Carlos is hunched over, each deep breath becoming a torture. He felt a sharp, intense pain along the path of one rib, a sensation so strong that he feared the worst, since these symptoms can mimic more serious conditions such as a heart attack. The doctor reassures him by explaining that, although impressive, this pain is most often of neuro-musculoskeletal origin.
But what exactly is intercostal neuralgia? How does it occur, and how can it be treated effectively?
Hello, Dr Joy here!
In this article, we will explain in simple terms what intercostal pain is, what its most common causes are, how to recognise the signs that should reassure you, and especially when it is useful to seek medical advice. The aim: to help you understand this often alarming but generally harmless type of pain.
I – What is intercostal pain?
Intercostal pain is discomfort that follows the path of a rib. It often appears after a wrong movement, unusual physical effort, prolonged poor posture or even a period of stress.
It may manifest as a sharp stab, radiating pain, or tenderness during deep breathing.
In most cases, it is simply due to a mild irritation of an intercostal nerve or local muscle tension.
II – The most common causes
Most intercostal pain has a mechanical or musculoskeletal origin:
- sudden or poorly controlled movement,
- muscle tension or strain,
- stress or anxiety causing a feeling of tightness,
- mild inflammation of a joint or cartilage,
- minor trauma (blow, fall, sport).
Other causes exist, such as shingles, gastro-oesophageal reflux, or cardiac or pulmonary conditions, but they are far less common. This is why a medical opinion often quickly clarifies the situation.
III – What are the symptoms of intercostal pain?
Typical intercostal pain:
- occurs on only one side,
- increases with movement or deep breathing,
- may cause a pulling, burning or stabbing sensation.
It may sometimes be accompanied by local tenderness or difficulty taking a deep breath, which is frequent and usually not concerning.
IV – How to relieve it?
Once the cause is identified, solutions are simple:
- rest and avoidance of movements that trigger the pain,
- application of gentle heat,
- anti-inflammatory medication if needed,
- stretching and physiotherapy to relax the area,
- stress management if stress plays a role.
When addressed early, intercostal pain generally improves very favourably.
V – Unsure? Pain that persists? Just consult.
Even though these pains are often benign, it is always best to obtain personalised advice to feel fully reassured and receive the most appropriate treatment.
You can book an appointment with a GP at the Alegria Medical Centre, where a quick evaluation will help clarify the cause of your pain and guide you effectively if needed.
Take care of your health!
With love,
Dr Joy
This information is not a substitute for medical advice.
You must seek the advice of your doctor or another qualified health professional with any questions you may have regarding your health condition.
