Complex Injuries

Intercostal Muscle Strain: EP Wellness Doctor Rx

Share

Intercostal muscles are the muscles within the rib cage, commonly called the intercostals, which connect the ribs and make up the chest wall. An intercostal muscle strain refers to an injury between two or more ribs. If these muscles become overstretched, restricted, or suffer damage, it can cause inflammation and significant pain in the middle and upper back. Intercostal muscle strain is a common injury in athletes and physically demanding jobs. Chiropractic care and massage therapy can realign the vertebrae with the ribs and loosen and relax the muscles to increase circulation and restore mobility and function.

Intercostal Muscle Strain

The intercostal muscles have different layers attached to the ribs to help build the chest wall and assist in breathing. There are 11 intercostal muscles on each side of the rib cage. Each set is located between connected ribs in the upper and mid-back and consists of the following:

External

  • These are the outermost intercostals, responsible for expanding the chest during breathing to help inhale air and allow full deep breaths.
  • The external intercostals originate at the lower edge of a rib and run diagonally to attach to the upper edge of the rib below.
  • They are found in the rib cage’s back, sides, and front.

Internal

  • These sit directly underneath the externals and help collapse the chest during breathing to exhale.
  • The muscle fibers run perpendicular to the external intercostals, moving diagonally from front to back along the ribs, and are in the entire rib cage.

Innermost

  • These sit directly underneath, run parallel to the internal intercostals, and run from the back of the rib cage to each side.
  • The veins, arteries, and nerves lie between the internal and innermost intercostals.

When an intercostal muscle gets twisted, overused, or stretched too far, it can tear, causing muscle strain. Often radiating pain along the rib cage is experienced that extends to the back.

Causes

An intercostal muscle strain often occurs as the result of an injury or overexertion of the muscles. Common causes include:

  • Trauma to the rib cage, such as from a fall or automobile collision.
  • Impact trauma from sports or physical activities.
  • Over twisting the torso beyond its normal range of motion from lifting weights, sports, yoga postures, or dance positions.
  • Repeatedly reaching overhead for work or tasks like cleaning or painting.
  • Lifting heavy objects above shoulder height.
  • Repetitive torso movements.
  • A sudden increase in physical activity that the body is not used to can also lead to intercostal muscle strain.
  • This can happen when a lack of conditioning or unhealthy postures weaken muscles.

Symptoms

The signs and symptoms can vary, depending on the severity and cause. Symptoms can include:

  • Intercostal muscle spasms.
  • Mobility difficulties.
  • Inflammation, swelling, and sensitivity in the affected area.
  • Stiffness and tension, causing upper back pain.
  • Upper back and rib pain.
  • Tenderness in the area between the ribs.
  • Muscle rigidity when bending or twisting the upper body.
  • Gradual worsening pain after repetitive movements.
  • Worsening pain when coughing, sneezing, or breathing in deeply.
  • Severe and sudden pain, particularly if caused by direct trauma to the chest or back.

Chiropractic

Diagnosis involves the individual’s medical history and a physical exam to check for movement limitations and assess affected and sensitive areas. Once the inflammation is reduced, chiropractic and physical therapy will focus on the following:

  • Pain relief treatment.
  • Breathing exercises.
  • Posture training.
  • Stretching under supervision.
  • Strengthing exercises.
  • Most cases fully heal within 6 to 8 weeks.

Rib Muscle Injury


References

De Troyer, A et al. “Mechanics of intercostal space and actions of external and internal intercostal muscles.” The Journal of clinical investigation vol. 75,3 (1985): 850-7. doi:10.1172/JCI111782

Lord, Michael J, and William G Carson Jr. “Multiple Rib Stress Fractures.” The Physician and sports medicine vol. 21,5 (1993): 80-91. doi:10.1080/00913847.1993.11947575

Morrison W. What is an intercostal muscle strain? Medical News Today. Jan 2020

Page P. Current Concepts in Muscle Stretching for Exercise and Rehabilitation. International Journal of Sports Physical Therapy. 2012;7(1):109-119.

Park, Kyung-hee, et al. “Difference in selective muscle activity of thoracic erector spinae during prone trunk extension exercise in subjects with slouched thoracic posture.” PM & R: the Journal of Injury, Function, and Rehabilitation vol. 7,5 (2015): 479-84. doi:10.1016/j.pmrj.2014.10.004

Tran H. Causes of Intercostal Muscle Strain. Spine-health. October 2017

Yoo, Won-Gyu. “Effect of a combined thoracic and backward lifting exercise on the thoracic kyphosis angle and intercostal muscle pain.” Journal of physical therapy science vol. 29,8 (2017): 1481-1482. doi:10.1589/jpts.29.1481

Yoo, Won-Gyu. “Effect of thoracic stretching, thoracic extension exercise and exercises for cervical and scapular posture on thoracic kyphosis angle and upper thoracic pain.” Journal of physical therapy science vol. 25,11 (2013): 1509-10. doi:10.1589/jpts.25.1509

Post Disclaimer

Professional Scope of Practice *

The information herein on "Intercostal Muscle Strain: EP Wellness Doctor Rx" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
License Compact Status: Multi-State License: Authorized to Practice in 40 States*
Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card

Published by

Recent Posts

Swayback Posture: Impact on Health and Well-being

Can chiropractic treatment alleviate pain and correct swayback posture, a postural deformity that can cause… Read More

June 14, 2024

Heat-Related Illnesses and Your Musculoskeletal System: What You Need to Know

Do individuals with muscle pain know the difference between heat stroke and heat exhaustion and… Read More

June 14, 2024

Discover the Best Low-Sugar Fruits for a Healthy Lifestyle

Can fruit help with a sweet craving for individuals trying to limit sugar? Fruits Low… Read More

June 13, 2024

Why Cycling is Beneficial for Osteoarthritis Patients

Can individuals with osteoarthritis can incorporate cycling to reduce joint pain and regain their joint… Read More

June 13, 2024

Boost Your Endurance with Sprint Exercise Training

For individuals who don't have time for a full workout, could incorporating sprint exercise training… Read More

June 12, 2024

Clinical Approach and the Role of Nursing: Providing Exceptional Patient Care

How do healthcare professionals provide a clinical approach in the role of nursing to reducing… Read More

June 12, 2024