Floating Ribs: Causes, Concerns, and When to Seek Help - Orthopedics

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Recently, I have noticed a prominent right-sided floating rib?


Hello Doctor, I recently started learning how to swim, and after one session, I noticed a protrusion below my right rib cage.
At the time, I felt no discomfort, so I went to the hospital for an X-ray, which showed that my right floating rib was more prominent.
The doctor said there was no major issue, but I wonder if my increased awareness and tendency to touch it might be causing occasional feelings of tightness.
The tip of the rib is quite noticeable, but aside from that, I don't have any significant discomfort.
I would like to know if I need to undergo any further examinations.
Additionally, the X-ray indicated that the angle of my spinal curvature is not significant; could there be other reasons for this, or is it related to my exercise or posture? Thank you, Doctor.

Jiajun, 30~39 year old female. Ask Date: 2022/09/17

Dr. Chen Bochen reply Orthopedics


Hello, Jiajun.
Rib protrusion is a very common issue.
Generally, as long as you stretch more and avoid constant pressure, the symptoms will alleviate.
If you're still concerned, regular follow-ups (every six months or more) are sufficient.

Reply Date: 2022/09/17

More Info


Understanding floating ribs and their implications can be quite important, especially for someone who has recently started swimming and is becoming more aware of their body. Floating ribs, which are the last two pairs of ribs (11th and 12th) in the rib cage, are not directly attached to the sternum or the other ribs. Instead, they are only attached to the vertebrae at the back, which allows them to have a certain degree of mobility. This anatomical feature can sometimes lead to the perception of them being more prominent or "floating," especially in individuals who are more physically active or have lower body fat.

In your case, the observation of a protruding rib on the right side, especially after swimming, could be attributed to several factors. First, swimming and other physical activities can strengthen the muscles around the rib cage, potentially making the ribs more noticeable. Additionally, changes in posture or muscle tension can affect how the ribs are positioned and perceived. If you are becoming more conscious of your body, it is possible that you are simply noticing this anatomical feature more than before.

The fact that you are not experiencing significant discomfort is a positive sign. However, the occasional feeling of tightness or discomfort could be related to muscle strain or tension in the surrounding areas, particularly if you have recently increased your physical activity level. It is not uncommon for individuals who start new exercises, such as swimming, to experience some muscle soreness or tightness as their bodies adjust to the new movements.

Regarding your X-ray results, it is reassuring that the doctor indicated there is no significant issue. The slight prominence of the floating rib is likely a normal anatomical variation rather than a cause for concern. However, if you are experiencing persistent discomfort or if the sensation of tightness worsens, it may be beneficial to consult with a healthcare professional for further evaluation. They may recommend additional imaging, such as an MRI, to assess the soft tissues around the rib cage and spine if necessary.

As for the slight scoliosis noted in your X-ray, it is essential to understand that many people have some degree of spinal curvature that does not lead to any significant health issues. The angle of curvature you mentioned being "not large" suggests that it may not require any intervention. However, maintaining good posture and engaging in exercises that strengthen the core and back muscles can help manage any discomfort and improve overall spinal health.

In summary, while floating ribs can sometimes be a source of concern, they are typically a normal anatomical feature. If you are not experiencing significant pain or discomfort, it is likely that no further investigation is needed. However, if you have ongoing concerns or if the sensations change, seeking a follow-up with your healthcare provider is advisable. They can provide personalized advice based on your specific situation and help ensure that your swimming activities remain safe and enjoyable.

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