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Intercostal Neuralgia

Dr Ozello's Sports Medicine Report: Intercostal Neuralgia ***Disclaimer: Viewing this video does not take the place of seeing a medical professional or working with a certified fitness professional. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments. Serious pathology must be ruled out first in all chest and ribcage pain. Intercostal Neuralgia Impingement of Intercostal Nerve. Symptoms Pain along course of intercostal nerve in intercostal space. Band-like pain wrapping along chest and back. Can be posterior to anterior or anterior to posterior. Intense sharp, shooting, shock-like pain, stabbing pain, deep burning pain or constant deep, dull ache. Paresthesia such as numbness and tingling may be present. Aggravated by motions of the ribcage (especially lateral bending toward side of pain), rotation, coughing, sneezing, laughing and deep breathing. Pain may be constant or intermittent. Limited active and passive range of motion in all planes due to pain and muscle guarding. Slow, guarded and apprehensive movement. Altered posture and/or Antalgic position. Bending away from side of pain to lessen impingement. Origin may be traumatic or non-traumatic. Possibility of a thoracic spine disc herniation or bulge. Prevention Normal breathing exercises Posture correct exercises Eliminate strength imbalances Stretch ribcage Pull-up bar hanging traction Strengthen scapular retractors Professional care Chiropractic care to spine and ribcage Chiropractic care is a catalyst for improving a person’s health, fitness, function and recuperation. Chiropractic care is drug-free, surgery-free functional medicine. The primary objectives of chiropractic treatment are the optimization of nerve flow and the re-establishment of correct skeletal biomechanics. Chiropractic treatment works for preventive and maintenance care. Chiropractic care is effective for a large number of sports-related injuries. Chiropractic care restores correct skeletal joint motion, optimizes nerve flow, decreases muscle tension, increases range of motion and decreases symptoms. Normal Breathing: Practice normal breathing until it’s second nature. Supine: Relax abdominal muscles to allow greater diaphragm motion. Place one hand or both hands on stomach. Inhale slowly through nose. Focus on diaphragm movement. Feel the abdominal cavity rise. Exhalation should be twice as long as inhalation. Start in the supine position, advance to kneeling, seated, standing and quadruped. Chest Muscle Stretching in Supine Position Supine on floor, bench or table. Hips flexed, knees flex and feet flat on floor. Keep lower thoracic spine and lumbar spine contacting floor. Retract scapulae. Hold a mild comfortable stretch in chest muscles for five to one hundred and twenty seconds. Use numerous arm positions: 1) Shoulders abducted ninety degrees and externally rotated. Elbows extended. 2) Shoulders abducted ninety degrees and externally rotated. Elbows flexed ninety degrees. 3) Fingers interlaced behind head. Let elbows gradually fall toward floor. 4) Shoulders flexed one hundred and eighty degrees. Stretch superior. 5) Shoulders flexed one hundred and eighty degrees. Stretch posterior. Isometric Scapular Retraction Hold your thoracic spine straight. Keep your cervical spine in line with thoracic spine. Pinch the inner borders of your scapulae together. Hold an isometric contraction for two to six seconds. Begin with a two second hold and build to six seconds. Release the contraction and slowly return to the starting position. Build to fifteen reps. Use a variety of arm positions to target the muscles from numerous angles. Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV Web Site: http://www.championshipchiropractic.com/ Blog: https://www.championshipchiropractic.... Twitter:   / drdozellodc   Facebook:   / championship-chiropractic-280141628688300   LinkedIn:   / dr-donald-a-ozello-dc-716b3233   YouTube:    / drdozellodc   "Running: Maximize Performance & Minimize Injuries" https://www.amazon.com/Running-Perfor... References Intercostal Neuralgia https://www.ncbi.nlm.nih.gov/books/NB...