The treatment of intercostal neuralgia includes the following aspects: first, treatment for the cause, if the back neuralgia is caused by pneumonia or pleurisy, the first treatment should be antibiotics, if the back neuralgia is caused by herpes zoster, you should use acyclovir antiviral treatment, you can also choose interferon intramuscular injection, etc., if it is caused by thoracic spine tumor or spinal cord tumor, you should operate to remove the tumor. Second, symptomatic treatment, you can use analgesics, nutritional drugs and vitamins according to the symptoms, such as ibuprofen, carbamazepine, methylcobalamin, vitamin B, etc. Third, do local closed treatment or physiotherapy, you can perform thoracic paravertebral nerve root closure, sympathetic ganglion closure, or intercostal nerve closure and other treatments.