Tightness and Hardness Around Rib Surgery Wounds - Orthopedics

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Tightness around the incision site after rib surgery?


Hello Doctor: I recently had surgery for a rib fracture, and after the wound has healed, I feel tightness around the surgical area.
The area around the wound feels hard, and when I stretch my arm, I experience a pulling sensation and tight pain.
I would like to ask the doctor why this is happening and how I can improve this condition.
Thank you for your clarification!

A Yi, 30~39 year old female. Ask Date: 2023/03/03

Dr. Shi Guozheng reply Orthopedics


The surgical site will heal and new tissue will form, which can lead to such sensations.
This is a normal phenomenon, and local heat application can help improve it.

Reply Date: 2023/03/03

More Info


After undergoing rib surgery, it is not uncommon to experience tightness and hardness around the surgical site. This sensation can be attributed to several factors related to the healing process and the body's response to surgery.

Firstly, the tightness you are feeling is likely due to the formation of scar tissue. When the body heals from an incision, it produces collagen to close the wound, which can lead to the development of fibrous tissue. This scar tissue can sometimes feel tight and may restrict movement, leading to discomfort or a pulling sensation when you extend your arm. The hardness you are experiencing could also be a result of this scar tissue, as it can create a firm area around the incision site.

Additionally, after rib surgery, the muscles and tissues surrounding the ribs may become inflamed or irritated. This inflammation can contribute to the sensation of tightness and discomfort. The ribs are closely associated with the muscles of the chest and back, and any surgical intervention can lead to muscle stiffness and soreness as they adjust to the changes in the rib cage.

To improve your symptoms, there are several strategies you can consider:
1. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can guide you through exercises designed to improve flexibility, reduce tightness, and strengthen the muscles around the rib cage. They may also employ techniques such as manual therapy to help break down scar tissue and improve mobility.

2. Gentle Stretching: Incorporating gentle stretching exercises into your routine can help alleviate tightness. Focus on stretches that target the chest, shoulders, and back. However, it is essential to avoid any movements that cause pain or discomfort.

3. Heat Therapy: Applying heat to the affected area can help relax tight muscles and improve blood flow. You can use a warm compress or heating pad for 15-20 minutes several times a day.

4. Massage: Gentle massage around the surgical site may help reduce tightness and improve circulation. However, be cautious and consult with your healthcare provider before starting any massage therapy, especially if you have any concerns about the surgical site.

5. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always consult with your doctor before taking any medication.

6. Follow-Up with Your Surgeon: If the tightness and hardness persist or worsen, it is crucial to follow up with your surgeon. They can assess the surgical site for any complications, such as infection or abnormal healing, and provide further recommendations.

In summary, tightness and hardness around the rib surgery wound are common and can be attributed to scar tissue formation and inflammation. Implementing physical therapy, gentle stretching, heat therapy, and proper pain management can significantly improve your symptoms. Always consult with your healthcare provider for personalized advice and to ensure a safe recovery process.

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