If you get punched in the ribs during a fight, it can cause swelling and pain?
Hello, Doctor.
Two weeks ago, I got into a fight with my friends and was punched in the ribs.
After that, I thought I would correct my spine, so I rolled on a foam roller.
However, I heard two cracking sounds.
Usually, I hear cracking sounds when I roll, but this time it didn't come from my spine; it felt like it was between my front and back ribs.
The next day, I woke up and noticed pain when sleeping on my side in a bridge position, pain when breathing, and pain when coughing or stretching my arms overhead.
There is swelling in the area of the left rib, specifically the fourth and fifth ribs, around the 9:30 position.
I'm wondering if the ribs became weakened after being punched, and the foam roller caused the front ribs to be pushed forward, leading to dislocation and swelling.
After the first week, I saw a doctor who diagnosed that none of my ribs were fractured and advised me to return for a follow-up next week.
Will this condition heal with rest, or could there be other possibilities? I've heard that hanging from a pull-up bar can help realign the ribs; do I need to do that? I tried hanging once, but it was too painful, so I haven't done it since.
Thank you for your time.
Niming, 20~29 year old female. Ask Date: 2016/07/09
Dr. Shi Guozheng reply Orthopedics
It is possible that the ribs in the chest wall have been compressed without being fractured, which does not mean that there is no bruising.
Resting will help improve the condition.
You can take some pain relievers to alleviate the pain.
Hanging from a pull-up bar does not help with the ribs.
If a rib is fractured, it usually heals on its own.
Reply Date: 2016/07/09
More Info
Rib injuries can be quite painful and may lead to significant discomfort during daily activities. Based on your description, it sounds like you may have sustained a soft tissue injury or possibly a contusion to the ribs, rather than a fracture, since your doctor confirmed that the ribs are intact. However, the pain, swelling, and difficulty with movement you are experiencing suggest that there may be inflammation or irritation in the area surrounding the ribs.
When you experience pain in the rib area, especially when breathing, coughing, or moving your arms, it can indicate that the muscles, ligaments, or cartilage around the ribs are strained or inflamed. The "cracking" sounds you heard while rolling on the foam roller could be related to the movement of the rib cage and surrounding tissues, but it’s important to note that this does not necessarily mean that the ribs have been displaced or that there is a fracture.
Recovery Tips for Rib Injuries:
1. Rest and Avoid Aggravating Activities: It’s crucial to give your body time to heal. Avoid activities that exacerbate the pain, such as heavy lifting or strenuous exercise. While it might be tempting to try exercises like hanging from a pull-up bar, if it causes pain, it’s best to avoid it until you have healed sufficiently.
2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosages and consult with your healthcare provider if you have any underlying health conditions or are taking other medications.
3. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes several times a day, especially in the first few days after the injury.
4. Breathing Exercises: Although it may be painful, it’s important to take deep breaths to prevent complications such as pneumonia. You can do this by taking slow, deep breaths several times an hour. If it’s too painful, try to take smaller, more manageable breaths.
5. Gradual Return to Activity: As your pain decreases, gradually reintroduce activities. Listen to your body and avoid pushing through pain. If certain movements cause discomfort, modify them or wait until you feel ready.
6. Follow-Up with Your Doctor: Since you have already seen a doctor, it’s important to follow up as advised. If your symptoms worsen or do not improve, further evaluation may be necessary. This could include imaging studies to rule out any underlying issues that may not have been initially apparent.
7. Physical Therapy: If your pain persists, consider consulting a physical therapist. They can provide targeted exercises to strengthen the muscles around the rib cage and improve flexibility, which may aid in your recovery.
Conclusion
In summary, rib injuries can take time to heal, and while rest is essential, gentle movement and pain management are also important. If you continue to experience significant pain or if your symptoms worsen, it’s crucial to seek further medical evaluation. Remember that everyone heals at their own pace, and it’s important to be patient with your recovery process. If you have any concerns about your condition or treatment options, don’t hesitate to reach out to your healthcare provider for personalized advice.
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