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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  42. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธAkame๐ŸŒธChristina๐ŸŒธXuka๐ŸŒธLynda๐ŸŒธIsabella Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  43. ForeverWarden:
    Tuesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Tracy & Vivian. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5โ€™1โ€ and 100 lbs. She is very popular for her exotic massage & services.
  44. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Young Beauties Today at Alice Spa. Open 10am to 9pm: ASHLEY (12pm-9pm) is a beautiful slim Korean student, snow white skin, 5'2, 100 Lbs, natural C Cup, pink nipples, baby face & voice, can accomodate bbbj cim cof rim dfk, excellent services. CLOUDIA (11:30am-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs
  45. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  46. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: EMMA, JENNY & CINDY. EMMA is a very beautiful slim Chinese honey with C Cups, beauty face, & nice services to drive you wild. Jenny has a medium build, nicely curvy with a slim waist, pretty face, and very flexible skills. Jenny will make you very happy. CINDY is slim
  47. SugarLoveSpa:
    Tuesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: CHRISTINA, MIMI, JENNY & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York. CHRISTINA is Spanish, C Cups, 5'3", tall & nice curves, very open minded. MIMI is a slim & busty Asian/Euro mix beauty, 50Kgs & 1M60. Mimi has a very versatile range of services. JENNY is a sweet & young Korean girl with C Cups. Very versatile services.
  48. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธNina๐ŸŒธAnna๐ŸŒธXukaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  49. bnwellness_wilson:
    We have 4 young girls are working today, young pretty Mia 25โ€™s with curve body and young Taiwanese Victoria slime 25โ€™s open mind, young sexy Sophia with curve body 30โ€™s and cute GFE Lina are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. Red Rose Spa:
    ๐ŸŒธ We have 11 hot brown girls today ๐ŸŒธ MONICA, ANGEL, SONIA, PRIYA, AMANDA, PAOLA, PREETI, KIRAN, ANGELINA, MONIKA, SALMA ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
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