Which specialty should I see?
Hello, doctor.
After falling last week, I have been experiencing pain near my ribs.
There are no external injuries or bruises, but the area hurts significantly when I run or laugh.
Should I seek medical diagnosis and treatment? Which department should I register with? Or will it heal naturally after some time? I'm concerned that delaying treatment might lead to complications, so I would like to ask for your advice.
If I need to see a doctor, which department should I register with? Thank you.
Chun, 30~39 year old female. Ask Date: 2024/01/19
Dr. Lin Zhebin reply Family Medicine
Hello: Based on your description, it is more likely that you have a chest contusion from the fall, which usually heals naturally within a few weeks.
However, if the pain persists without improvement or worsens, especially if accompanied by shortness of breath, it is important to be concerned about potential issues with deeper tissues or organs.
It is advisable to consult a family medicine physician or a pulmonologist.
Reply Date: 2024/01/19
More Info
If you are experiencing rib pain after a fall, it is important to seek medical attention to ensure that there are no underlying injuries, such as fractures or damage to the surrounding tissues. Rib pain can arise from various causes, including muscle strain, rib fractures, or even issues with the lungs or pleura (the membrane surrounding the lungs). Given your symptoms of pain during activities like running or laughing, it is advisable to consult a healthcare professional.
The appropriate medical specialty to see for rib pain would typically be a primary care physician or an orthopedic specialist. A primary care physician can perform an initial assessment, including a physical examination and possibly imaging studies like X-rays, to determine the cause of your pain. If they suspect a rib fracture or a more complex issue, they may refer you to an orthopedic specialist or a thoracic surgeon for further evaluation and treatment.
In some cases, if the pain is related to muscle strain or soft tissue injury, a physiatrist (a specialist in physical medicine and rehabilitation) may also be beneficial. They can provide a comprehensive rehabilitation plan that may include physical therapy, pain management strategies, and exercises to strengthen the surrounding muscles and improve mobility.
As for whether the pain will resolve on its own, it largely depends on the underlying cause. Minor muscle strains may heal with rest and conservative management, while rib fractures may require more time and specific care. If the pain persists or worsens, or if you experience additional symptoms such as difficulty breathing, swelling, or significant bruising, it is crucial to seek medical attention promptly.
In summary, for rib pain after a fall, start with a visit to your primary care physician. They can guide you through the necessary steps, including any imaging studies and referrals to specialists if needed. Early intervention can help prevent potential complications and ensure a smoother recovery process. Remember to monitor your symptoms closely and seek care if you notice any changes or worsening of your condition.
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