Intercostal Muscle Pain: Causes and Rehab Solutions - Rehabilitation

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Intercostal muscle pain


My mom says that the muscles between her left ribs in the back often cramp painfully, feeling like an electric shock or being pricked by needles.
This has been going on for several days.
Could this be related to her being busy with housework, standing for too long, and doing too much? Can physical therapy help resolve her issue? Thank you!

Dillon, 20~29 year old female. Ask Date: 2008/06/28

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: I would like to respond to your question and provide the following suggestions:
1.
Generally speaking, intercostal pain is not significantly related to prolonged standing and may have the following possibilities:
A.
Intercostal neuralgia
B.
Inflammation of the latissimus dorsi and rhomboid muscles due to overuse
C.
Thoracic disc herniation causing nerve compression
2.
The above conditions can be treated with rehabilitation or chiropractic care, but it is essential to first obtain X-rays to rule out any contraindications for chiropractic treatment, such as osteoporosis and acute inflammation.

Finally, I wish you peace and happiness!

Reply Date: 2008/06/28

More Info


Intercostal muscle pain, particularly in the area between the ribs, can be quite uncomfortable and is often characterized by sharp, stabbing sensations that may feel like electric shocks or needle pricks. This type of pain can arise from various causes, and understanding these can help in determining appropriate rehabilitation solutions.


Causes of Intercostal Muscle Pain
1. Muscle Strain: One of the most common causes of intercostal pain is muscle strain. This can occur due to repetitive movements, heavy lifting, or prolonged periods of standing or sitting in poor posture. Your mother’s daily activities, such as doing housework and standing for long periods, could certainly contribute to muscle fatigue and strain.

2. Overuse: Engaging in activities that require significant upper body movement, such as reaching, twisting, or lifting, can lead to overuse injuries in the intercostal muscles. This is particularly relevant if she has been doing more physical work than usual.

3. Poor Posture: Maintaining poor posture while standing or sitting can place undue stress on the muscles of the back and ribcage. This can lead to muscle tightness and pain, especially if she is not accustomed to such positions.

4. Nerve Compression: Sometimes, intercostal pain can be related to nerve compression or irritation, which can occur due to herniated discs or other spinal issues. This may lead to referred pain in the intercostal region.

5. Injury or Trauma: Although you mentioned that there was no specific injury, sometimes minor traumas that go unnoticed can lead to muscle pain.


Rehabilitation Solutions
Rehabilitation can indeed help alleviate intercostal muscle pain, and here are some strategies that may be beneficial:
1. Physical Therapy: A physical therapist can assess her condition and develop a tailored rehabilitation program. This may include exercises to strengthen the intercostal muscles and improve flexibility, which can help reduce pain and prevent future injuries.

2. Stretching Exercises: Gentle stretching of the intercostal muscles can help relieve tightness and improve range of motion. Simple stretches that involve reaching overhead or side bending can be effective.

3. Posture Correction: Educating her on proper posture while standing, sitting, and performing daily activities can significantly reduce strain on the intercostal muscles. Ergonomic adjustments in her workspace or home can also be beneficial.

4. Heat Therapy: Applying heat to the affected area can help relax tight muscles and alleviate pain. A warm compress or heating pad can be used for this purpose.

5. Rest and Activity Modification: Encouraging her to take breaks during prolonged activities and to avoid movements that exacerbate her pain can aid in recovery. Gradually increasing activity levels as her pain decreases is essential.

6. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, it’s important to consult with a healthcare provider before starting any medication.

7. Breathing Exercises: Since the intercostal muscles play a role in respiration, practicing deep breathing exercises can help improve muscle function and reduce pain.


Conclusion
In summary, intercostal muscle pain can be caused by various factors, including muscle strain, overuse, poor posture, and nerve compression. Rehabilitation through physical therapy, stretching, posture correction, and pain management can effectively address these issues. It’s advisable for your mother to consult with a healthcare professional or a physical therapist to get a proper diagnosis and a personalized rehabilitation plan. With the right approach, she can find relief from her pain and improve her overall function.

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