First, the cause of pain in the middle of the ribs
1. Rib injury
The most common is costal chondritis, where the front end of the rib is connected to the sternum through costal cartilage. Costochondritis usually occurs in the second to fourth costal cartilage, which can be thickened and swollen, with local pain and tenderness, but local skin is not red and swollen.
2. Chest wall neuroma
Pain is often distributed along the intercostal space, especially in the axillary midline, spine side and sternum side, which is stinging or burning and can be aggravated by turning around, taking a deep breath and coughing.
3. Cervical spondylosis and chest pain
When the cervical vertebra has hyperosteogeny or cervical intervertebral disc herniation, pressing the cervical nerve root can cause chest pain, sometimes similar to angina pectoris. How is the pain in the middle of the ribs?
4. Pleurisy and chest pain
The pain is mostly in or near the armpit, often accompanied by low fever, cough, shallow breathing and so on. How is the pain in the middle of the ribs?
5. Neuroinflammation
Considering the inflammatory pain of intercostal nerve caused by air cooling of intercostal soft tissue, you should stick a plaster on the affected area, if it is effective. If you auscultate pneumonia and pleurisy, you can see dry and wet rales and rough wheezing. Of course, if you want to make a further diagnosis, you should take a chest X-ray.
6. Chest wall muscle spasm
The most common is chest wall muscle fatigue and spasm caused by long-term incorrect posture, bending over, supporting the case, strenuous exercise or persistent cough, and local cold. The main feature is local tenderness, which can be aggravated by body position change and deep breathing. It is common for computer workers to suffer from chest pain due to incorrect posture.
7. mental derangement
Costal neuritis and neurosis are more common in young people, but the pain of costal neuritis is aggravated by pressing hands, and the pain is also aggravated when breathing. This is caused by a nervous and humoral regulation of stress. The etiology is unknown, mostly caused by fatigue, hunger, excitement, dietary stimulation and other reasons. Symptoms usually last for a few seconds to dozens of minutes, but they can be relieved by themselves. There is no good treatment at present. It is generally believed that avoiding the above inducing factors can greatly reduce the incidence.
Second, what should I do if there is pain in the middle of the ribs?
Step 1: Understand the reason.
If the patient has intercostal neuralgia caused by tumor, if there is tumor, surgery is needed. If it is caused by infectious diseases, it must be treated with anti-infection. If the patient is infected with herpes zoster and other viruses, it is necessary to choose antiviral drugs such as acyclovir for intravenous drip. At the same time, symptomatic treatment is needed. Patients can be treated with sedatives or painkillers or vasodilators. How is the pain in the middle of the ribs?
Step 2: Take treatment measures.
Besides drugs, patients with intercostal neuralgia can also be treated by acupuncture, physical therapy and massage. As far as the clinical treatment effect is concerned, the treatment effect of intercostal neuralgia caused by thoracic spine injury or degeneration will be better. If there is abnormal position of thoracic joint between patients, it must be corrected by thoracic reduction, which can obviously alleviate the pain and no longer bother intercostal neuralgia.