Sleeping comfortably with an intercostal muscle strain can be a real challenge, but it's not impossible. Understanding how to sleep with intercostal muscle strain is key to finding relief and rest. Start by selecting a supportive sleeping position; lying on your back with a pillow under your knees can help align your spine and ease pressure on the strained muscles. Alternatively, side sleepers might benefit from placing a pillow between their knees and under their ribcage for added support. Incorporating heat or cold therapy before bed can also help soothe the muscles, making it easier to drift off to sleep. With the right adjustments and patience, you can achieve a peaceful night's sleep, even with an intercostal muscle strain.