Published on: 4/28/2025
Treatment options for middle back pain around the rib cage depend on the underlying cause and may include medications, physical therapy, and manual therapy techniques.
Treatment options for back pain depend on the underlying cause, though there are several common approaches. Doctors typically start with simple pain management strategies. Over-the-counter pain relievers like ibuprofen can reduce inflammation and discomfort. Applying heat or ice to the affected area often provides relief. Physical therapy is also effective—a therapist can teach specific exercises and stretches to strengthen your back and core muscles, helping to reduce pain over time. Working with a professional for gentle manual therapy, such as massage, can help ease tightness and improve movement. For nerve-related pain, including intercostal neuralgia, doctors may prescribe specific medications to calm the nerves and reduce discomfort. Since the most effective treatment depends on your type of pain and overall health, it's essential to get a proper medical evaluation to determine the best treatment plan.
(References)
Fazekas D, Doroshenko M, Horn DB. Intercostal Neuralgia. [Updated 2023 Aug 14]. In: StatPearls [Internet].
Casiano VE, Sarwan G, Dydyk AM, et al. Back Pain. [Updated 2023 Dec 11]. In: StatPearls [Internet].
Strunce JB, Walker MJ, Boyles RE, Young BA. The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain. J Man Manip Ther. 2009;17(4):230-6. doi: 10.1179/106698109791352102. PMID: 20140154; PMCID: PMC2813499.
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