Managing a Fractured Rib Injury

The ribs are designed to protect the vital organs. Some examples include the heart, lungs, and liver. In order to do this job well, the rib bones are naturally strong which makes it pretty rare to break one. However, it does happen. Here is what you need to know. 

How do fractured ribs happen? 

Given the strong integrity of the rib bones, most fractured ribs are the result of blunt force trauma. This can be seen in sports injuries and car accidents. Even more rare, some experience fracture ribs from frequent intense coughing. 

There are four different types of breaks that one may experience with this. 

1. Non-displaced fracture: this is when the bone breaks completely but does not shift out of place.  Hairline fractures fall under this category.

2. Displaced fracture: this is when the bone fully breaks and shifts out of alignment.  The main concern with this fracture is if it punctures the lung.

3. Stress fracture: these breaks occur over time. This can be the result of repetitive movements, muscle imbalances, or bone health issues that gradually impair bone integrity. 

4. Comminuted fracture: is when the rib is broken in three or more places. This type of break is seen among severe trauma cases such as high speed automobile accidents. 

These injuries may be diagnosed with a combination of a physical exam and imaging. 

Are there people who are at greater risk for fractured ribs? 

While everyone has the possibility to experience these breaks, those with weaker bones/ lower bone density are at higher risk. This includes those with Osteoporosis, cancer, and those who are older. 

What can you expect with a rib injury?

Like many other injuries, some symptoms include pain, tenderness, bruising or difficulty breathing.   Discomfort moving and laying in certain positions may occur as well.  In severe cases, complications or damage to the vital organs can add additional healing time.

How do they heal?

Considering the unique position of the ribs, a non-displaced fracture typically just needs time to heal.  You can practice some basic breathing exercises to help decrease tissue sensitivity and tension, which also helps reduce the risk of pneumonia. Gentle movements as tolerated, over the counter pain medications, and ice or heat on the site can also help alleviate pain. In more extreme rib fractures, surgery would be required. 

As always, check with your primary care physician for any major concerns.  For slow healing ribs, a physical therapist can gently massage the area and surrounding tissues to help alleviate pain and tension, along with guiding you on what movements or breathing exercises will best help you.

Need help healing? Give us a call and see how we can help!