Intercostal neuralgia called thoracic lesionintercostal nerves traumatic, inflammatory or compressive nature. The disease is not dangerous, but it is accompanied by paroxysmal excruciating pain, which are often mistaken for cardiac symptoms.
As a rule, intercostal neuralgia affects middle-aged and older.
Why is there pain
Intercostal neuralgia can cause greatnumber of reasons. Often, this condition occurs when the age-related changes, diabetes mellitus, group B vitamin deficiencies, diseases of the gastrointestinal tract or spinal diseases. The causes can be serious diseases such as hepatitis, gastric ulcer, malignancy.
Quite often neuralgia occurs in the backgroundrunning osteochondrosis, as a result of compression of the roots of the intercostal nerves intervertebral hernias. Other possible causes of the disease - hormonal spondylopathy, spondylitis, kyphosis in the spine tumors, ankylosing spondylitis. Traumatic exposure, rib fractures, arthritis edge-vertebral joints, Microfracture exertion, may also lead to intercostal neuralgia.
Causes severe pain may be nervous diseasesystem, such as multiple sclerosis and polyradiculitis. Infectious diseases such as influenza, tuberculosis, can also awaken neuralgia symptoms. Provoke an attack can chill, hypothermia, mental stress, excessive exercise without adequate preparation.
Another cause damage to the nervous system andneuralgic pain can be long-term use of drugs, poisoning by toxic substances (including alcohol), and the inhalation of metal salts. Intercostal neuralgia may be due to hormonal disturbances - menopausal women with diseases of the adrenal glands or thyrotoxicosis.
The development of the disease as possible aftertransferred herpes infection. Neuralgia often occurs in response to pathological processes in adjacent organs and tissues. These disease processes include ribs, spine, pleurisy, chest deformity. Intercostal neuralgia may be caused by surgery and on the back or chest, in which injured intercostal nerves.
Diagnosis, treatment and prevention of intercostal neuralgia
The main instrumental diagnostic methodsintercostal neuralgia are computed tomography, ultrasonography, radiography, magnetic resonance imaging, myelography, discography contrast, elektrospondilografiya. It is sure to be manual and neurological examination to determine the causes of disease, defined muscle tone, localized pain, violation of sensitivity of limbs.
Drug treatment depends on the conditionpatient and the frequency of pain. Typically prescribed non-steroidal anti-inflammatory drugs and muscle relaxants, relieving muscle spasms. As the doctors recommend physiotherapy physiotherapy, restoring muscle tone.
Prevention neuralgia provides controlfor chronic diseases, avoidance of hypothermia and intoxication, complex health exercises and therapeutic preventive massage warming ointments. Shown osteopathic therapy, vitamins of group B.