Intercostal neuralgia on the right: symptoms

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With the development of intercostal neuralgia, the localization of the site of the lesion can be significantly different. This is due to the peculiarity of the anatomical location of the intercostal nerves, which make up 12 pairs in the body. Depending on the affected nerve, pain can be felt in the lower back, back area, chest, under the shoulder blade. In addition, the appearance of characteristic pain for intercostal neuralgia may indicate other diseases.

Symptoms on the right

This diseasecharacterized by the development of acute pain syndrome, which occurs unexpectedly. The site of localization of the source of pain can be easily palpated: as a rule, pain sensations spread along the affected area of ​​the nerve and amplify when pressed. At rest, the pain worries slightly, has a aching character, sharply giving way to paroxysmal contractions when changing positions, corners of the body, inhaling and exhaling. In our section you will find all the necessary information about intercostal neuralgia.

In addition to the pain syndrome, there may be a burning sensation, tingling, numbness in certain areas of the body, thus making it difficult to establish the correct diagnosis. Pain in intercostal neuralgia can manifest itself both in the region of the heart, and under the scapula, in the back, in the lower back.

In addition, the symptomatology directly depends on which part of the nerve is affected, and the extent of its damage, since they consist of sensitive, motor and vegetative fibers.

Important! When squeezing a sensitive nerve is expressed in the appearance of acute pain. In addition to painful sensations, sweating in the chest area increases, with motor exercises - an additional symptom is the increased shortness of breath.

Reasons for

In the vast majority of cases, the manifestation of intercostal neuralgia is a consequence of any pathological changes in the body, or a negative impact on health.

The very onset of pain is mainly due to the pinching of the spinal nerves in the thoracic spine. In the intercostal space, the appearance of pain occurs due to the infringement of the intercostal nerves. The causes of this can be developing osteochondrosis, inflammatory processes that provoke muscle spasm and attacks. Such processes can be a consequence of stress, trauma, excessive physical stress on an unprepared organism and muscle fatigue.

Important! Also factors contributing to the onset of the disease may be hypothermia, transmitted early infectious diseases.

Other interruptions in the region of the chest and back can also cause intercostal neuralgia: scoliosis, thoracic osteochondrosis, intervertebral hernia, joint dysfunction, tumors, protrusion. Only a full examination by a specialist will help to identify the source and begin adequate treatment.

Important! Intercostal neuralgia is not so much an independent disease, but a consequence of having certain health problems. Therefore, it is important to establish and solve these problems in order to exclude relapses in the future, and also to determine the correct diagnosis so as not to miss diseases that threaten life and health, for example, myocardial infarction.

Neuralgia right front

Symptoms that occur with intercostal neuralgia, depending on the location of pain, may indicate the development of other diseases. As a rule, in such cases, if the diagnosis is not clear, then additional studies are assigned.

In case of pain in the chest area, fluorography, a thyroid examination and mammologic consultation in women, an examination with a cardiologist and an ECG appointment may be additionally prescribed in the front.

Regardless of the center of pain, a course of treatment is conducted, aimed at reducing and removing it, identifying the causes and their elimination.

The course of treatment consists of anti-inflammatory and analgesic drugs, myorelaxons. During the exacerbation stage, it is possible to conduct a course of massage, physiotherapy and acupuncture.

Neuralgia on the right behind

The development of intercostal neuralgia, giving pain mainly to the back of the right, indicates the infringement of the lower intercostal nerves.

Also this may indicate the presence of problems with the kidneys, therefore, in order to exclude the possibility of developing renal pathology, an additional examination with a urologist or nephrologist is carried out.

Otherwise, treatment and examinations are conducted as part of therapy with conventional intercostal neuralgia.

Neuralgia under the scapula

When pain occurs under the scapula, it is necessary to exclude diseases associated with the lungs. For this, fluorography may additionally be prescribed.

Diagnosis of the spine is also performed, and in the case of vertebrogenic nature of intercostal neuralgia, complex treatment of the spine is prescribed. It includes not only medical treatment, but also the use of massage, physiotherapy, recommended sessions with a specialist in kinesitherapy.

Neuralgia right under the ribs

One of the most common forms of manifestation of intercostal neuralgia is its development in the intercostal space on the right and below.

Symptoms of intercostal neuralgia in the case of pain concentration mainly under the ribs, can indicate the presence of problems with internal organs. It can be diseases of the stomach, liver, pancreas and other digestive organs. Therefore, often additionally appointed consultations with a gastroenterologist, ultrasound examinations are conducted.

Women are additionally recommended to consult a mammologist.

Treatment of

disease A full-fledged course of treatment can be prescribed by a doctor after examination and examination of the patient. Self-treatment, including the use of medications, in this case may not only be useless, but also harm the health if the symptoms of intercostal neuralgia conceal another disease.

Surveys may include:

• ultrasound diagnosis;
• magnetic resonance imaging or MRI;
• radiography;
• computed tomography or CT scan;
• additional studies - elektrospondilografiya, myelography, contrast discography.

Treatment includes complex measures depending on the causes and source of intercostal neuralgia. Priority measures are aimed at the removal of acute pain syndrome medication.

Further, a course of rehabilitation measures for restoring health and also aimed at eliminating the consequences of intercostal neuralgia:

• physiotherapy;
• acupuncture;
• kinesitherapy;
• laser therapy;
• therapeutic massage.

First of all, the main task to remove acute pain syndrome, which causes extreme discomfort, causes physical anxiety and can even lead to immobilization of the patient due to acute attacks while trying to make a move. Read also about the methods of pain relief in the coccyx.

At home

Treatment at home is possible only if there is a minor manifestation of the disease and it is impossible for any reason to see a doctor.

1. During the acute period of the disease, it is strongly recommended to keep bed rest for several days. The mattress should be quite rigid, it is better to put some hard surface under it at this time.
2. To remove the pain, dry warm compresses can be used.
3. It is important to exclude or limit physical activity in an acute period.

Acceptance of medications is acceptable at home under an agreement with a doctor. Self-administration is not recommended, as the presence of other diseases that give similar symptoms, such as angina, should be excluded.

Important! After an acute stage, you should not postpone your visit to a doctor.

Medical treatment

In the treatment of intercostal neuralgia, the right is first of all prescribed a course of non-steroidal anti-inflammatory drugs for the removal of the pain syndrome. It is possible to use painkillers to relieve the patient's condition.

As a local anesthetic, ointments and creams are used:

• anti-inflammatory and analgesic ointments based on diclofenac;
• anesthetizing ointments and gels with active substance - ketaprofen.

Ointments based on bee and snake venom are used that not only relieve pain, but also accelerate the excretion of substances that contribute to the development of the inflammatory process and increase blood flow. The local irritant effect, which reduces painful sensations, is turpentine ointment, camphor, menthol, which can both be added to finished preparations, and to purchase creams containing these substances.

1. To reduce muscle spasm take muscle relaxants, which reduces pain and increases mobility.
2. For the general strengthening effect, an additional course of vitamins of group B and calcium is also prescribed.
3. As part of the overall complex of measures, and in case of excessively acute pain, a novocaine blockade can be put to ease the condition.

Treatment with folk remedies

Non-drug products can help alleviate the condition and reduce pain syndrome.

Flax seeds

You can use steamed flax seeds as a source of dry heat. To do this, they are brewed in boiling water, removed, dried with a towel and then poured into a cotton bag and applied to a sore spot.

Baths with

sage It is also helpful to take warm baths with sage and sea salt before bedtime to relax and reduce muscle spasm. Sage should be pre-poured with warm water and let it brew. Take sage - 4-5 tbsp.l.to a glass of water. The infusion is poured into the bathroom, a couple of spoons of sea salt are added. Take a bath should not more than 15 minutes.

Herbs

Well helps with pain infusion of herb rue. For its preparation 2 tbsp.l.herbs are poured with 1 glass of alcohol, covered tightly with a lid, cleaned in a dark place and insisted for a week.

1. As an ointment is used steamed and chopped aspen buds, which are mixed with vaseline at a rate of 1: 4.
2. In addition to the warming effect, you can wear woolen clothes in the form of a vest and make bandages around the sore spot.

Compress

As a warming compress, use a mixture of spices: red chili pepper - 1 tsp, ground ginger - 2 tsp, turmeric - 1 tsp. Add a little water or vegetable oil to the mixture. Apply the mixture on a clean cloth and attach it to a sore spot and wrap it with a clean bandage. The bandage is worn until it begins to burn.

For use as a warm dry compress, boiled eggs can be used, they can be applied both in the sensed form and in the shell, previously wrapped with a clean rag and keep until it cools.