Rib Pain: Causes and Concerns After a Recent Injury - Orthopedics

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Rib cage


I would like to ask about some symptoms I've been experiencing over the past week.
There is pain when I press on the left side of my ribcage near the waist, but it doesn't hurt when I'm not touching it.
Only one specific point is painful; the rest is fine.
Sometimes, when I eat, I also feel a slight pain in my chest, but it only lasts for about a second.
Occasionally, I experience pain in the area around my shoulder blade, and sometimes I feel discomfort in the bone just above my buttocks while walking.
My knees also make a grinding noise, but the discomfort in each area does not last long (the uncomfortable feeling usually disappears within about half an hour).
I have had a chest X-ray, which showed no issues, and an electrocardiogram (ECG) that also came back normal.
I was in a car accident three months ago, but I have been checked out and generally, everything seemed fine.
I have seen specialists in pulmonary medicine, orthopedics, and cardiology, and they found no significant problems.
Could you please explain why I am still experiencing these symptoms over the past week?

Jian, 20~29 year old female. Ask Date: 2015/12/07

Dr. Shi Guozheng reply Orthopedics


Pain near the ribs close to the waist can sometimes be related to prolonged bending or sitting for extended periods with the body leaning forward, as this can compress the muscles or tendons in the side of the waist and intercostal area.
If the pain disappears quickly, it is usually not serious.
However, if the pain persists for more than a month, it is advisable to see a doctor.

Reply Date: 2015/12/07

More Info


It sounds like you are experiencing a range of discomforts following a recent injury, particularly related to your left rib area, shoulder blade, and even some knee noises. Given your history of a car accident three months ago, it's understandable to be concerned about these ongoing symptoms.
From your description, the pain you feel when pressing on the left side of your ribs, along with the occasional sharp pain in your chest when eating, could suggest a few potential issues. Since you mentioned that the pain is localized to a specific point and does not persist when not pressed, it may indicate a soft tissue injury, such as a muscle strain or a bruise, rather than a fracture, especially since your X-ray results were normal. Soft tissue injuries can take time to heal and may cause discomfort during certain movements or activities, particularly if they involve the affected area.

The discomfort in your shoulder blade and the noises from your knee could also be related to the same injury. After trauma, it's common for muscles, tendons, and ligaments to become strained or inflamed, leading to pain and discomfort in various areas. The fact that you experience pain intermittently and that it resolves relatively quickly (within about half an hour) suggests that it may not be a severe injury but rather a lingering effect of the trauma you experienced.

It's also worth considering that the body can sometimes develop compensatory patterns after an injury. For example, if you have been favoring one side of your body due to pain, this can lead to overuse or strain in other areas, resulting in discomfort in places like your shoulder or knee.
Since you have already consulted with specialists in thoracic medicine, orthopedics, and cardiology without finding any significant issues, it may be beneficial to consider physical therapy. A physical therapist can help assess your movement patterns, identify any compensatory behaviors, and provide targeted exercises to strengthen the affected areas and improve your overall function. They can also guide you in managing pain and discomfort through modalities such as heat, ice, or ultrasound therapy.

In summary, while your symptoms are concerning, they may be related to soft tissue injuries or compensatory patterns following your car accident. Continuing to monitor your symptoms and seeking physical therapy could be beneficial in your recovery. If your symptoms worsen or new symptoms arise, it would be prudent to follow up with your healthcare provider for further evaluation.

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