Left Rib Pain After a Baseball Injury: When to See a Doctor - Orthopedics

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Left rib cage?


Hello! Today while playing baseball, I was hit in the lower left side of my chest by a strong ground ball that bounced irregularly.
There are no visible injuries on the skin, and there is no redness or bruising.
However, I experience pain in the impacted area when I take a deep breath, cough, or rotate my body to the left while sitting.
I can barely move the rib where I was hit, but I don't think it's broken.
Do you think I need to see a doctor? Thank you! - William

Weilian, 30~39 year old female. Ask Date: 2013/11/10

Dr. Chen Xingyuan reply Orthopedics


Dear Netizen: This is primarily a chest wall contusion, but severe external force could also potentially cause rib fractures or even lung injuries.
If there is no improvement after rest or if you experience difficulty breathing, it is essential to seek medical attention at a hospital! Wishing you health and safety! Sincerely, Dr.
Chen

Reply Date: 2013/11/10

More Info


Hello William,
Thank you for reaching out regarding your injury. It sounds like you experienced a significant impact to your left rib area while playing baseball, which can indeed lead to various types of injuries, even if there are no visible signs like bruising or swelling. Based on your description, it seems you may be dealing with a rib contusion or possibly a mild rib fracture, even though you mentioned that you believe it is not broken.

Rib injuries can be tricky because they often do not present with external symptoms, yet they can cause considerable internal pain. The pain you are experiencing during deep breaths, coughing, or certain movements suggests that the injury is affecting the muscles or the ribs themselves. Rib contusions can be quite painful and may take time to heal, typically requiring rest and pain management.

Here are some considerations regarding your situation:
1. When to See a Doctor: While it may not seem urgent, it is advisable to consult a healthcare professional if your symptoms persist or worsen. You should seek medical attention if you experience any of the following:
- Increased pain or difficulty breathing
- Pain that radiates to your shoulder or back
- Symptoms of a pneumothorax (collapsed lung), such as sudden shortness of breath or chest pain that worsens with breathing
- Any signs of internal bleeding, such as coughing up blood
2. Diagnosis: A healthcare provider may perform a physical examination and could recommend imaging studies, such as an X-ray or CT scan, to rule out fractures or other complications. Even if the initial X-ray does not show a fracture, sometimes fractures can be subtle and may not be visible immediately.

3. Treatment Options: If it is determined that you have a rib contusion or a mild fracture, treatment typically involves:
- Rest: Avoid activities that exacerbate the pain, including heavy lifting or strenuous exercise.

- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.

- Ice Therapy: Applying ice to the affected area can reduce swelling and numb the pain.

- Breathing Exercises: It’s important to take deep breaths periodically to prevent lung complications, such as pneumonia, especially if you are avoiding deep breaths due to pain.

4. Recovery Time: Recovery from rib injuries can vary. Generally, rib contusions may take a few weeks to heal, while fractures can take longer, depending on the severity. During this time, it’s crucial to listen to your body and avoid pushing through the pain.

5. Follow-Up: If your symptoms do not improve within a week or two, or if you develop new symptoms, it’s important to follow up with your healthcare provider for further evaluation.

In summary, while it may not be an immediate emergency, it is wise to monitor your symptoms closely and consult a doctor if you have concerns or if your pain persists. Taking care of your body and allowing it to heal properly is essential for a full recovery. Wishing you a speedy recovery!
Best regards,
Doctor Q&A Teams

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