Rib Strain: Rest or Stretching for Recovery? - Orthopedics

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Rib issues


I have been dealing with a rib strain for a month without improvement, so I went to a major hospital for an examination.
The bones are fine, and it was diagnosed as a strain.
The doctor advised me to move more and do stretching exercises.
I followed the doctor's advice, and while I feel relaxed immediately after stretching, it becomes tight again shortly after.
I have a question: isn't it supposed to be resting for a strain? Why is stretching recommended? I'm a bit confused about whether I should let it rest or continue with the stretching.

Niming, 20~29 year old female. Ask Date: 2017/11/04

Dr. Li Yongheng reply Orthopedics


Hello, generally speaking, a rib strain should gradually recover in 4-6 weeks.
Currently, you can move, but you should avoid heavy lifting, deep breathing, and vigorous stretching.
After one month post-injury, it's important to rest, but you can indeed start some gentle rehabilitation stretching activities now.
Wishing you a speedy recovery.

Reply Date: 2017/11/04

More Info


When dealing with a rib strain, it's essential to understand the nature of the injury and the appropriate recovery strategies. Rib strains typically occur when the muscles or ligaments surrounding the rib cage are overstretched or torn, often due to sudden movements, heavy lifting, or intense physical activity. While it may seem counterintuitive, the approach to recovery can vary based on the severity of the strain and individual circumstances.

Initially, rest is crucial for any muscle strain, including those affecting the ribs. Rest allows the damaged tissues to begin healing without further aggravation. However, complete immobilization is not always recommended, as it can lead to stiffness and decreased mobility. This is where the confusion often arises: while rest is essential, gentle stretching and movement can also play a vital role in recovery.

The key is to find a balance. Gentle stretching can help maintain flexibility and prevent the muscles from becoming too tight, which can lead to further discomfort. Stretching should be done cautiously and should not cause pain. If stretching leads to increased tightness or discomfort after the initial relief, it may be a sign that you are overdoing it or that the injury requires more time to heal.

In your case, since you have been experiencing tightness after stretching, it may be beneficial to reassess your approach. Here are some guidelines to consider:
1. Listen to Your Body: If stretching feels good in the moment but leads to increased tightness later, it may be wise to reduce the intensity or frequency of your stretching exercises. Focus on gentle movements that do not exacerbate your symptoms.

2. Rest and Ice: In the acute phase of a rib strain, applying ice to the affected area can help reduce inflammation and pain. Resting the area is important, especially if you are experiencing significant discomfort.

3. Gradual Return to Activity: As your symptoms improve, gradually reintroduce gentle stretching and mobility exercises. Start with simple movements that do not cause pain, and slowly increase the range of motion as tolerated.

4. Consult a Physical Therapist: If you are unsure about the best course of action, consider consulting a physical therapist. They can provide tailored exercises that promote healing while ensuring you do not overstrain the injured area.

5. Avoid High-Impact Activities: While gentle stretching is encouraged, avoid activities that could put excessive strain on your ribs, such as heavy lifting or high-impact sports, until you have fully recovered.

6. Monitor Your Progress: Keep track of your symptoms. If you notice persistent pain or if your condition worsens, it may be necessary to revisit your healthcare provider for further evaluation.

In summary, while rest is essential for recovery from a rib strain, gentle stretching and movement can also be beneficial as part of a comprehensive rehabilitation strategy. The goal is to promote healing while maintaining mobility. Always prioritize your body's signals and consult with healthcare professionals if you have any concerns about your recovery process.

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