Ribcage pain
Pain - ribcage
Ribcage pain includes any pain or discomfort in the area of the ribs.
Considerations
With a broken rib, the pain is worse when bending and twisting the body. This movement does not cause the pain in someone who has pleurisy (swelling of the lining of the lungs) or muscle spasms.
Pleurisy
Pleurisy is an inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain when you take a breath or cough.
Causes
Ribcage pain may be caused by any of the following:
- Bruised, cracked, or fractured rib
-
Inflammation of cartilage near the breastbone (
costochondritis
)
Costochondritis
All but your lowest two ribs are connected to your breastbone by cartilage. This cartilage can become inflamed and cause pain. This condition is ca...
-
Osteoporosis
Osteoporosis
Osteoporosis is a disease in which bones become fragile and more likely to break (fracture).
- Pleurisy (the pain is worse when breathing deeply)
Home Care
Rest and not moving the area (immobilization) are the best cures for a ribcage fracture .
Fracture
If more pressure is put on a bone than it can stand, it will split or break. A break of any size is called a fracture. If the broken bone punctures...
Follow your health care provider's instructions for treating the cause of ribcage pain.
When to Contact a Medical Professional
Call for an appointment with your provider if you do not know the cause of the pain, or if it does not go away.
What to Expect at Your Office Visit
Your provider may perform a physical examination. You'll likely be asked about your symptoms, such as when the pain started, its location, the kind of pain you're having, and what makes it worse.
Tests that may be ordered include:
-
Bone scan
(if there is a known history of
cancer
or it is highly suspected)
Bone scan
A bone scan is an imaging test used to diagnose bone diseases and find out how severe they are.
Cancer
Cancer is the uncontrolled growth of abnormal cells in the body. Cancerous cells are also called malignant cells.
-
Chest x-ray
Chest x-ray
A chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.
Your provider may prescribe treatment for your ribcage pain. Treatment depends on the cause.
References
Gottschalk A, Ochroch EA. Thoracic pain. In: McMahon SB, Koltzenburg M, Tracey I, Turk DC. Wall & Melzack's Textbook of Pain . 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 52.
Reynolds JH, Jones H. Thoracic trauma and related topics. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 6th ed. New York, NY: Elsevier Churchill-Livingstone; 2015:chap 17.
Review Date: 1/31/2015
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.