How is intercostal neuralgia treated?

Written by Wang Cheng Lin
Orthopedics
Updated on September 26, 2024
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In our clinical practice, for intercostal neuralgia, we generally have the following treatment methods:

The first type is oral medication, specifically non-steroidal anti-inflammatory drugs, which can alleviate pain.

The second type is traditional Chinese medicine, such as drugs that invigorate blood circulation and remove blood stasis, which can also increase local blood circulation to relieve pain.

The third method is to use acupuncture, which has comparatively good therapeutic effects on this type of intercostal neuralgia.

Generally speaking, most cases of intercostal neuralgia do not last very long. Regardless of which method you choose, you can achieve relatively good results, so the above methods are the most common treatments for intercostal neuralgia.

(Medication should be used under the guidance of a doctor based on specific circumstances.)

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How to diagnose occipital neuralgia?

Occipital neuralgia is a very common condition, generally characterized by pain in the back of the head. The nature of the pain is usually dull, but it can radiate to the top of the head. To diagnose occipital neuralgia, the main examination is to see if there are any significant tender points along the course of the greater occipital nerve. If there are obvious tender points, it is likely that occipital neuralgia is a possibility. Additionally, there are some underlying causes of occipital neuralgia, such as cervical spondylosis, osteoarthritis, or inflammation of muscles in the head and neck area, and even some tumors. Therefore, it is necessary to perform comprehensive auxiliary examinations to rule out these related diseases, including MRI of the cervical spine and X-rays. Treatment is relatively simple and may include the administration of nerve-nourishing medications and pain relievers. (The use of medications should be under the guidance of a doctor.)

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Causes of Neuralgia

Neuralgia is extremely painful, with patients often experiencing severe, unbearable pain. The causes of neuralgia mainly include the following types. The first type to note is viral infection, such as herpes zoster virus infection, which can leave postherpetic neuralgia. In such cases, it is crucial to actively use antivirals and employ neuropathic pain medications for treatment. The second scenario may relate to nerve compression, such as trigeminal neuralgia, which may be associated with local vascular compression causing abnormal nerve discharges. Surgical treatment might be necessary to relieve the compression. Sciatica is also caused by compression of the sciatic nerve. The third case might be due to nonspecific inflammatory responses. For example, Guillain-Barre syndrome can also cause neuralgia, and treatment should be directed at the underlying cause.

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How long does an intercostal neuralgia attack last?

Under normal circumstances, an episode of intercostal neuralgia usually requires about a week to improve. During this period, actively cooperating with treatment can lead to a quick recovery. Treatment typically involves orally administered non-steroidal anti-inflammatory and nerve-nourishing drugs, and it is necessary to reduce physical activity and minimize local irritation. It is crucial not to be exposed to the cold; local heat application is recommended. Commonly, a salt bag or toasted bran is used for heat application, which is quite sufficient. Applying heat twice a day, each time for more than half an hour, can enhance the effects significantly. Moreover, combining this with some physiotherapy methods, such as acupuncture, infrared therapy, and cupping, can yield very good results.

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How to diagnose intercostal neuralgia

The examination for intercostal neuralgia includes two parts. The first part is to confirm whether it is indeed intercostal neuralgia, often based on three reasons. The first is pain that follows a semicircular path along the ribs. Second, there are usually fixed tender points or percussion points, also called trigger points, where pressing will cause pain and lead to a type of pain that radiates along the path of the intercostal nerves. The third is that it is more commonly seen between the fifth and ninth ribs, often causing pain or triggering increased pain during activities like sneezing or deep breathing. With this, it is basically possible to diagnose intercostal neuralgia. However, identifying the cause of intercostal neuralgia is very complex. The usual causes of intercostal neuralgia include five aspects: The first is congenital anomalies, the second is trauma, the third is tumors, the fourth is inflammation, and the fifth is other causes. Therefore, a complete diagnosis of intercostal neuralgia should not only confirm the presence of intercostal neuralgia but also identify the underlying cause. Only by treating the cause of the intercostal neuralgia can there be a very good treatment outcome.

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What is brachial plexus neuropathy?

Brachial plexus neuropathy occurs when certain pathological changes affect the brachial plexus, causing clinical symptoms such as pain, numbness, and weakness. The brachial plexus is composed of four nerves from cervical vertebrae 6 to 7, 8, and thoracic vertebra 1. The brachial plexus gives rise to the median nerve, ulnar nerve, and radial nerve, making it a central hub. If the brachial plexus is injured, for instance, through trauma such as stretching, tearing, tumor compression, or bone impingement, this can lead to clinical manifestations including pain, numbness, and weakness in the arms and hands, a condition known as brachial plexus neuropathy. If such symptoms occur, it is crucial to promptly complete the necessary examinations to clarify the changes in the condition.