Treatment FAQ

what is the treatment for a broken rib

by Prof. Luella O'Hara Published 2 years ago Updated 1 year ago
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In most cases, a fractured rib will heal on its own in about six weeks. Doctors no longer prescribe compression wraps for rib fractures, because they can restrict breathing, leading to pneumonia, or even a partial lung collapse. Pain management is important, especially in the first few days after an injury.

Medication

Exercises to Help Broken Ribs Recovery

  1. Sitting upright in a chair, place your hands on your sides. This is where your lower rib cage is located.
  2. Inhale slowly, breathing so your sides push into your hands.
  3. Hold for 10 seconds and exhale slowly.

Procedures

Ribs cannot be easily splinted or supported like other bones, so they're usually left to heal naturally. There's often no need for an X-ray. Broken or bruised ribs heal in the same way and usually get better by themselves within 3 to 6 weeks.

Therapy

Typically, nonoperative treatment includes a pain medication regimen such as:

  • Scheduled acetaminophen with a combination of ibuprofen as needed
  • Neuropathic pain medications (target nerves specifically)
  • Lidocaine patches
  • Prescribed muscle relaxants and narcotics
  • We always encourage aggressive pulmonary hygiene with deep breathing and coughing to help with volume expansion

Self-care

  • take painkillers, such as paracetamol or ibuprofen – avoid taking ibuprofen for 48 hours after your injury as it may slow down healing
  • hold an ice pack (or a bag of frozen peas in a tea towel) to the affected ribs regularly in the first few days to bring down swelling
  • rest and take time off work if you need to

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Nutrition

See more

What is the best thing for a broken rib?

How long do cracked ribs take to recover?

How long for fractured ribs to heal?

How to get relief when you have bruised ribs?

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Should I go to the ER for a broken rib?

If you've been hit hard enough in the chest to make you think you may have broken a rib or two, go to the emergency department or call 911. It's especially dangerous if the patient has any of the following signs or symptoms: Severe shortness of breath. Coughing blood.

Can a broken rib heal on its own?

In most cases, broken ribs usually heal on their own in one or two months. Adequate pain control is important so that you can continue to breathe deeply and avoid lung complications, such as pneumonia.

What happens if you leave a broken rib untreated?

When untreated, rib fractures will lead to serious short-term consequences such as severe pain when breathing, pneumonia and, rarely, death. Long-term consequences include chest wall deformity, chronic pain and decreased lung function.

How long does it take for a broken rib to stop hurting?

Most broken ribs resolve within six weeks. You'll need to take it easy during this time, but you should still be able to walk around and do your daily activities. If you find that the pain isn't getting any better, see a doctor to rule out any additional injuries that could be causing your symptoms.

What is the fastest way to heal a broken rib?

Take a break from sports to allow yourself to heal without hurting yourself again. Put ice on the area to relieve pain. Take pain medicine like acetaminophen or ibuprofen. If you need something stronger, your doctor may prescribe something for you.

How should you sleep with a fractured rib?

Sleeping on your side, back and sitting up straight are the only viable positions for this situation. Your choice will be based on your level of comfort. Some doctors recommend sleeping on the injured side to allow more room for your expansion and contraction of the chest cavity to ease breathing.

Can doctors do anything for broken ribs?

In most cases, a fractured rib will heal on its own in about six weeks. Doctors no longer prescribe compression wraps for rib fractures, because they can restrict breathing, leading to pneumonia, or even a partial lung collapse. Pain management is important, especially in the first few days after an injury.

How do you tell the difference between a cracked rib and a bruised rib?

It's like a bruise, except you can't see it because it's on the bone (though you might also have a skin bruise in the same area). Rib bruises tend to happen with lower-impact injuries, such as a fall. A broken rib, which is the same thing as a fractured rib, describes an actual break in the bone.

What is the difference between a bruised or broken rib?

A "bruised rib" doesn't involve bone injures. Fractures (or breaks) do. Rib injuries can be highly painful. Pneumonia and other serious conditions are possible complications.

Is a heating pad good for broken ribs?

Stop, change, or take a break from any activity that causes pain. Put ice or a cold pack on the area for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin. After 2 or 3 days, if your swelling is gone, put a heating pad set on low or a warm cloth on your chest.

Which ribs are the worst to break?

The middle ribs are most commonly fractured. Fractures of the first or second ribs are more likely to be associated with complications.

What is the best pain medication for broken ribs?

For any fracture, it's important to relieve pain. Relatively high doses of painkillers available over-the-counter can be sufficient. That includes acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve).

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What is the best way to find rib fractures?

MRI. This can be used to look at the soft tissues and organs around the ribs to determine if there's damage. It can also help in the detection of more subtle rib fractures. An MRI uses a powerful magnet and radio waves to produce cross-sectional images. Bone scan.

Why do doctors wrap ribs?

Compression wraps aren't recommended for broken ribs anymore because they can keep you from breathing deeply, which can increase the risk of pneumonia.

What test will show ribs?

During the physical exam, your doctor will press gently on your ribs. He or she might also listen to your lungs and watch your rib cage move as you breathe. Your doctor likely will order one or more of the following imaging tests: X-ray. Using low levels of radiation, X-rays make bones visible. But X-rays often have problems revealing fresh rib ...

What is a bone scan?

Bone scan. This technique is good for viewing stress fractures, where a bone is cracked after repetitive trauma — such as long bouts of coughing. During a bone scan, a small amount of radioactive material is injected into your bloodstream.

Can X-rays reveal fractures?

Using low levels of radiation, X-rays make bones visible. But X-rays often have problems revealing fresh rib fractures, especially if the bone is merely cracked. X-rays are also useful in diagnosing a collapsed lung. CT scan. This often can uncover rib fractures that X-rays might miss.

How to treat broken ribs?

Today, treatment for broken ribs typically focuses on a combination of rest, pain management, and breathing exercises. Indications for surgical intervention include a flail chest (three or more adjacent ribs broken in multiple places) or multiple rib fractures that are causing breathing problems.

What are some ways to heal a broken rib?

playing contact sports. doing any activities that require pushing, pulling, or stretching, including crunches and pull-ups. engaging in high-impact activities, such as running, horseback riding, or ATV riding . playing golf; even that gentle swinging can cause excruciating pain if you have a broken rib.

How to help with chest pain?

To help with the pain, consider taking your pain medication just before you start your breathing exercises. Holding a pillow gently, but firmly, against your chest may lessen the pain. Work on just taking slow, steady, deep breaths.

How long does it take for a broken rib to heal?

How long does recovery take? Each rib injury and recovery period is unique, but in general, broken ribs take about six weeks to heal. That time frame could be shorter if the fracture is mild. If internal organs, such as your lungs, were also injured, a full recovery could take longer.

What is the best way to take a deep breath?

You may even be advised to work with a respiratory therapist. Part of your therapy may include the use of a spirometer, which is a device that measures the volume of air you breathe in and out. This will give you a better idea of how it should feel to take a full, deep breath.

Can you cast a broken rib?

Unlike other types of bone fractures, broken ribs aren’t treatable with a cast or splint. They usually are treated without surgery but on occasion surgery is required. For a long time, broken ribs were treated by wrapping the torso tightly. But experts have since found that this isn’t very helpful.

Can ribs hurt your lungs?

Occasionally, rib injuries can cause damage to your lungs. Usually, any lung damage will be diagnosed during your initial exam. But sometimes, lung injuries aren’t noticeable right away. As you recover, you’ll want to keep an eye out for any signs of a punctured lung or pneumonia.

How to stop rib fractures?

You can also apply an ice pack to the area to reduce pain and decrease swelling. Just make sure you wrap it in a thin towel first. If possible, try to sleep in a more upright position for the first few nights after the injury. Very serious rib fractures, such as those that make breathing difficult, may require surgery.

How long does it take for a broken rib to heal?

It takes about six weeks for broken ribs to heal on their own. During this time, you should avoid activities that could further injure your ribs. That means sports and heavy lifting are off the table. If anything causes you to feel pain around your ribs, stop immediately and hold off until you’re healed.

What causes a broken rib?

Those most at risk for broken ribs include: 1 athletes who play contact sports or engage in frequent repetitive motions involving the chest or back 2 people with osteoporosis, a disease that reduces bone density, leaving bones more vulnerable to fractures 3 people with a rib that has a cancerous lesion, which can weaken the bone

How many ribs are there in the rib cage?

Your ribcage consists of 12 pairs of ribs. In addition to protecting your heart and lungs, your ribs also support many of the muscles in your upper body. As a result, breaking a rib can make everyday activities very painful. Given their position in the body, broken ribs are usually left to heal on their own. Read on to learn more about managing ...

How do you know if you broke your rib?

What are the symptoms of a broken rib? One of the most persistent symptoms of a broken rib is chest pain when taking a breath. Inhaling deeply hurts even more. Laughing, coughing, or sneezing can also send sharp pains shooting from the site of the break.

What are the causes of rib pain?

contact sports, such as football or rugby. car accidents. hard falls. domestic abuse or other forms of personal violence. Years of repetitive actions, such as a swinging a golf club, may also take a serious toll on your ribs and muscles.

What happens if you break your ribs?

A serious break in one of the three top ribs could damage the aorta, the large artery that emerges from the top of the heart and delivers blood to much of your body. Other blood vessels in or near the heart may also be at risk.

How do I know if I have a broken rib?

The most common causes of rib fractures are car accidents, falls, and sports injuries. Believe it or not, severe coughing is a common cause, too. The risk of rib injury increases with advancing age, brittle bones (osteoporosis), and low bone density (osteopenia).

How long do broken ribs take to heal?

Most simple rib fractures are treated at home. However, others, such as injuries from a serious accident, may require hospitalization first. Either way, you’ll have a pain-management plan in place upon your return home.

What are the treatment options for fractured ribs?

Surgery is rarely used for fractured ribs. It may be necessary when multiple ribs are fractured and there are other injuries present (for example, to the lung).

What pain medications can I take for fractured ribs?

Several options for managing your pain are available, but it’s important to be aware of possible side effects. For example, prescription pain medication along with decreased activity, can cause constipation .

Can I do anything to accelerate the healing process?

The expected time it takes for ribs to heal is fairly standard. Although you can’t accelerate the bone healing process, there are many things you can do for self-care during this time.

The bottom line

Healing from rib fractures is a slow process that requires patience. It usually takes about 6 weeks to heal properly. If you develop new symptoms such as increased shortness of breath, fever, or increased pain, get medical help.

What to do if you have a broken rib?

Visit the emergency room for treatment. If you've experienced trauma to your chest or torso that's causing significant pain, particularly during deep breathing, then you may have broken a rib or two. This can be associated with more severe injury as well, so it's important you get medical attention.

How to treat a fractured rib?

Put ice over the fractured rib. Apply an ice pack, frozen gel pack or bag of peas from the freezer onto your rib injury for about 20 minutes every hour you are awake for the first two days, then reduce it to 10 – 20 minutes three times daily as needed to reduce pain and swelling.

Why is it important to seek medical attention after a rib injury?

It's important to seek medical treatment after a significant rib injury because if a rib fractures into sharp pieces (as opposed to a hairline crack), then the risk of injury to your lungs, liver, spleen is much greater. [3]

How long does it take for a broken rib to heal?

Research suggests that cracked ribs may heal on their own in 1 to 2 months, but broken ribs with a jagged edge usually require immediate medical treatment. [1] Generally, broken ribs occur after a direct blow to your chest or torso after an accident, fall, or hard hit while playing a contact support.

What to do if you break your ribs?

Talk to your doctor about a corticosteroid injection. If the broken rib is stable, but causing you moderate-to-severe discomfort, your doctor may suggest an injection of steroidal medication, especially if torn cartilage is involved.

How to heal a rib?

Furthermore, minimize the amount of rotation (twisting) and lateral flexion of your torso while your rib is healing. Walking, driving and computer work should be fine, but avoid most strenuous household chores, jogging, lifting weights and playing sports until you can take a deep breath with very little or no pain.

What is the best position to sleep with a broken rib?

Probably the best sleeping position for your broken rib (s) is on your back (supine) because it puts the least amount of pressure on them.

What are the ways ribs can be broken?

There are several ways your ribs could be broken: A traffic accident. Getting punched in your rib cage. Contact sports -- football, hockey, or soccer, for example. Repeated movements, like swinging a golf club, rowing or swimming. Coughing very hard again and again. A fall onto a hard surface. Getting CPR.

How long does it take for a broken rib to heal?

Most broken ribs take about 6 weeks to heal. While you’re on the mend: Take a break from sports to allow yourself to heal without hurting yourself again. Put ice on the area to relieve pain. Take pain medicine like acetaminophen or ibuprofen. If you need something stronger, your doctor may prescribe something for you.

What type of scan shows fractures that don't appear on X-rays?

CT scan. This type of image shows fractures that don’t appear on X-rays. Your doctor will want you to get one if they think the X-ray missed something. It can also show damage to soft tissue and organs, like your lungs, liver, spleen or kidneys. MRI. Like a CT scan, these images can show fractures that X-rays miss.

What happens if you touch a broken rib?

If you touch the spot where your rib is broken, it will hurt more. Your chest will hurt more when you take a deep breath. The pain will get worse if you twist your body. Coughing or laughing will cause pain. There may also be bruising, depending on the cause.

What to do if you have a punctured lung?

For example, if your lung has been punctured by the sharp end of one of your ribs, you may need to have a procedure done to remove air or blood from inside your chest.

Can a broken rib hurt your organs?

There’s a chance that it can harm one of your organs: If you break a rib toward the top of your rib cage, the sharp end of the bone could tear or puncture an important blood vessel. If you break a rib in the middle of your rib cage, the sharp end of bone could puncture a lung.

Can you break your ribs?

Even though the rib bones are sturdy and are linked together by bands of muscles, it’s possible to break one or more ribs if you’re hit hard in the chest. Broken ribs are painful and can hurt with every breath. And if they’re broken badly they can seriously damage internal organs. There are several ways your ribs could be broken:

What is a broken rib?

Broken ribs. A fractured rib occurs when one of the bones in your rib cage breaks or cracks. A broken rib is a common injury that occurs when one of the bones in your rib cage breaks or cracks.

How long does it take for a broken rib to heal?

In most cases, broken ribs usually heal on their own in one or two months. Adequate pain control is important so that you can continue to breathe deeply and avoid lung complications, such as pneumonia.

Why do the bottom two ribs rarely fracture?

The bottom two ribs rarely fracture because they have more flexibility than do the upper and middle ribs, which are anchored to the breastbone. But if you break a lower rib, the broken ends can cause serious damage to your spleen, liver or a kidney.

What causes a rib to break?

The following factors can increase your risk of breaking a rib: 1 Osteoporosis. Having this disease in which your bones lose their density makes you more susceptible to a bone fracture. 2 Sports participation. Playing contact sports, such as hockey or football, increases your risk of trauma to your chest. 3 Cancerous lesion in a rib. A cancerous lesion can weaken the bone, making it more susceptible to breaks.

Why do my ribs break?

Causes. Broken ribs are most commonly caused by direct impacts — such as those from motor vehicle accidents, falls, child abuse or contact sports. Ribs also can be fractured by repetitive trauma from sports like golf and rowing or from severe and prolonged coughing.

What happens if you break your aorta?

A sharp end of a break in one of the first three ribs at the top of your rib cage could rupture your aorta or another major blood vessel. Punctured lung. The jagged end of a broken middle rib can puncture a lung and cause it to collapse. Lacerated spleen, liver or kidneys.

What is the best treatment for a broken rib?

Surgery. Surgical treatment of a fractured rib is rarely necessary and is only considered in specific or unusual circumstances. The two most common reasons are a flail chest or a chest wall deformity. 5 . The implants typically used to treat broken ribs include metal plates, intramedullary rods, and bioabsorbable plates.

How to treat a broken rib?

The most common treatment for a fractured rib is supportive care. 1  Unlike a broken arm that heals in a cast, the chest wall cannot be immobilized, as it needs to move for you to breathe.

What is rib fracture?

Surgery. Prognosis. Rib fractures are injuries that occur to the chest wall. The most common cause of a rib fracture is a traumatic injury to the chest, such as from a fall, automobile crash, or another blunt force injury. 1 . monkeybusiness.

What is the most common type of fracture in ribs?

Pathologic fractures can happen if the bone is weak and can break with little or no trauma. Pathologic rib fractures are most common in people with poor bone density or osteoporosis. Infections, tumors, and other conditions that weaken bone can also make someone more likely to develop this type of fracture. 2 .

What are the symptoms of a broken rib?

Symptoms. The primary symptom of a broken rib is chest pain, which is almost always worse when taking a deep breath or during other sudden movements of the chest, such as sneezing or coughing. 3 . People may have pain directly over the broken rib bone.

Can rib stress fractures be caused by rowing?

Much less common is overuse rib stress fracture, an injury that can result from specific sports activities such as competitive rowing. Rib fractures seldom require specific intervention or treatment themselves, but they can be a sign of injury to the organs of the chest and abdomen.

Can you have a broken rib implant removed?

The implants typically used to treat broken ribs include metal plates, intramedullary rods, and bioabsorbable plates. These implants are generally not removed, however, in some cases they may cause irritation. Symptoms, such as pain and trouble breathing, may not occur until a year or more after the implant is placed.

How do you know if you have a broken rib?

You’ll know if you have a broken rib if you have been injured from accidents such as:

What tests help diagnose the condition of broken ribs?

Your doctor will look at the movement of your ribs as they move up and down with your breathing. They will touch the affected area to see if it causes you pain.

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