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Beyond the Obvious: 7 Surprising Symptoms of Rib Fractures
Published: Sep 27, 2023
While chest pain is the hallmark of rib fractures, several other symptoms can indicate a break. Recognizing these signs can lead to faster diagnosis and treatment.
The Usual Suspects: Classic Symptoms
The most common symptom of a rib fracture is sharp, localized pain that worsens with breathing, coughing, or movement. You might also experience tenderness or swelling over the affected area. Some people describe hearing or feeling a crack at the time of injury. These symptoms often prompt people to seek medical attention.
Breathing Troubles: More Than Just Pain
Shortness of breath can occur with rib fractures, even if the lungs aren't directly injured. This is often due to pain limiting deep breaths. In some cases, shallow, rapid breathing might be noticeable. If breathing difficulties are severe or worsen, it could indicate a more serious complication like a punctured lung.
The Domino Effect: Symptoms Beyond the Chest
Rib fractures can sometimes cause symptoms in unexpected areas. Upper abdominal pain might occur with lower rib fractures. Shoulder pain can be present, especially when taking deep breaths. Some people experience increased pain or discomfort when lying flat. These symptoms can sometimes be mistaken for other conditions.
Silent Signs: Subtle Symptoms to Watch For
Not all rib fractures cause immediate, severe pain. Some people, especially those with stress fractures, might experience a gradual onset of discomfort that worsens with certain movements or deep breaths. Unexplained bruising on the chest or back can be a sign. In rare cases, especially with multiple fractures, some people might experience dizziness or lightheadedness due to pain or changes in breathing patterns.
Frequently Asked Questions
Yes, pain or injury to lower ribs can sometimes cause nausea.
No, bruising isn't always present, especially with hairline fractures.
Rarely, but some stress fractures may cause minimal initial pain.
It can be, but requires immediate medical attention as it suggests lung injury.
Yes, especially fractures in the back portion of the ribs.
Listen to Your Body
While some symptoms are obvious, others can be subtle – when in doubt, seek medical evaluation.
References
- Bulger EM, et al. Rib fractures in the elderly. J Trauma 2000; 48:1040.
- Miller TL, et al. Stress fractures of the ribs and upper extremities: causation, evaluation, and management. Sports Med 2013; 43:665.
- Misthos P, et al. A prospective analysis of occult pneumothorax, delayed pneumothorax and delayed hemothorax after minor blunt thoracic trauma. Eur J Cardiothorac Surg 2004; 25:859.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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