Severe Pain in Left Rib After Motorcycle Fall: What to Do? - Orthopedics

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Severe pain in the left rib cage due to a motorcycle accident?


I fell and hit the left side of my chest.
After visiting the hospital, the doctor determined there were no fractures, but the X-ray did not show any issues.
That night, when I turned over in bed, I heard a loud cracking sound from my left ribcage, similar to the sound of a bone breaking, followed by severe pain that persists to this day.
I later went to a clinic for another X-ray, and the doctor said the rib cartilage was fractured.
Now, every time I move, I hear a popping sound, as well as a gurgling noise, and I experience significant pain when breathing, coughing, or moving.
What should I do? Thank you.

Lin Cui Juan, 60~69 year old female. Ask Date: 2023/12/16

Dr. You Dianqi reply Orthopedics


We recommend that you visit an orthopedic outpatient clinic at a regional hospital for evaluation.
Thank you.

Reply Date: 2023/12/16

More Info


Experiencing severe pain in the left rib area after a motorcycle fall can be concerning, especially when accompanied by sounds of cracking or popping. Based on your description, it seems that you may have sustained an injury to the rib cage, possibly involving the costal cartilage, which connects the ribs to the sternum. While X-rays may not always show soft tissue injuries or cartilage damage, the symptoms you describe suggest that there could be a significant injury that requires careful management.


Immediate Steps to Take
1. Rest and Avoid Aggravating Activities: It is crucial to avoid any activities that exacerbate the pain, such as heavy lifting, twisting motions, or any strenuous exercise. Resting the affected area will help reduce inflammation and allow for healing.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, it is essential to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

3. Ice Application: 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, especially during the first 48 hours after the injury.

4. Breathing Exercises: Although it may be painful, deep breathing exercises are essential to prevent complications such as pneumonia. Take slow, deep breaths several times an hour to keep your lungs expanded and clear.

5. Seek Medical Attention: Given the severity of your symptoms, it is advisable to follow up with a healthcare provider, preferably a specialist in orthopedics or thoracic medicine. They may recommend further imaging studies, such as a CT scan, to assess the extent of the injury more accurately.


Potential Treatments
- Physical Therapy: If there is soft tissue damage or rib dysfunction, physical therapy may be beneficial. A physical therapist can guide you through exercises that promote healing and restore mobility without putting undue stress on the injured area.

- Bracing: In some cases, a rib belt or brace may be recommended to provide support and limit movement, although this is less common due to the risk of restricting breathing.

- Surgical Intervention: If there is significant damage to the rib or cartilage, or if there are complications such as a pneumothorax (air in the chest cavity), surgical intervention may be necessary. This is typically a last resort and would be determined by a specialist.


Prognosis and Recovery
The recovery time for rib injuries can vary widely depending on the severity of the injury. Generally, rib injuries heal within 6-8 weeks, but cartilage injuries may take longer. It is essential to monitor your symptoms closely. If you experience increased pain, difficulty breathing, or any signs of infection (such as fever), seek medical attention immediately.


Long-term Considerations
While most rib injuries heal without long-term complications, some individuals may experience chronic pain or discomfort, especially if there was significant cartilage damage. Maintaining a healthy lifestyle, including regular exercise and proper nutrition, can help support recovery and overall well-being.

In conclusion, while rib injuries can be painful and disruptive, following the appropriate steps for management and seeking medical advice will help ensure a smoother recovery. Always prioritize your health and consult with healthcare professionals for personalized care.

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