Rib Issues: Is My Left Rib Normal or Abnormal? - Family Medicine

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Rib issues


Hello doctor, I have a noticeable area under the left rib cage that can be pressed, and when I press it, it moves upward.
The most pronounced area is from the center to the left side, and sometimes I can feel it when I lie on my side at a certain angle.
However, there are no visible abnormalities.
Is this normal, or could it be related to my left rib being slightly lower than my right rib?

Liao, 10~19 year old female. Ask Date: 2020/08/09

Dr. Ye Qianyu reply Family Medicine


Hello, this issue is not suitable for online consultation.
It is recommended that you visit a clinic for a doctor's examination.

Reply Date: 2020/08/09

More Info


When it comes to rib issues, particularly concerning the left rib area, it is essential to understand the anatomy and potential causes of the sensations you are experiencing. The ribs are a series of bones that protect vital organs in the thoracic cavity, including the heart and lungs. They also provide structural support and play a role in respiration.
From your description, it sounds like you are experiencing a palpable sensation or a feeling of pressure in the lower left rib area. This could be due to several factors, including anatomical variations, muscle tension, or even benign conditions. It is not uncommon for individuals to notice differences in rib height or alignment, which can be influenced by posture, muscle development, or previous injuries.

1. Anatomical Variations: It is entirely normal for there to be slight asymmetries in the human body. Many people have one side of their ribcage that appears lower or higher than the other. This can be due to natural variations in bone structure or muscle development. If the difference is minor and not accompanied by pain or other symptoms, it is generally not a cause for concern.

2. Muscle Tension or Strain: The muscles surrounding the ribcage, including the intercostal muscles, can become tense or strained due to physical activity, poor posture, or even stress. This tension can create a sensation of tightness or pressure in the rib area. If you have been engaging in activities that involve heavy lifting, twisting, or prolonged sitting, this could contribute to the sensations you are feeling.

3. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized pain and tenderness in the rib area, often exacerbated by movement or pressure. While this condition typically presents with pain, it is worth considering if you experience any discomfort along with the sensation.

4. Rib Fractures or Injuries: Although you mentioned that there are no visible abnormalities, it is essential to rule out any previous injuries or fractures that may not have healed correctly. Rib fractures can sometimes heal in a way that creates a palpable bump or abnormality.

5. Other Considerations: If you are experiencing additional symptoms such as pain, difficulty breathing, or any changes in your overall health, it is crucial to seek medical attention. Conditions affecting the lungs, such as pleurisy or pneumonia, can sometimes present with rib discomfort.

In conclusion, while slight asymmetries in rib height are common and often benign, it is essential to pay attention to your body. If the sensation you are experiencing is persistent, bothersome, or associated with other symptoms, it would be wise to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an X-ray, to rule out any underlying issues. Remember, your health and peace of mind are paramount, so do not hesitate to seek further advice if needed.

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