Patient's question:
How to diagnose intercostal neuralgia? A few days ago, I suddenly felt severe pain in the left chest, near the heart. I couldn't speak or breathe and was afraid to change my position. I thought I had a heart disease and was rushed to the hospital by 120 for tests like an ECG, chest CT, myocardial enzymes, and echocardiography. None of the results showed any abnormalities. After discharge, I experienced occasional pain for a few days. I have anxiety, and during the pain, I also feel a sense of impending death. Hello doctor, is this intercostal neuralgia? (Male, 23 years old)Doctor's answer:
It is recommended to check the dynamic electrocardiogram to rule out cardiovascular emergencies. Intercostal neuralgia, also known as intercostal neuritis, is a group of symptoms referring to a syndrome of ring-shaped pain in the intercostal or abdominal area caused by damage to the thoracic nerve roots (i.e., intercostal nerves) due to various reasons. It is recommended to see a neurology department. It is suggested to have a check-up in the neurology department. Currently, anti-inflammatory and analgesic medications can be used to stabilize the condition, and massage can also be used for stabilization. Rest, avoid overexertion, and do not carry heavy loads. For intercostal neuralgia, the department that requires follow-up is the thoracic surgery department.