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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treated For Pleurisy And Shingles, Not Cured. On Lyrica, Ibuprofen And Tylex. Should I Go Intercostal Neuralgia Treatment?

Hi I am looking for the best recommended treatment for intercostal neuralgia . I have been treated for pleurisy and shingles (with no rash) and both treatments have not helped....I am wondering if it takes a long time to resolve....it is six weeks now.....and I feel that intercostal neuralgia is the most accurate diagnosis....I have been on Lyrica and Tylex (paracetamol and codiene) and also ibuprofen.....I am just wondering if I should be more patient........I am also broke from all the medical bills and cannot afford to go back to the doctor again. Thanks.
Fri, 13 Jul 2012
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  User's Response
Hello.

Intercostal neuralgia is uncommon. It can be considered as right diagnosis only if it is related to a particular intercosal space (space between two ribs) and if it is radiating from back to front. If related to a single or adjecent two-three spaces, a compressing lesion in vertebral column has to be ruled out and a MRI scan of spine is indicated.

Are you sure that it is intercostal neuralgia? You said that you were treated for pleurisy. Pleurisy pain is diffusely localized to a region of chest wall and not to an intercostal space.

-Dr. Tushar
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Treated For Pleurisy And Shingles, Not Cured. On Lyrica, Ibuprofen And Tylex. Should I Go Intercostal Neuralgia Treatment?

Hello. Intercostal neuralgia is uncommon. It can be considered as right diagnosis only if it is related to a particular intercosal space (space between two ribs) and if it is radiating from back to front. If related to a single or adjecent two-three spaces, a compressing lesion in vertebral column has to be ruled out and a MRI scan of spine is indicated. Are you sure that it is intercostal neuralgia? You said that you were treated for pleurisy. Pleurisy pain is diffusely localized to a region of chest wall and not to an intercostal space. -Dr. Tushar