Neuralgia

Neuralgia is pain that spreads along the nerve or its branches, sometimes with hyperesthesia of its innervation zone.

Most often, the initial stage of damage to the peripheral nerve or its spine.

[1], [2], [3], [4]

Causes of the neuralgia

The causes can be very different: inflammation (neuritis), trauma, infringement, exogenous and endogenous intoxications, infectious and allergic processes, metabolic and vascular disorders. Most often they are combined among themselves therefore neuralgia is characteristic of patients of the older age group.

[5], [6], [7]

Symptoms of the neuralgia

Neuralgia has the characteristic symptoms: the pain of shooting, stabbing, burning, rending and other character, which occurs with a fit and completely disappears after its arrest. In some cases, the pain may be permanent with occasional exacerbations. Neuralgia is characterized by a clearly defined localization of the zone of innervation of the nerve or root, which distinguishes it from arthralgias and myalgias. Ballet's pain points are often identified.

Sensitivity is impaired bluntly, in the form of hyperesthesia or hypoesthesia, signs of tension of nerve trunks are revealed. Neuralgia may be accompanied by local (redness or swelling of the skin, increased sweating) or general (sweating, tachycardia, pallor, etc.) vegetative reactions.

In the practice of a surgeon, neuralgia of nerves located in tunnels or having a narrow outlet is most often noted; therefore, the sharp exacerbation of pain upon palpation of the zone results in nerve exits from the canal and muscles innervated by this nerve (Tinnel's symptom): radiculgia developing in injuries and diseases of the spine; intercostal neuralgia associated with pathology of the spine, aorta, visceral processes; Folconer-Wadell syndrome (paresthesia, pain, trophic changes with venous congestion in the area of hands and forearms), with neuroses of the costal-occlusal articulation; Rota disease (pain and paresthesia on the inner surface of the thigh, increasing in the vertical position), characteristic of the external cutaneous cutaneous nerve of the thigh; Morton's syndrome (pain and paresthesia between the third and fourth toes, mostly on the sole, may be on the rear, intensifying when walking). This neuralgia requires the surgeon to diagnose the cause that caused it, and differential diagnosis with the pathology of bones, muscles, vessels and joints.

Diagnostics of the neuralgia

In all cases, the patient should be consulted by a neurologist.

[8], [9], [10], [11]