Does a rib fracture hurt?

Written by Lv Yao

Orthopedics

Updated on November 21, 2024

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Rib fractures are generally caused by trauma, resulting in localized pain and restricted respiratory movements. In severe cases, there may be blood or fluid accumulation inside the chest cavity, or even respiratory distress, presenting symptoms similar to flail chest. Therefore, when a rib fracture occurs, the pain is very severe because the ribs are an important part of the thoracic cage, which is a crucial structure during respiratory movements. Thus, during breathing, the pain from a rib fracture can be quite intense.

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Written by Cheng Bin

Orthopedics

51sec

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How to recuperate from a rib fracture

Usually, patients with rib fractures need to have an ordinary X-ray and a chest CT to make a clear diagnosis. For displaced fractures, it is crucial to actively reposition, especially for severely displaced fractures, as healing can be challenging. Additionally, strict external fixation with rib fixation plates is necessary, as this provides the best conditions for fracture healing. It is essential to closely monitor changes in vital signs; if the patient experiences chest tightness or difficulty breathing, it may be necessary to actively perform a follow-up chest CT. Often, patients may develop pulmonary contusion and pleural effusion or pneumothorax. For those with a significant amount of fluid or air, it may be necessary to actively perform closed thoracic drainage surgery.

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Written by Li Jin

Orthopedics

53sec

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How long does the pain from a rib fracture last?

Pain generally persists for about three days after a rib fracture, as the first three days post-fracture are the acute phase of the condition, during which pain is relatively severe. This pain will gradually subside as the condition improves, typically fading substantially within one to two weeks. If pain occurs after a rib fracture, it can be alleviated with non-steroidal anti-inflammatory analgesic drugs, which can be taken short-term after meals. Additionally, it is important to rest after a rib fracture and avoid irritating the fracture site to effectively reduce pain. During the recovery period, some traditional Chinese medicines that invigorate blood circulation and dissipate blood stasis can also be used to promote healing. These measures are generally helpful in the recovery from a rib fracture.

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Written by Zhang Zhi Gong

Cardiothoracic Surgery

1min 54sec

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Complications of rib fractures

Rib fracture complications. Structurally, each rib is located above the intercostal arteries, veins, and nerves. Therefore, the most critical issue with rib fractures is that they can cause severe pain for the patient. Thus, the main complication of a rib fracture is pain. This pain persists 24 hours a day, especially when the patient takes deep breaths, coughs, or turns over while sleeping during the night, which can awaken them due to the severe pain. Additionally, because of this pain, the patient is unable to cough effectively. Therefore, a large amount of phlegm, especially in smokers, accumulates in the lungs, leading to complications such as lung infections and pneumonia. Besides pain, another complication of rib fractures is the potential puncture of intercostal arteries or veins, which can cause hemothorax. This condition can result in a significant accumulation of blood in the pleural cavity, and a severe hemothorax can be life-threatening, especially a progressing hemothorax. Therefore, for patients with fractures of three or more ribs, it is recommended, according to the 2017 US guidelines for the treatment of internal fractures and the 2018 consensus from Chinese experts on internal fracture treatment, to actively proceed with surgical interventions. Studies have found that active surgical intervention for fractures of more than three ribs can significantly reduce the patient's pain, shorten hospital stays, and improve quality of life. In summary, the main complications of rib fractures include pneumothorax, hemothorax, pain, and resultant lung infections and pneumonia. These complications are crucial in the treatment of rib fractures and need to be actively addressed.

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Written by Lv Yao

Orthopedics

35sec

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Does a rib fracture hurt?

Rib fractures are generally caused by trauma, resulting in localized pain and restricted respiratory movements. In severe cases, there may be blood or fluid accumulation inside the chest cavity, or even respiratory distress, presenting symptoms similar to flail chest. Therefore, when a rib fracture occurs, the pain is very severe because the ribs are an important part of the thoracic cage, which is a crucial structure during respiratory movements. Thus, during breathing, the pain from a rib fracture can be quite intense.

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Written by Na Hong Wei

Orthopedics

1min 12sec

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Is a rib fracture serious?

Whether a rib fracture is serious depends mainly on the extent of the fracture and the damage to the surrounding tissues. Generally, a single rib fracture or a non-displaced rib fracture is not serious and requires conservative treatment. However, if there are multiple rib fractures occurring at once, breaking several ribs, including possibly the sixth rib, the consequences can be very serious because it may result in a flail chest. Secondly, a rib fracture can potentially damage surrounding structures such as the pleura, lung tissue, and blood vessels, resulting in conditions such as pneumothorax, pleural effusion, and even active hemothorax, which must be promptly treated to avoid life-threatening situations. Thirdly, if a rib fracture heals in a deformed manner and is not treated, it can compress blood vessels and nerves, causing a persistent type of intercostal neuralgia even after healing. Apart from the local deformity, this situation often stimulates the intercostal nerves and may require surgical intervention. Therefore, the severity of a rib fracture depends mainly on the degree of the fracture and its aftermath, and typically requires assessment by a professional doctor.