Intercostal Neuralgia
- Pain caused by irritation or damage to the intercostal nerves
- These nerves run between your ribs around the chest
Intercostal Nerves
- Originate from thoracic spinal nerves (T1–T11)
- Control sensation of the chest wall and upper abdomen
Common Causes
- Nerve compression or injury
- Shingles
- Muscle strain in chest or ribs
- Trauma (rib fracture or injury)
- Post-surgical nerve irritation
Symptoms
- Sharp, stabbing, or burning pain
- Pain wraps around the chest like a band
- Pain worsens with breathing, coughing, or movement
- Tingling or numbness in rib area
Important Related Condition
- Costochondritis: Can mimic intercostal neuralgia but is inflammation (not nerve pain)
Treatment Options
- Pain relief medications (as prescribed)
- Physical therapy and gentle stretching
- Heat therapy to relax muscles
- Nerve blocks (in severe cases)
- Treat underlying cause (infection, injury, etc.)
Quick Tip: Pain that feels like a band around the chest and worsens with breathing is often nerve-related—but always rule out heart problems if pain is severe.
