Pain upon palpation of the right rib cage?
About two weeks ago, I started feeling pain when pressing on the tip of one of my lower right ribs.
There is no significant pain when pressing on the ribs above and below it.
In the past month, I haven't experienced any trauma or intense physical activity; my usual work involves general clerical and computer tasks.
Recently, I've been under increased work stress and have been going to bed late.
Last week, I visited an orthopedic doctor who suggested it might be inflammation, but did not perform an X-ray and provided a pack of anti-inflammatory patches.
However, after using the patches for a few days, there has been no improvement.
I would like to know if rib inflammation typically takes a longer time to improve, or if the pressing pain could be caused by something else?
A-Mao, 30~39 year old female. Ask Date: 2021/01/23
Dr. Chen Bochen reply Orthopedics
Based on your symptom description, costochondritis is one of the more likely diagnoses.
The pain typically lasts for 3 to 8 weeks or longer.
Using topical ointments or patches for a period of time can help improve symptoms, but it may take some time to see gradual effectiveness.
If the symptoms remain uncomfortable, you may consider adding oral medications.
Additionally, please reduce pressure and irritation to avoid exacerbating the inflammation.
Reply Date: 2021/01/23
More Info
Rib pain, particularly when localized to a specific area, can be a source of significant discomfort and concern. In your case, the pain you are experiencing in the lower right rib area, especially when pressed, could be attributed to several potential causes, including inflammation, muscle strain, or even costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum.
Causes of Rib Pain
1. Costochondritis: This is one of the most common causes of rib pain. It occurs when the cartilage that connects a rib to the sternum becomes inflamed. This condition can arise without any obvious trauma and is often exacerbated by activities that involve repetitive movements or prolonged positions, such as sitting at a computer for extended periods.
2. Muscle Strain: Even without a specific incident of trauma, muscle strain can occur due to overuse or poor posture, especially if you have been under increased stress or working long hours. The muscles surrounding the rib cage can become tense and painful.
3. Rib Fracture or Injury: Although you mentioned that there was no recent trauma, it’s worth noting that sometimes rib fractures can occur with minimal force, especially in individuals with underlying conditions that weaken bones, such as osteoporosis.
4. Inflammation: Inflammation of the rib joints or surrounding tissues can also lead to localized pain. This could be due to overuse, stress, or even inflammatory conditions like rheumatoid arthritis.
5. Referred Pain: Sometimes, pain in the rib area can be referred from other areas, such as the abdomen or spine. Conditions affecting the liver, gallbladder, or even the diaphragm can manifest as rib pain.
Recovery Time
The recovery time for rib inflammation can vary significantly depending on the underlying cause. Generally, if the pain is due to muscle strain or costochondritis, you might expect improvement within a few weeks with appropriate rest and treatment. However, if the inflammation is more severe or if there are other underlying issues, it may take longer.
Recommendations for Management
1. Rest: Avoid activities that exacerbate the pain. If your work involves prolonged sitting, try to take regular breaks to stretch and change positions.
2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Use ice packs for 15-20 minutes several times a day.
3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.
4. Physical Therapy: If the pain persists, consider consulting a physical therapist who can provide exercises to strengthen the muscles around the rib cage and improve posture.
5. Follow-Up with a Doctor: Since the pain has not improved with conservative measures, it may be worthwhile to follow up with your doctor. They might consider imaging studies like an X-ray or MRI to rule out any structural issues or to confirm the diagnosis.
6. Stress Management: Since you mentioned increased work stress, incorporating stress management techniques such as mindfulness, yoga, or relaxation exercises may also help alleviate muscle tension and improve overall well-being.
In conclusion, while rib inflammation can take time to heal, especially if it is related to muscle strain or costochondritis, it is essential to monitor your symptoms closely. If the pain persists or worsens, further evaluation by a healthcare professional is warranted to ensure that there are no other underlying issues contributing to your discomfort.
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