Intercostal myalgia

Myalgia - symptoms

myalgia symptoms

Myalgia is a disease that is very annoying to muscle pain. Actually, the word "myalgia" is translated as "muscle pain".This disease, like the others, is growing younger, and today it affects not only adults, but also adolescents. In addition, the insidiousness of myalgia lies in the fact that even the most healthy person can suddenly feel its symptoms, for example, unnecessarily loading oneself with physical exercises.

Causes of myalgia

The causes of myalgia of rheumatic and non-rheumatic genesis are mainly:

  • physical overvoltage;
  • stress;
  • subcooling;
  • pathology and spine disease( eg, sciatica);
  • infectious diseases( eg, influenza);
  • hypertension of muscles;
  • injury( bruises, sprains).

However, it is worthwhile to dwell on several types of myalgia that arise for other reasons:

  1. Intercostal myalgia - arises from the squeezing of nerve trunks.
  2. Epidemic myalgia( Bornholm disease) - the cause is the Coxsackie B virus or Coxsackie A-9.
  3. The syndrome of eosinophilia of myalgia - occurs after the adoption of the Japanese drug "Tryptophan", which because of this impact is no longer produced.

Species and symptoms of myalgia

Modern medicine distinguishes three types of myalgia, each of which manifests itself in its own way. Consider these types of diseases more:


This species is characterized by pain in the muscles, ligaments, tendons. The pain is acute and especially noticeable during palpation. Basically, patients feel it in one of the areas:

  • loin;
  • neck;
  • shoulders;
  • the back of the head.

Nial Myalgia

Cervical myalgia is most common among all listed species. With this disease, dull pain in the neck.


In this case, there is a pain that occurs when moving. The main pain:

  • limbs;
  • trunk.

Especially common is intercostal myalgia, the symptoms of which are manifested by pain in the ribs or between them.


This is probably the worst kind of myositis, in which not only the pain and weakness in the muscles( neck and face) is felt, but also a possible dystrophy. In the absence of treatment, pain can extend the range of action to the pelvis and even lower limbs.

In addition, there are common symptoms for all three types of myalgia:

  • broken permeability of cell membranes;
  • edema;
  • is inflammation in the muscles;
  • nausea and vomiting;
  • pain in the head;
  • stiffness and tension in the joints;
  • elevated body temperature;
  • hyperthermia - excessive accumulation of heat in the body and, as a result, increased body temperature.
Treatment of myalgia

The main task of treating this disease is to eliminate the main cause of its occurrence. However, if this cause can not be eliminated, then proceed directly to treating the symptoms of the myalgia itself. For this purpose, courses of medications with anti-inflammatory action are prescribed. These can be tablets, ointments or injections.

In addition to medical treatment, a mandatory condition for full recovery is the implementation of a special set of exercises and the conduct of physio-procedures. Massage is an excellent influence. With the help of a good specialist, the patient can

intercostal myalgia get rid of the pain in the shortest possible time.

In addition to the basic treatment and support procedures, it would also be nice to spend some time after recovery in a sanatorium, as this will help the body to fully recover and gain strength.

Prevention of myalgia

As a prophylaxis of myalgia, regular moderate physical training of muscles, keeping a calm and measured lifestyle, and proper nutrition, supplying body tissues with all necessary substances, can be considered.

Reasons for the appearance of intercostal osteochondrosis

Intercostal osteochondrosis - although not quite right, but a fairly common name for intercostal neuralgia. In general, this problem occurs in the elderly, among young people this disease is very rare. By itself, this term is generally justified - the cause of neuralgia is usually the osteochondrosis of the thoracic spine. And since it is here that the ribs are attached to the spine, then the name appeared corresponding.

Why does such a disease occur?

In general, osteochondrosis of the thoracic spine is a rare phenomenon. This is due to the specifics of this department - it is inactive and the loads that fall on it are not large. As a result, it turns out that the load on the intervertebral discs, which are the first to suffer from osteochondrosis, is minimal, and due to low mobility, even the active development of osteophytes can go unnoticed. It is even possible that the entire thoracic spine will be joined by these outgrowths into a single immovable block, and pain sensations will not appear. However, this is an extremely rare situation. Much more often the development of osteochondrosis over time makes itself felt in the most unpleasant way, but we will talk about this further.

The main cause of osteochondrosis is the lack of vitamins in the body

The main causes of osteochondrosis in the thoracic region, as in other parts of the spine, are metabolic disorders and a lack of vitamins and trace elements, which causes degenerative-degenerative processes in the intervertebral discs,as well as the lack of necessary physical exertion. It makes no sense to go into the description of the development of osteochondrosis and its consequences, there are enough materials on this issue on our website. In this case, we are only interested in one fact - the resulting herniated intervertebral disc or osteophytes, sooner or later squeeze one or several nerve roots of the spine, which leads to the appearance of intercostal neuralgia.

How does this disease manifest itself, what are its symptoms?

Intercostal neuralgia, which often appears in the development of a disease such as osteochondrosis of the thoracic spine, is not actually an independent disease, it is simply a pain syndrome that is a consequence of the progression of the disease. At the same time, this syndrome leads to the appearance of very severe pain, which is comparable in strength to pain in acute renal colic.

When the intercostal nerve is infringed, the pain begins to spread on its course, therefore it gradually "girdles" the person, not having a clear localization. But at the same time, the pain sensations increase in the direction of the spine. In addition, such neuralgia is usually accompanied by a number of sensitivity disorders - there may be numbness or burning along the course of the affected nerve. At the same time, the intercostal muscles begin to twitch during an attack, and sweating is intensified. The skin in the affected area may become more pale, or vice versa - acquire a reddish shade.

But this is not the only problem that arises with the development of this pain syndrome. His distinctive feature is also the fact that he successfully imitates pains that arise for entirely different reasons, which is why in some cases doctors diagnosed incorrect diagnoses. As a result, sometimes the patient undergoes a lengthy course of treatment, which does not help him at all, without realizing that the cause of the pain lies in a different plane.

Most of all, problems arise when pain in neuralgia is similar to pain in cardiac pathology. Thus there are pains in the field of heart which give under a scapula that practically completely corresponds to a clinical picture at a stenocardia. However, an experienced specialist will always determine that the cause is not in the heart, even on the basis of a patient's interview, since the pain in neuralgia has its own specifics. For example, with angina pectoris, pain usually lasts only a few minutes, and with neuralgia, the pain can last for days. In addition, with this pain syndrome, pain usually increases with a change in body position, sneezing or coughing, deep breaths, etc., which is not typical for angina pectoris. In addition, a drug such as nitroglycerin, always relieves pain from angina pectoris, but can not cope with neuralgia.

Also, intercostal neuralgia can successfully imitate pain in peptic ulcer. It should be noted that there are no "visible" differences in the nature or duration of pain in this case, but antispasmodics, which usually help to relieve pain in the stomach, are ineffective in this situation and the patient's conditions do not improve.

How is this disease treated?

It should be understood that it is necessary to treat not the very intercostal neuralgia, which is simply a pain syndrome, but an osteochondrosis, which became the cause of its appearance. But in doing so, first of all you need to eliminate the pain itself, so that it becomes possible to move on to the treatment of the disease that caused neuralgia.

Typically, several days of rest and a course of nonsteroidal anti-inflammatory drugs that quickly relieve inflammation and swelling are enough to relieve the pain syndrome, thereby significantly reducing the pain syndrome. After the pain managed to take control, the treatment of osteochondrosis begins.

However, the treatment, and in this case, pursues only one goal - to stop the development of the disease and allow the body to adapt to the changed conditions. That is why the basis of the subsequent treatment is physiotherapy, massage and therapeutic gymnastics.

Myalgia symptoms and treatment

Almost all people know the pain in the muscles, often appearing under heavy physical exertion. Very often they arise as a result of stressful situations or injuries. This is one of the most common muscular diseases that affects people of all ages. And it's called myalgia.

Types of myalgias

The following types of myalgia are distinguished:

  • Fibromyalgia, characterized by tenderness of the muscles in the loin, cervico-brachial girdle, occiput. It can be primary, to which women are subjected at any age who have a tendency to depressive states. And secondary, manifested among men who perform heavy physical work and do a lot of sports.
  • Myositis is a myalgia, inflammatory. It occurs against the backdrop of chronic diseases, as well as as a consequence of a cold or infectious illness.
  • Poliomyositis. It is characterized by weakness and dystrophy of the muscles. In this case, the pain from the cervico-brachial girdle in the initial stage of the disease, gradually, as the disease progresses, pass into the pelvic region and legs.
  • Bornholm disease or epidemic myalgia, which is caused by the Coxsackie virus.
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Causes of myalgia

Myalgia is a disease that is familiar to every person, since almost all people occasionally experience muscle pains that occur during movement, during physical work, sports exercises, or when pressing on an inflamed area. The causes of myalgia are very different.

  • Most often, its occurrence is associated with heavy overwork or excessive loads in sports and gyms.
  • Often the cause of this disease is stress, causing a strong emotional stress.
  • Various injuries, hypothermia and diseases cause inflammation in the muscle tissue, and as a consequence, myalgia.
  • Pain in the muscles can be promoted by a passive way of life, when a person moves a little.

Any of these causes leads to increased muscle tension( hypertonicity).And as a result - a violation of metabolism.

Myalgia symptoms

Myalgia, the symptoms of which often appear in people who have excellent health, during training or performing unusual physical work, is characterized primarily by a sudden acute pain that pierces the muscles.

In the future, there may be swelling of the legs and inflammation of certain areas. Very often, with myalgia, a person experiences attacks of nausea and headache.

In this case, each type of myalgia is characterized by its own symptoms.

  • strong pain in the area of ​​the cervico-humeral girdle and waist testify to the presence of fibromyalgia. Especially acute it is felt when pressing. The concomitant factor of fibromyalgia is deterioration of sleep and asthenia. In this case, cases of increased pain when weather changes, minor injuries, etc are common;
  • inflammatory myalgia or myositis is accompanied by pain in the muscles of the legs, arms and trunk, a noisy character that increases during movement;
  • for polymyositis is characterized by severe paroxysmal pains in the upper part of the trunk( cervico-brachial region), caused by muscle weakness. In the future, the pain is localized in the pelvic region and passes to the legs. Running, untreated polymyositis can lead to muscle dystrophy;
  • is the most severe course in epidemic myalgia, which is accompanied not only by acute pain, localized in the upper back, chest area, cervico-brachial girdle and hands, but also by fever, vomiting, chills.
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Treatment of myalgias

Treatment of myalgia should be performed under the supervision of a specialist physician in this field. The greatest effect is provided by complex therapy, including:

Fibromyalgia is characterized by the appearance of muscle pains, in addition pain sensations appear in the muscular ligaments and tendons. Fibromyalgia is divided into 2 varieties - primary and secondary.

Most often, primary fibromyalgia occurs in women who are prone to anxiety, stress and depression. This type of ailment often develops in adolescent girls.

Secondary fibromyalgia is more typical for representatives of the male part of the population and may be a consequence of work and sports overloads of the body.

Myositis is the second most common type of disease. It is an inflammation of the muscular structures. Most often this type of pathology occurs as a consequence of the development of a variety of diseases in the body, including influenza.

The causes of the disease can be injuries and excessive physical activity. Sometimes the cause of myositis is vascular disorders. An example of such a violation may be insufficient blood supply to the muscle tissue with blood.

Polymyositis is a kind of pathology that provokes weakness and strong pain in the muscles of the neck and shoulder girdle, which over time can move to the pelvic girdle and lower limbs. In some particularly severe cases of development, polymyositis is capable of provoking muscular dystrophy.

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Causes of the disease

The causes of the pathology are stressful situations, emotional overstrain, long and heavy physical exertion. In addition, the disease can provoke a sedentary lifestyle, infectious, inflammatory and chronic diseases. The disease can develop with regular supercooling or injury.

All of these factors cause muscle hypertonicity, which causes a change in metabolic processes. There are several types of myalgias, which have special reasons for their occurrence. These reasons are different from the generally accepted ones. Such types of ailment are:

  • intercostal myalgia - develops as a result of compression of nerve trunks;
  • epidemic myalgia due to infection with the Coxsackie B virus or Coxsackie A-9;
  • syndrome of eosinophilia-myalgia - arises from the use of the drug "Tryptophan" of Japanese production, at the moment is practically not found due to the discontinuation of the release of the medication.

In the absence of treatment, myalgia is capable of provoking such serious ailments as osteoarthritis, osteochondrosis, herniation of intervertebral discs and a number of other problems.

Symptoms of the pathology of

In addition to common symptoms, each of the myalgia species has its own characteristics:

  1. Fibromyalgia is characterized by pain in the muscles, ligaments and tendons. These pains are acute. A strong manifestation of pain is observed during palpation.
  2. Myalgia of the neck muscles are characterized by dull pain.
  3. With myositis, pain occurs when moving. Most often the pain is felt in the muscles of the limbs and the trunk. This type of disease develops intercostal myalgia, the symptom of which are pain sensations in the ribs or between them.
  4. Polymyositis is characterized by symptoms such as pain and weakness in the muscles. Muscular dystrophy is possible.

In addition to the listed characteristics for various types of the disease are characterized by headaches, nausea and the urge to vomit.

In case of epidemic myalgia, acute and paroxysmal pain, high fever, chills, and vomiting are possible. Localization of painful attacks is most often observed in the chest, back, neck and arms. The duration of epidemic myalgia is from 3 to 5 days.

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Treatment and prevention of myalgia

The main task of treatment procedures is to eliminate the underlying cause of the disease. If the cause of the disease can not be eliminated, then they perform therapeutic measures to eliminate symptoms. In the detection of signs of myalgia, the patient is treated with complex methods that ensure the elimination of not only the symptoms of the disease, but also its causes.

In case of myalgia, medication is prescribed, in which agents with anti-inflammatory action are used. The drugs are used in the form of tablets, ointments or injections.

In addition to medical treatment, a set of physical exercises and physiotherapy are used. In the process of medical procedures, it is recommended to apply special massage methods that give an excellent effect. To consolidate the therapeutic effect of medical procedures, it is recommended that sanitation be improved in a sanatorium. This allows the body to recover and gain strength.

Since it is much more difficult to treat myalgia than to prevent it, regular prophylaxis should be undertaken. As a preventive measure, regular physical training of muscles is recommended.


In addition, you should lead a healthy lifestyle and eat right. Proper nutrition provides the body with all the necessary substances and microelements, which prevents the development of violations.

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