Intercostal Muscle Strain

12 min read

Intercostal muscle strain is an injury to the muscles that run between the ribs. It is a common injury among athletes, especially those who participate in sports that involve a lot of twisting and turning of the torso, such as golf, tennis, and baseball. It can also occur in everyday activities, such as lifting heavy objects or even coughing.

Intercostal muscle strain is caused by overstretching or tearing of the muscles between the ribs. This can be due to a sudden, forceful movement, such as a golf swing or a sneeze, or it can be caused by repetitive motions over time. Symptoms of intercostal muscle strain include pain in the chest area, difficulty breathing, and tenderness when touching the affected area.

Diagnosis of intercostal muscle strain is usually made based on the patient's symptoms and a physical examination. Imaging tests, such as X-rays or MRI scans, may be used to confirm the diagnosis. Treatment of intercostal muscle strain typically involves rest, ice, and over-the-counter pain medications. In more severe cases, physical therapy may be recommended to help strengthen the muscles and reduce pain.

Take the Intercostal Muscle Strain Assessment

Symptoms

Pain

The most common symptom of an intercostal muscle strain is pain. This pain can range from mild to severe and can be localized to the area of the strain or radiate to other areas of the body. It may be sharp or dull and can worsen with movement or deep breathing.

Tenderness

The area of the strain may be tender to the touch. This tenderness can be localized to the area of the strain or may radiate to other areas of the body. It may be worse when pressure is applied to the area.

Difficulty Breathing

An intercostal muscle strain can cause difficulty breathing due to the pain and tenderness in the area. This can be especially noticeable when taking deep breaths or when coughing or sneezing.

Other Symptoms

Other symptoms of an intercostal muscle strain can include swelling, bruising, and muscle spasms. In severe cases, the strain can cause a decrease in range of motion and difficulty performing everyday activities.

Causes

Repetitive Movements

Repetitive movements, such as those involved in sports or certain types of exercise, can cause intercostal muscle strain. This is because the muscles are being overworked and can become strained or torn. It is important to take breaks during activities that involve repetitive movements to avoid this type of injury.

Lifting Heavy Objects

Lifting heavy objects can also cause intercostal muscle strain. This is because the muscles are being stretched beyond their normal range of motion. It is important to use proper lifting techniques when lifting heavy objects to avoid this type of injury.

Coughing or Sneezing

Coughing or sneezing can also cause intercostal muscle strain. This is because the muscles are being stretched beyond their normal range of motion. It is important to take precautions when coughing or sneezing, such as sitting up straight and using a pillow to support the back, to avoid this type of injury.

Other Causes

Other causes of intercostal muscle strain include poor posture, sudden movements, and trauma. It is important to maintain good posture and be aware of sudden movements to avoid this type of injury.

Conclusion

Intercostal muscle strain is a common injury that can be caused by a variety of activities, including sports, lifting heavy objects, coughing or sneezing, poor posture, sudden movements, and trauma. It is important to take precautions to avoid this type of injury, such as taking breaks during activities that involve repetitive movements, using proper lifting techniques, and maintaining good posture.

Getting a Diagnosis

Physical Examination

During a physical examination, your doctor will ask you about your symptoms and medical history. They will also examine your chest and rib area to check for tenderness, swelling, and bruising. Your doctor may also ask you to move your arms and chest in certain ways to check for pain or discomfort.

Imaging Tests

Imaging tests such as X-rays, CT scans, and MRIs can be used to diagnose intercostal muscle strain. These tests can help your doctor determine the extent of the injury and rule out other possible causes of your pain.

Treatment

Treatment for intercostal muscle strain typically involves rest, ice, compression, and elevation (RICE). Your doctor may also recommend over-the-counter pain medications or physical therapy to help reduce pain and inflammation. In some cases, surgery may be necessary to repair the damaged muscle.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor in detail. This includes any pain or discomfort you are feeling, as well as any other symptoms you may be experiencing. Be sure to mention if the pain is sharp or dull, and if it is localized or radiating. Also, let your doctor know if the pain is worse when you move or breathe.

Medical History

Your doctor will need to know your medical history in order to properly diagnose and treat your intercostal muscle strain. Be sure to mention any previous injuries or illnesses you have had, as well as any medications you are currently taking. This information will help your doctor determine the best course of treatment for you.

Treatment Options

Your doctor will discuss the various treatment options available to you. This may include rest, physical therapy, medications, or even surgery. Be sure to ask your doctor any questions you may have about the different treatment options, and make sure you understand the risks and benefits of each one.

Follow-up Care

Your doctor will likely recommend follow-up care to ensure that your intercostal muscle strain is healing properly. This may include regular check-ups, physical therapy, or other treatments. Be sure to ask your doctor any questions you may have about the follow-up care, and make sure you understand what is expected of you.

Conclusion

Intercostal muscle strain can be a painful and uncomfortable injury. If you think you may have an intercostal muscle strain, it is important to discuss your symptoms with your doctor. Be sure to discuss your symptoms, medical history, treatment options, and follow-up care with your doctor to ensure that you get the best possible treatment for your injury.

Treatment

Rest

Rest is an important part of treating intercostal muscle strain. It is important to avoid activities that may aggravate the injury, such as lifting heavy objects or engaging in strenuous physical activity. It is also important to get plenty of rest and sleep to allow the body to heal.

Ice

Applying ice to the affected area can help reduce pain and swelling. Ice should be applied for 15-20 minutes at a time, several times a day. It is important to wrap the ice in a towel or cloth to avoid damaging the skin.

Compression

Compression can help reduce swelling and provide support to the injured area. Compression can be achieved by wearing a compression bandage or brace. It is important to make sure the bandage or brace is not too tight, as this can cause further discomfort.

Elevation

Elevating the injured area can help reduce swelling and pain. It is important to keep the injured area elevated above the level of the heart. This can be done by propping up the affected area with pillows or blankets.

Physical Therapy

Physical therapy can help strengthen the muscles and improve flexibility. A physical therapist can also provide exercises to help reduce pain and improve range of motion. It is important to follow the physical therapist’s instructions to ensure a safe and effective recovery.

Medications

Over-the-counter medications, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. It is important to follow the instructions on the medication label and to talk to a doctor before taking any medications.

Lifestyle Changes

Making lifestyle changes can help reduce the risk of re-injury. This may include avoiding activities that may aggravate the injury, such as lifting heavy objects or engaging in strenuous physical activity. It is also important to maintain a healthy weight and to practice good posture.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are a type of medication that can help reduce inflammation and pain. Commonly used NSAIDs for treating intercostal muscle strain include ibuprofen, naproxen, and aspirin. These medications can be taken orally or applied topically to the affected area. However, it is important to note that NSAIDs can cause side effects such as stomach upset, nausea, and dizziness.

Muscle Relaxants

Muscle relaxants are another type of drug that can be used to treat intercostal muscle strain. These medications work by blocking nerve impulses that cause muscle spasms. Commonly used muscle relaxants include cyclobenzaprine, carisoprodol, and tizanidine. These medications can cause side effects such as drowsiness, dizziness, and blurred vision.

Corticosteroids

Corticosteroids are a type of medication that can help reduce inflammation and pain. These medications can be taken orally or injected directly into the affected area. Commonly used corticosteroids for treating intercostal muscle strain include prednisone and methylprednisolone. These medications can cause side effects such as stomach upset, nausea, and dizziness.

Conclusion

Intercostal muscle strain is a common injury that can cause pain and discomfort in the chest area. Fortunately, there are a variety of drugs available to help treat this condition. These include non-steroidal anti-inflammatory drugs, muscle relaxants, and corticosteroids. It is important to note that these medications can cause side effects and should be used with caution.

Diet

Fruits and Vegetables

Fruits and vegetables are an important part of any healthy diet. They are packed with vitamins, minerals, and antioxidants that can help to reduce inflammation and promote healing. Eating a variety of fruits and vegetables can also help to provide the body with the nutrients it needs to repair damaged tissues. Some of the best fruits and vegetables for intercostal muscle strain include:

  • Berries
  • Citrus fruits
  • Leafy greens
  • Cruciferous vegetables
  • Tomatoes
  • Carrots
  • Sweet potatoes

Lean Proteins

Protein is an important part of any diet, and it is especially important for those with intercostal muscle strain. Protein helps to build and repair damaged tissues, and it can also help to reduce inflammation. Some of the best sources of lean protein include:

  • Fish
  • Chicken
  • Turkey
  • Eggs
  • Beans
  • Nuts
  • Seeds

Whole Grains

Whole grains are an important part of any healthy diet. They are packed with vitamins, minerals, and fiber that can help to reduce inflammation and promote healing. Some of the best whole grains for intercostal muscle strain include:

  • Oats
  • Quinoa
  • Brown rice
  • Barley
  • Buckwheat
  • Millet

Conclusion

Eating a healthy diet is an important part of managing intercostal muscle strain. Eating plenty of fruits, vegetables, lean proteins, and whole grains can help to reduce inflammation and promote healing. It is also important to stay hydrated and get plenty of rest to help the body heal.

Lifestyle

Rest

Rest is essential for recovery from intercostal muscle strain. Avoid activities that cause pain or discomfort in the chest area. If you must perform activities that require physical exertion, take frequent breaks and use proper form to reduce the risk of further injury.

Ice

Applying ice to the affected area can help reduce inflammation and pain. Wrap an ice pack in a towel and apply it to the chest area for 15-20 minutes at a time, several times a day. Do not apply ice directly to the skin.

Heat

Heat can also be beneficial for intercostal muscle strain. Use a heating pad or hot water bottle to apply heat to the affected area for 15-20 minutes at a time, several times a day. Do not apply heat directly to the skin.

Stretching

Stretching can help reduce pain and improve flexibility in the chest area. Perform gentle stretches that target the chest muscles, such as arm circles and chest openers. Hold each stretch for 10-15 seconds and repeat several times.

Strengthening Exercises

Strengthening exercises can help improve the strength and stability of the chest muscles. Perform exercises such as push-ups, chest presses, and wall slides. Start with light weights and gradually increase the weight as your strength improves.

Posture

Maintaining good posture can help reduce the risk of intercostal muscle strain. Stand up straight and keep your shoulders back and down. When sitting, keep your back straight and your feet flat on the floor. Avoid slouching or hunching over.

See a Doctor

If your symptoms do not improve with lifestyle modifications, it is important to see a doctor. Your doctor can diagnose the cause of your pain and recommend the best treatment plan for you.