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Published on: 5/6/2025

What Are the Causes of Nerve Pain in the Ribs?

Nerve pain in the ribs can occur when the nerves that run between or near the ribs are irritated or compressed—this is often seen in conditions like intercostal neuralgia or slipping rib syndrome.

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Explanation

Nerve pain in the ribs is commonly associated with a condition known as intercostal neuralgia. This happens when the nerves located between your ribs become irritated, stretched, or compressed. These nerves can be affected by a variety of factors such as trauma, repetitive strain, or even inflammation. Slipping rib syndrome, for example, occurs when one or more of the ribs move in an unusual way, which can pinch or irritate the nearby nerves, leading to sharp or burning pain. Additionally, certain anatomical variations like the presence of a cervical rib can also cause nerve compression, contributing to the pain that may be felt along the rib cage. Other causes might include nerve damage from infections or inflammation in the surrounding muscles and tissues. Each of these scenarios can lead to nerve pain that feels different from other types of chest or rib pain A healthcare professional can help determine the exact cause and recommend treatment options such as physical therapy, medications, or sometimes manual therapy to help relieve the nerve irritation.

(References)

  • Fazekas D, Doroshenko M, Horn DB. Intercostal Neuralgia. [Updated 2023 Aug 14]. In: StatPearls [Internet].

  • Gress K, Charipova K, Kassem H, Berger AA, Cornett EM, Hasoon J, Schwartz R, Kaye AD, Viswanath O, Urits I. A Comprehensive Review of Slipping Rib Syndrome: Treatment and Management. Psychopharmacol Bull. 2020 Oct 15;50(4 Suppl 1):189-196. PMID: 33633425; PMCID: PMC7901126.

  • Fliegel BE, Menezes RG. Anatomy, Thorax, Cervical Rib. [Updated 2023 Jul 17]. In: StatPearls [Internet].

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