Intercostal neuralgia treatment necessarily includes drug treatment. More often, the disease manifests itself in the coccyx area or on the left. Intercostal neuralgia is a complex of symptoms that occur due to inflammation or compression of the nerve roots.
An inflammatory process develops with acute attacks of pain and without treatment, this can lead to serious complications and consequences.
Record content:
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1 Medicines and remedies
- 1.1 "Tempalgin"
- 1.2 Ibuprofen
- 1.3 "Kapsikam"
- 1.4 Voltaren
- 1.5 "Sirdalud"
- 1.6 "Viprosal"
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2 Traditional medicine recipes
- 2.1 Iodine and glycerin
- 2.2 Onions and potatoes
- 2.3 Valerian tincture
- 2.4 Geranium leaves
- 2.5 Burdock leaves
- 2.6 Birch bud tincture
- 2.7 Horseradish and radish
- 2.8 Bodyagi tincture
- 2.9 Pork fat and lilac buds
- 2.10 Camphor ointment
- 2.11 Salt compresses
- 2.12 Sedatives
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3 Other methods
- 3.1 Healing baths
- 3.2 Physiotherapy
- 3.3 Massage
- 4 Video about the treatment of intercostal neuralgia
Medicines and remedies
Treatment of intercostal neuralgia on the left, right, in the coccyx area begins with finding out the cause of the disease. The drugs are selected depending on the intensity of the symptoms.
For example, if it is caused by a deficiency of trace elements, then a course of vitamins is prescribed (especially group B - 1, 6 and 12). Mild pain is eliminated with the help of analgesics, pronounced pain with non-steroidal anti-inflammatory drugs.
In diseases of the gastrointestinal tract, taking pills is contraindicated. Then ointments are used for treatment. When muscle spasms appear with intercostal neuralgia, therapy is supplemented with muscle relaxants.
Additionally, sedatives are taken to calm the nervous system. If the pain with intercostal neuralgia becomes unbearable, then the symptoms are stopped with novocaine blockades.
"Tempalgin"
Available in green biconvex tablets. Active substances - tempidone, sodium metamizole. It is an analgesic that relieves minor pain. Among the excipients are glycerol, wheat starch, castor oil.
The drug has a combined effect, in addition to the main one, it has an anti-inflammatory and sedative effect.
Assign 1 tablet 2-3 times a day, with severe pain - 4 doses. You can take 2 tablets at a time, the maximum dosage per day is 6 pcs. The course of treatment is 5 days. The tablets are taken before or after meals, washed down with plenty of water.
Indications:
- any mild or moderate pain (including neuralgia);
- mild symptoms of visceral origin;
- an increase in temperature caused by inflammatory and infectious diseases;
- pain after surgery.
Contraindications:
- age up to 14 years;
- severe renal and hepatic failure;
- arterial hypotension;
- heart failure;
- pregnancy
- violation of hematopoiesis;
- intolerance to the components of the drugs;
- lactation period;
- "Aspirin" asthma;
- lack of glucose-6-phosphate dehydrogenase.
In case of an overdose, nausea, vomiting, and shortness of breath may occur. Sometimes epigastric pain, convulsions, drowsiness and tinnitus appear. With prolonged use of the drug, it is necessary to monitor the state of the liver.
Side effects may include minor disturbances in the digestive, cardiovascular, urinary system and central nervous system. Sometimes thrombocytopenia, agranulocytosis, leukopenia appear. More often, minor side effects may occur - mild itching, redness, rash. The drug is available over the counter without a prescription. Cost - 140-510 rubles.
Ibuprofen
Treatment of intercostal neuralgia on the right and on the left is most often carried out with "Ibuprofen". It is released in the form of pink biconvex tablets, gel, ointment, suppositories. The active ingredient is ibuprofen.
Excipients include beeswax, sucrose, lavender and neroli oil. It is a non-steroidal anti-inflammatory drug. In addition to the main, it has an antipyretic and analgesic effect. Reduces pain at the site of inflammation.
Assign 1 tablet 2-4 times a day, with an interval of 6 hours (minimum - 4). The maximum possible dosage is 6 pcs / day (no more than 1200 mg). The tablets are taken before or after meals with water. The ointment is applied to the affected area with a thin layer 2 times a day. The course of treatment is 5 days.
Indications:
- rheumatoid arthritis;
- toothache;
- neuralgia;
- osteoarthritis;
- any pain;
- cold, flu, fever.
Contraindications:
- intolerance to the components of the drug;
- inflammation of the gastrointestinal tract;
- ulcerative colitis;
- erosion of the gastric mucosa;
- hepatic and renal failure;
- pregnancy;
- blood clotting disorders;
- age up to 6 years;
- rehabilitation after bypass surgery;
- hyperkalemia.
Overdose may cause nausea, vomiting, drowsiness. Sometimes - pain in the abdomen, head, tinnitus. Among the most dangerous reactions are a sharp drop in blood pressure, coma, and respiratory arrest.
Side effects can occur from any system (digestive, respiratory, cardiovascular, central nervous system). Sometimes there are violations of hematopoiesis, increased sweating. However, side effects are extremely rare. The drug is available over the counter without a prescription. Cost - from 40 rubles.
"Kapsikam"
Produced in the form of an ointment for external use. The active ingredients are gum turpentine, camphor, dimethyl sulfoxide. Among the auxiliary substances are sodium cetylstearyl sulfate, emulsifying alcohol, polysorbate. This is a combination drug that reduces pain. In addition to the main, it has an irritating, warming and vasodilating effect.
Apply a thin layer to the sore spot and rub it lightly into the skin - 2-3 times a day. The pain begins to decrease after 30 minutes and the effect of the drug lasts up to 6 hours. The course of treatment is no longer than 10 days.
Indications - muscle, joint pain, intercostal neuralgia. It can be used by athletes as a warming agent.
Contraindications:
- pregnancy;
- lactation period;
- skin diseases;
- intolerance to the components of the drug;
- ulcers at the site of application of the ointment.
In case of an overdose, skin redness, itching, and burning may occur. Possible side effects include allergic manifestations (urticaria, itchy skin, swelling). Then the use of the ointment must be stopped. The negative symptoms will disappear after 8 hours. The drug is available over the counter without a prescription. Cost - from 340 rubles.
Voltaren
Produced in the form of biconvex light brown tablets, spray, solution for injection. The active ingredient is diclofenac. Among the excipients are corn starch, magnesium stearate, povidone. It is a non-steroidal anti-inflammatory drug. In addition to the main, it has an antipyretic and analgesic effect.
Assign 100-150 mg per day, with long-term treatment, the dosage is reduced to 75-100 mg per day. The tablets are taken at night, but with severe pain - twice a day - in the morning and in the evening, dividing the daily dose in half. For children under one year old, the amount of the drug is calculated at the rate of 0.5-5 mg / kg (per day). The solution is administered intramuscularly, 75 mg once a day, once a day. The course of treatment is 2-5 days.
Indications:
- pathology of the musculoskeletal system;
- intercostal neuralgia;
- pain in the spine;
- pathology of ENT organs;
- inflammatory processes accompanied by pain.
Contraindications:
- intolerance to the components of the drug;
- gastrointestinal diseases;
- pregnancy;
- proctitis;
- with caution in cardiovascular diseases, with bronchial asthma, Crohn's disease.
In case of an overdose, the risk of developing cardiovascular disorders increases. During therapy, a decrease in psychomotor reactions is possible. Side effects include nausea, vomiting, and diarrhea. Headache, rash, itching may occur. Rarely - drowsiness, urticaria, edema. However, adverse reactions are extremely rare. The drug is available over the counter without a prescription. Cost - from 220 rubles.
"Sirdalud"
Available in the form of white tablets. The active ingredient is tizanidine. Among the excipients are lactose, stearic acid, silicon dioxide. It is a muscle relaxant of central action, eliminates muscle spasms. In addition to the main, it has a slight analgesic effect.
Treatment begins with 1 tablet a day or half three times a day. With severe muscle spasms, take 2 pcs. 3 times. In severe neuralgia, an additional pill is drunk at night.
Indications:
- muscle spasms;
- after surgery;
- cerebral circulation disorders;
- multiple sclerosis;
- spinal cord diseases.
Contraindications:
- age under 18;
- severe liver disorders;
- intolerance to the components of the drug;
- rare hereditary diseases (especially lactose intolerance);
- with caution - for elderly people over 65 years old.
In case of an overdose, confusion, visual impairment, and liver failure may occur. After a long treatment, tachycardia, increased blood pressure, and impaired blood circulation in the brain appear.
Side effects include:
- drowsiness;
- insomnia;
- dry mouth;
- severe fatigue;
- stomach upset;
- lowering blood pressure;
- dizziness;
- muscle weakness;
- bradycardia;
- nausea.
The drug is available in pharmacies with a prescription. Cost - from 190 rubles.
"Viprosal"
Produced in the form of a white ointment for external use. The active ingredient is gum turpentine, viper venom, camphor and salicylic acid. Among the excipients are glycerol, hard paraffin, petroleum jelly. It is an anti-inflammatory, pain relieving drug.
In addition to the main, it has an irritating and antiseptic effect.
A small amount of ointment is applied to the affected area and rubbed into the skin twice a day. The course of treatment is until the pain sensations disappear. If there is no improvement in two weeks, you need to see a doctor. Indications - myositis, arthralgia, neuralgia.
Contraindications:
- pregnancy;
- lactation period;
- damage to the skin at the site of application;
- depletion of the body;
- feverish condition;
- intolerance to the components of the drug;
- severe kidney and liver disease;
- pulmonary tuberculosis;
- circulatory disorders;
- age up to 12 years.
Side effects include hives, swelling, and itching. Overdose cases were not recorded. The drug is available over the counter without a prescription. Cost - 250-290 rubles.
Traditional medicine recipes
Treatment of intercostal neuralgia on the left, right, in the coccyx area can be supplemented with traditional medicine recipes. But they can be contraindicated if there are diseases of the gastrointestinal tract and heart. Therefore, they are selected individually. When starting treatment, for the first 5 days it is impossible to lift weights, to keep to bed rest.
Compresses are mainly used to treat intercostal neuralgia. Before using the product, it is applied to the inner fold of the elbow. If there is no negative skin reaction within 5 minutes, then it can be used for treatment.
Iodine and glycerin
Glycerin and iodine are mixed in equal proportions. Then the mixture is applied to the sore spot, but contact with the spine should be avoided. A tight bandage made of natural fabric is applied on top.
Hold for 5-6 hours, then remove the compress and insulate the treated area. The procedure is repeated every other day. The full course of treatment is 12-15 procedures.
Onions and potatoes
Grate potatoes and onions coarsely. Offset in equal proportions. Apply the mixture to the sore spot and keep until completely dry. The course of treatment is at least a week.
Valerian tincture
Soak a bandage made of natural fabric in valerian tincture and apply it to the affected area. Put cling film or plastic bag on top. Then wrap it up with a warm cloth or scarf. Keep the compress for 5-6 hours until a burning sensation appears. After that, the bandage is removed.
The procedure is repeated daily for at least a week.
Geranium leaves
Apply fresh geranium leaves to the sore spot, cover with a warm cloth. Keep the compress for 2 hours. Then change the leaves to fresh ones. Treatment continues for 5-7 days. This is one of the most effective recipes.
Burdock leaves
Fresh burdock leaves are less effective than geraniums but reduce pain and inflammation. They are applied to the affected area and covered with a warm cloth. The compress is made at night and kept until the morning. The procedure is repeated daily for 7-10 days.
Birch bud tincture
A handful of birch buds are poured into 0.5 liters of vodka. Put away in a dark place for 10 days. The tool is used to lubricate the sore spot before bedtime. Then cling film and warm cloth are applied. Fasten tightly. The compress is done until the pain disappears.
Horseradish and radish
Their radish and horseradish squeeze out the juice. Then they are mixed and applied to the sore spot. Wrap it on top with a warm cloth. The compress is done at night every day until the pain disappears. At the same time, blood flow is accelerated.
The procedure is repeated every other day, no more than 4-5 times. Otherwise, the juice may irritate the skin. If this happens, treatment with radish and horseradish is stopped.
Bodyagi tincture
The bodyagi tincture is mixed with vodka in equal proportions. Then they are removed to a dark place for 3-4 weeks. A cotton cloth is moistened in the solution and applied to the affected area overnight. In the morning, the compress is removed. The procedure is repeated until the pain disappears.
Pork fat and lilac buds
You can prepare an ointment from melted pork fat and lilac buds. They are taken in a 4: 1 ratio. The agent is rubbed into the sore spot twice a day, and a warm cloth is applied on top. The course of treatment is until the pain passes.
Camphor ointment
Homemade ointment is made from dry mustard, raw protein and camphor. They are taken in a proportion of 50 g / 100 ml / 50 ml. Before applying the ointment, it must be warmed up.
A warm composition is applied to the affected area, but only when the exacerbation stage has passed. Then cover with a cloth and hold for 3-4 hours. The ointment is applied daily for a week.
Salt compresses
Dissolve 1 tbsp in a glass of water. l. salt. A cloth is moistened in a solution, applied to a sore spot, and covered with a warm handkerchief on top. The compress is kept for 2-3 hours. The salt will draw out excess fluid, which will reduce tissue swelling. If the person is obese, then the compress is left for 4 hours.
Sedatives
With intercostal neuralgia, the nervous system is severely affected. As a sedative, tea with mint is drunk. Or brew 1 tbsp. l. leaves in a glass of boiling water and insist for half an hour. For taste, you can add 1 tsp. l. honey. The drink is drunk in the morning and before bedtime, with severe nervousness - three times a day.
The course is not limited in time.
You can also brew lemon balm leaves and orange peel. They are taken in equal proportions - 1 tsp each. l. and pour a glass of boiling water. Insist for 10-15 minutes and drink warm. The drink is brewed 2-3 times a day. The course is not limited in time.
Other methods
Treatment of intercostal neuralgia on the left, right, in the lower spine, in addition to medications and folk recipes, can be supplemented with other methods. For example, massage, therapeutic baths and a set of exercises. Acupuncture is not done on your own, but you can call a specialist at home. All other methods are carried out only in a clinic.
Healing baths
Healing baths with lavender oil help to alleviate the condition. They reduce pain and relax muscles. The sage solution has the same effect. 4 tbsp is brewed in a glass of boiling water. l. plants and insist an hour. Then it is poured into a hot bath. Sage additionally has anti-inflammatory effects.
For wood broth, 500 g of chopped poplar and aspen bark will be required. They are poured with 0.5 liters of water and boiled for half an hour. Remove from heat and insist for another 30 minutes. Then the product is poured into a warm bath (temperature - 40 degrees). You need to lie in the water for 10-15 minutes.
According to another recipe, mix 1 tsp. l. honey, a glass of full-fat milk and 5 drops of eucalyptus or lavender oil. The mixture is poured into a warm bath and soaked for 15 minutes. It is not recommended to rinse the body after the procedure.
It is impossible to take hot baths at elevated temperatures, cardiovascular diseases, hypertension. Elderly people should first consult a doctor.
Physiotherapy
Exercise can only be done after acute pain has been eliminated. Gymnastics is performed smoothly, without sudden movements, the load increases gradually. Before a set of exercises, you need to do a light warm-up.
Exercise therapy is selected by a doctor, but there is an easy gymnastics option that suits everyone:
- Put your hands on your belt, spread your legs shoulder-width apart. Do tilts to the right and left.
- Sit on a chair, clasp your hands behind your head. Bend back and take the starting position. Repeat 10 times.
- With your legs apart, clasp your bent arms into a lock behind your head. Make turns in different directions, keeping the pelvis motionless.
- Sit down 10 times, holding the back of the chair. Keep your back straight.
- Lie on the floor, bend your legs and raise each one in turn, trying to touch your knee to your nose.
If during execution the pain becomes more intense, you need to stop gymnastics. You can also pick up exercises from yoga. It helps to stop muscle spasms, but it can only be dealt with after the pain disappears. All exercises are performed slowly, it is important that breathing is abdominal.
Massage
Treatment of intercostal neuralgia on the left and right can be supplemented with a massage with honey. It is done from the side of the chest and back. First, a healthy area is worked out, smoothly moving to the affected area. Warm up the desired area with light circular movements. Then the skin is smeared with honey and massaged more intensively, but without strong pressure, so as not to increase the painful sensations.
When the honey thickens, instead of circular motions, use the stick-unstick method of the palms. The duration of the procedure is 60 minutes. The massage is done daily, the full course is 10 sessions. The method helps to increase blood circulation, relieves spasms. The area that is pinched on the nerve expands, relaxes, and the pain gradually recedes.
Massage can also be done with medical glass jars. The skin is lubricated with oil, then jars are placed and, without lifting them from the back, smoothly move in a circular motion.
Treatment of intercostal neuralgia requires medication. But if the symptomatology manifests itself on the left, this may be the result of another disease. Therefore, neuralgia is first differentiated from other pathologies. If the treatment is started on time, then after a few days relief comes, but for a full recovery it will take at least 10-14 days.
Video about the treatment of intercostal neuralgia
Fragment of the program "Living Healthy" about intercostal neuralgia: