Chest Pain After Fall: Causes and Solutions for Recovery - Orthopedics

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When experiencing pain in the left chest during a fall, as well as pain while taking deep breaths, coughing, or blowing your nose, how can this be addressed?


Hello, last Friday night I accidentally fell while walking, which caused pain in my left chest due to the impact with the ground.
There are no obvious external injuries, but so far, the lower edge of my left chest is tender to the touch, and I experience pain when I take a deep breath, cough, or blow my nose.
Will this condition heal on its own, or what should I do to address it?

Mr. Wang, 30~39 year old female. Ask Date: 2022/05/09

Dr. Wang Jiacheng reply Orthopedics


A chest contusion without bleeding typically heals within two to three weeks.
If you have any concerns, you can visit a hospital to get a chest X-ray to check for any rib issues.

Reply Date: 2022/05/09

More Info


Experiencing chest pain after a fall can be concerning, especially when there is no visible external injury. The symptoms you describe, such as pain when pressing on the lower edge of your left chest, as well as pain during deep breaths, coughing, or sneezing, suggest that you may have sustained a soft tissue injury, such as a bruise or strain to the muscles or cartilage in the chest area.
When you fall, the impact can cause trauma to the chest wall, leading to conditions like costochondritis (inflammation of the cartilage connecting the ribs to the sternum) or muscle strains. These injuries can result in localized pain that may worsen with certain movements or activities, such as coughing or taking deep breaths.
In most cases, soft tissue injuries like these can heal on their own over time, typically within a few weeks. However, there are several strategies you can employ to help alleviate the pain and promote recovery:
1. Rest: Avoid activities that exacerbate the pain, particularly those that involve heavy lifting or strenuous movements. Allowing your body time to heal is crucial.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes every hour as needed during the first 48 hours after the injury.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can help manage pain and reduce inflammation. These medications are available without a prescription in the United States. Be sure to follow the recommended dosage on the packaging.

4. Gentle Stretching and Breathing Exercises: Once the acute pain begins to subside, gentle stretching and deep breathing exercises can help maintain mobility and prevent stiffness in the chest area. However, avoid any movements that cause significant pain.

5. Heat Therapy: After the first few days, applying heat to the area can help relax tight muscles and improve blood flow, which may aid in the healing process.

6. Monitor Symptoms: Keep an eye on your symptoms. If the pain worsens, or if you experience additional symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, seek medical attention immediately, as these could be signs of a more serious condition.

7. Consult a Healthcare Provider: If the pain persists beyond a few weeks or if you have concerns about your symptoms, it’s important to consult a healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to rule out any fractures or other underlying issues.

In summary, while many cases of chest pain following a fall can resolve with conservative management, it is essential to listen to your body and seek medical advice if your symptoms do not improve or if you have any concerns. Your health and safety should always be the priority, and a healthcare professional can provide personalized guidance based on your specific situation.

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