Recovery Levels After Chest and Rib Injuries - Orthopedics

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Regarding the degree of recovery?


Hello Dr.
Hong: A few days ago, I consulted about an injury caused by performing dips on parallel bars.
The response from the doctor indicated that this exercise can lead to a dislocation between the sternum and ribs, resulting in pain, and that I should rest for 4 to 6 weeks.
I would like to ask the doctor what level of recovery is necessary before I can resume exercising.
If I no longer feel pain, does that mean I am fully healed? Since my workouts involve heavy weights, I am concerned that even if I do not feel pain, it could still lead to further deterioration of the affected area.

Lao Wang, 20~29 year old female. Ask Date: 2016/03/25

Dr. Hong Ximing reply Orthopedics


In principle, recovery is considered complete once pain is no longer felt, but the level of physical activity should also be gradually increased to prevent re-injury.

Reply Date: 2016/03/25

More Info


Recovering from chest and rib injuries can be a complex process that varies significantly from person to person. When dealing with injuries such as rib fractures or costochondral injuries (which involve the cartilage connecting the ribs to the sternum), it is crucial to understand the stages of recovery and the indicators that suggest it is safe to return to physical activities, especially those involving heavy lifting or intense exercise.


Understanding Recovery Levels
1. Initial Healing Phase: After an injury, the body enters a healing phase that typically lasts from a few days to several weeks. During this time, it is essential to rest and avoid activities that could exacerbate the injury. Pain is often a significant indicator of the injury's severity. If you experience pain during movement, it is a sign that the area is still healing.

2. Pain Assessment: While the absence of pain is a good sign, it does not always indicate complete healing. Pain can diminish before the underlying tissues have fully recovered. Therefore, it is crucial to consider other factors, such as the range of motion and strength in the affected area.

3. Functional Recovery: Before returning to activities like weightlifting or high-impact sports, you should be able to perform daily activities without discomfort. This includes movements that mimic the actions you will perform during exercise. For example, if you plan to lift weights, you should be able to perform similar movements without pain.

4. Medical Evaluation: It is advisable to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, who can assess your recovery through physical examinations and possibly imaging studies (like X-rays) to ensure that the bones and soft tissues have healed properly. They can provide a tailored rehabilitation program that gradually increases in intensity.

5. Gradual Return to Activity: Once you receive clearance from your healthcare provider, you should gradually reintroduce activities. Start with lighter weights and lower intensity, focusing on form and technique. Pay attention to any signs of discomfort or pain, and adjust your activities accordingly.

6. Long-term Considerations: Even after you feel ready to return to your regular workout routine, it is essential to continue monitoring your body for any signs of discomfort. If you experience pain during or after exercise, it may indicate that the area is not fully healed or that you are pushing too hard too soon.


Conclusion
In summary, while the absence of pain is a positive sign, it should not be the sole criterion for determining when to return to exercise after chest and rib injuries. A comprehensive assessment of your functional abilities, along with professional guidance, is crucial for a safe and effective recovery. Always prioritize your health and well-being over the desire to return to your previous fitness levels quickly. If you have any doubts or experience recurring pain, do not hesitate to seek further medical advice.

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