What is the difference between neuralgia and heart pain, the main signs

Unpleasant feelings in the back and chest location are rather typical, which establishes similarly frequently in guys and females.

It is extremely essential to be able to prompt identify heart pain from neuralgia, given that heart pathology can frequently posture an instant hazard to an individual’s life.

Mechanism of event

Pain is an undesirable experience, which is evolutionarily extremely essential and signals the advancement of a pathological procedure.

The look of feelings of pain might be connected with the application of a number of pathophysiological systems:

  1. An inflammatory response, accompanied by the build-up of cells of the body immune system and the subsequent synthesis of biologically active substances of inflammatory arbitrators. They have a direct annoying impact on delicate nerve endings with a subjective experience of pain.
  2. Insufficient tissue nutrition (anemia) is the main system for the advancement of pain in heart pathology. With a reduction in the size of the arterial vessels of the heart (coronary arteries), the supply of oxygen and nutrients to myocardiocytes (heart muscle cells) reduces, which is accompanied by pain. The strength of pain depends upon the degree of constricting of the arterial vessel and poor nutrition of the heart tissues.
  3. Direct mechanical compression of delicate nerve endings due to tissue edema (release of the liquid part into the intercellular compound of tissues) or displacement of neighboring bone structures.

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Heart pain and neuralgia have a various pathogenetic system of advancement. Therefore, the healing methods and effects for these pathological conditions are entirely various. It is essential to be able to distinguish (identify) in time the main reason for pain in the chest location.

What is intercostal neuralgia?

The term neuralgia specifies a pathological procedure identified by the advancement of aseptic (non-infectious) swelling in peripheral nerves. The main factor for the advancement of an inflammatory response is regional hypothermia (an individual’s remain in a draft), which primarily impacts the back location.

The illness is accompanied by the advancement of feelings of pain, normally in the type of tingling, which are localized along the costal arch. Depending on which intercostal nerve was impacted by the aseptic inflammatory procedure, the pain can be localized in the upper, middle or lower part of the chest.

The seriousness of pain depends upon the seriousness of the inflammatory procedure. Since when the chest relocations, the nerve fibers are displaced, throughout breathing the strength of pain feelings boosts. The pathological inflammatory procedure normally has one-sided localization. With the advancement of feelings of pain on the left, it is essential not to puzzle intercostal neuralgia with heart discomforts.

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What triggers heart pain?

Pathology impacting the heart and capillary frequently results in a degeneration in the nutrition of myocardial cells. This is accompanied by the advancement of pain in the chest location on the left side. Diseases consist of a number of typical procedures:

  1. Stable angina pectoris – tissue poor nutrition is triggered by a constricting of the coronary artery, which surpasses 50% of its size. A reduction in size is normally the outcome of atherosclerotic plaque development (localized deposition of cholesterol in the wall of an arterial vessel, which narrows its lumen). The discomforts have a squeezing character and heighten after physical or psychological tension.
  2. Unstable angina is a pathological procedure identified by a sharp and unexpected wear and tear in myocardial nutrition. Its advancement is accompanied by serious pain, and the individual cannot figure out the provoking aspects. Unstable angina is a pre-infarction condition.
  3. Myocardial infarction is a major health problem, accompanied by the death of a part of the heart muscle. Myocardiocytes are extremely conscious inadequate supply of oxygen and nutrients, for that reason, a sharp cessation of blood flow is accompanied by their death and extremely serious sharp pain.

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A complex of pathological procedures that integrate an infraction of the supply of oxygen and nutrients to the cells of the heart muscle is called coronary heart illness. Less frequently, pain in the area of the heart might be connected with swelling of the endocardium (inner lining of the heart wall) or pericardium (external lining).

The effects of heart pain

Heart pain is constantly the outcome of a pathological procedure that results in a degeneration in the nutrition of myocardiocytes. The absence of prompt appropriate treatment results in the advancement of a variety of effects, that include:

  1. The death of the myocaradis website (heart attack).
  2. Violation of the frequency and rhythm of heart contractions, followed by thrombus development in the cavities.
  3. Rupture of the wall of the cavity of the ventricle or atrium with the release of blood into the pericardium.
  4. Development of intense heart failure, in which there is a reduction in the rate of blood circulation in all vessels.

Important! All the effects of serious pain in the breast bone area, which is of heart origin, can posture an instant hazard to an individual’s life or result in subsequent special needs and special needs.

Features of pain in intercostal neuralgia

In order to be able to identify undesirable pain in the heart from neuralgia, one must take note of a number of functions connected with aseptic swelling of the intercostal nerves:

  1. Pain spreads out along the intercostal arch.
  2. Feelings of pain have the character of tingling or hurting pain.
  3. The pain does not radiate to the left arm, shoulder girdle.
  4. The undesirable feelings heighten throughout inhalation or exhalation.
  5. Discomfort is well managed with the aid of drugs of the group of non-steroidal anti-inflammatory drugs (ketans, analgin).
  6. The advancement of pain is normally preceded by regional hypothermia of an individual.
  7. The pathological condition can establish similarly frequently in young and old individuals.

The existence of more than 3 functions of pain feelings boosts the probability that an individual has intercostal neuralgia.

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Features of pain of heart origin

The possible advancement of heart pathology with the look of the matching scientific subjective signs is shown by a number of particular functions of pain feelings:

  1. Unpleasant feelings are primarily localized on the left side of the breast bone (the location of ​​the forecast of the heart), they frequently radiate to the left shoulder girdle and shoulder.
  2. Mostly, there is a clear connection between physical or practical tension and the event of pain (the exception is cases of the advancement of unsteady angina pectoris, along with myocardial infarction).
  3. Painful feelings normally have a pushing, squeezing character, they are accompanied by shortness of breath. In the case of myocardial infarction, along with unsteady angina, the pain ends up being intense.
  4. Heart pain primarily establishes in older individuals with heart disease.

The symptom of a minimum of among the functions must be worrying in relation to the pathological procedure establishing in the heart.

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Difference table

In order to make it simpler to figure out the origin of pain, the heart harms or the peripheral intercostal nerves are swollen, scientific functions can be provided in the type of a table:

Feature, requirement of painIntercostal neuralgiaHeart
LocalizationAlong the costal arch, on the left or ideal sideMainly to the left of the breast bone
Irradiation (where it emits)No irradiationPain is offered to the left shoulder girdle, shoulder
Breathing connectionPain gets worse throughout inhalation or exhalationNo clear connection
Physical or psychological tension prior to pain happensThere is no clear connection with the loadThe load primarily provokes pain
CharacterTingling, less frequently sharp painCompression, sharp pain in case of unsteady angina pectoris, with the advancement of myocardial infarction, pain ends up being excruciating
Human ageRegardless of ageDevelops primarily in older individuals versus the background of cardiovascular pathology
DyspneaRarely accompaniesAlmost constantly appears versus the background of the optimum strength of pain

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What to do?

If you are uncertain that chest discomforts are not of heart origin, then if they establish, you must seek advice from a medical expert.

Advice! It’s constantly worth beginning with the worst-case situation. If chest pain happens, heart origin must be presumed and then dismissed.

A family doctor (family doctor, family physician) or a cardiologist (a narrow expert handling the medical diagnosis and treatment of cardiovascular pathology) will make a preliminary conclusion based upon grievances. Then he will recommend an extra research study, which always consists of an ECG. With the aid of electrocardiography, the existence of circulatory conditions and the seriousness are developed.

If you comprehend in time the origin of pain and have the ability to identify heart pain from neuralgia, then this makes it possible to begin prompt appropriate treatment of the pathological condition, along with to prevent major problems.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.