and Recovering from Rib Muscle Strain: A Guide - Rehabilitation

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Rib muscle strain


About two years ago, I experienced frequent push-ups, and I may not have stretched properly afterward.
I started feeling pain in my left abdomen along with a "pressure" sensation.
Initially, I thought it was just post-exercise soreness, but after some time, the feeling persisted.
I went to the hospital, and the doctor diagnosed it as a rib muscle strain.
They prescribed medication and a topical ointment, but even after finishing the medication and using the ointment, I still feel the pressure in my left abdomen.
Sometimes, after exercising, I experience pain the next day.
What can I do to recover? Thank you.

Niming, 30~39 year old female. Ask Date: 2020/02/23

Dr. Wang Zhaomin reply Rehabilitation


Improper form and excessive exertion during push-ups can indeed lead to strains in the intercostal muscles or abdominal muscles.
In addition to oral medications or topical ointments, physical therapy methods such as heat therapy or hydrotherapy can enhance treatment effectiveness.
It is also advisable to incorporate more stretching exercises to prevent muscle cramps and improve recovery speed.
Furthermore, one should assess whether there are incorrect exercise postures, as not only can this diminish training effectiveness, but it can also increase the risk of injury.

Reply Date: 2020/02/23

More Info


Understanding and recovering from a rib muscle strain can be a challenging process, especially if the injury has persisted for an extended period. Rib muscle strains, often referred to as intercostal muscle strains, occur when the muscles between the ribs are overstretched or torn. This can happen due to various activities, including heavy lifting, intense workouts, or even sudden movements. Given your history of frequent push-ups without adequate stretching, it’s understandable that you may have strained these muscles.


Symptoms and Diagnosis
The symptoms you describe—persistent pain in the left abdominal area and a feeling of tightness—are common indicators of a rib muscle strain. The pain may worsen with certain movements, deep breathing, or physical activity, and it can sometimes feel like a "stabbing" sensation. It’s crucial to differentiate between muscle strain and other potential issues, such as rib fractures or internal injuries, which is why a medical evaluation is essential.


Recovery Process
1. Rest and Activity Modification: Initially, it’s vital to rest the affected area. Avoid activities that exacerbate the pain, such as heavy lifting or strenuous exercises. However, complete immobilization is not recommended, as gentle movement can help maintain flexibility and prevent stiffness.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes every few hours can help reduce inflammation and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation. Always follow the dosage instructions and consult your physician if you have any concerns.

4. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching exercises can help restore flexibility. Focus on stretches that target the rib cage and abdominal muscles. Gradually incorporate strengthening exercises, starting with low resistance and increasing as tolerated. Exercises like gentle torso rotations and side bends can be beneficial.

5. Physical Therapy: If the pain persists or limits your daily activities, consider seeking the help of a physical therapist. They can provide a tailored rehabilitation program that includes specific exercises to strengthen the core and improve flexibility, which can help prevent future injuries.

6. Gradual Return to Activity: As you begin to feel better, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity. Pay attention to your body’s signals; if you experience pain, scale back your activities.

7. Breathing Exercises: Since rib strains can affect your ability to take deep breaths, practicing deep breathing exercises can help. This not only aids in recovery but also prevents complications such as pneumonia, which can arise from shallow breathing due to pain.


When to Seek Further Medical Attention
If your symptoms do not improve after a few weeks of conservative treatment, or if you experience severe pain, difficulty breathing, or any other concerning symptoms, it’s 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.


Conclusion
Recovery from a rib muscle strain requires patience and a structured approach. By resting, managing pain, and gradually reintroducing activity, you can effectively heal and return to your regular exercise routine. Remember, listening to your body is key; if something doesn’t feel right, don’t hesitate to seek professional advice. With the right care and attention, you can overcome this injury and continue your fitness journey.

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