The rib pain - causes, nature, treatment of the

By the nature of pain in the ribs of the left may resemble pains of the heart. Often, to understand the nature of the disease is able only a professional doctor.

The pain in the ribs can have a different nature. It can be acute, piercing, or long-term, that hurts, pulling. You can worry about the patient constantly, or occurs in certain situations (when the physical effort, when a particular position of the body, etc).

The diagnosis of the causes and treatment of rib pain is involved, in function of the nature of the disease, to the following doctors:

  • a thoracic surgeon;
  • orthopedic surgeon;
  • the therapist;
  • the orthopedist;
  • the neurologist.

Pathology directly in the ribs

The rib injury

pathology in the ribs

The rib pain – the characteristic symptom of their injury. Most often occurring at the time of the fall or blow.

The intensity of pain and other symptoms depends on the type of injury:

  1. When the injury occurs in acute, but not severe pain in the ribs of the right or left side, depending on the type of injury, which becomes painful, and then not passed. The location of the injury occurs swelling, bruising, before him, it hurts to touch. In the appearance of the patient and the severity of the pain can not always establish that it is the site of the injury without fracture. It helps to clarify the picture of the ct scan.
  2. A rib fracture – more of a serious injury, which is accompanied by pain in the ribs during inspiration and movements. At the time of the injury-producing sudden pain, which remain for a long period of time strong enough, and can be applied to the whole of the rib cage. There are three types of fractures of the ribs:
  • the crack is the most harmless type of injury, when there is simply a disturbance of the fin;
  • the subperiosteal fracture – a broken rib, but remains intact periosteum that surrounds it, therefore, the parts remain in the place;
  • complete with a rib fracture – by itself is not very dangerous, but the sharp edges fragments may damage the lungs and other internal organs;
  • complex fractures of the ribs: fracture of several ribs, comminuted fractures are more heavy for this type of injury, which leads to the appearance of severe pains in the ribs, shock state and various complications.

In addition to pain in the ribs, fractures may occur in the following ways:

  • the pain increasingly strong in a moment of deep breathing, speech, coughing, sneezing, positional changes of the body, the physical exercise;
  • sometimes the patient points to the violation of the breathing and heart rate, your skin acquires a cyanotic hue;
  • if the pieces of rib damage the lung, occurs hemoptysis;
  • in the middle of a crisis and the displacement of the chest wall, the place of the injury there is an irregularity.

A patient with an acute severe pain in the flank and a possible fracture must be handed in to the emergency room, where they produce the inspection and perform x-rays. In most cases, as treatment is prescribed and tailored to the bandage, which limits the movement of breathing, reduces pain and promotes faster healing. If you damage the internal organs, and fractures can be shown in operation.

Malignant tumors

Among the malignant tumors of bone, which mainly affect the ribs, they are found most often osteosarcoma. We distinguish several types of this disease, can be found practically at any age.

Malignant tumors of the ribs may manifest itself in the following ways:

  • prolonged chronic pain in the ribs, which can be a pain,, instrumental, medical, permanent, or may occur in certain conditions;
  • characteristic night pain in the area of the ribs, especially when the patient is in a particular position;
  • sometimes, a tumor, there is a long period of time without any symptoms and the pain starts to annoy after a minor injury (which in this case is the factor that causes) - in this case, the patient often relates the onset of pain in the account of the injury, and the time is not aware of that has a place very different from the disease;
  • in the place where originates the pain, you can see the swelling, inequality, palpate palpable, that corresponds to a tumor.

The basic principle of diagnosis of malignant tumors in the ribs – of the biopsy. In the world of medical practice, there is a rule: this study should be done for all the people who have the suspicion of malignant tumours of the ribs.

Treatment osteosarcoma is carried out in hospitals in cancer, with the implementation of the general principles of the management of malignant tumors.

Osteoporosis of the ribs

Osteoporosis is a disease that develops as a result of the decrease in the content of calcium in the bone tissue, strengthening the processes of bone destruction and to the reduction of its capacity of recovery. This condition can also be accompanied by pain in the ribs. Osteoporosis is more often driven by the aging of the body, of the types and endocrine disorders, lack of aspiration in the gut of calcium and vitamin D.

For a long time, osteoporosis can have absolutely no symptoms. The ribs and other bones lose calcium, but still retain sufficient strength.

But then arise the pains, most of which have the following origin:

  • the pain in the ribs and in the back arise as a result of what, in the bone of the ribs and the vertebrae produces a large number of fractures are microscopic, it produces irritation of the periosteum, and in it, as it is known, is a large amount of nerve endings;
  • a acute back pain occurs as a result of the sdavleniya of the vertebrae;
  • acute chest pain may be related to a rib fracture: is called a pathological fracture, which can occur with a minimum charge, because the bone becomes more fragile;
  • patients with osteoporosis are the violation of posture, and sometimes very expressed by the deformation of the spine and of the chest, its growth may slow to 10 – 15 cm

Often the pain is very strong, causing the patient to express the suffering. Suffers a work capacity, diminishes the quality of life, disrupts sleep, produces depression.

The cause of rib pain, is installed after the inspection and the realization of the x-ray. The treatment is performed in the hospital, and then and at home, with the implementation of the corresponding of the prepared medicated.

To what doctor to go to pain in the ribs?

to what doctor to go to pain in the ribs

The pain in the ribs can be due to the different states and diseases that are diagnosed and treated by doctors in different specialties. Therefore, when a pain in the ribs you must go to doctors of different specialties, in the area of professional competency that includes the diagnosis and treatment of the disease. To understand to what doctor you should contact in case of pain in the ribs, help acompaantes of the symptoms and the nature of the pain.

If the pain in the ribs is present for a long period of time, the pain, shooting pain or sharp, as a general rule, are present in continuous form, reinforce, or occurring at night in a particular position, perhaps there is swelling or irregularity in any part of the rib cage, shortness of breath, the pain combined with the deterioration of health in general, this indicates the presence of a malignant tumor and, in consequence, requires the use of a medical oncologist (to enroll).

If a person is concerned often produce pain in the bones (ribs, sternum, bones of the pelvis, etc), without causing the deterioration of the posture, the decline in growth, as well as the impossibility of making a few twists of the trunk due to the usual very strong pain in the back, the doctor assumes the osteoporosis, and in such a case, you must, first of all, access to the orthopedic. If, in addition to osteoporosis, the person suffers from any of endocrine diseases (for example, obesity, diabetes mellitus, pathology of thyroid gland), in addition to traumatólogoa-orthopedist, must at the same time you go to the doctor-endocrinologist (sign up). If in the background of osteoporosis in men has problems with the joints, should be directed at once to an orthopedic surgeon and a rheumatologist (sign up).

What tests and surveys you can designate a doctor if the pain in the ribs?

Due to the pain in the ribs caused a variety of illnesses and conditions, doctors prescribe the different analysis and study of this symptom, required for diagnosis of the disease. The selection of diagnostic tests is performed on the basis of related pain in the ribs of the symptoms that help your doctor to assume what the disease causes a pain syndrome. In addition, for the verification of their hypotheses, the doctor analysis and instrumental of the survey. Therefore, it is evident that a specific set and a list of the analyses and reviews to the pain in the ribs in each case is defined specifically related sintomatologa.

When the pain in the ribs appear after the traumatic impact on the chest (blow, blow, strong compression, etc), and they feel at a certain point, or packed in around the chest, intensify the inhaling, exhaling, sneezing, coughing, change of body position, physical activity, perhaps combined with a hematoma, the doctor assumes the damage of the bones and you can assign the following tests of the survey:

  • The general analysis of blood;
  • X-ray of chest (register);
  • Computer or a magnetic resonance imaging of the chest (register).

In practice, it's normally prescribed only the general analysis of blood and a chest x-ray, as well as studies simple, are available in any hospital and health care center, and allow you to detect an injury of the ribs (fissure, fracture, etc) in the great majority of cases. And of computer or magnetic resonance imaging are assigned only in the case of the uncertainty of the nature of the damage and of the invocation in the injury of the soft tissues.

When you see sharp, acute pains in the own ribs, or the sternum, which intensifies with time, becoming a very strong and tough portable, capable of propagating in the hand, the neck and under a spatula, combine with swelling in the connections panel of the ribs and the sternum, the doctor suspected Tietze's syndrome and assigns the following tests of the survey:

  • The general analysis of blood;
  • Biochemical analysis of the blood;
  • Ultrasound of the chest;
  • A chest x-ray;
  • Magnetic resonance imaging;
  • Ct scan;
  • Scan;
  • The biopsy (sign up).

As a general rule, in the Tietze's syndrome the health care provider is limited to the designation of only general and biochemical analysis of the blood, as well as the ultrasound and diagnosis put on the basis of characteristic clinical symptoms. However, if the health facility has the technical possibilities, also is assigned to a computer or a magnetic resonance imaging, which allow, in the first place, confirm the diagnosis, and in the second place, immediately check the bones to detect the presence of malignant tumors.

If the doctor suspects that a person may be a tumor in the bones, and not the Tietze's syndrome, then, necessarily, is assigned an x-ray or a ct scan or an mri, or scintigraphy.

The chest radiograph in the absence of suspicion of a tumor is usually assigned only in the case of that from the beginning of the disease has gone from 2 – 3 months or more, as well as in the early stages of the development of the disease in this study will not be given the information and, in consequence, it is useless. However, if the doctor suspects that the man may not be the Tietze's syndrome, and the malignant tumor of the bones, a chest x-ray is allocated on a mandatory basis, as this research helps to distinguish between the tumor and the inflammation of the cartilage of the ribs.

The biopsy bumps is assigned only in the case that the results of the x-ray, ct scan, or mri scan detected a tumor. In this case, protrusions, with the help of the long needle is used to collect a small amount of tissue and study it under the microscope. Depending on the type of the detectability of the tumor cells, it envisions a type of cancer and the question of the tactic of the therapy.

When the pain in the ribs last very long, not silent, and that only gradually intensifies with time, have the character of the pain or sharp, may be aggravated by night in a certain posture, perhaps combined with swelling, or irregularity in a part of the rib cage, difficulty in breathing, deterioration of the general health, the doctor suspected malignancy of the bones of the ribs and assigns the following tests of the survey:

  • The general analysis of blood;
  • Biochemical analysis of the blood;
  • Coagulogram (indicators of blood coagulation) (register);
  • A chest x-ray;
  • Mri magnetic resonance or computed tomography;
  • Scan ribs;
  • Biopsy of suspect tissue is identified tumor followed by histological study.

The treatment of the

the treatment of the

When the majority of the diseases that manifest in the form of pain in the ribs, is applied to the symptomatic therapy, which include analgesics and anti-inflammatories. In parallel doctor assigned to tools that help to cope with the main cause of the disease. Before the application should consult with a specialist.

07.09.2018