Free Case Reports | October 1990 An Unusual Presentation of Intercostal Neuralgia Author Affiliations & Notes Robert F. Haynsworth, M.D. * Carl E. Noe, M.D. * * Associate Attending. [anesthesiology.pubs.asahq.org]

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]

Patients may also present with shallow, apical breathing as deep breaths may also increase pain. [aspecthealth.ca]

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]

Other pertinent history and workup include pregnancy and parity, autoimmune disorders, neoplastic process, or metabolic and nutritional derangements. [ncbi.nlm.nih.gov]

Beyond the disease itself, the treatment options are not without risk. [ncbi.nlm.nih.gov]

Non-somatic Treatment Psychological Treatment Depression Treatment Cognitive-Behavioural Treatment Rehabilitation Treatment Somatic Treatment Pharmacological treatment: Tricyclic antidepressants Anticonvulsives: carbamazepine, oxcarbazepine, gabapentine [pijn.com]

If the rib is broken, but well-aligned, and your treatment is easily bearable, ischemic compressions will normally eliminate the trigger points in six to 12 treatments. [dynamicchiropractic.com]

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, http://patient.info/health/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]

Prognosis The prognosis of intercostal neuralgia is variable. Some patients achieve resolution of symptoms over time with or without supportive conservative measures, while others develop chronic pain, which can be a significant source of morbidity. [ncbi.nlm.nih.gov]

Etiological factors The causes of intercostal thoracalgia different. [back.vsebolezni.com]

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]

[…] 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]

Advances in the understanding of the pathogenesis and epidemiology of herpes zoster. J Clin Virol. 2010 May;48 Suppl 1(Suppl 1):S2-7. [PMC free article: PMC5391040] [PubMed: 20510263] 17. [ncbi.nlm.nih.gov]

[…] 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]

The pathophysiology of chronic intercostal neuralgia pain is quite complicated. It involves different mechanisms such as peripheral, central, and psychological. [epainassist.com]

Pathophysiology The pathophysiology of intercostal neuralgia is multifactorial and includes various combinations of the peripheral and central nervous system and psychological mechanisms. [ncbi.nlm.nih.gov]

Sources: Kerkar, P., “What Is Intercostal Neuralgia: Symptoms, Causes, Treatment, Pathophysiology, Diagnosis,” ePain Assist; https://www.epainassist.com/nerves/intercostal-neuralgia, 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]

Some of these risk factors are avoidable, like HZ, with the administration of a preventative vaccine. [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]