Left Rib Protrusion and Occasional Pain: When to Seek Medical Advice? - Orthopedics

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The left rib cage is noticeably more protruded than the right side and occasionally experiences pain?


Hello doctor, about a year after giving birth, I noticed that my left rib is protruding, and it is visible without needing to suck in my stomach.
Now, two years postpartum, I occasionally feel sudden pain in that area.
Should I seek medical attention, and which specialty should I consult? Thank you.

Ana, 30~39 year old female. Ask Date: 2021/11/09

Dr. Wang Shouji reply Orthopedics


Hello, most adult ribs do not change shape significantly after maturity unless there is trauma.
If you experience discomfort, you may consult a thoracic surgeon.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2021/11/09

More Info


It sounds like you are experiencing some concerning symptoms related to your left rib protrusion and occasional pain. Given that you noticed this issue after childbirth and it has persisted for about two years, it is important to address your concerns with a healthcare professional.

First, let's discuss the potential causes of rib protrusion and associated pain. Rib protrusion can occur for several reasons, including changes in body composition, muscle weakness, or structural changes in the rib cage. After childbirth, many women experience changes in their body, including weight fluctuations, hormonal changes, and shifts in muscle tone, which can contribute to such symptoms. Additionally, conditions like costochondritis (inflammation of the cartilage connecting the ribs to the sternum) or intercostal muscle strain could also lead to localized pain in the rib area.

When it comes to seeking medical advice, it is generally recommended to consult with a healthcare provider if you experience any of the following:
1. Persistent Pain: If the pain is frequent, worsening, or not improving with time, it is advisable to seek medical attention.

2. Difficulty Breathing: If you experience shortness of breath or difficulty breathing, this could indicate a more serious issue that requires immediate evaluation.

3. Swelling or Deformity: If you notice any swelling, deformity, or changes in the appearance of the rib cage, it is important to have this assessed.

4. Radiating Pain: If the pain radiates to other areas, such as the back, shoulder, or abdomen, it may indicate a more complex issue that needs further investigation.

In terms of which specialist to see, starting with a primary care physician is a good option. They can perform a physical examination and may order imaging studies, such as X-rays or an MRI, to assess the structure of your ribs and surrounding tissues. Depending on their findings, they may refer you to a specialist, such as an orthopedic surgeon, a rheumatologist, or a pain management specialist.

In the meantime, you might consider some conservative measures to manage your symptoms. Gentle stretching and strengthening exercises for your core and back muscles can help improve stability and support for your rib cage. Additionally, applying heat or cold to the affected area may provide temporary relief from pain.

It is also important to monitor your symptoms closely. Keeping a journal of when the pain occurs, its intensity, and any activities that seem to trigger it can provide valuable information to your healthcare provider.

In summary, while rib protrusion and occasional pain can be concerning, they are often manageable with the right approach. Seeking medical advice is crucial, especially if your symptoms persist or worsen. A thorough evaluation by a healthcare professional will help determine the underlying cause and appropriate treatment plan tailored to your needs.

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