What causes intercostal neuralgia?

Intercostal neuralgia may have various causes. Shoulder arthritis and shoulder injuries, such as rotator cuff tears, can damage the intercostal nerves and cause pain. In addition, overuse or misuse of the shoulder joint may also lead to intercostal neuralgia. Furthermore, intraspinal calculi or spinal canal inflammation could also be triggering factors. Finally, muscle tension in the shoulders and lower back caused by physical exertion or heavy lifting may also contribute. Treatment of intercostal neuralgia can be achieved through medical interventions. Non-pharmacological treatments include massage, balneotherapy, warm compresses, as well as stretching and shoulder-strengthening exercises. Moreover, pharmacological treatments such as anti-inflammatory drugs, antiallergic agents, and analgesics can also be used. Combining these approaches may help patients alleviate pain and improve their symptoms.