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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Rib Below Breast After Falling Down Stairs?

I fall down the stairs 8 days ago with contusions all over my body specially on bony prominences every thing is fine know my knees are better and everything too only I have intense pain in the rib area close to my heart exacly down of my breast I have pain when I sleep in that side and when I raise my arm or move fast I have no bruise and is not swollen but sometimes I feel like A needle is pinching me and the pain is intense about 6 in the pain scale is relieved only by ibuprofen 600 mgs.the pain is continuos if I do not take the medicine my question is:is there a possibility that I have small fracture? my doctor said I do not need xRays since is no bruise,I have pain when I have a deep breath or if I cough too.Is usually long time to recuperate from 12 stairs fall ?
Mon, 23 Mar 2015
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Physical Therapist or Physiotherapist 's  Response
As per your explanation here I suggest there might be a hair line fracture at rib level. But you don't need to worry because if there is a fracture also then it does not need any special plaster because rib is supported from All side and so that it is called as rib cage. As well if there is no fracture then the pain could be due to micro level damage I soft tissue. In both cases it can pain in complete breath in and on coughing as well if you sleep on it. Here you can also use hot pack on your painful area for 2 to 3 times a day for at least 10 to 15 minutes each time. And it will be fine on its own in 2 to 3 weeks time. Thumb rule is do not do the things which pains you.
If it is not getting over and painting a lot then I will suggest to consult a ortho doctor. Even if you have difficulty in breathing rush to doctor. Otherwise relax every thing looks Okey as per your explanation.
Hope this was useful for you. Take care.
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What Causes Pain In Rib Below Breast After Falling Down Stairs?

As per your explanation here I suggest there might be a hair line fracture at rib level. But you don t need to worry because if there is a fracture also then it does not need any special plaster because rib is supported from All side and so that it is called as rib cage. As well if there is no fracture then the pain could be due to micro level damage I soft tissue. In both cases it can pain in complete breath in and on coughing as well if you sleep on it. Here you can also use hot pack on your painful area for 2 to 3 times a day for at least 10 to 15 minutes each time. And it will be fine on its own in 2 to 3 weeks time. Thumb rule is do not do the things which pains you. If it is not getting over and painting a lot then I will suggest to consult a ortho doctor. Even if you have difficulty in breathing rush to doctor. Otherwise relax every thing looks Okey as per your explanation. Hope this was useful for you. Take care.