Left Rib Pain After an Accident: Causes and Recovery Tips - Orthopedics

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Left costal margin pain


Hello, doctor.
A few days ago, I was in a car accident and sustained an impact below my left rib cage.
I informed the physician in the emergency department, but no treatment was provided, as I thought it would heal in a few days.
That day, I noticed some bruising, which disappeared after about a week.
It's been almost a month now, but I still experience pain and discomfort whenever I stretch, cough, or lie flat.
The pain feels like a sharp ache.
Could this be caused by a muscle strain, and will it gradually improve with rest?

Lin, 20~29 year old female. Ask Date: 2017/06/01

Dr. Wang Shouji reply Orthopedics


Hello: Chest contusions with minor rib fractures or just contusion pain may persist for several weeks.
If discomfort continues after one month, it is advisable to visit the hospital again to confirm whether there are any fractures or other issues.

Reply Date: 2017/06/01

More Info


After experiencing a car accident, it is not uncommon to encounter pain in the rib area, particularly if there was direct impact. The symptoms you describe—bruising, pain upon stretching, coughing, and lying flat—suggest that you may be dealing with a soft tissue injury, such as a muscle strain or possibly a rib contusion.
In the context of rib injuries, it is important to understand that the ribs are surrounded by muscles and connective tissues that can be strained during an impact. When you cough, stretch, or lie down, these movements can exacerbate the pain if the underlying tissues are inflamed or injured. The fact that you experienced bruising indicates that there was some degree of trauma to the area, which can lead to localized pain and discomfort.

Typically, soft tissue injuries like muscle strains can take anywhere from a few days to several weeks to heal, depending on the severity of the injury. In your case, since it has been almost a month and you are still experiencing pain, it may be beneficial to consider a few recovery tips:
1. Rest and Avoid Aggravating Activities: It is crucial to give your body time to heal. Avoid activities that cause pain, such as heavy lifting or intense stretching.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. It is generally recommended to ice the area for 15-20 minutes every few hours during the first couple of days after the injury.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

4. Gentle Stretching and Breathing Exercises: Once the acute pain subsides, gentle stretching and deep breathing exercises can help maintain mobility and prevent stiffness. However, these should be done cautiously and should not provoke pain.

5. Physical Therapy: If the pain persists, consider consulting a physical therapist. They can provide tailored exercises and treatments to promote healing and restore function.

6. Follow-Up with a Healthcare Provider: If your symptoms do not improve or worsen, it is essential to follow up with a healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to rule out any fractures or more serious injuries.

In summary, while it is likely that your pain is due to a soft tissue injury, ongoing discomfort after a month warrants further evaluation. It is crucial to listen to your body and seek professional advice if symptoms persist. Early intervention can help prevent chronic issues and ensure a smoother recovery process.

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