Intercostal neuralgia: reasons

Intercostal Neuritis Relief (Mid Back Pain, Rib & Chest Pain) - Dr Mandell (Health And Medical Video July 2018).

The pain during the intercostal nerves arose at least once in a life of everyone. What is the cause of intercostal neuralgia?

To consider the compression of the roots of the spinal nerves as the leading cause of intercostal neuralgia is incorrect. In the thoracic spine, due to the peculiarities of its structure, there are no conditions for the formation of protrusions and hernias of intervertebral discs, therefore, such phenomena in this area are rather rare.

Possible causes of intercostal neuralgia

The arthrosis of the vertebral arteries plays a role in the symptom of intercostal neuralgia, which has a tendency to pain when palpating these joints during an attack. Pain with palpation may also be caused by displacement in the vertebral articular joint or damage to their ligaments.

Similar changes occur in back injuries, with long-term finding in the wrong sedentary position, for example when working on a computer. In all cases of intercostal neuralgia with ridge-vertebral joints pain in the course of intercostal nerve are reflected and not associated with changes in the intercostal nerve itself.

For the same reason, there is intercostal neuralgia in the case of Bechterev's disease (ankylosing spondylitis), in which not only intervertebral arthritis develops, but also edema-vertebral, and edema-transverse and very characteristic pains in the intercostal and chest cavities. The compression of the roots of the spinal nerves in the case of Bechterev's disease is extremely rare.

Occurs postherpetic neuropathy of the intercostal nerves in those who have suffered from chicken pox and is the carrier of the smallpox virus (herpes virus human, type 3 - Human Herpesvirus 3, HHV-3).

After treatment, the chicken pox virus is mucus from the body, but continues to remain in the cerebrospinal nodes. With a decrease in immunity or other provocative factors, HHV-3 can cause vesicular rash along the intercostal nerves, which in Russian-language literature is called "shingles." The rash is accompanied by severe pain, but such pains can occur without changes in the skin or after their treatment.

Intercostal neuralgia can be the result of back injury or chest or surgical interventions in this area, in which intercostal nerves have been damaged.

In any local processes, pain in the course of intercostal nerve occurs all the time in one and the same place. The causes of such pains may be neurinoma of the intercostal nerves, which lies adjacent to the nipple of the lipoma that compresses it, metastases to the ribs and the spine, tumors in the chest.

In all cases of intercostal neuralgia, which are of a regular nature, a diagnostic search for the causes of pain is necessary, since in almost all cases the disease is a second time and is a symptom of another pathology.

Intercostal neuralgia: reasons

Category Of Medical Issues: Diseases

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