Intercostal neuralgia: symptoms, diagnosis and treatment
Pain in the heart may have a differentorigin. It is the main clinical symptom of many heart and lung diseases. Often, pain in the heart can cause intercostal neuralgia. Symptoms of this condition are nonspecific and feign various diseases of internal organs.
Intercostal neuralgia is called clinicalsyndrome, accompanying diseases of the peripheral nervous system. The appearance of pain is associated with irritation of nerves coming from the spine along the intercostal spaces. The main cause of development of intercostal neuralgia is pronounced osteochondrosis of the cervical and thoracic spine. In addition to osteochondrosis, this clinical syndrome can accompany kyphosis of various origins, spondylitis, Bekhterev's disease, and spinal tumors. What is important is that the intercostal neuralgia, the symptoms of which we will consider below, often resembles the manifestations of cardiac pathology. A painful attack develops during hypothermia, intense physical exertion, trauma, and colds.
Intercostal neuralgia - symptoms simulating cardiac pathology
Character and localization of pain with intercostalNeuralgia is often perceived by patients as a pain associated with heart disease. It can be paroxysmal, acute, giving into the left arm and a scapula simulating an attack of angina pectoris. But neuralgic pain can be distinguished from angina pectoris. With intercostal neuralgia, the pain is stable, without periods of amplification. Arterial pressure and pulse remain unchanged, which does not happen with cardiac pathology. The most characteristic sign of pain in intercostal neuralgia is its strengthening during movements, with coughing, sneezing, deep breathing, changes in body posture. With intercostal neuralgia, patients can complain of a feeling of numbness, burning, tingling.
When palpation along the intercostal spaces, inparavertebral areas, the axillary line and the place of attachment of the ribs to the sternum can determine the increase in pain. Local pain is mainly determined in the region of the fifth - eleventh rib on the left. During auscultation there is no change in sonority of heart sounds, noise and rhythm disturbances. Sometimes pain gives in the lower back and can be regarded as an attack of renal colic. An important diagnostic criterion is a decrease in the intensity of pain or a complete cessation of it after taking a nitroglycerin pill in the event that the attack is associated with cardiac pathology. With neuralgia, taking nitroglycerin will not change the condition of the patient.
Intercostal neuralgia, the symptoms of which weconsidered, less dangerous than the pathology of the heart. When there is pain in the chest, you should not try to diagnose the disease yourself. To understand the causes of the appearance of pain and prescribe the necessary treatment can only a doctor.
A great value in diagnostics is given toadditional methods of research. To exclude cardiac pathology, ECG, echocardiography is performed. Changes in the spine with osteochondrosis are determined using radiography.
Treatment and prevention of intercostal neuralgia
If intercostal neuralgia is diagnosed,medicines are shown only for acute pain. Pain syndrome with intercostal neuralgia is removed with the use of anti-inflammatory and analgesic drugs. Various ointments, rubbing, tablets can be used. With severe pain, parenteral administration of medications is prescribed. After relief of pain, reflex methods of treatment are prescribed. Effectively the appointment of massage, acupuncture, acupuncture, manual therapy. No matter how pronounced intercostal neuralgia, the consequences of it do not pose a health hazard.
Prevention of neuralgia is the prevention of hypothermia and colds. Sufficient physical activity, active rest, struggle with hypodynamia and obesity are shown.