Tag Archives: strain

So You’ve Strained an Intercostal…

image from wikimedia

Hi, folks. I am not a doctor, nor have I played one on TV, but I would like to take a minute to share a bit of info about a subject literally near to my heart. The intercostal muscles are a group of small muscles that run between the ribs and are responsible for helping shape and move the chest wall when you breathe. Despite the fact they are located in your chest, these muscles can be a major pain in the rear. When one is strained, usually by coughing or by a fall, it can be excruciating, and without an x-ray may be difficult to distinguish from a broken rib.

In the course of my life, I have managed to strain these muscles THREE times, each time from coughing. A strained intercostal, in my sad experience, feels like being stabbed through the ribs with a jagged object. My pain was inconveniently located deep inside my breast, just under the breast at the outer edge, and in my armpit.  In my case the pain was generally mild until I coughed. However, if I was coughing a lot, the injury would be aggravated to the point that it hurt when I breathed deeply, or pretty much all the time.

wpid-IMAG0916.jpgThe first time it happened, my doctor diagnosed either a pulled intercostal or broken rib, but didn’t offer to take an x-ray as the treatment was the same:  take ibuprofen to control pain and inflammation and reduce activity as needed. Exercise or lifting heavy items can make pain worse. Gentlemen, you have one up on us ladies because without bulky breast tissue it is much easier to bind your ribs, which I have heard can help with pain. Ladies, you will find that grabbing your breast and trying to push it in when you cough doesn’t help at all. One thing I discovered does help if coughing is a factor is to create a little traction. If you feel a cough coming on, grab the top rail of a door frame with the arm on the side of the injury and bend your knees until you feel a good stretch, then cover your cough with the inside of your other arm (because nobody wants your nasty germs, especially if they result in the blazing pain of a strained intercostal.) Take your ibuprofen, drink plenty of water, try not to swear, and in three to six weeks the worst will be over. I am sorry. I wish it would go faster. Primarily because I am nursing one myself right now.

Good health to us both!

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