The Free Press, Mankato, MN

Health & Fitness

March 9, 2013

Medical Edge: Rule out underlying injuries after rib fracture

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Rib fractures that are the result of mild to moderate trauma or repeated stress on the bone are usually less severe initially, but can be very painful. Pain often occurs when you take a deep breath. It’s often possible to isolate a spot on the bone that hurts to the touch or that hurts when you bend or twist.

Serious complications requiring prompt medical intervention — such as lung bruising and swelling, bleeding into or around the lungs, or a collapsed lung — can occur after rib fracture due to minor to moderate trauma. Such complications may require insertion of a chest tube or other surgery, blood transfusion, and artificial ventilation. Emergency care may be necessary if the injured person has lightheadedness, shortness of breath or significant chest pain, particularly if it’s worsening.

Even if a suspected fractured rib doesn’t require emergency care, it’s still important to see a primary care physician for diagnosis and possible treatment.

Controlling pain of a rib fracture is critical so that you can breathe deeply and cough. When pain prevents you from doing this, the risk of developing pneumonia rises. In fact, pneumonia is the most prevalent and serious complication of rib fractures in older adults, occurring in roughly 30 to 35 percent of adults age 65 and older.

Pain control may include nonprescription drugs such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve). If these aren’t enough, your husband’s doctor may prescribe stronger medications. For severe fractures, regional anesthesia may be considered.

Most nondisplaced rib fractures heal within six weeks. Although pain will gradually subside over this time, your husband will likely experience some pain flare-ups because it’s hard to totally avoid movement of the healing rib. In some cases, application of a prescribed trunk support, for limited periods, may help to decrease the pain. I recommend he see his doctor, who can rule out any underlying issues and help with pain control. Many people return to their daily activities in less than six weeks. — Mehrsheed Sinaki, M.D., Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minn.

Medical Edge from Mayo Clinic is an educational resource and doesn’t replace regular medical care. Email a question to medicaledge@mayo.edu. For more information, visit www.mayoclinic.org.

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