Intercostal neuralgia during pregnancy

Intercostal neuralgia during pregnancy is a common, but very unpleasant disease, which often scares new moms. The problem is compounded by the fact that the state of pregnancy many of the usual drugs prohibited for use, so as not to harm the fetus. Consider, what is it, and how you can cope with him being in the «interesting position».

What neuralgia is, and why it occurs?

Intercostal neuralgia (the second name – sciatica thoracic) is a disease that occurs due to compression or damage of the intercostal nerves. Disease manifests itself with severe pain. The problem is caused by compression of nerve fibers exit from the spinal canal. This compression may occur in the following situations:

  • A sudden movement. In the third trimester the growing belly reduces intercostal spaces, which leads to compression of the nerves at the slightest of wrong throttle.
  • Low back pain. It is a disease in which there is the destruction and inflammation of intercostal disks, they appear bony growths that compress the nerves passing there.
  • Injuries and their consequences. Trauma or injury to the chest causes compression of the nerve by the inflammatory tissue. And later can compress the nerves resulting scarring or bony growths.
  • Hernias and tumors of this region.
  • Scoliosis.
  • Congenital malformations of the spine.
  • The lack of vitamins and alcohol lead to a disruption of nerve tissue.
  • Hormonal imbalance (pregnancy, diabetes, menopause).
  • Some infectious diseases (shingles, etc.).
  • Thus, for the occurrence of intercostal neuralgia and ordinary people, and in pregnant women there are many reasons. The disease may occur for the first time or just to be a worsening of a long-existing pathology.

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    Symptoms and signs of pathology

    Intercostal neuralgia is accompanied by various symptoms, among which the leading are:

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  • The intense pain. Pain neuralgia sharp and can excite the patient constantly or in frequent bouts. Usually the pain extends in the course of the pinched nerve. It can easily be confused with heart pain, hepatic and renal colic.
  • Strengthening pain attack during physical effort. Any movement, coughing or sneezing increases the pain intensity several times. So the patient tends to occupy a comfortable position and not move.
  • Numbness and tingling in the area of exit of the nerve endings.
  • Pain on palpation in the course of the affected nerve.
  • The change of color and skin temperature in the area of the pinched nerve.
  • The symptoms of the disease which was the cause of the neuralgia, for example, herpes zoster is a girdle pains and blisters, and in viral infections is the rise in temperature, runny nose and cough.
  • Межреберная невралгия при беременности
    The danger of this disease is that it can disguise and mask the many other pathological conditions. If the pain is in the region of the heart, the patient thinks about the patient’s heart; if in the right side, then the suspicion falls on the liver. It can be difficult to navigate, especially during pregnancy when any deviation from the norm scares the mother. If in doubt, it is necessary to see a doctor.

    How to diagnose the problem?

    Because pregnancy is contraindicated in some of diagnostic methods of research, to confirm neuralgia doctor can make a diagnosis on the basis of complaints and inspection of the patient. If necessary for differentiation of the diagnosis may require ultrasound. This method of research is safe during pregnancy.

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    How to treat?

    Treatment of intercostal neuralgia is difficult due to the fact that many painkillers and anti-inflammatory drugs are contraindicated during this period. Some «experts» actually suggest just to survive day by day the pain and not take medication. This approach is not entirely correct, the treatment in pregnancy should be just, it should be done under the supervision of a competent neurologist. It is as follows:

    • local warming ointments and compresses to affected area;
    • if the pain is unbearable, fever, use of Paracetamol;
    • b vitamins, which improve the conductivity and the nerve fibers;
    • massage;
    • chiropractic;
    • exercises from the course of physiotherapy;
    • treatment of the underlying disease.

    Intercostal neuralgia is an unpleasant problem, especially when it occurs in women during pregnancy. Do not panic, you should promptly visit a neurologist to find the treatment that will ease and relieve the pain.

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