Intercostal neuralgia is characterized by an intense pain syndrome (thoracalgia), which arises from the squeezing or inflammation of nerve fibers. This condition develops against a background of many pathologies. Therefore, in the treatment of intercostal neuralgia, a complex of drugs is applied, the action of which is aimed at suppressing pain and eliminating the provoking factor. Due to non-compliance with this rule, severe consequences develop.
What is intercostal neuralgia?
Intercostal neuralgia is not a disease, but a symptom that is characteristic of various pathologies. The causes of the development of pain syndrome are caused by compression (compression) of the nerve roots, which occurs under the influence of the following factors:
- osteochondrosis of the thoracic region and other diseases of the spine;
- trauma, fractures of the thorax and spine;
- the course of inflammatory pathologies affecting the nervous system;
- infectious infection of the body (mainly signs of intercostal neuralgia occur with shingles);
- toxic damage to the body;
- Vitamin B deficiency;
- diseases of the digestive tract;
- cardiovascular pathology.
It is also possible to develop intercostal neuralgia against the background of compression of the structural elements of the spine, caused by hormonal disorders, tumor processes and hernias.
The impact of provoking factors leads to intense pain that occurs in the chest or back. Moreover, the zone of localization of clinical signs indicates the cause that caused the thoracology. The appearance of symptoms of intercostal neuralgia on the right indicates:
- inflammation of the muscle fibers of the back;
- pathologies of the digestive tract.
Pain with neuralgia is strong, stinging, permanent. The intensity of the syndrome changes when the patient commits movements or inhales deeply.
With intercostal neuralgia left before the start of treatment, it is important to exclude the pathology of the heart.
Both conditions are characterized by intense pain sensations, which are localized in the chest region. Especially clearly manifested by the pinched nerves and heart diseases in the elderly. In this case, ECG and echocardiography are prescribed.
The development of negative consequences for intercostal neuralgia directly depends on the characteristics of the causes that caused it. Exacerbation of herpes zoster, characterized by thoracalgia, does not pose a threat to human health and life. The disease lasts for 2-3 weeks, in rare cases giving complications.
How to treat?
Regardless of the causes that caused spasm and the peculiarities of the course of accompanying pathologies, medicamentous treatment with intercostal neuralgia is used. The drugs are prescribed with the aim of arresting the general symptoms and improving the quality of life of the patient.
In addition to the treatment of intercostal neuralgia with medications, other methods are used, including massage, physiotherapy and surgical intervention. The choice of tactics depends on the disease that led to the syndrome. Therefore, before the start of treatment, diagnostics with CT, MRI and other methods is performed.
The therapy of intercostal neuralgia is often performed at home. Treatment in the hospital is prescribed in the presence of severe complications. To stop pain, with intercostal neuralgia used ointments, pills or injections of non-steroidal anti-inflammatory drugs. Muscle tension shows the intake of muscle relaxants.
Selecting medicines, it is important to take into account the individual characteristics of the patient and the nature of the concomitant pathology. If the pain is associated with the gastrointestinal tract, it is not recommended to take drugs in the form of tablets. Such medications irritate the mucous membrane of the stomach, thereby increasing the intensity of general symptoms.
In the acute period, when the pain syndrome manifests itself most intensively, a bed rest is recommended. To the sore spot, it is necessary to apply dry heat (heated sand in a rag bag). It is important not to overheat the problem area. Otherwise, as the skin cools, the intensity of the syndrome will increase.
Anti-inflammatory drugs are considered more effective:
It is up to the doctor to determine exactly which medications are recommended in the treatment of neurological disorders in a child and an adult. This is especially true when an intervention is required in connection with intolerable pain caused by the compression of the nerve roots. In this case, subcutaneous injections of anti-inflammatory drugs are prescribed.
Treatment of intense pain
In the case of intense pain, injections of medications provide a quick and lasting effect. For this, solutions of anti-inflammatory drugs and lidocaine blockades are used.
The injections of “Diclofenac” with intercostal neuralgia eliminate the pain syndrome by stopping the inflammatory process. In the treatment of the disease, “Diclofenac”, like other non-steroidal anti-inflammatory drugs, improves the patient’s condition in the course of thoracology both to the left and to the right, but at the same time to observe the dosage of these drugs.
The use of “Naise” with intercostal neuralgia is recommended when the traditional methods of eliminating the pain syndrome do not give positive results. This drug is prohibited for children under 12 years and pregnant women.
In an extreme case for the treatment of intercostal neuralgia, right or left subcutaneously injected solutions: Lidocaine, Novocaine.
These drugs quickly eliminate even intense pain. The disadvantage of lidocaine blockades is that drugs based on this substance are highly toxic. Frequent carrying out of anaesthetising pricks at an intercostal neuralgia causes defeat of a liver.
In the treatment of compression of nerve fibers, several groups of drugs that affect various processes and pathologies are effective.
If the appearance of thoracology is due to exacerbation of herpes zoster, a patient should take antiviral medications in the form of tablets daily for 1-2 weeks.
The basic preparations: Acyclovir, Valacyclovir and others.
Antiviral medications do not inhibit pain syndrome. However, these drugs have a direct effect on the causative agent of the pathology, thereby reducing the time interval during which the thoracalgia is concerned.
Unequivocally answer the question, what tablets should you take with neuralgia, it is quite difficult. The reason lies in the fact that the painful process in the intercostal space affects the entire body. The pain syndrome is characterized by a prolonged course and the patients experience constant stress.
To restore the nervous system shows the use of sedatives. Doctors mainly prefer medicines based on natural components (Novo-Passit and others). Also, good results are shown by decoctions and herbal tinctures: mint, chamomile, motherwort.
It is recommended to take sedatives before bedtime. At the same time, the problem areas are treated with essential oil from lavender. The latter relieves muscle tension. This combination eliminates sleep problems.