College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is a recommended treatment approach for intercostal neuralgia?

1. Direct heat application to the site

2. Working directly on the affected rib

3. Treating surrounding musculature without direct intervention on the site

4. Stretching the intercostal muscles actively

The correct answer is: Treating surrounding musculature without direct intervention on the site

The recommended treatment approach for intercostal neuralgia focuses on treating the surrounding musculature without direct intervention at the site of pain. This approach is effective because intercostal neuralgia often involves irritation or inflammation of the nerves located between the ribs, and directly applying pressure or treatment to the affected area can exacerbate pain and discomfort. By focusing on the surrounding musculature, a massage therapist can help facilitate relaxation and relieve tension in the muscles adjacent to the intercostal nerves, potentially reducing pain radiating from the affected area. Techniques such as myofascial release and gentle stretching can promote blood flow and decrease muscle tightness in the thoracic region, aiding in overall relief. In contrast, applying direct heat to the site or working directly on the affected rib may not provide the necessary therapeutic benefits and could even increase discomfort. While stretching the intercostal muscles actively may seem beneficial, it could be counterproductive if the muscles are already inflamed or irritated by the neuralgia. Therefore, a therapeutic strategy focusing on surrounding areas generally yields better outcomes for the patient.