths. Warm water with herbal infusions eliminates pain and inflammation. Baths are prepared using a specific composition:
- Take 500 g of aspen branches, boil them for 30 minutes, and leave. The product is filtered and added to the bath. Bath in the medicinal solution for 15 minutes. After the procedure, fir oil is rubbed into the affected side.
- Brew 4 tbsp in 250 ml of boiling water. spoons of sage, leave for 1 hour, filter. Pour 100 g of sea salt into the bath and add sage infusion. The duration of the procedure is 15 minutes.
- Add 5 drops of eucalyptus and lavender oil to a mixture of milk and honey (100 ml and 1 tablespoon, respectively). Pour the composition into the bath and bathe for 10 minutes. After the procedure, do not wash off the treatment solution, simply dry the skin with a towel. The procedure is performed every other day.
Complications
Complications of intercostal neuralgia occur quite rarely, however, in severe cases, without appropriate treatment, the patient may encounter the following problems:
- severe spasm of the respiratory muscles, limiting inhalation and exhalation;
- inability to get out of bed due to significant increase in pain;
- excessive pain syndrome that is not relieved by conventional analgesics and NSAIDs;
- heart rhythm disturbances due to muscle spasms and nerve pathology;
- decreased leg mobility.
In addition, complications can be caused by attempts to be treated outside the clinic. Abscesses and cellulitis after acupuncture, paralysis and decreased sensitivity after manual therapy are not a complete list of problems. That is why you should not treat intercostal neuralgia either independently or with the help of dubious specialists.
Prevention
Prevention of intercostal neuralgia is mainly general measures aimed at strengthening the muscle frame and improving the health of the body. Neurologists recommend:
- lead an active lifestyle, play sports at an amateur level;
- minimize hypothermia and colds;
- watch your posture;
- avoid lifting heavy objects;
- maintain a high level of immunity;
- eat a balanced diet, if necessary, take additional vitamins, especially group B;
- treat chronic diseases in a timely manner;
- avoid stress, get proper rest and ensure yourself at least 8 hours of sleep every night.
Following these simple rules will significantly reduce the risk of developing intercostal neuralgia.
Treatment at the Energy of Health clinic
Doctors at the Energy of Health clinic will always come to the aid of patients with intercostal neuralgia. We offer each client:
- a full examination with consultations with specialists for an accurate diagnosis;
- individual selection of treatment regimen;
- services of a qualified chiropractor;
- own exercise therapy room for the most effective and safe exercises;
- modern methods of physiotherapy;
- massotherapy;
- drug blockades for severe pain syndrome.
Regular observation by a neurologist after the acute period of the disease has subsided will help prevent recurrent attacks.
Advantages of the clinic
In the neurology department of the Energy of Health clinic, every patient receives the highest level of specialists and modern equipment for diagnosing and treating diseases. We take an integrated approach to therapy and use not only medications, but also physiotherapy, exercise therapy and massage.
Treatment is prescribed only after a thorough examination and is monitored by a specialist until the patients fully recover. Adequate prices, convenient location, private parking - we do everything for the convenience of our clients.
If intercostal neuralgia interferes with living, walking and moving, do not delay treatment. Sign up for the Health Energy clinic and get rid of pain.