Rib Protrusion and Scoliosis: When to Seek Orthopedic Care - Orthopedics

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The left rib cage is more prominent, and there is scoliosis of the spine?


I have always had prominent ribs, and when I stand straight and look at myself in the mirror from the side, there is a noticeable protrusion, with the left side being more pronounced.
Occasionally, I feel some pain.
Additionally, I have a history of scoliosis, which has been noted in my annual company health check-ups, but to be honest, I have never gone to the hospital for further examination.
Recently, I have been experiencing frequent lower back pain, and aside from the ribs, there are times when I feel sudden pain in the coccyx area.
I usually have a job that requires prolonged standing, and when I sit for long periods (such as on a tour bus), I tend to experience coccyx pain that requires pain medication for relief.
I would like to inquire if my current symptoms could be caused by scoliosis, or if there might be other issues at play.
Should I see an orthopedic specialist for confirmation? Thank you.

Kate, 40~49 year old female. Ask Date: 2024/05/24

Dr. Chen Bochen reply Orthopedics


Coccydynia is not related to scoliosis but is associated with sitting posture (slouching is the most likely to trigger it).
Using a posture-correcting seat cushion can help improve the condition.

Reply Date: 2024/05/24

More Info


When it comes to rib protrusion and scoliosis, understanding the underlying causes and symptoms is crucial in determining when to seek orthopedic care. Based on your description, it seems you have been experiencing rib protrusion, particularly on the left side, along with a history of scoliosis and recent episodes of back pain, including discomfort in the tailbone area.
Rib protrusion can often be associated with structural abnormalities in the spine, such as scoliosis, which is a lateral curvature of the spine. In cases of scoliosis, the spine may curve to one side, leading to an uneven appearance of the ribs. This can result in one side of the rib cage appearing more prominent than the other, which aligns with your observation of a noticeable rib protrusion on the left side.
The pain you are experiencing, particularly in the lower back and tailbone, could indeed be related to your scoliosis. Scoliosis can lead to uneven distribution of weight and stress on the spine and surrounding muscles, which can cause discomfort and pain over time. Additionally, prolonged standing or sitting, as you mentioned in your work environment, can exacerbate these symptoms.
It is essential to recognize that while rib protrusion and scoliosis can lead to discomfort, they can also be indicative of other underlying issues. For instance, muscle strain, ligamentous injuries, or even degenerative changes in the spine could contribute to your symptoms. The fact that you have been experiencing pain that requires analgesics for relief suggests that your condition may be affecting your quality of life and warrants further investigation.

Given your symptoms and history, it would be advisable to seek orthopedic care. An orthopedic specialist can perform a thorough evaluation, which may include a physical examination and imaging studies such as X-rays or MRI to assess the curvature of your spine and any associated structural changes. This evaluation will help determine the severity of your scoliosis and whether any interventions are necessary.

In some cases, conservative management such as physical therapy, pain management, and ergonomic adjustments in your work environment may be recommended. Physical therapy can help strengthen the muscles supporting your spine, improve flexibility, and alleviate pain. If the curvature of your spine is significant or if conservative measures do not provide relief, surgical options may be considered.

In summary, your symptoms of rib protrusion, scoliosis, and back pain suggest that it would be prudent to consult with an orthopedic specialist. They can provide a comprehensive assessment and develop a tailored treatment plan to address your specific needs. Early intervention can help prevent further complications and improve your overall quality of life. Don't hesitate to seek care, as addressing these issues sooner rather than later can lead to better outcomes.

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