Left Rib Pain: When to See an Orthopedic Specialist - Orthopedics

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Left rib pain can be a complex issue, and understanding its origins is crucial for determining the appropriate course of action. Given your description of pain in the area beneath your left rib cage, particularly when bending forward, it’s important to consider several potential causes.

Firstly, the pain you are experiencing could be musculoskeletal in nature. This means it might be related to the muscles, ligaments, or bones in that area. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can cause localized pain that may worsen with certain movements or positions. Additionally, muscle strains or sprains from physical activity or poor posture could also lead to discomfort in the rib area.

Another possibility is that the pain could be referred from an internal organ. Since you mentioned that you have already consulted a gastroenterologist and undergone an endoscopy, it’s reassuring that no gastrointestinal issues were identified. However, conditions affecting the spleen, pancreas, or even the lower lung could potentially cause pain in the left rib area. If the pain is sharp and associated with other symptoms like nausea or changes in appetite, further evaluation may be warranted.

Given that your pain seems to improve with movement and pressure, it leans more towards a musculoskeletal issue rather than an internal organ problem. However, if the pain persists or worsens, or if you develop new symptoms such as fever, significant weight loss, or changes in bowel habits, it would be wise to seek further medical evaluation.

As for whether to see an orthopedic specialist or continue with a gastroenterologist, it may depend on the persistence and nature of your symptoms. If the pain continues to be localized and you suspect it might be related to muscle or bone, an orthopedic evaluation could provide insights into any underlying musculoskeletal issues. They may recommend imaging studies, such as X-rays or MRI, to rule out any structural problems.

On the other hand, if you feel that your symptoms could still be related to gastrointestinal issues or if you have concerns about your digestive health, it would be prudent to follow up with your gastroenterologist. They may consider additional tests or referrals to other specialists if necessary.

In summary, while your symptoms may suggest a musculoskeletal origin, it’s essential to monitor them closely. If the pain persists or is accompanied by concerning symptoms, do not hesitate to seek further medical advice. It’s always better to err on the side of caution when it comes to your health.