Non-surgical treatment of intercostal neuralgia aims to relieve pain along the rib cage while restoring comfortable breathing and movement. Treatment often starts with nerve-stabilizing medications, anti-inflammatory agents, or muscle relaxants to reduce pain and irritation around the affected nerve. Intercostal nerve block injections provide targeted, fast-acting relief by numbing the specific nerve causing pain, and can also help confirm the diagnosis. For longer-lasting relief, radiofrequency ablation may be used to disrupt pain signals from the affected nerve. Pulsed radiofrequency therapy offers a gentler alternative that calms the irritated nerve without damaging surrounding tissue. Topical treatments such as lidocaine patches can further help manage localized pain. Breathing exercises and posture correction also support recovery by reducing strain on the chest wall, allowing most patients to find effective relief without surgery.