Intercostal Muscle

Hubert Cumberdale

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Hi
I have been seeing a Chiropractor for persistent back pain problems and she says that I have a knot in my Intercostal muscle. I do suffer with anxiety and stress and I know that I need to relax more. But I would like to know if this is a common problem, can it be caused by anything else other than stress, and is it easily cured. I should add that I have seen my GP and had various tests which found nothing.

Many Thanks for any help
 
Hi

Are you sure she said 'Intercostal muscle'? I'm not an anatomy expert but my understanding is that these muscles are involved with expiration and inhalation by moving your ribs, so I'm not sure how they would give you back pain?

There is a group of muscles known as the Iliocostalis Group, that might sound similar and controls extension and hyperextension of the spine. They are attached to your ribs and cervical vertebrae so they are deep.

If your GP has found nothing wrong I guess they have just termed your condition as non specific back pain or something similar? This is extremely common with around 80% of the population suffering at some stage in their lives. Most of us have lifestyles that encourage bad backs and there are several muscles that commonly spasm and cause back pain.

I don't personally believe muscle spasms in the back are directly related to stress and lack of relaxation. Indirectly I can see the link, if your stressed and holding yourself in a poor posture, muscles can spasm. Taking a few minutes every hour to gently stretch, twist and move can help prevent the muscles from going into spasm. Taking a some time to improve the strength and endurance of your core muscles will also help.

Pete
 
Sounds like a reasonable diagnosis from your chiro. Your intercostal muscles span the gap between each rib. Each rib attaches to your sternum at the front of the body and to your thoracic vertebra at the back of the body. So if you have a knot or a triggerpoint (put simply, a hyper-irritable knot) in one of your intercostals then it could mimic back pain if the knot is located towards the back of the body.

Hope this makes sense.

Henry
 
That is a good point and it does make sense, but i thought there would be other symptoms like a tightness or discomfort when breathing deeply?
 
Hi there,

Often we cave in when stressed or anxious..and loose a good erect posture, under stressful time..

Over a period of time, this can cause imbalance in your postural muscles:your back muscles and your counter balancing stomach muscles..

If you have recently neglected these..I recommend that you begin not only strengthening them, but also make sure they are of equal strength..so you are able to hold and maintain your upright posture..at will..

Basic abdominal work out.., classess, or videos will focus on conditioning both your abs and back..They always include the benefits of stretches and flexibility too.

Regular exercise and maintanance will also flash out the unwanted lactic acid accumulation in your muscle groups..that cause spams, pain and uncomfortable sensations in your rib cage area.

Hope that helps!

Stay well

with warm wishes

Vathani
 
hey
reading your post about intercostal muscle i just wanna ask you if you know what the best treatment is. my doc told me that i had pulled my intercostal muscle on my back on the leftside that was about 5weeks ago, ive been resting and not working out at all but it still hurts
 
I had on set of pain in my back left side that felt like kidney stone pain because it would wax and wan. It got worse over time I ended up in ER. Cat scan showed no stone, 8 DR.s later, 2 MRI and many other tests l no help just pain med. 3 massage therapist and finally help from this one guy that said he believed I suffered from Intercostal pain and he started doing deep tissue massage on the rib cage, very painful like breaking up scar tissue but it has helped the back pain! Good luck!
 
Hi CJacktn
Intercostal strain is a valid diagnosis, but it shouldn't be the end of the enquiry. That discussion was made over two years ago, so if they haven't found help for an intercostal muscle strain by now they really have been asking the wrong practitioners!

Importantly, the muscle becomes tense and knotted for a reason. Just like any other muscle, intercostals rely on good levers to function well, and become strained when the various anatomical relationships become distorted due to postural changes.

So a massage may offer relief, but the cause remains. If so, you can expect the problem to return, or else pop up somewhere else in a different guise. Which is great for repeat business, of course.

I would suspect in your case, that your lower ribs, usually 12th, are part of the problem. This can follow changes to the spinal arch profile, usually following a period of exhaustion.

Typically the joint of the rib to the spine is strained, and this causes the most pain. The muscle tends to be what is diagnosed, simply because more people are trained in massage than in correction of alignment.
 
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    Wednesday at 🫦❤️🔴🟥♾️𝓕𝓞𝓡𝓔𝓥𝓔𝓡 𝓢𝓟𝓐♾️🟥🔴❤️🫦2190 Warden Ave, Unit 201, Scarborough 𝟰𝟭𝟲-𝟴𝟬𝟬-𝟳𝟴𝟴𝟳: Bella, Cindy & Sasa. Bella is around 5’3” with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Cindy is a slim beauty, 5’4”, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild
  41. bnwellness_wilson:
    Blue Nile Wellness Center, we have 4 young beautiful girls are working today, young sweet student Mia 25 years old and young GFE Angela, pretty nice Lina with 36 DD and sex Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in aways welcome, back entrance and parking available, 350 Wilson Ave North York
  42. Dreaminn:
    WEDNESDAY at💭𝗗𝗥𝗘𝗔𝗠 𝗜𝗡𝗡 𝗪𝗘𝗟𝗟𝗡𝗘𝗦𝗦 𝗦𝗣𝗔💭: ANGELA, SOPHIA & TINA. 10225 Yonge St (North of Major Mackenzie), Richmond Hill, ON ☎️ 𝟲𝟰𝟳-𝟴𝟮𝟵-𝟮𝟵𝟴𝟯 ☎️ ANGELA is a slim pretty lady from China, with natural boobs, slim waist and grabbable ass. SOPHIA is a young & beautiful 21 year old Vietnamese lady, slim with a nice booty, who has the services you need. TINA is a Vietnamese girl
  43. Endless Joy Spa:
    ✨✨✨✨✨[GRAND OPENING]✨✨✨✨✨ 💞Endless Joy Spa💞 🎇 (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565🎇10am-2am, Young Part Time Chinese Emma, Slim Thai Janice, Young Sexy CBC Rachel. Slim Sexy Chinese Kiki, Tall Slim Sexy Chinese Kelly, Young Sexy Chinese Abie.
  44. Lulu1980:
    Phoenix Blossom spa ♨️♨️♨️ table shower body scrub 👍👍👍We have 3 beautiful young girls working today, young and lovely New girl Suki and cici Specialising in table shower body scrub massages and offering deep massages Helen 🤗🤗🤗🤗5124 Dundas St W Etobicoke.Please call ☎️416-817-3366 to book and Walk in the back door there is plenty of parking available
  45. Red Rose Spa:
    🌸 We have 5 hot brown girls today 🌸 MALIYA, NISHA, AMANDA, ANGEL, PAYAL PEARL, AAVI, ANAYA 🌸 2588 Birchmount 🌸 2 Invergordon 🌸 647-702-8800 🌸 Please visit for a great erotic massage
  46. Lily Spa:
    ❤️ KAJAL, CAMILLA and KK are here today for your massage needs ❤️ Lily Spa ❤️ 2190 McNicoll ❤️ Scarborough ❤️ M1V 5M2 ❤️ (647) 531-8288 ❤️
  47. Endless Joy Spa:
    ✨✨✨✨✨[GRAND OPENING]✨✨✨✨✨ 💞Endless Joy Spa💞 🎇 (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565🎇10am-2am, Young Part Time Chinese Emma, Slim Thai Janice, Young Sexy CBC Rachel. Slim Sexy Chinese Kiki, Tall Slim Sexy Chinese Kelly, Young Sexy Chinese Abie.
  48. Flowers Spa:
    ✰ BlueXado Spa ✰ 416 357 9797 ✰1102 Centre St, Unit #6, Thornhill Vaughan 🇲🇾🇻🇳 MY LINH | LINDA a 21-year-old Vietnamese Malaysian, offers comfortable and professional full-body treatments 🇯🇵🇯🇵 TRACY (New) 22-year-old, petite Japanese, young & pretty face...Satisfy All Needs...After 9PM 🇻🇳🇻🇳 HANNA Vietnamese good, energetic medium body; also does lighter treatments with emphasis on service ✰ BlueXado Spa ✰ 416 357 9797 ✰1102 Centre St, Unit #6, Thornhill Vaughan ✰
  49. SpringGreen.:
    Spring Green Spa - 72 Gerrard St W. 2/Fl - 647-891-0699We have 5 young girls for your enjoyment Tuesday : :heart4:heart4 New girl lisa :heart4 Judy - well proportioned model to bring toe curling fun Rina - petite beauty ready to rock your world Lucy- tall leggy beauty with nice figure Barbie -...
  50. Jenny’s Spa:
    🎉🍒JENNY’S SPA🎉🍒 ✅5170 DUNDAS STREET WEST✅ 👌ETOBICOKE ONTARIO M9A 1C4👌 ☎️(647-893-5196)☎️Call or Text ☎️(437-888-3759)☎️Call Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY 🔥✅GRAND OPENING💯NEW GIRLS EVERYDAY🔥EXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNY’S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS🔥💯😘🔥❤️👌 🔥TWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY🔥 💯REAL PICTURES OF ATTENDANTS💯 🔥TODAY’s ROSTER INCLUDES: Julia😘 - A shy new Korean girl waiting to e
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