How many days is intercostal neuralgia treated

Intercostal neuralgia occurs due to compression of the nerve endings between the ribs. Often these are the consequences of advanced osteochondrosis. The disease is sometimes caused by pathologies in the spine:

  • inflammatory process (often infectious and less bacterial);
  • inflammation caused by hormonal osteoporosis;
  • kyphosis – curvature of the upper part of the spine;
  • Ankylosing spondylitis syndrome;
  • oncological disease affecting the vertebral joints;
  • herpetic infectious disease;
  • reflex compression in the tissues.

The causes of intercostal neuralgia are inflammation in the joints, progressive osteoporosis of the hormonal type, trauma. They develop against the background of acute respiratory infections, severe hypothermia, excessive physical exertion and stress.

Symptoms of intercostal neuralgia

A distinctive feature of the disease is pain in the intercostal spaces, palpable with a deep breath, sneezing, during coughing or tilting the body to the sides. The patient has an antalgic position, which he takes to reduce or prevent pain. During the inspection, painful areas near the spine are found, an area under the arms, on the sides of the sternum.

  1. Pain and tingling covers the chest.
  2. Subacute and acute pain lasts several minutes, expressed in intercostal zones. Severe pain in the intercostal space, “subsides” and repeats.
  3. Discomfort in the intercostal nerve, palpable when turning the body sneezing, coughing, swallowing food.
  4. Pain during deep breath.
  5. Palpation pain. It makes a person unconsciously avoid discomfort, change the pose of the body, bend.

Intercostal neuralgia is acutely felt in the area from 5 to 9 ribs. The pain spreads gradually and gives to the shoulder. Palpation determine the place of violation of the nerve. It is carried out along the paravertebral and axillary zones. Intercostal neuralgia is described as a pain syndrome covering the sternum.

Symptoms are similar to cardiovascular disorders. If you feel pain in the shoulder blades or heart area, your fingers go numb, take cardio drugs. For complex treatment, you need to contact your doctor.

Features of the disease

The disease is accompanied by pain of varying intensity. They differ from angina pectoris and pathologies of the cardiovascular system. Heart diseases are manifested by short-term labile pain, abnormal heart rate, and pressure surges. The throbbing pain subsides and reappears.

Intercostal neuralgia does not give such symptoms, does not affect blood pressure or heart rate. Heart pain does not subside when changing posture. It remains unchanged when coughing or sneezing, which is observed with pain associated with neuralgia.

With neuralgic disease, the pain surrounds the lower back. She is mistaken for renal colic. Self-diagnosis and self-medication is prohibited. If symptoms occur, make an appointment with a doctor, only a professional will correctly assess the nature of the pain and make the correct diagnosis.

Therapeutic measures

After diagnosis, therapeutic treatment is performed. The first step is anesthesia, the elimination of pain. Further, actions aimed at normalizing trophic tissues of the affected area. Use:

  • non-steroidal anti-inflammatory drugs;
  • antiepileptic drugs;
  • vitamins of group B;
  • resort to acupuncture and acupuncture.

If intercostal neuralgia is secondary, treat symptomatically. Eliminate stress on the spine, a diet based on foods rich in gelatin is indicated.

  1. Acupuncture – special needles are inserted into pain zones.
  2. Pharmacopuncture – drugs are administered at specific points.
  3. Vacuum treatment – the therapeutic effect is achieved by vacuum jars that activate microcirculation of flu >

Traditional methods of treatment

Symptoms of intercostal neuralgia are eliminated by treatment with folk remedies. They will help relieve severe pain.

  1. Homemade honey creams add a couple drops of essential oil, preferably lavender. Rubbed, the affected area is wrapped in woolen scarves or scarves.
  2. Cook hard-boiled egg. Unrefined and whole, roll in the sternum. Alternative – cut in half and apply to painful areas.
  3. The use of a salt-based solution (2 tablespoons and 0,5 liters of warm water). Apply the fabric soaked in the solution to the area and insulate it from above. Remove the compress after two hours.
  4. A healing mix based on liqu >

In the old days, neuralgia was treated with pork fat melted on water mixed with lilac buds and its leaves in powder form. To make the mixture effective, observe proportions, adding lard 4 times less. The composition is rubbed into the affected area chilled.

For grinding take a solution of mumiyo. The alcohol solution is rubbed into the painful area for 5 minutes. Increases the effect of milk or honey.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Healing baths

  1. To prepare a therapeutic bath, the chopped branches of poplar or aspen are boiled. After infusion of the broth, the mixture is filtered and added to the water collected in the bathroom (temperature 40 degrees). Take a bath before bedtime. After bathing, sore spots are treated with fir oil.
  2. Sage 4 tablespoons pour boiling water (250 g). After infusion and straining, add to the bath with sea salt.
  3. In warm water add a few drops of eucalyptus oil or lavender oil and a stack of milk along with 1 tbsp. l honey. Take a bath every other day.

At home, not everyone copes with pain with folk methods. Medicines come to the rescue. Acute pain is eliminated by ibuprofen and painkillers. During the course of therapy, physical activity is excluded. Assign a course of therapeutic exercises.

It is recommended that people suffering from intercostal neuralgia hang (relaxed) on the horizontal bar for one to two minutes. It strengthens the muscles of the arms, shoulders and neck. Exercises on the spinal and lumbar muscles will give a good result.

Prevention

  1. Intercostal neuralgia can be prevented. Make it simple:
  2. Do not load and correctly distribute the load on the back.
  3. Treat the disease, not eliminate the symptoms.
  4. Develop proper posture. People with a sedentary lifestyle do gymnastics.
  5. Maintain immunity, take care of the nervous system.
  6. Choose a balanced diet.

For prevention during the day, do the exercises:

  • in a sitting position, tilt the body back, raise your hands, rise several times, return to the starting position;
  • slowly raise your shoulders up and down;
  • gently repeat the head with circular movements;
  • bend to the s >

Intercostal neuralgia is diagnosed only by doctors and prescribe treatment. In the acute stages of the disease, the patient is recommended bed rest for two or three days.

The mattress must be strong and firm. In order for the disease not to become chronic, minimize physical stress, give up bad habits, and avoid stress.

Intercostal neuralgia is manifested by severe symptoms, causing a person to experience pain. Treatment at home gives positive results.

Intercostal neuralgia

L.S. Manvelov
Candidate of Medical Sciences

State Scientific Center of Neurology RAMS

The term “neuralgia” comes from the Greek words “neuron” – “nerve” and “algos” – pain. This pain spreads along the nerves, accompanied by other unpleasant sensations, such as creeping goosebumps, burning or numbness.

The causes of neuralgia are kaleidoscopically diverse: injuries, external (heavy metals, bacterial toxins, some medications) and internal (associated with diseases of internal organs) intoxication; some diseases of the nervous system (multiple sclerosis, polyradiculoneuritis, etc.); infections (herpes zoster, tuberculosis, brucellosis, etc.); decreased immunity; allergy; pathology of the spine (additional ribs, osteochondrosis, deforming spondylosis, disc herniation); squeezing of nerve trunks in the musculoskeletal and musculoskeletal canals. In addition, the occurrence of neuralgia with compression of the nerves by scarred tissues and tumors is possible. Alcohol abuse, diabetes mellitus, metabolic disorders of group B vitamins, which are most often observed with peptic ulcer of the stomach and duodenum, gastritis, hepatitis, colitis, accompanied by metabolic disorders in the nervous tissue, are essential.

Cardiovascular diseases lead to the appearance of neuralgia due to hypoxia of the nerve trunks (insufficient oxygen supply): arterial hypertension, atherosclerosis, rheumatism, etc., as well as anemia (anemia).

Intercostal neuralgia can also occur with changes in the spine in women in menopause due to hormonal disorders, less often with endocrine diseases, for example, with thyrotoxicosis, diseases of the adrenal glands, as well as with prolonged treatment with hormonal drugs. It also occurs in other diseases accompanied by osteoporosis (rarefaction of bone tissue).

As we can see, the number of causes leading to intercostal neuralgia is extremely large, and after all, not all of them were listed here. Therefore, if you experience chest pain, you can not self-medicate, considering “your” diagnosis as error-free – this threatens the development of serious complications. Be sure to seek medical help.

Neuralgia very rarely develops under the influence of only one factor. The disease is mainly observed in older people, when all of the listed causes of its occurrence act on the background of age-related vascular changes. In children, neuralgia practically does not occur.

With neuralgia of the intercostal nerves, changes in both their function and structure can be noted. However, only disturbances in the peripheral nerve fibers cannot explain the attacks of pain that can
to appear without any additional exposure. Formations of the central nervous system take part in the formation of the pain attack, controlling the receipt of impulses from the peripheral nerve trunks. Changes in the central nervous system during pain are confirmed by electroencephalography, which reveals the characteristic “outbursts” of brain electrical activity.

The leading manifestation of intercostal neuralgia is pain along the intercostal nerves of a constant nature, sometimes paroxysmally intensifying, especially with movements and coughing. Intercostal spaces are painful when palpating, their sensitivity is sharply increased. Pain in the chest can be caused by a variety of reasons. Here are just a few examples that help to distinguish pain in intercostal neuralgia from pain in some of the common life-threatening cardiovascular diseases. With angina pectoris, pain quickly occurs and passes quickly (within 3-5 minutes). Its typical location is behind the sternum, in the region of the heart, it can be given to the shoulder, neck, left arm and shoulder blade. The patient may have a cold sweat, a fear of death. The picture of acute myocardial infarction is similar to the signs of angina pectoris, but characteristic pains last longer and are more difficult to relieve. The condition of the patient with a heart attack is more severe, a drop in heart activity, blood pressure, nausea, and vomiting is possible.

To establish the real cause of chest pain help modern diagnostic methods. A truly revolutionary revolution in the diagnosis of diseases was performed by X-ray computed tomography and magnetic resonance imaging, which reveal tumors, vascular, inflammatory and other signs of damage to the brain and spinal cord, spine and internal organs. Currently, these methods are widely used in practical medicine.

Treatment of intercostal neuralgia is primarily aimed at eliminating or correcting the causes that cause it. In the acute period of the disease, bed rest is recommended for 1-3 days. The patient should lie on a firm, even surface, best of all by placing a shield under the mattress. Light, dry heat helps: an electric heating pad, heated sand in bags, mustard plasters, pepper patch for painful places. You should avoid bending and turning the body, prolonged sitting, and even more so sharp movements, lifting weights. Wearing a corset works well for several days, but not for long, so that muscle weakness does not develop.

Medication includes analgesics (analgin, sedalgin, spazgan), non-steroidal anti-inflammatory drugs (ibuprofen, ketoprofen, diclofenac, celebrex, voltaren, indomethacin, piroxicam) inside, in rectal suppositories or intramuscularly. All these drugs should be taken systematically by the hour, prophylactically, without waiting for the intensification of pain. The listed funds are not prescribed for acute gastrointestinal diseases and with very great care – for chronic lesions of the gastrointestinal tract. In this case, Flexen (ketoprofen) can be successfully applied due to the peculiarities of its two forms of release – capsules and injection. In seamless capsules, the active substance is soldered in the form of a lipophilic suspension, contact with the gastric mucosa is completely excluded, as a result of which Flexen’s high safety and tolerance is ensured. As for the injectable form, due to the preparation of the solution immediately before administration, there is no need for stabilizers and preservatives. Two other forms of Flexen release are also effective – gel and rectal suppositories.

Vitamin therapy is carried out, especially vitamins of group B (B1, B6, B12), a combined preparation of milgamma. Muscle relaxants (tizanidine, sirdalud, baclofen, clonazepam), as well as combination drugs, including analgesic and muscle relaxant (myalgin) are prescribed to relax spasmodic muscles. If necessary, sedatives are prescribed.

In severe pain, blockade with solutions of novocaine, lidocaine is indicated. With a prolonged course of the disease, glucocorticosteroids (prednisone and others) are used. The effectiveness of the treatment of patients with lesions of the spine with tissue preparations (rumalon, chondroitin sulfate) has not been proven. Applications with dimexide are also used.

Physiotherapeutic methods of treatment are widely used: diadynamic and sinusoidally modulated currents, electrophoresis and phonophoresis of drugs, ultraviolet irradiation, etc. Reflexotherapy is shown: acupuncture, cauterization, laser therapy.

To prevent the transition of the disease into a chronic form with frequent exacerbations, it is important to exclude or significantly reduce the effect of harmful factors, such as heavy physical exertion, psycho-emotional overstrain, alcohol abuse, diseases of the nervous system, internal organs, etc. We emphasize again that it is absolutely necessary how an earlier visit to the doctor is possible in case of chest pain, which can be one of the symptoms of not only intercostal neuralgia, but also a number of others, including Isla and severe, life-threatening diseases. It is not for nothing that Eastern wisdom says: “Treat a mild illness so that you do not have to treat a serious one.”

Causes and symptoms of intercostal neuralgia

You are viewing one of a series of articles on intercostal neuralgia that describes the symptoms and causes of this ailment. You may be interested in other articles on this topic:

  • The diagnosis of intercostal neuralgia is all about this diagnosis, how it is diagnosed and what it is.
  • Drug treatment of intercostal neuralgia is all about the features of drug treatment.
  • Treatment of intercostal neuralgia with folk remedies – about the features of treatment at home.

Children, fortunately, have little experience with such a phenomenon as intercostal neuralgia. There is a rational explanation for this: their bones are just beginning to develop, are elastic and mobile. Over the years, the human skeleton, under the influence of external factors, partially loses its natural properties, becoming more susceptible to inflammatory diseases.

Intercostal neuralgia, the symptoms of which are quite obvious – a constant cutting pain in the left side of the chest – sometimes lasts for months due to incorrect diagnosis or self-medication. Although neuralgia is difficult to attribute to age-related changes in muscles and ligaments, this factor also matters. That is why neuralgia is mainly affected by the elderly.

In young people, intercostal neuralgia is manifested, as a rule, due to the following criteria:

  • sedentary work;
  • shingles;
  • hypothermia;
  • heavy physical labor;
  • trauma;
  • awkward torso;
  • low immunity;
  • hereditary diseases.

Neuralgia begins suddenly, with a sharp persistent chest pain on the left, sometimes on the right. A slight temperature is possible due to inflammatory processes in the intervertebral discs. A person is afraid to make an extra movement, since it brings him even greater pain.

Drug treatment is necessary, although in some cases it is allowed to use non-traditional methods. In any case, treatment begins with a consultation by a neurologist, who first prescribes an examination for the case of concomitant diseases and prevents the occurrence of others due to neuralgia and studies the causes.

A visual examination should also indicate pinched nerves on the left or right in the chest. Even just by feeling, the specialist identifies the source of inflammation, displacement. At this point, a slight swelling is felt, pain during palpation reaches a climax.

Medicine

The affected nerve requires a comprehensive treatment, which includes the following drugs:

  • analgesics – analgin, sedalgin, spazgan – they reduce the sensitivity of receptors, block pain;
  • muscle relaxants – spasmolytic drugs that relax muscles;
  • non-steroids – diclofenac, voltaren, ibuprofen – anti-inflammatory substances;
  • sedatives – relanium, elinium – soothing tablets that reduce stress;
  • analgesic, painkillers, warming ointments;
  • injections of novocaine, lodocaine – block exacerbation.

Physiotherapy is also needed, with a host of alternatives, from acupuncture to manual massage. Physical therapy involves stretching the muscles of the thoracic region, performing an auxiliary function.

Alternative medicine suggests taking herbal decoctions of antiseptic action. A bed rest is prescribed for a period of 5-7 days, on a hard and rigid bed. Mandatory massages and warm compresses, before going to bed, it is advisable to take medicinal baths, also with the addition of decoctions, infusions and sea salt. Read more about folk methods of dealing with neuralgia →

symptomatology

Pain with intercostal neuralgia is the main, almost its only symptom. It is concentrated in the thoracic region and manifests itself not so much brightly as long-term. Sudden movements, coughing, yawning become the most undesirable actions of a physiological nature in the world.

No one is safe from the occurrence of neuralgia, except perhaps children. For women, prolonged squeezing of the torso threatens the appearance of this specific disease. Therefore, many neuropathologists do not recommend wearing too tight underwear, in particular, bras with bones and inserts.

For men, even such a mundane fact as hypothermia is fraught not only with pneumonia, but also with inflammation of the nervous system centralized in the thoracic region.

Elderly people often suffer from neuralgia along with osteochondrosis, arthritis and other bone diseases.

One difference is that old people attribute aching chest pain and dizziness to heart problems, but the useless use of nitroglycerin denies the involvement of a heart attack or stroke in the incident. There is practically nothing to do with the heart, but neuralgia is also dangerous with its unpredictability and systematization of occurrence.

Signs of intercostal neuralgia are ambiguous in nature. They can be confused with the symptoms of osteochondrosis, hernia, or any other nervous disease. Pinching of the intervertebral discs entails inflammatory or compression processes, during the attack there may be a low temperature, pallor, poor health, loss of strength.

Causes

The pain is given in the back or hypochondrium, so it is difficult to determine where the true lesion is. Only a professional neuropathologist is able to do this. It will be useful to examine both the pulmonologist and the cardiologist to completely eliminate the likelihood of heart and lung diseases.

Signs of intercostal neuralgia:

  • the inability to tilt the torso, painful recoil;
  • aching paroxysmal pain in the chest;
  • temperature is above normal;
  • increased sweating;
  • muscle twitching;
  • acute pain on palpation;
  • numbness of the affected area.

If all these symptoms are present, you should immediately consult a doctor. The immediate medical treatment begins, the better for the patient. Why? A disease such as intercostal neuralgia, the symptoms and treatment of which is described here, requires a long complex treatment under the supervision of a specialist.

It is not worth joking with nerve endings, it is fraught with disability or chronic exacerbations seasonally.

The methods of treatment depend on how long the disease lasts and what its internal causes are. Nerves, like the heart, are a rather fragile organ, therefore an accurate diagnosis is needed.

Neurologists talk about the following common causes of neuralgia:

  • scoliosis, osteochondrosis and other common diseases;
  • prolonged stress, depression;
  • allergic reactions;
  • mechanical injury;
  • infection;
  • herniation of the intervertebral discs in the thoracic region;
  • myofascial syndrome (muscle cramps;
  • lack of B vitamins;
  • hypothermia;
  • items of clothing for women and equipment for men.

The signs are completely interconnected with the causes of the disease, since the efforts of the attending physician will be directed to the primary source, which may be a disease of a completely different nature. Somewhere pills help, but somewhere you can not do without injections. For the spine and all its problems, massage is relevant for both men and women, and other physiotherapy.

Folk remedies

Although drug treatment is preferable, some people have a biased attitude towards it, related to fear of injections or lack of time. But choosing home treatment, you should still describe your signs of neuralgia to a qualified doctor and check your heart, lungs and other internal organs.

The causes of neuralgia are similar to the symptoms of many diseases, therefore, before treating one, it is necessary to exclude the other. When all measures have been taken, it is time to start combating neuralgia with alternative methods – drink decoctions and warm the affected nerve. All this is strictly under the supervision of a doctor. Popular plants and tinctures for decoctions:

  • indoor geranium;
  • root grass;
  • aspen kidneys;
  • Birch;
  • iodine-glycerin mixture;
  • horseradish with black radish;
  • Oak bark.

The goal is to systematically bring the course of treatment to the end, you should not take risks with intercostal neuralgia – you should not skip taking decoctions, massage and warming compresses.

Useful video: how to distinguish pain in intercostal neuralgia from dangerous diseases?

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Intercostal neuralgia

L.S. Manvelov
Candidate of Medical Sciences

State Scientific Center of Neurology RAMS

The term “neuralgia” comes from the Greek words “neuron” – “nerve” and “algos” – pain. This pain spreads along the nerves, accompanied by other unpleasant sensations, such as creeping goosebumps, burning or numbness.

The causes of neuralgia are kaleidoscopically diverse: injuries, external (heavy metals, bacterial toxins, some medications) and internal (associated with diseases of internal organs) intoxication; some diseases of the nervous system (multiple sclerosis, polyradiculoneuritis, etc.); infections (herpes zoster, tuberculosis, brucellosis, etc.); decreased immunity; allergy; pathology of the spine (additional ribs, osteochondrosis, deforming spondylosis, disc herniation); squeezing of nerve trunks in the musculoskeletal and musculoskeletal canals. In addition, the occurrence of neuralgia with compression of the nerves by scarred tissues and tumors is possible. Alcohol abuse, diabetes mellitus, metabolic disorders of group B vitamins, which are most often observed with peptic ulcer of the stomach and duodenum, gastritis, hepatitis, colitis, accompanied by metabolic disorders in the nervous tissue, are essential.

Cardiovascular diseases lead to the appearance of neuralgia due to hypoxia of the nerve trunks (insufficient oxygen supply): arterial hypertension, atherosclerosis, rheumatism, etc., as well as anemia (anemia).

Intercostal neuralgia can also occur with changes in the spine in women in menopause due to hormonal disorders, less often with endocrine diseases, for example, with thyrotoxicosis, diseases of the adrenal glands, as well as with prolonged treatment with hormonal drugs. It also occurs in other diseases accompanied by osteoporosis (rarefaction of bone tissue).

As we can see, the number of causes leading to intercostal neuralgia is extremely large, and after all, not all of them were listed here. Therefore, if you experience chest pain, you can not self-medicate, considering “your” diagnosis as error-free – this threatens the development of serious complications. Be sure to seek medical help.

Neuralgia very rarely develops under the influence of only one factor. The disease is mainly observed in older people, when all of the listed causes of its occurrence act on the background of age-related vascular changes. In children, neuralgia practically does not occur.

With neuralgia of the intercostal nerves, changes in both their function and structure can be noted. However, only disturbances in the peripheral nerve fibers cannot explain the attacks of pain that can
to appear without any additional exposure. Formations of the central nervous system take part in the formation of the pain attack, controlling the receipt of impulses from the peripheral nerve trunks. Changes in the central nervous system during pain are confirmed by electroencephalography, which reveals the characteristic “outbursts” of brain electrical activity.

The leading manifestation of intercostal neuralgia is pain along the intercostal nerves of a constant nature, sometimes paroxysmally intensifying, especially with movements and coughing. Intercostal spaces are painful when palpating, their sensitivity is sharply increased. Pain in the chest can be caused by a variety of reasons. Here are just a few examples that help to distinguish pain in intercostal neuralgia from pain in some of the common life-threatening cardiovascular diseases. With angina pectoris, pain quickly occurs and passes quickly (within 3-5 minutes). Its typical location is behind the sternum, in the region of the heart, it can be given to the shoulder, neck, left arm and shoulder blade. The patient may have a cold sweat, a fear of death. The picture of acute myocardial infarction is similar to the signs of angina pectoris, but characteristic pains last longer and are more difficult to relieve. The condition of the patient with a heart attack is more severe, a drop in heart activity, blood pressure, nausea, and vomiting is possible.

To establish the real cause of chest pain help modern diagnostic methods. A truly revolutionary revolution in the diagnosis of diseases was performed by X-ray computed tomography and magnetic resonance imaging, which reveal tumors, vascular, inflammatory and other signs of damage to the brain and spinal cord, spine and internal organs. Currently, these methods are widely used in practical medicine.

Treatment of intercostal neuralgia is primarily aimed at eliminating or correcting the causes that cause it. In the acute period of the disease, bed rest is recommended for 1-3 days. The patient should lie on a firm, even surface, best of all by placing a shield under the mattress. Light, dry heat helps: an electric heating pad, heated sand in bags, mustard plasters, pepper patch for painful places. You should avoid bending and turning the body, prolonged sitting, and even more so sharp movements, lifting weights. Wearing a corset works well for several days, but not for long, so that muscle weakness does not develop.

Medication includes analgesics (analgin, sedalgin, spazgan), non-steroidal anti-inflammatory drugs (ibuprofen, ketoprofen, diclofenac, celebrex, voltaren, indomethacin, piroxicam) inside, in rectal suppositories or intramuscularly. All these drugs should be taken systematically by the hour, prophylactically, without waiting for the intensification of pain. The listed funds are not prescribed for acute gastrointestinal diseases and with very great care – for chronic lesions of the gastrointestinal tract. In this case, Flexen (ketoprofen) can be successfully applied due to the peculiarities of its two forms of release – capsules and injection. In seamless capsules, the active substance is soldered in the form of a lipophilic suspension, contact with the gastric mucosa is completely excluded, as a result of which Flexen’s high safety and tolerance is ensured. As for the injectable form, due to the preparation of the solution immediately before administration, there is no need for stabilizers and preservatives. Two other forms of Flexen release are also effective – gel and rectal suppositories.

Vitamin therapy is carried out, especially vitamins of group B (B1, B6, B12), a combined preparation of milgamma. Muscle relaxants (tizanidine, sirdalud, baclofen, clonazepam), as well as combination drugs, including analgesic and muscle relaxant (myalgin) are prescribed to relax spasmodic muscles. If necessary, sedatives are prescribed.

In severe pain, blockade with solutions of novocaine, lidocaine is indicated. With a prolonged course of the disease, glucocorticosteroids (prednisone and others) are used. The effectiveness of the treatment of patients with lesions of the spine with tissue preparations (rumalon, chondroitin sulfate) has not been proven. Applications with dimexide are also used.

Physiotherapeutic methods of treatment are widely used: diadynamic and sinusoidally modulated currents, electrophoresis and phonophoresis of drugs, ultraviolet irradiation, etc. Reflexotherapy is shown: acupuncture, cauterization, laser therapy.

To prevent the transition of the disease into a chronic form with frequent exacerbations, it is important to exclude or significantly reduce the effect of harmful factors, such as heavy physical exertion, psycho-emotional overstrain, alcohol abuse, diseases of the nervous system, internal organs, etc. We emphasize again that it is absolutely necessary how an earlier visit to the doctor is possible in case of chest pain, which can be one of the symptoms of not only intercostal neuralgia, but also a number of others, including Isla and severe, life-threatening diseases. It is not for nothing that Eastern wisdom says: “Treat a mild illness so that you do not have to treat a serious one.”

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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