Whether or not the costal neuralgia will disappear automatically needs to be judged according to the cause of the patient’s illness, etc. A few costal neuralgia caused by viral infection may disappear automatically, but it will not disappear automatically if it is caused by trauma or tumor. If herpes zoster is caused by a viral infection, the viral infection is a self-limiting disease and has a tendency to heal on its own. Through active antiviral treatment, the course of the disease can be shortened and the pain of the patient can be reduced. However, if the virus involves other nerves in the body, there may be recurrence. If the intercostal neuralgia is caused by trauma, thoracic spine tuberculosis, tumor and other factors, the possibility of automatic disappearance is very small, and it must be treated actively, which may lead to aggravation of the condition if it is not treated in time. For example, intercostal neuralgia caused by tumor needs to be resected in order to fundamentally reduce the patient’s pain, effectively control the condition and improve the patient’s quality of life. Patients with intercostal neuralgia are advised to seek timely medical treatment to determine the cause of the disease and then carry out the corresponding treatment with the help of doctors.