Left Rib Muscle Pain: Causes, Remedies, and Recovery Tips - Rehabilitation

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Left-sided rib muscle pain with intermittent sharp pain?


Possible causes: Sleeping position on the side, experiencing pain in the left rib muscles after waking up (approximately 1.5 hours later) without any heavy lifting or intense exercise.
Symptoms (lasting for two days): Pain in the left rib muscles + intermittent sharp pain, noticeable pain during bending movements, occasional sharp pain while sitting still, and significant pain when sleeping or sneezing.
Current methods: 1.
Applying Salonpas (twice a day, each application lasts about 8 hours).
2.
When not using Salonpas, applying a small amount of muscle pain ointment.
3.
Taking hot showers.
I would like to ask the doctor: 1.
What other methods can help with self-recovery? 2.
Approximately how long will it take to return to normal? 3.
Since I am currently abroad (Germany), which specialist should I see if the symptoms worsen? Thank you, doctor!

Fang, 30~39 year old female. Ask Date: 2021/04/28

Dr. Li Yanheng reply Rehabilitation


1.
Gentle stretching exercises can be performed (as long as it is not too painful).
2.
If there is no injury, it may be episodic myofascial pain, which typically improves on its own within about two weeks.
3.
If there is no improvement and you are abroad, consider visiting a physical therapy clinic.

Reply Date: 2021/04/28

More Info


Left rib muscle pain can be quite uncomfortable and may arise from various causes, particularly related to muscle strain or irritation. Based on your description, it seems that your pain began after sleeping in a side-lying position, which could have led to muscle strain or overextension of the muscles around your rib cage. Here’s a comprehensive overview of potential causes, remedies, and recovery tips for your situation.


Possible Causes of Left Rib Muscle Pain
1. Muscle Strain: This is the most common cause of rib muscle pain, especially if you have been sleeping in an awkward position. The muscles between the ribs (intercostal muscles) can become strained, leading to pain during movement, sneezing, or coughing.

2. Poor Posture: If you have been sitting or lying in a way that puts stress on your ribcage, it can lead to muscle tightness and discomfort.

3. Overuse or Repetitive Movements: Although you mentioned not lifting heavy objects or engaging in vigorous exercise, even minor repetitive movements can lead to muscle fatigue and strain.

4. Nerve Irritation: Sometimes, nerve irritation in the thoracic spine can manifest as pain in the rib area.

5. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum, which can cause localized pain.


Remedies and Recovery Tips
1. Rest: Allowing your body to rest is crucial. Avoid activities that exacerbate the pain, such as heavy lifting or twisting motions.

2. Heat Therapy: Applying heat to the affected area can help relax the muscles and alleviate pain. A warm compress or heating pad can be effective.

3. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosage.

4. Gentle Stretching: Once the acute pain subsides, gentle stretching of the upper body can help improve flexibility and reduce muscle tightness. Be cautious and avoid any movements that trigger pain.

5. Physical Therapy: If the pain persists, consider consulting a physical therapist. They can provide targeted exercises and treatments to strengthen the muscles and improve posture.

6. Topical Treatments: Continue using topical pain relief creams or patches like the one you mentioned (撒隆巴斯). These can provide localized relief.


Recovery Timeline
The recovery time for muscle strain can vary significantly based on the severity of the strain. Generally, mild strains may improve within a few days to a week with proper care, while more severe strains could take several weeks. If you notice no improvement after a week or if the pain worsens, it would be advisable to seek medical attention.


When to Seek Medical Help
Since you are currently abroad in Germany, if your symptoms worsen or if you experience additional symptoms such as difficulty breathing, severe pain, or swelling, it is important to seek medical attention promptly. In Germany, you can visit a general practitioner (Hausarzt) or an orthopedic specialist (Orthopäde) for evaluation. They can perform a physical examination and, if necessary, order imaging studies to rule out any serious conditions.

In summary, while rib muscle pain can be bothersome, with appropriate self-care measures, most cases resolve without the need for extensive medical intervention. However, always listen to your body and seek professional help if your symptoms do not improve or worsen.

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