What Are the Different Treatments for a Pinched Shoulder Nerve?

Intercostal neuralgia is a group of symptoms that refers to the damage of the thoracic nerve root (ie, intercostal nerve) due to different reasons, such as: thoracic spine degeneration, thoracic spinal tuberculosis, thoracic spinal injury, thoracic spinal meningitis, tumor, ankylosing spondylitis Diseases or rib, mediastinal, and pleural lesions. The intercostal nerves are oppressed and stimulated by the diseases mentioned above, and there is an inflammatory response. Syndromes with band-like pain in the intercostal or abdominal regions of the chest appear.

Shoulder neuritis

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Intercostal neuralgia is a group of symptoms that refers to the damage of the thoracic nerve root (ie, intercostal nerve) due to different reasons, such as: thoracic spine degeneration, thoracic spinal tuberculosis, thoracic spinal injury, thoracic spinal meningitis, tumors, ankylosing spondylitis, etc. Diseases or rib, mediastinal, and pleural lesions. The intercostal nerves are oppressed and stimulated by the diseases mentioned above, and there is an inflammatory response. Syndromes with band-like pain in the intercostal or abdominal regions of the chest appear.

Intercostal neuralgia is divided into two types, primary and secondary. Radial intercostal neuralgia can be secondary to diseases such as thoracic spine degeneration, thoracic spinal tuberculosis, thoracic spinal injury, thoracic spinal meningitis, tumors, and ankylosing spondylitis. Lesions of the ribs, mediastinum, or pleura are secondary to dry intercostal neuralgia. Primary intercostal neuralgia is rare.
When intercostal neuralgia occurs, the pain can be seen from back to front, and the radiation is semicircular along the corresponding intercostal space; the pain is tingling or burning. Increased pain when coughing, breathing deeply, or sneezing. The pain is more common on one nerve on one side.

Physical examination revealed significant tenderness near the spinous process of the thoracic spine and intercostal space; typical patients with root intercostal neuralgia had a positive neck flexion test; the distribution of affected nerves often exhibited neurological impairment such as hypersensitivity or hypoesthesia.

Treatment should identify the primary lesion and use appropriate treatment methods. You can use medicine, physical therapy, acupuncture, massage and so on.

Tuina is clinically effective in treating intercostal neuralgia caused by thoracic spine injury or degeneration. Such patients often have abnormal thoracic spine joints. After thoracic reduction, the pain can be significantly relieved.

Intercostal neuralgia is a symptom, and the cause of the disease should be diagnosed. Intercostal neuralgia is easy to confuse with herpes zoster in the early onset. Pay attention to identification.

Diseases in the thoracic spine should be treated immediately to avoid secondary intercostal neuralgia. Seated workers should pay attention to posture to avoid fatigue.