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 ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—” 416-298-0898, 4915 Steeles Ave. E, Scarborough 3very nice girls here today: ELLA : is a small & curvy white young girl from Romania, super super busty EE Cups, blue eyes, blond hair, ok services, bbbJ cfs. Please call before booking her due to high demand. HOLLY (11am-9pm) : is a young, pretty, slim & busty yoga instructor from Vietnam, standing 5โ€™4โ€ with C Cups.
  37. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ (905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ (437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆ๐Ÿ”ฅ Jennifer -๐Ÿ”ฅ๐Ÿ˜˜A talented and graceful new massage girl from Taiwan, offering a trul
  38. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ ASHA, NISHA, NINA, AMANDA, MEERA, ANGELINA, PAYAL PEARL, ANGEL ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  39. wonderspa:
    ๐ŸŒบ๐ŸŒบWeclome to wonder spa,(9421Jane st unit127)Rmt available on Wednesday,nice sexy big boots Joey ,new young girl Tiffany,very friendly very good looking Lucy on the duty, they all can provide excellent massage and nice touch ,body slide, make you really comfortable,must come to tryโ˜Ž๏ธ416-5000-800 ๐Ÿท๐Ÿท
  40. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅTODAYโ€™s ROSTER INCLUDES: Coco๐Ÿ˜˜- A young cute blonde Asian girl
  41. Moneylee:
    All season wellness center : young girl pretty face nice figure Thai deep massage Helen,Young girl big breasted beautiful buttocks charming temperament summer ,Young girl Big breasted saucy naughty Ella , Enchanting sexy petite deep massage Sherry ,address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  42. Moneylee:
    Full season wellness center: Young girl big breasted beautiful buttocks charming temperament big boobs Rose,Young girl big breasted beautiful buttocks charming temperament big boobs Julia ,Young girl Big-breasted big big butts Aris ,Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  43. ASPA:
    ๐—ช๐—˜๐——๐—ก๐—˜๐—ฆ๐——๐—”๐—ฌ at ๐€ ๐’๐๐€: Amy, Coco & ๐—ฏ๐—ฒ๐˜€๐˜ ๐—บ๐—ฎ๐˜€๐˜€๐—ฎ๐—ด๐—ฒ ๐—ฅ๐—ฎ๐—ฐ๐—ต๐—ฒ๐—น ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ AMY is young and very friendly, standing 158 Cms. with 34C Cups and a very nice bum. Amy is a very popular student, young, sexy, and open minded. She is in demand for her good massage
  44. SugarLoveSpa:
    Wednesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: CARA, ELLA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž CARA is a young & attractive Chinese attendant, 5โ€™3โ€ & 100 pounds with natural C Cup big boobs, very friendly with a host of services. ELLA is a lovely Thai sweetheart, 5โ€™1โ€ with C Cups, smooth skin and a very pleasing attitude.
  45. ForeverWarden:
    Wednesday 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: Bella, Cindy & Sasa. Bella is around 5โ€™3โ€ 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, 5โ€™4โ€, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild
  46. AmoreSpaEtobicoke:
    AMORE SPA 127 Westmore Drive, Unit 106C Etobicoke, ON M9V 3Y6 โ˜Ž 437-688-2407 โ˜Ž Wednesday at AMORE SPA: [/color ANGELA & CHERRY. ANGELA (*New Today) CHERRY is a proven superstar, Slim Asian with a pretty face, all natural A or B Cups, long nipples, slim waist & small round bum. Her services are legendary. AMORE SPA is a well established holistic spa
  47. Sunrise Health Centre:
    ๐Ÿซฆ Angela & Noor are here Today! ๐Ÿ“ž๐Ÿ“ฒ (647) 325-8086 ๐Ÿ’ฆ We have Hot & Sexy Girls Every Day. ๐Ÿ’‹ They all do Extra Services & are Very Open-Minded ~ Drop In Anytime ๐Ÿšถโ€โ™€๏ธ๐Ÿšถโ€โžก๏ธ Walk-Ins Are Always Welcome! Unit 27, 10 East Wilmot Street, Richmond Hill
  48. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡10am-2am, New First Day Young Slim Petite Chinese Vivi, Tall Slim Sexy Chinese Kelly, Sexy Chinese Coco, Young Sexy Chinese Abie, Young Sexy CBC Rachel.
  49. See You Health Center:
    Barbie Very Young, very Petite Korea Student With Perfect S shape type Spicy Smoking Hot Body Candy She is a Vietnamese๏ผŒ Face and body to die for. Her smile will make you melt. Judy is a gorgeous model type Vietnamese Girl โ˜Ž๏ธ416-988-2950
  50. Lulu_Villa_Spa:
    Natalie she is CBC/filipina mixed Petite school girl Bella She is Mexican Gorgeous face Natural D cup Boobs Cici Cute Skinny Sexy Vietnamese Girl โ˜Ž๏ธ647- 446-0886
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