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Intercostal Neuralgia


Presentation

  • A 61-year-old woman presented with intermittent pain on her left chest wall with distribution of the pain corresponding to the T10 dermatome.[ncbi.nlm.nih.gov]
  • We present here an exceedingly rare case of intercostal neuralgia caused by a parosteal lipoma of the rib.[ncbi.nlm.nih.gov]
  • We present a case of a 15-year-old boy with osteoblastoma at the level of the T8-9 left laminae causing intercostal neuralgia without direct invasion to the intercostal nerve. Immediately after surgery, intercostal neuralgia was diminished.[ncbi.nlm.nih.gov]
  • A woman presented in the 34th week of her 4th pregnancy with progressing right-sided pain and hypoesthesia in the ribs, right upper quadrant of the abdomen, and mid-thoracic area of her back.[ncbi.nlm.nih.gov]
  • Patients may also present with shallow, apical breathing as deep breaths may also increase pain.[aspecthealth.ca]
Asymptomatic
  • Although parosteal lipoma is asymptomatic, motor and sensory function deficits have been reported that were caused by the tumor compressing the neuromuscular bundles in the proximal forearm and the sciatic nerve.[ncbi.nlm.nih.gov]
Right Anterior Chest Pain
  • We experienced a 76-year-old man with gastric ulcer who had right anterior chest pain diagnosed as intercostal neuralgia. He had had a right lobectomy 30 years ago and it was followed by right intercostal neuralgia.[ci.nii.ac.jp]

Workup

  • Most patients will have had numerous workups and treatments without benefit. Detailed pain and trauma histories plus careful palpation of the spaces beneath the ribs usually provide the necessary clues for diagnosis and effective therapy.[hannasaadah.com]
  • All other complications were ruled out and all needed workups; imaging and laboratory tests were negative before inclusion in the study. Then, patients were candidates for intercostal PRF.[archtrauma.com]

Treatment

  • Treatment Physical Treatments Medication Neuropathic pain medication Capsaicin cream Other Treatments Manual/Musculoskeletal Medicine TENS Interventional Pain Treatments Epidural injections Sleeve injection of a nerve root PRF treatment of a nerve root[pijn.com]
  • […] used when other treatments have failed.[living-with-back-pain.org]
  • Non-somatic Treatment Psychological Treatment Depression Treatment Cognitive-Behavioural Treatment Rehabilitation Treatment Somatic Treatment Pharmacological treatment: Tricyclic antidepressants Anticonvulsives: carbamazepine, oxcarbazepine, gabapentine[pijn.com]
  • CONSERVATIVE TREATMENT FOR AN INTERCOSTAL MUSCLE SPRAIN Conservative treatment starts with a comprehensive assessment by your physiotherapist or osteopath.[forcemedic.com]
  • Sixty per cent (28/47) of the treatments produced complete or nearly complete (excellent) relief of pain. Excellent pain relief persisted for more than 20 days after 22 treatments and for more than 90 days after seven treatments.[ncbi.nlm.nih.gov]

Prognosis

  • TABLE OF CONTENT Introduction Chapter 1 Intercostal Neuralgia Chapter 2 Causes Chapter 3 Symptoms Chapter 4 Diagnosis Chapter 5 Treatment Chapter 6 Prognosis Chapter 7 Trigeminal Neuralgia Chapter 8 Shingles Epilogue[chapters.indigo.ca]
  • Here is my favorite article on costochondritis, here is one excerpt: "What is the outlook (prognosis) for costochondritis? The outlook for costochondritis is generally very good.[inspire.com]
  • The prognosis of neuralgia is favorable.[back.vsebolezni.com]

Etiology

  • Abstract Intercostal nerves were injected with 10 per cent annomium sulfate in 41 patients (52 total sets of injections) for management of intercostal neuralgia from radical mastectomy (six blocks), thoracotomy (20 blocks), or unknown etiology (26 blocks[ncbi.nlm.nih.gov]
  • Etiological factors The causes of intercostal thoracalgia different.[back.vsebolezni.com]
  • […] neuralgia). glossopharyngeal neuralgia that affecting the petrosal and jugular ganglion of the glossopharyngeal nerve, marked by severe paroxysmal pain originating on the side of the throat and extending to the ear. idiopathic neuralgia neuralgia of unknown etiology[medical-dictionary.thefreedictionary.com]
  • Its etiological factors include mental irritation, invasion of exogenous pathogen and traumatic injury. The main diseased regions are distribution of liver and the gallbladder meridians.[tcmwindow.com]
  • In some instances, a structural or inflammatory source can be located, but still there are indeterminate etiologies in many people with primary pain disorders.[epainassist.com]

Epidemiology

  • […] and the vessels). [8] Marijuana: The American Medical Association stated in Report 3 of the Council on Science and Public Health (I-09) that "...Results of short term controlled trials indicate that smoked cannabis reduces neuropathic pain...". [11] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of chronic intercostal neuralgia pain is quite complicated. It involves different mechanisms such as peripheral, central, and psychological.[epainassist.com]
  • ., “What Is Intercostal Neuralgia: Symptoms, Causes, Treatment, Pathophysiology, Diagnosis,” ePain Assist; , last accessed May 30, 2017. “Intercostal Neuralgia,” Health Grades; , last accessed May 30, 2017.[doctorshealthpress.com]
  • The exact pathophysiology remains unknown, but this is mostly due to chest trauma during physical activities. In addition, athletes may be subjected to sudden large loads of indirect forces or overuse.[archtrauma.com]

Prevention

  • […] importance for all interventional pain physicians to perform a thorough pre-use check of the equipment prior to any RFA procedure, with special emphasis on ensuring the integrity of the insulating sheath of the needles which are to be used, in order to prevent[ncbi.nlm.nih.gov]
  • Prevention Neuralgia is easier to prevent than to treat.[back.vsebolezni.com]
  • Vaccination to prevent infection like chickenpox , herpes zoster, and shingles helps to prevent viral infection, which may cause intercostal neuralgia.[epainassist.com]
  • Migraines affect 15 percent of the population, but do so in different ways — some people […] Posted 18 Feb, 2018 Botox — formally known as onabotulinum toxin-A — is an injectable drug that can prevent muscles from contracting.[painspa.co.uk]

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