Thanks for the query. I think that before embarking into more invasive treatments such as intercostal nerve
blocking or surgical removal of a rib, it should be documented by imaging that compression of stuctures is causing your symptoms; an MRI
could be useful in this sense, also a CT scan
. If it is indeed the case, then surgical excision can be contemplated.
Hope that helps, wish you the best,
Dr Brenes-Salazar MD
Mayo Clinic MN