Treatment FAQ

what is the treatment for fractured ribs

by Kory Doyle Published 2 years ago Updated 2 years 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

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

Procedures

If you’ve broken a rib (or several), one of the best things you can do is simply rest. This will not only reduce some of the pain but also help your body navigate the healing process. Still, you need some level of physical activity for the rest of your body and overall health.

Therapy

Yes they will: As with most other broken bones, rib fractures will heal on their own in the vast majority of instances. There may be situations where a surgeon need...

Self-care

You've suffered a fractured rib, and now, every time you bend and twist, your rib cage becomes more painful. While the best treatment for a fractured rib is rest and immobilization, depending on how big a crack you've incurred, you might be able to continue with a portion of your workout routine.

Nutrition

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How long does it take for fractured ribs to heal?

Can I still work out with a fractured rib?

Do rib fractures heal by themselves or not?

Is it safe to work out with a fractured rib?

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What helps fractured ribs heal faster?

Dotake 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.More items...

How long do fractured ribs take 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.

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.

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.

What are 4 signs and symptoms of a rib fracture?

The main symptoms of a broken rib include:pain in the chest wall that gets worse when breathing, moving, or coughing.bruising or swelling around the ribs.shortness of breath.difficulty taking a deep breath.

How serious is a cracked rib?

Upper rib fractures can cause injuries to the large vessels that bring blood to and from the heart. It's not uncommon for a fractured rib to cause injury to the lung itself, sometimes leading to a collapsed lung or bleeding into the chest cavity. Lower rib fractures can cause injuries to the liver and spleen.

How do you sleep with a broken 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.

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.

What is the best pain medication for fractured 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).

Can you wrap fractured ribs?

In the past, doctors recommended taping or wrapping broken ribs. This is no longer done because taping makes it hard for you to take deep breaths. Taking deep breaths may help prevent pneumonia or a partial collapse of a lung. Your rib will heal in about 6 weeks.

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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.

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 ...

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

Most broken ribs heal on their own within six weeks. Restricting activities and icing the area regularly can help with healing and pain relief.

Why do doctors prescribe breathing exercises?

Once your pain is under control, your doctor might prescribe breathing exercises to help you breathe more deeply because shallow breathing can put you at risk of developing pneumonia.

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.

How to remember information you're given?

Take a family member or friend along, if possible, to help you remember the information you' re given .

What is easier to see on a CT scan?

Injuries to soft tissues and blood vessels are also easier to see on CT scans. This technology takes X-rays from a variety of angles and combines them to depict cross-sectional slices of your body's internal structures. MRI.

What are the indications for surgical intervention?

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.

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.

How to take a deep breath?

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.

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.

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.

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 nerve block help with pain?

If you find that the pain, even with prescription medication, is too much, don’t hesitate to talk with your doctor about your options. A nerve block for pain may be helpful, especially at first. Last medically reviewed on January 28, 2019.

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 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.

How many pairs of ribs are there in the human body?

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.

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 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 go numb?

Depending on your pain level, your doctor might prescribe something you can take for pain relief. In the first few days after a rib is broken, an injectable form of anesthesia may help numb the nerves directly around the rib.

What to do if your ribs hurt?

If you develop new or worsening symptoms, such as increased shortness of breath, fever, or increased pain, get immediate medical help. If you’ve been in an accident and have concerns about your health or safety, call 911 or go to an emergency room.

How long does it take for ribs to heal?

The human body is good at repairing itself, and it’ll usually complete the healing process by a minimum of 6 weeks. Ribs can take longer to heal in older adults, smokers, and individuals with osteoporosis.

What happens if you break your ribs?

A break in one or more ribs can make the area painful to touch. The pain can worsen with a deep breath, laughing, or body movements like twisting and turning. If you have severe pain that gets worse with deep breathing, sneezing, or coughing, get medical help.

How much does pneumonia increase with age?

Following up with a healthcare provider is important. For those 65 years of age and older, the risk of lung infection (pneumonia) increases by 27%, and the risk of death by 20%, with each additional rib that’s broken. That’s why it’s necessary to get medical help for new or concerning symptoms.

How to heal from a sprain?

Treating your pain as needed, staying active, and deep breathing are important for recovery.

Why don't you wrap your chest?

Don’t place a wrap around your chest, because it can prevent the lungs from expanding, which can lead to pneumonia .

Do you have to break a rib to have pain?

You don’t need to break a rib to have pain. Bruised ribs can be extremely painful, too. The treatments for bruised ribs are the same as those for fractured ribs, but the expected healing time is shorter.

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.

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.

What are the best tests to diagnose rib injury?

Chest x-rays, CT scans, MRI and diagnostic ultrasound are tools that your doctor may use to better understand your rib injury.

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.

Why do ribs break?

Your ribs protect soft, fragile organs like your heart and lungs. 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.

How to avoid pneumonia with rib fracture?

Take deep breaths to avoid pneumonia. A lung infection is the most common thing you can get with rib fractures. Your doctor may give you a simple device to encourage you to breathe deeply.

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.

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.

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 can MRI show?

MRI. Like a CT scan, these images can show fractures that X-rays miss. They can pinpoint damage to soft tissue and organs.

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.

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.

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 .

How to treat a fractured 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. Pain medication can alleviate some discomfort, but rest, shallow breathing, and time are the main treatment for a fractured rib.

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.

What is it called when you have multiple ribs fractured?

When there are multiple ribs fractured in more than one location (a condition called 'flail chest'), chest wall movement may be abnormal with breathing (paradoxical chest motion). 4 

Can a rib fracture heal?

Isolated rib fractures in young, otherwise healthy people usually heal completely with no longterm problems. Older adults and people with severe chest wall trauma are more at risk for complications, specifically lung problems like a hemothorax or pneumonia. 2 

What happens if you fracture your ribs?

Your rib fracture may be complicated by other injuries. Upper rib fractures can cause injuries to the large vessels that bring blood to and from the heart. It’s not uncommon for a fractured rib to cause injury to the lung itself, sometimes leading to a collapsed lung or bleeding into the chest cavity. Lower rib fractures can cause injuries to the liver and spleen.

How to treat a lung injury?

You should also be mindful of the following: 1 Stay active while avoiding movements that put pressure on your injury. 2 Always be aware of your breathing. Try to breathe deeply and cough gently at least once every hour. You may want to hold a pillow against the site of your injury to make this easier. Your doctor may give you an incentive spirometer, a device you can use to monitor your lung function. 3 See your doctor immediately if you develop new symptoms, including shortness of breath, fever, or pain that is so bad you can’t breathe or cough.

What does it mean when you have a heart attack?

Trouble breathing deeply or coughing. Fever. Unusual cough, or a cough that produces mucus or blood. Feeling dizzy or weak. Abdominal pain. If you have experienced a physical trauma, such as being in a car accident, or you have chest pain (which could be a sign of a heart attack), you should call 9-1-1 immediately.

What does it mean when your ribs are broken?

If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called “flail chest.” With flail chest, your upper rib cage separates from the rest of the chest wall and can’t hold its shape when you breathe. Flail chest can cause a pulmonary contusion, or bruise on the lung that can lead to serious lung conditions and respiratory failure.

What causes a rib fracture?

What are the most common causes of rib fracture? We humans have 12 pairs of ribs that wrap around the chest. You can fracture one or more ribs in a trauma, such as a car crash, a fall from a height, or a contact-sports mishap. Rib fractures can even result from repetitive movements in sports, such as golf.

How to diagnose rib fracture?

A doctor can assess the severity of your rib fracture by performing a physical examination and by looking at a chest X-ray. If you have a complex injury, the or she may want to order further testing such as a CT scan to help diagnose any related injuries.

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

Most people with rib fractures are sent home with advice on taking care of themselves. 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.

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.

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.

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 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 to do if you have a tender spot in your ribs?

See your doctor if you have a very tender spot in your rib area that occurs after trauma or if you have difficulty breathing or pain with deep breathing.

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.

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