Can rib cage nerve pain be treated with methylcobalamin tablets?

Patient's question:

Sometimes, the pain in my left intercostal area feels like a needle, lasting only a few seconds. About past treatment and its effects: I have taken Xiao Yao Wan and Vitamin B1 together, and I took two bottles of it. However, after stopping the medication, the pain returned, but it was less severe and less frequent than before. Now, someone suggests I use Methylcobalamin tablets, but I hear that Methylcobalamin tablets have side effects. Should I switch to the new medication or continue taking Xiao Yao Wan?

Doctor's answer:

Your condition is sometimes like a needle-like pain in the intercostal muscles, which may be intercostal neuralgia. If it persists, it's best to go to the hospital for a check-up to rule out other conditions. Methylcobalamin is a nerve-nourishing medication and can be used. If rash or other symptoms reappear after taking the medication, stop using it. Xiao Yao Wan is a traditional Chinese medicine, and there is no conflict with it. Xiao Yao Wan mainly has the effects of broadening the chest and regulating qi. Wishing you good health!

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