Rib cage pain

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Rib

Rib cage pain

Definition:

Rib cage pain includes any pain or discomfort in the area of the ribs. See also chest pain.

Alternative Names:

Pain - rib cage

Considerations:

With a broken rib, the pain is aggravated by bending and twisting the torso. With pleurisy (swelling of the lining of the lungs), it is not.

Common Causes:

Bruised, cracked, or fractured rib
Costochondritis (inflammation of cartilage near the breastbone)
Osteoporosis (mostly in women)
Pleurisy (the pain is worse when breathing deeply)

Home Care:

Rest and immobilization are the best cure for a rib cage fracture.

Follow your health care provider's instructions for treatment of the cause of rib cage pain.

Call your health care provider if:

Call for an appointment with your health care provider if the pain is persistent, prolonged, or unexplained.

What to expect at your health care provider's office:

The health care provider will obtain your medical history and will perform a physical examination.

Medical history questions documenting rib cage pain in detail may include the following:

Time pattern
- When did the pain develop?
- Is it present all the time?
- Is it getting worse?
Quality
- How would you describe the pain?
- Is it a sharp or stabbing sensation?
- Does it feel like pulling or grabbing?
- Does it ache like a bruise?
- Is it a crushing pain?
- Does it feel like pressure or heaviness?
- Note: crushing, pressure, or heaviness may be signs of serious chest pain (angina or heart attack).
Location
- Exactly where is the pain?
- Is it only on one side?
- Is it the same on both sides?
Aggravating factors
- Is the pain worse when bending or twisting?
- Is it worse when coughing?
- Is it worse when breathing deeply?
- Has there been an injury to the chest?
What other symptoms are also present?

Physical examination may include emphasis on the lungs and chest cavity.

Diagnostic tests that may be performed include the following:

Chest X-ray
Bone scan (if there is known history of cancer or it is highly suspected)

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