Rib pain

Introduction The back thoracic vertebrae corresponding to the ribs are slightly displaced, causing the rib nerve to be stuck or stuck, which can cause pain. There is muscle damage at the point of pain that produces a sterile inflammation station that stimulates the rib nerve to cause pain. Intercostal neuralgia is a pain syndrome in the intercostal nerve innervation. Primary is rare, mostly secondary lesions. Including chest diseases such as pleurisy, pneumonia and aortic aneurysm, thoracic and rib trauma secondary to osteophyte formation or periostitis, thoracic and rib tumor or deformity, thoracic cord.

Cause

There is a slight shift in the back thoracic vertebrae, causing the rib nerve to be stuck or stuck. Intercostal neuralgia is a group of symptoms, refers to the damage of the thoracic nerve root (ie intercostal nerve) for different reasons, such as: thoracic degeneration, thoracic tuberculosis, thoracic spine injury, thoracic duralitis, tumor, ankylosing spondylitis, etc. Disease or ribs, mediastinum, pleural lesions, intercostal nerves are subjected to compression, stimulation, and inflammatory reactions of the above-mentioned diseases, and syndromes with banded pain in the chest intercostal or abdomen appear.

an examination

Related inspection

Chest flat chest MRI chest perspective

Establishing the diagnosis must first be based on the distribution of pain characteristics, clearly defined as intercostal neuralgia, and then more important is to think of and find the cause of intercostal neuralgia, especially considering tuberculosis, tumor, osteoporosis compression in the elderly Sexual fractures, early herpes zoster and other important diseases that are easily overlooked.

Differential diagnosis

Right rib pain is a common cause of chest pain. Because the pain is in the front chest, it is easy to be confused with angina. Patients often mistakenly think that they have coronary heart disease. The cause is generally related to trauma. When people carry heavy objects, they are sharply twisted or chest. Extrusion causes acute damage to the thoracic rib joint cartilage, or viral infection caused by chronic strain or cold, resulting in edema of the thoracic rib joint cartilage and a thickened aseptic inflammatory reaction. Or costal cartilage developmental malnutrition, chest and rib joint inflammation, myofascial inflammation. The clinical manifestations of right rib pain are chest pain, mostly soreness, and the onset is sharp or slow. It is light and heavy. It can be caused by coughing, deep breathing, upper limb activity, and sometimes upper extremity. Check 2-5 costal cartilage. If the tenderness is not completely treated in time, there is a tendency to recurrent. Clinically, it should be distinguished from coronary heart disease angina pectoris, tuberculous pleurisy and other diseases. Chinese medicine believes that costal cartilage inflammation pain and chest flank, upper arm is qi stagnation, local uplift, tenderness is obvious, pain points are fixed and blood stasis. Qi stagnation and blood stasis, wind and heat invade the meridians, toxic heat and blazing, qi and blood can not pass, nowhere is pain.

The top left rib indicates that there is a problem with the heart. If there is a problem with the stomach below. Pain worsens when coughing, taking a deep breath, or sneezing.

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