Symptoms of rib fracture

Written by Li Jie
Orthopedics
Updated on August 31, 2024
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After a rib fracture, the main symptom is pain. This is because the intercostal nerves located in the rib area are very rich, making the pain quite intense. Especially when the patient coughs or sneezes, and when the abdominal pressure increases, the pain can get quite severe. Also, when the patient changes their position, such as moving from sitting to lying down, or from lying down to sitting up to standing, the pain is very apparent. Additionally, another sign that may appear is local crepitus or a sensation of bone rubbing. That is, when pressing with a hand, one might feel the rubbing of the fractured bone and hear a crackling sound under the hand. Moreover, a rib fracture could lead to the accumulation of fluid or air in the chest cavity. If there is fluid or air in the chest cavity, it can be accompanied by difficulties in breathing and poor respiratory function, shortness of breath, and other related symptoms. These are some common symptoms of rib fractures.

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Written by Li Jie
Orthopedics
58sec home-news-image

Symptoms of rib fracture

After a rib fracture, the main symptom is pain. This is because the intercostal nerves located in the rib area are very rich, making the pain quite intense. Especially when the patient coughs or sneezes, and when the abdominal pressure increases, the pain can get quite severe. Also, when the patient changes their position, such as moving from sitting to lying down, or from lying down to sitting up to standing, the pain is very apparent. Additionally, another sign that may appear is local crepitus or a sensation of bone rubbing. That is, when pressing with a hand, one might feel the rubbing of the fractured bone and hear a crackling sound under the hand. Moreover, a rib fracture could lead to the accumulation of fluid or air in the chest cavity. If there is fluid or air in the chest cavity, it can be accompanied by difficulties in breathing and poor respiratory function, shortness of breath, and other related symptoms. These are some common symptoms of rib fractures.

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Written by Li Jie
Orthopedics
51sec home-news-image

Can you move with a fracture?

Regarding the question of whether fracture patients can move, we need to look at it from two aspects. We say that fracture patients can move and yet cannot move. Why do we say that fracture patients cannot move? Because after a fracture, we need effective reduction and fixation. After the fixation, the fractured area should not be vigorously moved, as the growth of the bone requires a stable environment. Therefore, we say that the fractured area should not move. However, we advocate movement for fractures. Why advocate movement? We can encourage performing activities with other parts of the body, and the distal part of the fractured limb can perform isometric muscle contractions and joint movements. Appropriate exercises are beneficial for reducing swelling locally, but the fractured area itself should be immobilized.

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Written by Guan Yu Hua
Orthopedic Surgery
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How long should one stay in bed with a rib fracture?

Rib fractures are mostly caused by trauma, such as direct or indirect force. Radiographic examination can basically confirm the diagnosis. A single rib fracture generally requires no intervention or special treatment, just immobilization is sufficient. However, strict bed rest is necessary. Typically, immobilization for about four weeks is needed until callus formation occurs. During this period, you should avoid deep breathing, heavy breathing, or coughing, and stay away from cooking fumes and smokers. Such irritative coughing might cause pain. A rib fracture will likely also result in intercostal neuralgia, which can be very troublesome and prolong the pain. However, fractures generally fully heal within eight to ten months. They can gradually heal without issues, but it is best to rest in bed for a month.

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Written by Lv Yao
Orthopedics
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What should I do if I have a fracture?

When a fracture occurs, temporary immobilization is needed to alleviate local pain and prevent further fractures during transfer. If there is an open wound, it should be bandaged and isolated from the external environment to prevent infection. If there are injuries to vital organs, life-saving measures should be administered immediately, followed by treatment of the fracture. Therefore, appropriate immobilization is necessary when a fracture occurs.

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Written by Cheng Bin
Orthopedics
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How long before a rib fracture stops hurting?

Regarding the question of how long it takes for rib fractures to stop hurting, usually, for patients with rib fractures, the pain gradually subsides after about two weeks. This is because around two weeks is the period when the fracture site reaches the fibrous connection stage, making it relatively stable, which therefore alleviates the pain. For patients with rib fractures in the early stages, if the diagnosis is clear, severe pain can be relieved by orally taking non-steroidal anti-inflammatory drugs or by receiving pain relief injections. Additionally, it is crucial to closely monitor the vital signs of patients with rib fractures, as rib fractures often occur alongside lung contusions and the accumulation of fluid or air in the chest cavity. (Please use medication under the guidance of a doctor.)