Rib Pain: Recovery Time and Treatment Options - Orthopedics

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Pain in the ribs during breathing?


Doctor, I woke up in the middle of the night in mid-July with a sharp pain in my left rib when I inhaled.
I have experienced this occasionally in the past, but this time it was particularly painful.
The next morning, even breathing hurt.
It has improved a lot since then, but I haven't fully recovered.
When I sit up straight in a chair and turn my upper body left and right, I still feel a bit of sharp pain.
I went to see an orthopedic doctor, who said it was a rib contusion and prescribed anti-inflammatory medication.
How long will it take to recover? I'm a bit worried since it's been almost two months.
I've been using heat therapy at night.
Could this be another type of symptom? Also, does taking anti-inflammatory medication really help speed up recovery?

jason, 20~29 year old female. Ask Date: 2017/09/09

Dr. Li Yongheng reply Orthopedics


Based on your symptoms, the likelihood of intercostal neuralgia or muscle strain is higher.
If this is the case, taking anti-inflammatory medication may help you recover more quickly.
However, since you are a young male, the possibility of spontaneous pneumothorax should also be considered.
If you experience severe pain again, it is recommended that you visit a thoracic clinic for a chest X-ray.
Wishing you a speedy recovery.

Reply Date: 2017/09/09

More Info


Rib pain, especially after an incident like you described, can be quite concerning and uncomfortable. It sounds like you may have experienced a rib contusion or strain, which is common and can occur from various activities, including sleeping in an awkward position or sudden movements.

Understanding Rib Pain
Rib pain can arise from several causes, including muscle strain, rib fractures, or inflammation of the cartilage connecting the ribs to the sternum (costochondritis). Given that you mentioned the pain started suddenly while sleeping and has persisted for nearly two months, it is likely that you are dealing with a rib contusion or strain.

Recovery Time
The recovery time for rib injuries can vary significantly based on the severity of the injury. Generally, rib contusions or strains can take anywhere from a few weeks to several months to heal completely. Most people start to feel better within 4 to 6 weeks, but it can take longer for some individuals, especially if there are underlying issues or if the injury was more severe than initially thought.

Treatment Options
1. Rest: It is crucial to allow your body time to heal. Avoid activities that exacerbate the pain, such as heavy lifting or twisting motions.

2. Pain Management: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help reduce pain and inflammation. These medications can indeed help you feel better faster by managing pain, allowing you to engage in gentle movements and activities that promote healing.

3. Heat Therapy: Applying heat to the affected area can help alleviate pain and stiffness. Since you mentioned using heat packs at night, this is a good practice. Just ensure that the heat is not too intense to avoid burns.

4. Gentle Stretching and Breathing Exercises: Once the acute pain subsides, gentle stretching and breathing exercises can help restore mobility and prevent stiffness. However, these should be approached cautiously and ideally under the guidance of a healthcare professional.

5. Physical Therapy: If pain persists or if you have difficulty with mobility, consulting a physical therapist may be beneficial. They can provide tailored exercises to strengthen the muscles around the rib cage and improve flexibility.


When to Seek Further Help
If your pain does not improve significantly within a few weeks, or if you experience worsening symptoms such as difficulty breathing, increased pain, or any signs of infection (fever, redness, swelling), it is essential to follow up with your healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to rule out more serious injuries like fractures or other underlying conditions.


Conclusion
In summary, rib pain can take time to heal, and while anti-inflammatory medications can help speed up recovery by managing pain, it is essential to rest and avoid aggravating activities. If you are concerned about your symptoms or if they persist, do not hesitate to seek further medical evaluation. Your health and comfort are paramount, and there are various treatment options available to help you on your path to recovery.

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