Pain and Swelling After Left Rib Fracture Surgery - Orthopedics

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Left rib fracture?


Could I ask the doctor? I fractured three ribs on my left side due to a work injury.
I had surgery on October 9, and it has been three months since then.
For the past ten days, I have been experiencing a feeling of swelling and sometimes pain.
What could be the reason for this?

Wo jiao Mei Ling., 50~59 year old female. Ask Date: 2023/01/09

Dr. Shi Guozheng reply Orthopedics


Wound swelling can lead to this condition; resting for about four to six weeks will help improve it.

Reply Date: 2023/01/09

More Info


After undergoing surgery for a left rib fracture, it's not uncommon to experience pain and swelling during the recovery process. Rib fractures can be particularly painful due to the rib cage's role in protecting vital organs and its involvement in respiratory mechanics. When ribs are fractured, the surrounding muscles, nerves, and tissues can also be affected, leading to prolonged discomfort.

In your case, having fractured three ribs and undergoing surgery on October 9, it is important to understand that the healing process can vary significantly from person to person. Generally, rib fractures can take anywhere from six to eight weeks to heal, but this timeline can be extended depending on the severity of the fracture, the surgical intervention, and individual healing factors.

The swelling you are experiencing could be attributed to several factors:
1. Inflammation: After surgery, it is normal for the body to respond with inflammation as part of the healing process. This can lead to localized swelling around the surgical site and the fractured ribs.

2. Fluid Accumulation: Sometimes, fluid can accumulate in the tissues surrounding the surgical area, leading to swelling. This is often referred to as seroma or hematoma, depending on whether it is fluid or blood.

3. Muscle Strain: The muscles around the rib cage may have been strained during the injury or the surgical procedure itself. This strain can contribute to both pain and swelling.

4. Nerve Irritation: Surgery can sometimes irritate nearby nerves, leading to pain that may feel like swelling or pressure in the area.

5. Infection: Although less common, an infection at the surgical site can cause swelling and pain. Signs of infection may include increased redness, warmth, fever, or discharge from the incision site.

Regarding the pain you are experiencing, it is essential to differentiate between normal postoperative pain and pain that may indicate complications. Post-surgical pain can be managed with prescribed medications, but if the pain is severe or worsening, it is crucial to consult your surgeon. They may recommend imaging studies, such as an X-ray or CT scan, to rule out any complications like non-union of the fracture or other issues.

In terms of recovery, physical therapy may be beneficial once your doctor gives the green light. Gentle exercises can help improve mobility and strength in the rib area, which can alleviate some discomfort. However, it is vital to avoid any activities that could exacerbate the injury or delay healing.

If you have not already done so, I recommend reaching out to your surgeon or healthcare provider to discuss your symptoms. They can provide a thorough evaluation and determine whether your pain and swelling are within the expected range of recovery or if further intervention is necessary.

In summary, while some pain and swelling after rib fracture surgery can be normal, persistent or worsening symptoms should not be ignored. Open communication with your healthcare provider is key to ensuring a smooth recovery and addressing any concerns you may have.

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