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Patient Corner: Questions & Answers OK all you cyber clients. This is the place to post us your problems and we'll do our best to give a bit of online advice. This is a new section so please be patient. Advice might come from various professionals from around the world with varying experiences. So take each bit of advice as something to take to your local physio or other registered health care professional. The Physio Forum does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Reliance on any information provided by the Physio Forum, the Physio Forum employees, others appearing on the Site at the invitation of the Physio Forum, or other visitors to the Site is solely at your own risk.

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Old 03-12-2007, 03:34 PM
VandyNole VandyNole is offline
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Bruised/Cracked Rib

Hello. This is my first time posting. I hope you are able to help.

One week ago, I was playing with my dog in the park and he accidentally took out my legs. I landed on the right side of my rib cage, although I think my hands absorbed some of the blow. I immediately felt a sharp pain in my ribs and the area turned red, but both symptoms subsided after about a minute.

Ever since, I've felt an intermittent pain in that area of my ribs, usually when twisting, getting out of bed, sneezing, laughing, or otherwise using nearby muscles. It's not an awful pain, but it's definitely limiting. I should add that there is no discoloration on my skin and the area does not hurt if I press directly onto it. So, I suspect that the injury is to tissue directly behind my rib cage.

I haven't seen a doctor because the injury seems minor and I've read that rest is the best way to heal a rib injury. Plus, the pain is not persistent or sharp enough to warrant medication.

Now to my question. I usually go to the gym 3-4 times per week and haven't been since. I'm getting very restless, though. Could I worsen the injury by lifting weights, or is it more a question of how much discomfort I can endure? I obviously don't want to aggravate the injury, but I'd also like to get some exercise. If you'd advise againt lifting weights (even on a machine), then perhaps I'll stick to a stationary bike or stair-climber.
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Old 04-12-2007, 08:50 AM
karen.hankey karen.hankey is offline
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Re: Bruised/Cracked Rib

If there is no pain to touch the rib area, then you have probably injured your intersostals. These are muscles in between the ribs that help with laboured breathing. When you damage your rib area, you tend to shallow breath. This tightens the intercostals and so when you use them (and stretch them) they cause discomfort.

A couple of exercises for you:-
deep breathing - Take to the point of discomfort, not into pain and gradually increased depth with each breath.

Thoracic rotations - stand with your legs against a secure object e.g a table. Twist to the side maintaining contact with both legs upto discomfort. If you don't get discomfort at the end of range then adda deep breath at this end of range.

Hope they make sense. Be cautious with the gym as you will use these muscles when exercising. You do very gentle cardio and light weights to begin with, then gradually increase as your body lets you.
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