
Coughing is the body's way of clearing the airways and lungs of irritants and foreign matter. While a cough can be indicative of an infection, it can also be a symptom of asthma, acid reflux, bronchitis, or allergies. Intense coughing can exhaust the muscles in the chest, back, abdomen, and ribs, leading to soreness and pain. This muscle strain can be quite painful but is usually a minor injury that can heal with rest and proper care. However, it is important to note that chest pain when coughing can also be a sign of more serious conditions such as pleurisy, pneumonia, or heart problems.
| Characteristics | Values |
|---|---|
| Chest pain when coughing | Muscle strain, pneumonia, asthma, pleurisy |
| Treatment for chest pain when coughing | Rest, fluids, pain-relieving medication, antibiotic therapy, corticosteroids, NSAIDs |
| Pulled chest muscle causes | Contact sports, athletics, tennis, golf, gymnastics, rowing, weightlifting |
| Pulled chest muscle treatment | Rest, ice, compression, elevation, pain relievers, ibuprofen, acetaminophen |
| Rib pain when coughing | Intercostal muscle strain, excess gas, colds, flu, asthma |
| Rib pain treatment | Muscle pain creams/gels, cough medicines, decongestants, steam inhalation, warm drinks, honey, cough drops |
| Lower back pain when coughing | Muscle strain, disk herniation, spinal stenosis, lung cancer, nerve irritation, spine injuries |
| Lower back pain treatment | NSAIDs, steroid injections, surgery, heat/ice packs, low-impact exercise |
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What You'll Learn

Strained chest muscles can cause coughing
A persistent cough can sometimes lead to strained chest muscles. An intense or prolonged bout of coughing can exhaust the muscles in the chest, back, and abdomen, making them feel sore or painful. This is known as an intercostal muscle strain, which affects the muscles between the ribs. The diaphragm, a muscle in the middle chest area, can also be strained, resulting in severe pain.
Strained chest muscles can cause mild discomfort or severe symptoms, including sharp pain in the chest. This pain may be acute, in the case of a sudden muscle pull, or dull, indicating a chronic strain resulting from repetitive motions. Chronic strains can occur from sports or certain job-related tasks. Pulled chest muscles are a common cause of chest pain and can usually be treated at home with rest, ice, compression, and elevation (RICE). Nonsteroidal anti-inflammatory drugs (NSAIDs) can also help relieve pain and inflammation.
It is important to distinguish muscle strain from other causes of chest pain, such as pleurisy, pneumonia, asthma, or a serious chest infection. Pleurisy refers to the inflammation of the pleural tissue lining the lungs and chest wall, which can cause sharp, sudden pain that intensifies with breathing. Pneumonia, a potentially dangerous lung infection, can also cause chest pain when coughing, along with other symptoms like fever or trouble breathing. In such cases, it is advisable to seek medical attention to ensure proper diagnosis and treatment.
Additionally, a dry cough, characterised by a tickly irritation in the airways or throat without producing mucus, can be indicative of an underlying condition. Common causes of a dry cough include allergies, asthma, acid reflux, bronchitis, or inflammation of the airways due to viruses or bacteria. Identifying and addressing the underlying cause can help alleviate the cough and associated symptoms.
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Intercostal muscles can be strained by coughing
Coughing involves the use of many muscles in the chest, back, and abdomen. An intense or prolonged coughing spell can exhaust these muscles, making them feel sore or painful, especially when touching the affected area. This is known as an intercostal muscle strain, which refers to an injury affecting the muscles between two or more ribs. Intercostal muscles are the muscles between the ribs that allow the rib cage to expand and contract so we can breathe.
Intercostal muscle strain can be caused by overexertion or injury during exercise, such as twisting while lifting weights, prolonged overhead reaching, or a direct blow to the ribs. It can also be caused by certain movements, such as twisting, lifting, or stretching, or by traumatic injuries like a fall or automobile accident. The pain from this strain can be sharp and direct, and it may worsen with coughing, sneezing, or deep breathing. Other symptoms include muscle tightness and soreness, swelling, and difficulty breathing.
If you suspect an intercostal muscle strain, it is important to seek medical attention, especially if the pain is severe or persistent. A doctor can diagnose intercostal muscle strain through a physical exam, assessing areas of tenderness and limitations of movement. Treatment options may include cold and heat therapy, rest, and over-the-counter pain medications. In some cases, further medical intervention may be required, such as physical therapy, muscle relaxants, or injectable medications.
It is important to note that chest pain during coughing can also be indicative of more serious conditions, such as pneumonia, pleurisy, or asthma. Therefore, it is always advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.
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Lower back pain can be caused by coughing
Lower back pain is a common issue that can be caused or exacerbated by coughing. When coughing, the body engages its core muscles, which support posture, balance, and movement. This can irritate the muscles in the back, leading to discomfort and pain. The pressure created during coughing can also worsen pre-existing back conditions, such as muscle strain, spinal disc issues, or spinal instability.
The act of coughing involves a forward motion that moves the lower back and can cause it to contract more than normal. This forward motion can put stress on the lower back and may even displace the vertebrae or spinal bones, making lower back pain worse. In some cases, a sudden or intense bout of coughing can put unexpected pressure on the back, leading to a herniated disk. A herniated disk occurs when the softer part of the disk between the spinal bones pushes out to the harder part, causing a slipped or ruptured disk.
Lower back pain caused by coughing can be temporary and may go away on its own. However, if the pain persists or is accompanied by other symptoms, it is important to seek medical advice. Initial treatments for lower back pain caused by coughing may include anti-inflammatory medications, muscle relaxers, and core-strengthening physical therapy.
To mitigate back pain caused by coughing, it is recommended to maintain good posture while sitting or standing, wear shock-absorbing shoes, and sleep on your back. Strengthening core muscles through physical rehabilitation can also help prevent future muscle strains and injuries. Additionally, hugging a pillow when coughing can redistribute the force on the spine and provide temporary relief.
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Coughing can cause rib pain
Coughing is your body's way of clearing your lungs and airways of irritants and foreign matter that can make you sick. A dry cough is a tickly irritation in your airways or throat that doesn't bring up any mucus when you cough. Airway inflammation or irritation can cause a dry cough. A wet cough is usually the result of an infection that creates a lot of mucus.
Rib pain from coughing is a common symptom that may be caused by persistent or violent coughing. It can also be caused by a problem with the lungs or the tissues around the lungs. Conditions such as pneumonia, asthma, bronchitis, and pleurisy may also cause chest pain when coughing.
If you experience rib pain from coughing, it is recommended to seek medical advice. While it generally does not require immediate attention, you should treat it if the pain is unbearable or prevents you from taking deep breaths. Treatment may include pain relievers, cough suppressants, and avoiding physically demanding activities. Applying ice, cold compresses, and heating pads can also help manage the pain. For muscle strain, over-the-counter painkillers and home remedies like ice packs are usually sufficient for pain control.
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Muscle strain can be treated with RICE
While there is no direct evidence that muscle tightness causes coughing, chest pain when coughing is usually a result of muscle strain. This pain can be stabbing or throbbing, ranging from mild to unbearable. It is important to note that chest pain when coughing can also be a symptom of more serious conditions such as pleurisy, pneumonia, or asthma.
If you are experiencing muscle strain, you can treat it with the RICE method, which stands for Rest, Ice, Compression, and Elevation. This method is commonly used for treating acute musculoskeletal injuries and can be applied before and after receiving other treatments. Resting after an injury is crucial as it allows your body to recover while your immune system initiates the healing process. It is important to avoid putting stress or strain on the injured area for a few days to prevent further trauma. Ice, or any form of cooling therapy, helps reduce pain and inflammation. Compression and elevation are also effective ways to control swelling. For example, if you injure your ankle, elevating your foot above the level of your heart by propping it on pillows can help reduce swelling. After a day or two of RICE treatment, many sprains and strains will begin to heal.
It is always recommended to consult a healthcare professional if you are uncertain about the origin of your pain or injury. They can provide specific advice and treatments tailored to your condition.
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Frequently asked questions
Muscle tightness can be a result of coughing. Persistent coughing can lead to rib pain, which may be caused by strained intercostal muscles—the muscles between the ribs that help with breathing. Coughing can also cause or worsen lower back pain, which may be due to muscle strain or irritation of nerves.
A sharp pain, or a cracking or popping sound when coughing, could indicate strained intercostal muscles.
Over-the-counter pain-relieving gels or creams can be applied to the chest to treat muscle pain caused by coughing. If the pain is in the back, applying a cloth-covered heat or ice pack may help.
If you are experiencing muscle pain in your chest or back due to coughing, it is recommended that you consult a doctor. They will be able to identify which muscles have been strained and ensure that your symptoms are not caused by something else.











































