Trigger points in the intercostals are less common and often overlooked as the cause or localized pain in and around the ribcage. Trigger points in the internal and/or external intercostal muscles may be activated by sudden movement (twisting action) of the body, or often by heavy coughing.

Trigger points in the intercostals may sometimes be able to be identified and treated by therapists using a number of trigger point release techniques.

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