Brief Answer: Intercostal muscle strain Detailed Answer: Hello sir and welcome. Thank you for writing to us. An intercostal injury which has returned a normal x-ray and MRI result would just be an intercostal muscle strain and would normally have the following recommendations: -First and most importantly, rest; and avoiding any activity that can apply stress or strain to the affected region. So, advise of continuing to play golf was obviously wrong -Application of cold compress to the affected region -Lying on a soft surface on the affected side and taking deep breaths. This helps in exercising the affected muscles -Mild pain killers (eg. non-steroidal anti-inflammatory drugs) Usually healing takes anywhere from 4-6 weeks, if proper rest is taken. I hope this information helps you sir. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Wishing you a speedy recovery, Take care sir.

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Brief Answer: Yes sir, it should still help Detailed Answer: Hello once again sir. A cold compress helps in promoting blood circulation and reducing any swelling present (if present). It is usually applied during the acute period, but it appears as though your injury was not given time to heal; so yes, a cold compress can still be applied and hopefully with effect even after a period of 9 months, which was when the first injury took place. Secondary injuries would have taken place during your following golf games. Hope this makes things clear sir. Do keep me informed about the progress, so we can decide whether or not to continue the same treatment. Best wishes.

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Brief Answer: Wishing you a speedy recovery Detailed Answer: Hi. You are most welcome. Yes, be patient as rest is mist important, so take special care to avoid straining the region for at least the next 4-6 weeks. I am always available if you need me, but as of now you need nothing but rest. Best wishes.

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Brief Answer: Some documentation exists, but try at own risk sir Detailed Answer: Hello once again sir. Some documented research data does exist on acupunture being beneficial in providing relief in individuals with intercostal neuralgia, and you could consider trying this out, although this will have to be done at your own risk. My suggestion would be to take complete rest for 6 weeks, and if the pain does not subside, then consider acupuncture; as being a medical professional, I am unaware about the risks and benefits of the practice of acupuncture. I hope this information is clear sir. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.

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