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• #1 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #2 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  Rib fractures can be caused by everything from a cough to a major trauma. If you dont have any other internal injuries, youll probably be able to recover at home with over-the-counter medicine, icing and breathing exercises. […] Its rare to need surgery to repair a rib fracture, unless the injury that broke your rib damaged your internal organs. Unlike most other types of bone fractures, you probably wont need treatment other than rest, ice and breathing exercises. Most people need at least a month to recover from a rib fracture. […] Even if you can recover with at-home treatments, rib fractures can have life-threatening complications. See a healthcare provider or go to the emergency room if youre experiencing symptoms like pain and tenderness around your ribs and chest, or if you have trouble breathing.

• #3 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  If you think you have a rib fracture or any other broken bone you need to see a healthcare provider as soon as possible. Go to the emergency room if you experience any of the following: Intense pain. You have trouble breathing. You cant move a part of your body that you normally can. A part of your body looks noticeably different or out of its usual place. You can see your bone through your skin. Swelling. New bruising that appears at the same time as any of these other symptoms. […] Rib fractures can range from a small crack caused by a random cough to a severe injury after trauma. The most important thing is getting your ribs examined by a healthcare provider as soon as you notice any pain in your chest or have trouble breathing.

• #4 Rib Fracture: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/825981-overview

  Simple rib fractures are the most common injury sustained following blunt chest trauma, accounting for more than half of thoracic injuries from nonpenetrating trauma. Approximately 10% of all patients admitted after blunt chest trauma have one or more rib fractures. […] These fractures are rarely life-threatening in themselves but can be an external marker of more severe visceral injury inside the abdomen and the chest. […] Pain control is fundamental to the management of rib fractures to decrease chest wall splinting and alveolar collapse in order to clear pulmonary secretions. Patients with minor rib injuries who are able to cough and clear secretions may be discharged with adequate analgesic medications. Intercostal nerve blocks provide pain relief without affecting respiratory function, although risks of this procedure include intravascular injection and pneumothorax.

• #5 Rib fracture – aftercare Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/rib-fracture-aftercare

  Broken rib – aftercare […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Rib fractures often occur with other chest and organ injuries. So, your health care providers will also check to see if you have any other injuries. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours.

• #6 Rib fracture fact sheet | Emergency Care Institute

  https://aci.health.nsw.gov.au/networks/eci/clinical/ed-factsheets/rib-fracture

  Rib fractures are one of the most common injuries to the chest. Ribs will usually fracture at the point of impact or towards the back, where they are weakest. Typically, this causes pain on deep breathing and coughing, and tenderness over one or more ribs. […] The most important thing is to get any pain under control. Breathing exercises will not be effective unless your pain is controlled. […] Strenuous activities should be avoided for the first 3-4 weeks, after which physical activity may be recommenced as pain allows. […] Try holding a cushion firmly against the painful site when you huff and cough to decrease the pain. […] Older people, smokers, those with lung disease and people with multiple rib fractures are more at risk of developing complications such as pneumonia.

• #7 Fractured ribs (patient fact sheet) | Safer Care Victoria

  https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/emergency/fractured-ribs

  Rib fractures (also known as ‘broken’ ribs) are one of the most common injuries to the chest. Ribs usually fracture (break or crack) at the point of impact or towards the back where they are weakest. Typically, you will have pain on deep breathing and coughing and it will be tender over one or more ribs. It may also feel hard to breathe. […] X-rays may not always show broken ribs but are useful to check for damage to other structures. Depending on where the ribs are broken, there is potential for injury to other organs such as the spleen, liver, kidney or lungs. Your doctor or healthcare practitioner will assess you to exclude this.

• #8 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #9 Fractured Ribs Nursing Care Plan – Planning for Care

  https://planningforcare.co.uk/product/fractured-ribs/

  A rib fracture is a crack or break in one of the bones of the rib cage. The most common cause is a direct blow to the chest, often from a car accident or a fall. Coughing hard can also cause a rib to fracture, this is more likely to happen if bones are weak, such as with osteoporosis or cancer. […] Fractured, broken or bruised ribs will feel painful with every intake of breath or cough, this can result in shallow breathing to avoid pain, which can result in a chest Infection or pneumonia. Swelling and tenderness around the injured area can be experienced, as well as bruising to the skin. A doctor may diagnose the fracture through physical examination or X-ray, however a fractured rib sometimes does not show up. […] Most rib injuries heal well within 6 weeks, with no problems. Complications such as a pneumothorax, air in the lung cavity, haemothorax, blood in the lung cavity, atelectasis, collapse of the lung, pneumonia, chest infection or lung contusions can occur.

• #10 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  A painful crack or actual break in a rib. […] Symptoms include severe pain that gets worse when you take a deep breath. […] Treatment includes about six weeks of pain management and self-care at home. […] Pain from a fractured rib can even impede your breathing, leading to a chest infection. […] A rib fracture can be associated with other injuries to internal organs and blood vessels. […] Any rib injury should be evaluated by a physician. […] You will want advice for pain management, as well as to be assessed to see if there has been any other damage. […] If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called flail chest. […] It is important to see a doctor immediately, seeking emergency care if your rib fracture is accompanied by increasing shortness of breath, trouble breathing deeply or coughing, fever, unusual cough, or a cough that produces mucus or blood, feeling dizzy or weak, or abdominal pain.

• #11 Fractured Ribs Nursing Care Plan – Planning for Care

  https://planningforcare.co.uk/product/fractured-ribs/

  A rib fracture is a crack or break in one of the bones of the rib cage. The most common cause is a direct blow to the chest, often from a car accident or a fall. Coughing hard can also cause a rib to fracture, this is more likely to happen if bones are weak, such as with osteoporosis or cancer. […] Fractured, broken or bruised ribs will feel painful with every intake of breath or cough, this can result in shallow breathing to avoid pain, which can result in a chest Infection or pneumonia. Swelling and tenderness around the injured area can be experienced, as well as bruising to the skin. A doctor may diagnose the fracture through physical examination or X-ray, however a fractured rib sometimes does not show up. […] Most rib injuries heal well within 6 weeks, with no problems. Complications such as a pneumothorax, air in the lung cavity, haemothorax, blood in the lung cavity, atelectasis, collapse of the lung, pneumonia, chest infection or lung contusions can occur.

• #12 Fractured ribs (patient fact sheet) | Safer Care Victoria

  https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/emergency/fractured-ribs

  Rib fractures (also known as ‘broken’ ribs) are one of the most common injuries to the chest. Ribs usually fracture (break or crack) at the point of impact or towards the back where they are weakest. Typically, you will have pain on deep breathing and coughing and it will be tender over one or more ribs. It may also feel hard to breathe. […] X-rays may not always show broken ribs but are useful to check for damage to other structures. Depending on where the ribs are broken, there is potential for injury to other organs such as the spleen, liver, kidney or lungs. Your doctor or healthcare practitioner will assess you to exclude this.

• #13 Fractured Ribs Nursing Care Plan – Planning for Care

  https://planningforcare.co.uk/product/fractured-ribs/

  A rib fracture is a crack or break in one of the bones of the rib cage. The most common cause is a direct blow to the chest, often from a car accident or a fall. Coughing hard can also cause a rib to fracture, this is more likely to happen if bones are weak, such as with osteoporosis or cancer. […] Fractured, broken or bruised ribs will feel painful with every intake of breath or cough, this can result in shallow breathing to avoid pain, which can result in a chest Infection or pneumonia. Swelling and tenderness around the injured area can be experienced, as well as bruising to the skin. A doctor may diagnose the fracture through physical examination or X-ray, however a fractured rib sometimes does not show up. […] Most rib injuries heal well within 6 weeks, with no problems. Complications such as a pneumothorax, air in the lung cavity, haemothorax, blood in the lung cavity, atelectasis, collapse of the lung, pneumonia, chest infection or lung contusions can occur.

• #14 I think I broke my rib. Now what? | Nebraska Medicine Omaha, NE

  https://www.nebraskamed.com/trauma/i-think-i-broke-my-rib-now-what

  Everyone has 12 pairs of ribs wrapped around their chest to protect vital organs. Several muscle layers connect the pairs of ribs. When one or more ribs are fractured or broken, the injury can be pretty painful. […] Severity can vary depending on what caused the rib injury. Hairline fractures versus more complex fractures require different treatments. Simple fractures may heal nicely by themselves, with recommended at-home precautions given by your doctor, while more severe rib fractures can damage nearby organs and require immediate medical attention. […] If you think you’ve broken or fractured a rib, you should see a doctor for evaluation. Depending on your symptoms, a doctor may order an X-ray or CT scan. Symptoms of a broken rib include: Pain that worsens when breathing, coughing or moving around; Shortness of breath or difficulty taking deep breaths; Bruising or swelling around the ribs; Clicking or popping at the site of the rib fractures.

• #15 Rib fracture fact sheet | Emergency Care Institute

  https://aci.health.nsw.gov.au/networks/eci/clinical/ed-factsheets/rib-fracture

  Rib fractures are one of the most common injuries to the chest. Ribs will usually fracture at the point of impact or towards the back, where they are weakest. Typically, this causes pain on deep breathing and coughing, and tenderness over one or more ribs. […] The most important thing is to get any pain under control. Breathing exercises will not be effective unless your pain is controlled. […] Strenuous activities should be avoided for the first 3-4 weeks, after which physical activity may be recommenced as pain allows. […] Try holding a cushion firmly against the painful site when you huff and cough to decrease the pain. […] Older people, smokers, those with lung disease and people with multiple rib fractures are more at risk of developing complications such as pneumonia.

• #16 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  If you think you have a rib fracture or any other broken bone you need to see a healthcare provider as soon as possible. Go to the emergency room if you experience any of the following: Intense pain. You have trouble breathing. You cant move a part of your body that you normally can. A part of your body looks noticeably different or out of its usual place. You can see your bone through your skin. Swelling. New bruising that appears at the same time as any of these other symptoms. […] Rib fractures can range from a small crack caused by a random cough to a severe injury after trauma. The most important thing is getting your ribs examined by a healthcare provider as soon as you notice any pain in your chest or have trouble breathing.

• #17 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  If you think you have a rib fracture or any other broken bone you need to see a healthcare provider as soon as possible. Go to the emergency room if you experience any of the following: Intense pain. You have trouble breathing. You cant move a part of your body that you normally can. A part of your body looks noticeably different or out of its usual place. You can see your bone through your skin. Swelling. New bruising that appears at the same time as any of these other symptoms. […] Rib fractures can range from a small crack caused by a random cough to a severe injury after trauma. The most important thing is getting your ribs examined by a healthcare provider as soon as you notice any pain in your chest or have trouble breathing.

• #18 Broken ribs – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/broken-ribs/diagnosis-treatment/drc-20350769

  During the physical exam, a health care provider might press gently on the ribs, listen to your lungs and watch your rib cage move as you breathe. […] Most broken ribs heal on their own within six weeks. Being less active and icing the area regularly can help with healing and pain relief. […] It’s important to relieve pain. Not being able to breathe deeply because of pain can lead to pneumonia. If medicines taken by mouth don’t help enough, shots can numb the nerves that lead to the ribs. […] Once pain is under control, certain exercises can help you breathe more deeply. Shallow breathing can lead to pneumonia. […] For broken ribs, questions to ask your provider include: How long will I be in pain? What treatments are available, and which do you recommend? How can I best manage this with my other health conditions? Do I need to restrict my activities? […] Your care provider might ask: Where is your pain? Are your symptoms constant or do they come and go? How bad is your pain? Did anything happen to cause it? Does anything you do make the pain better or worse?

• #19 Rib Fracture – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK541020/

  When enough force is placed on the rib, the rib will fracture. Most isolated rib fractures can be managed expectantly. However, certain patterns of rib fractures are associated with higher morbidity and mortality and will need further evaluation for other underlying injuries and emergent treatment. […] Rib fractures can be diagnosed clinically based upon history and physical exam without imaging. Dedicated rib x-ray series are typically not necessary due to the benign clinical course of isolated rib fractures. If there is suspicion for multiple rib fractures or significant trauma with underlying organ damage, imaging can be the next step. […] For simple, isolated rib fractures, conservative therapy is usually adequate which includes appropriate analgesia, rest, and ice. The use of an incentive spirometer should be encouraged to prevent pulmonary atelectasis and splinting. Intercostal nerve blocks can also be applied to aid in pain control.

• #20 Rib Fracture – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK541020/

  When enough force is placed on the rib, the rib will fracture. Most isolated rib fractures can be managed expectantly. However, certain patterns of rib fractures are associated with higher morbidity and mortality and will need further evaluation for other underlying injuries and emergent treatment. […] Rib fractures can be diagnosed clinically based upon history and physical exam without imaging. Dedicated rib x-ray series are typically not necessary due to the benign clinical course of isolated rib fractures. If there is suspicion for multiple rib fractures or significant trauma with underlying organ damage, imaging can be the next step. […] For simple, isolated rib fractures, conservative therapy is usually adequate which includes appropriate analgesia, rest, and ice. The use of an incentive spirometer should be encouraged to prevent pulmonary atelectasis and splinting. Intercostal nerve blocks can also be applied to aid in pain control.

• #21 Fractured ribs (patient fact sheet) | Safer Care Victoria

  https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/emergency/fractured-ribs

  Rib fractures (also known as ‘broken’ ribs) are one of the most common injuries to the chest. Ribs usually fracture (break or crack) at the point of impact or towards the back where they are weakest. Typically, you will have pain on deep breathing and coughing and it will be tender over one or more ribs. It may also feel hard to breathe. […] X-rays may not always show broken ribs but are useful to check for damage to other structures. Depending on where the ribs are broken, there is potential for injury to other organs such as the spleen, liver, kidney or lungs. Your doctor or healthcare practitioner will assess you to exclude this.

• #22 Fractured ribs (patient fact sheet) | Safer Care Victoria

  https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/emergency/fractured-ribs

  Rib fractures (also known as ‘broken’ ribs) are one of the most common injuries to the chest. Ribs usually fracture (break or crack) at the point of impact or towards the back where they are weakest. Typically, you will have pain on deep breathing and coughing and it will be tender over one or more ribs. It may also feel hard to breathe. […] X-rays may not always show broken ribs but are useful to check for damage to other structures. Depending on where the ribs are broken, there is potential for injury to other organs such as the spleen, liver, kidney or lungs. Your doctor or healthcare practitioner will assess you to exclude this.

• #23

  https://www.aast.org/resources-detail/rib-fractures

  Rib fractures are typically diagnosed on chest x-ray and the severity of the fracture is easily seen. Simple (non-displaced) fractures appear as cracks in the rib or a jagged edge. Displaced fractures appear to lack contour along the edge of the rib on x-ray. Floating segments of ribs, known as a flail chest, can also be easily seen on x-ray. Other imaging modalities such as CT scans also diagnose rib fractures and are more sensitive to identify them. CT scans are useful to determine if underlying lung injury is present, known as a contusion, or to identify if air has escaped the lung as a pneumothorax. […] The most common symptom of rib fractures is pain. Pain is typically elicited with breathing or coughing. If the fractures are complex, the patient may suffer from additional damage to underlying structures. The sharp fractured end of the rib can puncture the lung, causing air leakage, a condition called a pneumothorax, which is potentially life threatening. In addition to pain, shortness of breath and decreased oxygen content in the blood can result from these injuries. A flail chest is invariably accompanied by pulmonary contusion, a bruise of the lung tissue that can result in a clinical entity called acute lung injury. In its most severe form, acute lung injury can lead to a life threatening entity called adult respiratory distress syndrome (ARDS). Respiratory failure is usually caused by the underlying pulmonary contusion but not by the anatomic flail chest itself. In addition, the flail segment moves in the opposite direction as the rest of the chest wall because of the ambient pressure in comparison to the pressure inside the lungs. This so-called „paradoxical motion” can increase the work and pain involved with breathing.

• #24 Rib Fracture: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/825981-overview

  A small percentage of rib fractures do not heal even though a fibrous capsule may envelope the fracture. A nonunion may present months to years after injury and can cause discomfort with respiration because of movement of the fracture site. […] Rib fractures are not usually dangerous in and of themselves. Patients may develop pneumonia from splinting. Morbidity correlates with the degree of injury to underlying structures. […] First-rib fractures have often been described as having a high association with serious or lethal spinal or vascular injuries. […] The presence of a first-rib injury requires a multidisciplinary approach. CT of the spine and chest allows for an early diagnosis. Appropriate treatment and observation in the intensive care unit may prevent further morbidity and/or mortality.

• #25 Rib fracture – aftercare Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/rib-fracture-aftercare

  Broken rib – aftercare […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Rib fractures often occur with other chest and organ injuries. So, your health care providers will also check to see if you have any other injuries. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours.

• #26 Care options for patients with rib fracture – Mayo Clinic

  https://www.mayoclinic.org/medical-professionals/trauma/news/care-options-for-patients-with-rib-fracture/mac-20578996

  The typical healing time of a nondisplaced rib fracture in an otherwise healthy individual ranges from 6 to 12 weeks. Most fractured ribs heal without surgical intervention. Dr. Kim indicates that a multimodal pain management regimen and commonsense activity reduction can assist with pain relief. […] Dr. Kim has a strong interest in the management of chest wall injury, including the operative management of fractured ribs. So far, Dr. Kim has been pleased with the results. […] However, he points out that only a small subset of patients with rib fractures are surgical candidates. […] Dr. Kim notes that for some patients with rib fractures, stabilizing the ribs and the chest wall helps to control their pain levels and restore the mechanical function of respiration. […] The region in which a patient experiences rib fracture may affect whether rib stabilization is available, says Dr. Kim.

• #27 Broken ribs – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/broken-ribs/diagnosis-treatment/drc-20350769

  During the physical exam, a health care provider might press gently on the ribs, listen to your lungs and watch your rib cage move as you breathe. […] Most broken ribs heal on their own within six weeks. Being less active and icing the area regularly can help with healing and pain relief. […] It’s important to relieve pain. Not being able to breathe deeply because of pain can lead to pneumonia. If medicines taken by mouth don’t help enough, shots can numb the nerves that lead to the ribs. […] Once pain is under control, certain exercises can help you breathe more deeply. Shallow breathing can lead to pneumonia. […] For broken ribs, questions to ask your provider include: How long will I be in pain? What treatments are available, and which do you recommend? How can I best manage this with my other health conditions? Do I need to restrict my activities? […] Your care provider might ask: Where is your pain? Are your symptoms constant or do they come and go? How bad is your pain? Did anything happen to cause it? Does anything you do make the pain better or worse?

• #28 Treatment for Broken Ribs: Exercises and Other Tips for Recovery

  https://www.healthline.com/health/treatment-for-broken-ribs

  Unlike other types of bone fractures, broken ribs arent treatable with a cast or splint. They usually are treated without surgery, but on occasion, surgery is required. […] Today, treatment for broken ribs typically focuses on a combination of rest, pain management, and breathing exercises. […] The main symptom of broken ribs is ongoing pain, so controlling that pain and discomfort is essential to a better recovery. […] Most cases of broken ribs resolve without surgery. But youll need to make sure you give your body plenty of rest while keeping your lungs in good working order. You should be back to most of your usual activities in a month or two.

• #29 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #30 Broken ribs – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/broken-ribs/diagnosis-treatment/drc-20350769

  During the physical exam, a health care provider might press gently on the ribs, listen to your lungs and watch your rib cage move as you breathe. […] Most broken ribs heal on their own within six weeks. Being less active and icing the area regularly can help with healing and pain relief. […] It’s important to relieve pain. Not being able to breathe deeply because of pain can lead to pneumonia. If medicines taken by mouth don’t help enough, shots can numb the nerves that lead to the ribs. […] Once pain is under control, certain exercises can help you breathe more deeply. Shallow breathing can lead to pneumonia. […] For broken ribs, questions to ask your provider include: How long will I be in pain? What treatments are available, and which do you recommend? How can I best manage this with my other health conditions? Do I need to restrict my activities? […] Your care provider might ask: Where is your pain? Are your symptoms constant or do they come and go? How bad is your pain? Did anything happen to cause it? Does anything you do make the pain better or worse?

• #31 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  Most rib fractures can be treated with rest, icing and over-the-counter (OTC) NSAIDs like aspirin or ibuprofen. Your provider will tell you how often to ice your injury, but in general, you can ice your ribs for 20 minutes at a time a few times a day. […] Youll probably need to do some breathing exercises or cough on purpose every few hours while youre recovering. This helps prevent pneumonia and keeps your lungs and chest moving like they usually do. Pressing a pillow to your injured ribs can help cushion any pain during your breathing exercises. […] Its rare to need surgery for a fractured rib. Youll only need surgery if you have serious internal injuries, or if your bones havent healed back together properly (a complication called nonunion or malunion). […] Rib fracture surgery complications include: Malunion: This happens when your broken bones dont line up correctly while they heal. Nonunion: Your bones may not grow back together fully or at all. Bone infection (osteomyelitis): If you have an open fracture (the bone breaks through your skin) you have an increased risk of bacterial infection.

• #32 Bruised rib care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000967.htm

  A rib contusion, also called a bruised rib, can occur after a fall or blow to your chest area. […] Common causes of bruised ribs are car accidents, sports injuries, or falls. Severe or prolonged coughing can also cause bruised ribs. […] The main symptoms are pain, swelling, and skin discoloration. […] Bruised ribs recover in the same manner as fractured ribs, but a bruise takes less time to recover than a rib fracture. […] Here are some ways to help relieve pain and discomfort as you heal. […] Icing helps reduce swelling by decreasing the blood flow in the area. It also numbs the area and helps relieve pain. […] If your pain is not severe, you can use ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn) for pain relief. […] Being in pain when you breathe can cause you to take shallow breaths. If you take shallow breaths for too long, it can put you at risk for pneumonia. […] You should contact your provider right away if you have: Pain that does not allow deep breathing or coughing despite using pain relievers.

• #33 Rib fracture – aftercare Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/rib-fracture-aftercare

  Broken rib – aftercare […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Rib fractures often occur with other chest and organ injuries. So, your health care providers will also check to see if you have any other injuries. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours.

• #34 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #35 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  Most rib fractures can be treated with rest, icing and over-the-counter (OTC) NSAIDs like aspirin or ibuprofen. Your provider will tell you how often to ice your injury, but in general, you can ice your ribs for 20 minutes at a time a few times a day. […] Youll probably need to do some breathing exercises or cough on purpose every few hours while youre recovering. This helps prevent pneumonia and keeps your lungs and chest moving like they usually do. Pressing a pillow to your injured ribs can help cushion any pain during your breathing exercises. […] Its rare to need surgery for a fractured rib. Youll only need surgery if you have serious internal injuries, or if your bones havent healed back together properly (a complication called nonunion or malunion). […] Rib fracture surgery complications include: Malunion: This happens when your broken bones dont line up correctly while they heal. Nonunion: Your bones may not grow back together fully or at all. Bone infection (osteomyelitis): If you have an open fracture (the bone breaks through your skin) you have an increased risk of bacterial infection.

• #36 Initial evaluation and management of rib fractures – UpToDate

  https://www.uptodate.com/contents/initial-evaluation-and-management-of-rib-fractures

  Initial evaluation and management of rib fractures […] Rib fractures are common injuries that occur most often following blunt thoracic trauma but can also result from severe coughing, athletic activities (eg, rowing, swinging golf clubs, throwing, which can cause rib stress fractures), and nonaccidental trauma (ie, child abuse). Concomitant injuries and complications range from mild discomfort to life-threatening conditions such as pneumothorax, splenic laceration, and pneumonia. […] The cornerstone of rib fracture management is pain control once significant associated injuries have been evaluated and treated. […] Early and adequate pain relief helps avoid pulmonary complications (eg, pneumonia) from splinting and atelectasis. […] Analgesia for isolated rib fractures (ie, one or two ribs) includes nonsteroidal anti-inflammatory drugs (NSAIDs) with or without opioids.

• #37 Broken ribs – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/broken-ribs/diagnosis-treatment/drc-20350769

  During the physical exam, a health care provider might press gently on the ribs, listen to your lungs and watch your rib cage move as you breathe. […] Most broken ribs heal on their own within six weeks. Being less active and icing the area regularly can help with healing and pain relief. […] It’s important to relieve pain. Not being able to breathe deeply because of pain can lead to pneumonia. If medicines taken by mouth don’t help enough, shots can numb the nerves that lead to the ribs. […] Once pain is under control, certain exercises can help you breathe more deeply. Shallow breathing can lead to pneumonia. […] For broken ribs, questions to ask your provider include: How long will I be in pain? What treatments are available, and which do you recommend? How can I best manage this with my other health conditions? Do I need to restrict my activities? […] Your care provider might ask: Where is your pain? Are your symptoms constant or do they come and go? How bad is your pain? Did anything happen to cause it? Does anything you do make the pain better or worse?

• #38 Bruised rib care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000967.htm

  A rib contusion, also called a bruised rib, can occur after a fall or blow to your chest area. […] Common causes of bruised ribs are car accidents, sports injuries, or falls. Severe or prolonged coughing can also cause bruised ribs. […] The main symptoms are pain, swelling, and skin discoloration. […] Bruised ribs recover in the same manner as fractured ribs, but a bruise takes less time to recover than a rib fracture. […] Here are some ways to help relieve pain and discomfort as you heal. […] Icing helps reduce swelling by decreasing the blood flow in the area. It also numbs the area and helps relieve pain. […] If your pain is not severe, you can use ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn) for pain relief. […] Being in pain when you breathe can cause you to take shallow breaths. If you take shallow breaths for too long, it can put you at risk for pneumonia. […] You should contact your provider right away if you have: Pain that does not allow deep breathing or coughing despite using pain relievers.

• #39 Bruised rib care Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/bruised-rib-care

  Bruised ribs recover in the same manner as fractured ribs, but a bruise takes less time to recover than a rib fracture. […] Healing takes about 4 to 6 weeks. […] You will not have a belt or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may lead to lung infection (pneumonia). […] Here are some ways to help relieve pain and discomfort as you heal. […] Icing helps reduce swelling by decreasing the blood flow in the area. It also numbs the area and helps relieve pain. […] If your pain is severe, you may need prescription pain medicines (narcotics) to keep your pain under control while your bruise heals. […] Being in pain when you breathe can cause you to take shallow breaths. If you take shallow breaths for too long, it can put you at risk for pneumonia. […] You should contact your provider right away if you have: Pain that does not allow deep breathing or coughing despite using pain relievers.

• #40 Rib Fracture: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/825981-overview

  Simple rib fractures are the most common injury sustained following blunt chest trauma, accounting for more than half of thoracic injuries from nonpenetrating trauma. Approximately 10% of all patients admitted after blunt chest trauma have one or more rib fractures. […] These fractures are rarely life-threatening in themselves but can be an external marker of more severe visceral injury inside the abdomen and the chest. […] Pain control is fundamental to the management of rib fractures to decrease chest wall splinting and alveolar collapse in order to clear pulmonary secretions. Patients with minor rib injuries who are able to cough and clear secretions may be discharged with adequate analgesic medications. Intercostal nerve blocks provide pain relief without affecting respiratory function, although risks of this procedure include intravascular injection and pneumothorax.

• #41 Fractured Ribs | Management and Treatment | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/management-and-treatment-of-patients-with-fractured-ribs-04-02-2003/

  Aggressive pain management techniques, such as epidural analgesia, need to be employed before patients have physiotherapy. […] The main problem for patients with multiple fractures of the ribs is pain from the fracture. […] Rib fractures vary from being a minor injury that can be treated in outpatients, to a major injury that can have life-threatening consequences. Accurate diagnosis, adequate analgesia and effective physiotherapy are all essential components in the management of rib fractures if complications are to be avoided.

• #42 Trauma nursing 2: management of patients with rib fractures | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/trauma-nursing-2-management-of-patients-with-rib-fractures-14-11-2022/

  This article provides an overview of the injury characteristics and nursing management of patients with rib fractures in the acute hospital setting […] Rib fractures are common after blunt trauma to the chest, accounting for 10% of hospital trauma admissions. […] Medical management remains largely conservative, and good outcomes rely on expert nursing care in a multidisciplinary team. Nursing care should focus on effective pain control to improve lung mechanics, prevent atelectasis and aid secretion clearance. […] Nurses have a central role in the management of patients with rib fractures. Many patients can be safely managed on the ward with good nursing care. This involves effective respiratory management, pain assessment and analgesia, to aid physiotherapy treatment and help prevent admissions to critical care.

• #43 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #44 Broken Rib: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-rib-care-instructions.uf8278

  A broken rib is a crack or break in one of the bones of the rib cage. Breathing can be very painful because the muscles used for breathing pull on the rib. […] In most cases, a broken rib will heal on its own. You can take pain medicine while the rib mends. Pain relief allows you to take deep breaths. […] Taking deep breaths may help prevent pneumonia or a partial collapse of a lung. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Even if it hurts, try to cough or take the deepest breath you can at least once every hour. This will get air deeply into your lungs. This may reduce your chance of getting pneumonia or a partial collapse of a lung. […] Call your doctor now or seek immediate medical care if: You have some trouble breathing. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have pain even after taking your medicine.

• #45 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #46 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #47 Initial evaluation and management of rib fractures – UpToDate

  https://www.uptodate.com/contents/initial-evaluation-and-management-of-rib-fractures

  Good outcomes have been described from emergency physician-performed serratus anterior plane blocks, erector spinae plane blocks, and rhomboid intercostal sub-serratus blocks. […] Instruct patients to use an incentive spirometer intermittently throughout the day after analgesics have taken effect. […] Lung volume expansion treatments (ie, incentive spirometry, deep breathing, and coughing) reduce secretions and prevent atelectasis and other complications. […] The rate of significant complications associated with rib fractures increases with the number and severity (eg, displacement) of fractures, patient age or frailty, and compromised respiratory function, either acute or chronic due to underlying disease. […] Pneumonia is one of the most common complications of rib fractures, typically due to splinting and atelectasis.

• #48 Trauma nursing 2: management of patients with rib fractures | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/trauma-nursing-2-management-of-patients-with-rib-fractures-14-11-2022/

  This article provides an overview of the injury characteristics and nursing management of patients with rib fractures in the acute hospital setting […] Rib fractures are common after blunt trauma to the chest, accounting for 10% of hospital trauma admissions. […] Medical management remains largely conservative, and good outcomes rely on expert nursing care in a multidisciplinary team. Nursing care should focus on effective pain control to improve lung mechanics, prevent atelectasis and aid secretion clearance. […] Nurses have a central role in the management of patients with rib fractures. Many patients can be safely managed on the ward with good nursing care. This involves effective respiratory management, pain assessment and analgesia, to aid physiotherapy treatment and help prevent admissions to critical care.

• #49 Trauma nursing 2: management of patients with rib fractures | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/trauma-nursing-2-management-of-patients-with-rib-fractures-14-11-2022/

  This article provides an overview of the injury characteristics and nursing management of patients with rib fractures in the acute hospital setting […] Rib fractures are common after blunt trauma to the chest, accounting for 10% of hospital trauma admissions. […] Medical management remains largely conservative, and good outcomes rely on expert nursing care in a multidisciplinary team. Nursing care should focus on effective pain control to improve lung mechanics, prevent atelectasis and aid secretion clearance. […] Nurses have a central role in the management of patients with rib fractures. Many patients can be safely managed on the ward with good nursing care. This involves effective respiratory management, pain assessment and analgesia, to aid physiotherapy treatment and help prevent admissions to critical care.

• #50 Trauma nursing 2: management of patients with rib fractures | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/trauma-nursing-2-management-of-patients-with-rib-fractures-14-11-2022/

  Continuous respiratory and pain assessment identifies patients who are deteriorating or at risk of doing so. Nursing interventions include titration of analgesia, encouragement of frequent coughing and deep-breathing exercises, and early mobilisation all of which are key to achieving a good outcome in such patients. […] Prompt and effective analgesia, early mobilisation, close observation and respiratory support are important when managing patients with rib fractures and preventing complications.

• #51 Rib Fracture Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/rib-fracture-nursing-diagnosis/

  Rib fractures are common traumatic injuries that can cause significant pain and potential complications. This nursing diagnosis focuses on managing pain, preventing respiratory complications, and promoting optimal healing while ensuring patient safety and comfort. […] The following outcomes indicate successful management of rib fractures: The patient will demonstrate effective pain control […] The patient will maintain adequate ventilation and oxygenation […] The patient will avoid pulmonary complications […] The patient will demonstrate proper splinting techniques during movement. […] Nursing Diagnosis Statement: Acute Pain related to rib fracture(s) as evidenced by verbal reports of pain rated 8/10, guarding behavior, and shallow breathing pattern. […] Nursing Diagnosis Statement: Ineffective Breathing Pattern related to chest wall pain and guarding as evidenced by shallow respirations and decreased oxygen saturation.

• #52 Rib Fracture Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/rib-fracture-nursing-diagnosis/

  Rib fractures are common traumatic injuries that can cause significant pain and potential complications. This nursing diagnosis focuses on managing pain, preventing respiratory complications, and promoting optimal healing while ensuring patient safety and comfort. […] The following outcomes indicate successful management of rib fractures: The patient will demonstrate effective pain control […] The patient will maintain adequate ventilation and oxygenation […] The patient will avoid pulmonary complications […] The patient will demonstrate proper splinting techniques during movement. […] Nursing Diagnosis Statement: Acute Pain related to rib fracture(s) as evidenced by verbal reports of pain rated 8/10, guarding behavior, and shallow breathing pattern. […] Nursing Diagnosis Statement: Ineffective Breathing Pattern related to chest wall pain and guarding as evidenced by shallow respirations and decreased oxygen saturation.

• #53 Rib Fracture Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/rib-fracture-nursing-diagnosis/

  Nursing Diagnosis Statement: Impaired Physical Mobility related to pain and fear of movement as evidenced by reluctance to move and dependent positioning. […] Nursing Diagnosis Statement: Risk for Ineffective Coping related to pain, activity limitations, and altered role performance as evidenced by expressed anxiety about recovery. […] Nursing Diagnosis Statement: Risk for Complications (pneumonia, atelectasis) related to decreased ventilation and immobility as evidenced by shallow breathing and reduced mobility.

• #54 Rib Fracture Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/rib-fracture-nursing-diagnosis/

  Nursing Diagnosis Statement: Impaired Physical Mobility related to pain and fear of movement as evidenced by reluctance to move and dependent positioning. […] Nursing Diagnosis Statement: Risk for Ineffective Coping related to pain, activity limitations, and altered role performance as evidenced by expressed anxiety about recovery. […] Nursing Diagnosis Statement: Risk for Complications (pneumonia, atelectasis) related to decreased ventilation and immobility as evidenced by shallow breathing and reduced mobility.

• #55 Rib Fracture Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/rib-fracture-nursing-diagnosis/

  Nursing Diagnosis Statement: Impaired Physical Mobility related to pain and fear of movement as evidenced by reluctance to move and dependent positioning. […] Nursing Diagnosis Statement: Risk for Ineffective Coping related to pain, activity limitations, and altered role performance as evidenced by expressed anxiety about recovery. […] Nursing Diagnosis Statement: Risk for Complications (pneumonia, atelectasis) related to decreased ventilation and immobility as evidenced by shallow breathing and reduced mobility.

• #56 Fracture: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/fracture-nursing-diagnosis-care-plan/

  Nurses may care for patients with fractures in many settings such as emergency departments, urgent care centers, or inpatient units following surgical repairs. Fractures can be minor such as a broken toe only requiring splinting or major such as a hip, neck, or femur fracture requiring surgery, inpatient care, and months of recovery. Nurses assist with pain control, overcoming activity limitations, preventing further complications, and discharge planning. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Impaired Physical Mobility […] Nursing Diagnosis: Risk For Constipation […] A fractured extremity should remain elevated to reduce swelling. Utilize splints or traction devices as ordered. Immobilize the fractured area and follow weight-bearing instructions to promote healing.

• #57 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #58 Fractured Ribs | Management and Treatment | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/management-and-treatment-of-patients-with-fractured-ribs-04-02-2003/

  Rib fractures are among the most common injuries to the chest, accounting for more than half of the thoracic injuries sustained from non-penetrating trauma. […] There is potential for underlying organ injury when ribs are fractured. […] Evaluation of respiratory parameters in patients who suffer significant chest trauma can be a useful predictor of injury severity and possible prognosis. […] The mainstay of treatment for rib fractures is to provide the patient with adequate analgesia coupled with meticulous respiratory care in order to prevent complications such as atelectasis and pneumonia. […] Patients with multiple fractures will require admission to a trauma ward or a high dependency unit depending on the severity of the injury. […] Effective management of acute pain relies on accurate and appropriate assessment of the patients pain.

• #59 Broken Rib in Children: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-rib-in-children-care-instructions.bu1140

  A broken rib is a crack or break in one of the bones of the rib cage. Breathing can be very painful, because the muscles used for breathing pull on the rib. […] In most cases, a broken rib will heal on its own. Your child can take pain medicine while the rib mends. Pain relief allows your child to take deep breaths. […] Taking deep breaths at least once an hour may help prevent pneumonia or a partial collapse of a lung. […] Healthy habits can help your child heal. Give your child a variety of healthy foods. And don’t smoke around your child. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. […] Help your child cough or take the deepest breath possible at least once every hour, even if your child feels some pain. This will get air deeply into the lungs. This may reduce your child’s chance of getting pneumonia or a partial collapse of a lung. […] Call your doctor now or seek immediate medical care if: Your child has some trouble breathing. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child has pain even after taking pain medicine.

• #60 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #61 Rib Fracture (Aftercare Instructions)

  https://www.drugs.com/cg/rib-fracture-aftercare-instructions.html

  A rib fracture is a crack or break in a rib bone. Rib fractures usually heal within 6 weeks. You should be able to return to your usual activities before that time. […] Take deep breaths and cough 10 times each hour. This will decrease your risk for a lung infection. Hug a pillow on your injured side to decrease pain while you take deep breaths. […] Apply ice on your chest near your fractured rib for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain. […] Follow up with your doctor as directed.

• #62 Fracture: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/fracture-nursing-diagnosis-care-plan/

  Nurses may care for patients with fractures in many settings such as emergency departments, urgent care centers, or inpatient units following surgical repairs. Fractures can be minor such as a broken toe only requiring splinting or major such as a hip, neck, or femur fracture requiring surgery, inpatient care, and months of recovery. Nurses assist with pain control, overcoming activity limitations, preventing further complications, and discharge planning. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Impaired Physical Mobility […] Nursing Diagnosis: Risk For Constipation […] A fractured extremity should remain elevated to reduce swelling. Utilize splints or traction devices as ordered. Immobilize the fractured area and follow weight-bearing instructions to promote healing.

• #63 Fractured Ribs | Management and Treatment | Nursing Times

  https://www.nursingtimes.net/emergency-and-critical-care/management-and-treatment-of-patients-with-fractured-ribs-04-02-2003/

  Aggressive pain management techniques, such as epidural analgesia, need to be employed before patients have physiotherapy. […] The main problem for patients with multiple fractures of the ribs is pain from the fracture. […] Rib fractures vary from being a minor injury that can be treated in outpatients, to a major injury that can have life-threatening consequences. Accurate diagnosis, adequate analgesia and effective physiotherapy are all essential components in the management of rib fractures if complications are to be avoided.

• #64 Rib Fracture Treatment & Management: Emergency Department Care, Medical Care, Complications

  https://emedicine.medscape.com/article/825981-treatment

  Patients with minor rib injuries who are able to cough and clear secretions may be discharged with adequate analgesic medications. […] Adequate analgesics are critical to successful outpatient management of rib fractures. […] Most patients who will develop complications will do so within 2 weeks, so a follow-up plan within 2 weeks should be made. […] Routine follow-up chest x-rays days after the injury are not recommended. […] Consider an incentive spirometer, especially with multiple fractures, as it may help avoid complications and remind the patient to avoid splinting and to take deep breaths. […] Pain management specialists can be helpful for admitted patients. […] Patients with isolated rib fractures who are unable to cough and clear secretions adequately should be considered for admission for 24-hour observation.

• #65 Rib Fracture Treatment & Management: Emergency Department Care, Medical Care, Complications

  https://emedicine.medscape.com/article/825981-treatment

  In hospitalized patients, an intrapleural catheter placement may also be used for delivery of anesthetics directly into pleural cavity. […] Patient-controlled analgesia pumps have also shown to be useful in hospitalized patients, allowing adequate pain relief with minimal inhibition of respiratory drive. […] Pneumonia is one of the most common complications associated with rib fractures. […] The alteration in chest wall mechanics due to multiple rib fractures increases the work of breathing, and the patients with multiple rib fractures are at risk for pulmonary fatigue. […] Patients with fractured ribs and vital capacity of less than 30% have been found to have a higher rate of pulmonary complications. […] A small percentage of rib fractures do not heal even though a fibrous capsule may envelop the fracture.

• #66

  https://www.aast.org/resources-detail/rib-fractures

  Rib fractures are typically diagnosed on chest x-ray and the severity of the fracture is easily seen. Simple (non-displaced) fractures appear as cracks in the rib or a jagged edge. Displaced fractures appear to lack contour along the edge of the rib on x-ray. Floating segments of ribs, known as a flail chest, can also be easily seen on x-ray. Other imaging modalities such as CT scans also diagnose rib fractures and are more sensitive to identify them. CT scans are useful to determine if underlying lung injury is present, known as a contusion, or to identify if air has escaped the lung as a pneumothorax. […] The most common symptom of rib fractures is pain. Pain is typically elicited with breathing or coughing. If the fractures are complex, the patient may suffer from additional damage to underlying structures. The sharp fractured end of the rib can puncture the lung, causing air leakage, a condition called a pneumothorax, which is potentially life threatening. In addition to pain, shortness of breath and decreased oxygen content in the blood can result from these injuries. A flail chest is invariably accompanied by pulmonary contusion, a bruise of the lung tissue that can result in a clinical entity called acute lung injury. In its most severe form, acute lung injury can lead to a life threatening entity called adult respiratory distress syndrome (ARDS). Respiratory failure is usually caused by the underlying pulmonary contusion but not by the anatomic flail chest itself. In addition, the flail segment moves in the opposite direction as the rest of the chest wall because of the ambient pressure in comparison to the pressure inside the lungs. This so-called „paradoxical motion” can increase the work and pain involved with breathing.

• #67 Rib Fracture and Pneumothorax Complication | SportsMD

  https://www.sportsmd.com/sports-injuries/chest-rib-injuries/rib-fracture-pneumothorax-complication/

  If a pneumothorax is suspected, emergency medical services should be immediately called. The athlete should be kept calm and quiet with a focus on slow and controlled breathing. […] A rib fracture or broken rib can be very painful because your ribs may move when you breathe, cough, and shift your upper body. Strong pain in your chest area will happen when you breathe or when you do any simple movements. The area of the fracture will be very tender and you may feel the need to lean to the injured side or hold it with your arm and hand. […] Unlike other fractures in which the bone is immobilized to reduce pain and enhance the healing process, the ribs cannot be effectively immobilized because they need to expand in order for the individual to breathe. The treatment for rib fractures typically focuses on managing pain and ensuring proper healing.

• #68

  https://www.aast.org/resources-detail/rib-fractures

  Rib fractures are typically diagnosed on chest x-ray and the severity of the fracture is easily seen. Simple (non-displaced) fractures appear as cracks in the rib or a jagged edge. Displaced fractures appear to lack contour along the edge of the rib on x-ray. Floating segments of ribs, known as a flail chest, can also be easily seen on x-ray. Other imaging modalities such as CT scans also diagnose rib fractures and are more sensitive to identify them. CT scans are useful to determine if underlying lung injury is present, known as a contusion, or to identify if air has escaped the lung as a pneumothorax. […] The most common symptom of rib fractures is pain. Pain is typically elicited with breathing or coughing. If the fractures are complex, the patient may suffer from additional damage to underlying structures. The sharp fractured end of the rib can puncture the lung, causing air leakage, a condition called a pneumothorax, which is potentially life threatening. In addition to pain, shortness of breath and decreased oxygen content in the blood can result from these injuries. A flail chest is invariably accompanied by pulmonary contusion, a bruise of the lung tissue that can result in a clinical entity called acute lung injury. In its most severe form, acute lung injury can lead to a life threatening entity called adult respiratory distress syndrome (ARDS). Respiratory failure is usually caused by the underlying pulmonary contusion but not by the anatomic flail chest itself. In addition, the flail segment moves in the opposite direction as the rest of the chest wall because of the ambient pressure in comparison to the pressure inside the lungs. This so-called „paradoxical motion” can increase the work and pain involved with breathing.

• #69 Rib Fracture – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK541020/

  Depending on the severity of the trauma sustained and degree of pain, rib fractures may be managed either outpatient or inpatient. Isolated rib fractures tend to heal well and do not need any further interventions beyond pain control, rest, and ice. Multiple rib fractures, displaced rib fractures, or those with underlying concomitant injuries may require inpatient monitoring for respiratory failure or surgical correction. […] The most severe complications related to rib fractures are the flail chest and damage to the underlying structures. Solid organ injuries associated with rib fractures include liver injuries and splenic injuries. Typically, the higher the rib fracture is within the thoracic cage, the more likely it is to cause a liver or splenic injury. […] Given that rib fractures in the elderly are associated with higher mortality and morbidity, particular attention and resources need to be directed towards fall prevention to reduce the incidence of rib fractures. Studies show that an interdisciplinary team can significantly reduce the risk of falls in the elderly and therefore, clinicians and hospital staff should receive training on how to provide the necessary tools and resources needed to prevent falls.

• #70 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  Most rib fractures can be treated with rest, icing and over-the-counter (OTC) NSAIDs like aspirin or ibuprofen. Your provider will tell you how often to ice your injury, but in general, you can ice your ribs for 20 minutes at a time a few times a day. […] Youll probably need to do some breathing exercises or cough on purpose every few hours while youre recovering. This helps prevent pneumonia and keeps your lungs and chest moving like they usually do. Pressing a pillow to your injured ribs can help cushion any pain during your breathing exercises. […] Its rare to need surgery for a fractured rib. Youll only need surgery if you have serious internal injuries, or if your bones havent healed back together properly (a complication called nonunion or malunion). […] Rib fracture surgery complications include: Malunion: This happens when your broken bones dont line up correctly while they heal. Nonunion: Your bones may not grow back together fully or at all. Bone infection (osteomyelitis): If you have an open fracture (the bone breaks through your skin) you have an increased risk of bacterial infection.

• #71 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  Most rib fractures can be treated with rest, icing and over-the-counter (OTC) NSAIDs like aspirin or ibuprofen. Your provider will tell you how often to ice your injury, but in general, you can ice your ribs for 20 minutes at a time a few times a day. […] Youll probably need to do some breathing exercises or cough on purpose every few hours while youre recovering. This helps prevent pneumonia and keeps your lungs and chest moving like they usually do. Pressing a pillow to your injured ribs can help cushion any pain during your breathing exercises. […] Its rare to need surgery for a fractured rib. Youll only need surgery if you have serious internal injuries, or if your bones havent healed back together properly (a complication called nonunion or malunion). […] Rib fracture surgery complications include: Malunion: This happens when your broken bones dont line up correctly while they heal. Nonunion: Your bones may not grow back together fully or at all. Bone infection (osteomyelitis): If you have an open fracture (the bone breaks through your skin) you have an increased risk of bacterial infection.

• #72 Rib Fracture (Broken Rib): Symptoms, Healing Tips & Treatment

  https://my.clevelandclinic.org/health/diseases/17434-rib-fracture-broken-rib

  Most rib fractures can be treated with rest, icing and over-the-counter (OTC) NSAIDs like aspirin or ibuprofen. Your provider will tell you how often to ice your injury, but in general, you can ice your ribs for 20 minutes at a time a few times a day. […] Youll probably need to do some breathing exercises or cough on purpose every few hours while youre recovering. This helps prevent pneumonia and keeps your lungs and chest moving like they usually do. Pressing a pillow to your injured ribs can help cushion any pain during your breathing exercises. […] Its rare to need surgery for a fractured rib. Youll only need surgery if you have serious internal injuries, or if your bones havent healed back together properly (a complication called nonunion or malunion). […] Rib fracture surgery complications include: Malunion: This happens when your broken bones dont line up correctly while they heal. Nonunion: Your bones may not grow back together fully or at all. Bone infection (osteomyelitis): If you have an open fracture (the bone breaks through your skin) you have an increased risk of bacterial infection.

• #73 Initial evaluation and management of rib fractures – UpToDate

  https://www.uptodate.com/contents/initial-evaluation-and-management-of-rib-fractures

  Good outcomes have been described from emergency physician-performed serratus anterior plane blocks, erector spinae plane blocks, and rhomboid intercostal sub-serratus blocks. […] Instruct patients to use an incentive spirometer intermittently throughout the day after analgesics have taken effect. […] Lung volume expansion treatments (ie, incentive spirometry, deep breathing, and coughing) reduce secretions and prevent atelectasis and other complications. […] The rate of significant complications associated with rib fractures increases with the number and severity (eg, displacement) of fractures, patient age or frailty, and compromised respiratory function, either acute or chronic due to underlying disease. […] Pneumonia is one of the most common complications of rib fractures, typically due to splinting and atelectasis.

• #74 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #75 Care options for patients with rib fracture – Mayo Clinic

  https://www.mayoclinic.org/medical-professionals/trauma/news/care-options-for-patients-with-rib-fracture/mac-20578996

  Rib fractures are commonly seen in trauma care, either as standalone injuries or as part of polytrauma, says Brian D. Kim, M.D., a trauma surgeon at Mayo Clinic in Minnesota. […] For patients who experience rib fractures, factors that may adversely affect their healing include: Tobacco or nicotine use. Immunosuppression, due to chemotherapeutics or long-term steroid use. Poor glycemic control. […] Dr. Kim suggests four key steps to evaluate a patient presenting at a trauma center with a suspected traumatic rib fracture: Obtain the history of what occurred, causing the injury. Conduct a physical exam. Screen the patient with a chest X-ray. If the patient is stable and has no other indications for transfer to a higher level of care, consider a chest CT. With the results of imaging, determine whether the patient is a candidate to remain at your facility or requires transfer to a higher level of care.

• #76 Care options for patients with rib fracture – Mayo Clinic

  https://www.mayoclinic.org/medical-professionals/trauma/news/care-options-for-patients-with-rib-fracture/mac-20578996

  Rib fractures are commonly seen in trauma care, either as standalone injuries or as part of polytrauma, says Brian D. Kim, M.D., a trauma surgeon at Mayo Clinic in Minnesota. […] For patients who experience rib fractures, factors that may adversely affect their healing include: Tobacco or nicotine use. Immunosuppression, due to chemotherapeutics or long-term steroid use. Poor glycemic control. […] Dr. Kim suggests four key steps to evaluate a patient presenting at a trauma center with a suspected traumatic rib fracture: Obtain the history of what occurred, causing the injury. Conduct a physical exam. Screen the patient with a chest X-ray. If the patient is stable and has no other indications for transfer to a higher level of care, consider a chest CT. With the results of imaging, determine whether the patient is a candidate to remain at your facility or requires transfer to a higher level of care.

• #77 Care options for patients with rib fracture – Mayo Clinic

  https://www.mayoclinic.org/medical-professionals/trauma/news/care-options-for-patients-with-rib-fracture/mac-20578996

  Rib fractures are commonly seen in trauma care, either as standalone injuries or as part of polytrauma, says Brian D. Kim, M.D., a trauma surgeon at Mayo Clinic in Minnesota. […] For patients who experience rib fractures, factors that may adversely affect their healing include: Tobacco or nicotine use. Immunosuppression, due to chemotherapeutics or long-term steroid use. Poor glycemic control. […] Dr. Kim suggests four key steps to evaluate a patient presenting at a trauma center with a suspected traumatic rib fracture: Obtain the history of what occurred, causing the injury. Conduct a physical exam. Screen the patient with a chest X-ray. If the patient is stable and has no other indications for transfer to a higher level of care, consider a chest CT. With the results of imaging, determine whether the patient is a candidate to remain at your facility or requires transfer to a higher level of care.

• #78 Rib Fracture: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/825981-overview

  While first-rib fractures have a high association with spinal fractures and are associated with multisystem injuries, the occurrence of first-rib fractures is not always associated with increased morbidity and mortality. […] Mortality rates as high as 36% have been reported with fractures of the first rib, which are associated with injury to the lung, ascending aorta, subclavian artery, and brachial plexus. […] Rib fractures are the most common injury in elderly blunt chest trauma patients, and each additional rib fracture increases the odds of dying by 19% and of developing pneumonia by 27%.

• #79 How Do Rib Fractures Happen and How Can They be Treated? | Call Now!

  https://www.fosterwallace.com/faqs/how-do-rib-fractures-happen-and-how-can-they-be-treated/

  A fractured rib will usually take about six weeks to heal. Rib fractures in young, healthy people usually heal completely with no long-term problems. However, older adults and those who suffered more severe chest trauma have a greater risk to encounter additional complications and are more likely to experience a longer recovery period.

• #80 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  Most people with rib fractures are sent home with advice on taking care of themselves. […] In most cases, a fractured rib will heal on its own in about six weeks. […] Pain management is important, especially in the first few days after an injury. […] Surgery for rib fractures may be recommended only for the most complex cases, including when the injury has made breathing so difficult that a respirator is necessary. […] Yale Medicine thoracic surgeons are skilled in rib-stabilization surgery, which uses plates and screws to stabilize the ribs so that the patient can breathe properly while healing. […] Yale New Haven Hospitals Level 1 Trauma Center has trauma surgeons available 24-7 to provide immediate care for patients with rib fractures.

• #81 Bruised rib care Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/bruised-rib-care

  Bruised ribs recover in the same manner as fractured ribs, but a bruise takes less time to recover than a rib fracture. […] Healing takes about 4 to 6 weeks. […] You will not have a belt or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may lead to lung infection (pneumonia). […] Here are some ways to help relieve pain and discomfort as you heal. […] Icing helps reduce swelling by decreasing the blood flow in the area. It also numbs the area and helps relieve pain. […] If your pain is severe, you may need prescription pain medicines (narcotics) to keep your pain under control while your bruise heals. […] Being in pain when you breathe can cause you to take shallow breaths. If you take shallow breaths for too long, it can put you at risk for pneumonia. […] You should contact your provider right away if you have: Pain that does not allow deep breathing or coughing despite using pain relievers.

• #82 Rib Fracture (Aftercare Instructions)

  https://www.drugs.com/cg/rib-fracture-aftercare-instructions.html

  A rib fracture is a crack or break in a rib bone. Rib fractures usually heal within 6 weeks. You should be able to return to your usual activities before that time. […] Take deep breaths and cough 10 times each hour. This will decrease your risk for a lung infection. Hug a pillow on your injured side to decrease pain while you take deep breaths. […] Apply ice on your chest near your fractured rib for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain. […] Follow up with your doctor as directed.

• #83 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #84 Rib fracture fact sheet | Emergency Care Institute

  https://aci.health.nsw.gov.au/networks/eci/clinical/ed-factsheets/rib-fracture

  Rib fractures are one of the most common injuries to the chest. Ribs will usually fracture at the point of impact or towards the back, where they are weakest. Typically, this causes pain on deep breathing and coughing, and tenderness over one or more ribs. […] The most important thing is to get any pain under control. Breathing exercises will not be effective unless your pain is controlled. […] Strenuous activities should be avoided for the first 3-4 weeks, after which physical activity may be recommenced as pain allows. […] Try holding a cushion firmly against the painful site when you huff and cough to decrease the pain. […] Older people, smokers, those with lung disease and people with multiple rib fractures are more at risk of developing complications such as pneumonia.

• #85 Broken Rib | CommonSpirit Health

  https://www.commonspirit.org/conditions-treatments/broken-rib

  A broken rib usually takes at least 6 weeks to heal. […] Most broken ribs are treated at home and will heal on their own over time. Home treatment will help you manage the pain while you heal. Pain relief can help you feel better and let you take deeper breaths. […] While you are healing, it is important to cough or take the deepest breath you can at least once an hour. This may help prevent pneumonia or a partial collapse of the lung tissue. […] If you have broken your ribs and you have not injured your neck or back, it is a good idea to lie on your injured side. This may seem odd at first, but it will let you take deeper breaths. […] Even if it hurts, try to cough or take the deepest breath you can at least once every hour. This will get air deeply into your lungs. This may reduce your chance of getting pneumonia or a partial collapse of a lung. Hold a pillow against your chest to make this less painful. […] Put ice or a cold pack on the area for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin.

• #86 Broken Rib | CommonSpirit Health

  https://www.commonspirit.org/conditions-treatments/broken-rib

  A broken rib usually takes at least 6 weeks to heal. […] Most broken ribs are treated at home and will heal on their own over time. Home treatment will help you manage the pain while you heal. Pain relief can help you feel better and let you take deeper breaths. […] While you are healing, it is important to cough or take the deepest breath you can at least once an hour. This may help prevent pneumonia or a partial collapse of the lung tissue. […] If you have broken your ribs and you have not injured your neck or back, it is a good idea to lie on your injured side. This may seem odd at first, but it will let you take deeper breaths. […] Even if it hurts, try to cough or take the deepest breath you can at least once every hour. This will get air deeply into your lungs. This may reduce your chance of getting pneumonia or a partial collapse of a lung. Hold a pillow against your chest to make this less painful. […] Put ice or a cold pack on the area for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin.

• #87 Care After Rib Fracture

  https://www.healthyjeenasikho.com/post/care-after-rib-fracture?srsltid=AfmBOoo_qHNYWAHDO8XrbMCbORzesHxGQOuL5ti7m7psIVCXAk8YNv02

  Most people with rib fractures are sent home with a doctor’s advice on taking care of themselves. In most cases, a fractured rib will heal on its own in about six weeks. Pain management is important, especially in the first few days after an injury. […] It is important to stay active. Do not rest in bed all day. […] Following is a list of activities to avoid: […] Sleeping on your back may be painful due to the force exerted on the rib cage by the pressure originating from the spine. […] Ideally, this is the best sleep position for patients with broken ribs. This sleeping position can help your broken ribs heal more quickly than lying down on the bed. […] But inhaling shallow breathes over time can increase your risk of developing pneumonia and other respiratory illnesses. For these reasons, after a broken rib – before you’ll be sent home you will be advised to do some breathing exercises to do as you recover.

• #88 Self-Care Instructions – Rib fracture – aftercare

  https://ssl.adam.com/content.aspx?productid=117&pid=60&gid=000539&site=makatimed.adam.com&login=MAKA1603

  A rib fracture is a crack or break in one or more of your rib bones. […] A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body. […] Healing takes at least 6 weeks. […] Most people with broken ribs do not need surgery. […] You will not have a binder or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may compromise respiratory function, or lead to a lung infection (pneumonia). […] Your provider may prescribe the use of an incentive spirometer, a device to help you keep expanding your lungs regularly while your fractures heal. […] To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. […] While you heal, avoid movements that put painful pressure on your ribs. […] Most individuals with isolated rib fractures will recover without serious side effects. […] People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.

• #89 Broken rib: Symptoms, diagnosis, treatment, and recovery

  https://www.medicalnewstoday.com/articles/326109

  Doctors previously thought that the pain and other symptoms of broken ribs lasted no more than 68 weeks, but research suggests that many people experience pain for longer than this. […] People with simple rib fractures can usually recover at home. In more serious cases, the person may need to stay in the hospital. […] No one with a broken rib should attempt to take part in contact sports for at least 6 weeks, or for as long as their doctor recommends. […] More severe cases, however, can lead to serious health conditions. These will usually need hospital treatment and may require an operation.

• #90 Initial evaluation and management of rib fractures – UpToDate

  https://www.uptodate.com/contents/initial-evaluation-and-management-of-rib-fractures

  Rib stress fractures are treated similarly to other low-risk stress fractures. Treatment begins with restriction of the inciting activity for four to six weeks followed by a gradual return to the activity as tolerated. […] We typically hospitalize patients with three or more rib fractures and use a more conservative threshold for admission in older or frail adults and those at increased risk for pulmonary complications. […] A follow-up evaluation six to eight weeks after the injury is reasonable, especially if the patient has persistent pain or any questions regarding ability to return to sports or work. […] Decisions regarding return to work or sport depend upon the activity involved and the patient’s pain level.

• #91 Broken Rib: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-rib-care-instructions.uf8278

  A broken rib is a crack or break in one of the bones of the rib cage. Breathing can be very painful because the muscles used for breathing pull on the rib. […] In most cases, a broken rib will heal on its own. You can take pain medicine while the rib mends. Pain relief allows you to take deep breaths. […] Taking deep breaths may help prevent pneumonia or a partial collapse of a lung. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Even if it hurts, try to cough or take the deepest breath you can at least once every hour. This will get air deeply into your lungs. This may reduce your chance of getting pneumonia or a partial collapse of a lung. […] Call your doctor now or seek immediate medical care if: You have some trouble breathing. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have pain even after taking your medicine.

• #92 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  A painful crack or actual break in a rib. […] Symptoms include severe pain that gets worse when you take a deep breath. […] Treatment includes about six weeks of pain management and self-care at home. […] Pain from a fractured rib can even impede your breathing, leading to a chest infection. […] A rib fracture can be associated with other injuries to internal organs and blood vessels. […] Any rib injury should be evaluated by a physician. […] You will want advice for pain management, as well as to be assessed to see if there has been any other damage. […] If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called flail chest. […] It is important to see a doctor immediately, seeking emergency care if your rib fracture is accompanied by increasing shortness of breath, trouble breathing deeply or coughing, fever, unusual cough, or a cough that produces mucus or blood, feeling dizzy or weak, or abdominal pain.

• #93 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  A painful crack or actual break in a rib. […] Symptoms include severe pain that gets worse when you take a deep breath. […] Treatment includes about six weeks of pain management and self-care at home. […] Pain from a fractured rib can even impede your breathing, leading to a chest infection. […] A rib fracture can be associated with other injuries to internal organs and blood vessels. […] Any rib injury should be evaluated by a physician. […] You will want advice for pain management, as well as to be assessed to see if there has been any other damage. […] If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called flail chest. […] It is important to see a doctor immediately, seeking emergency care if your rib fracture is accompanied by increasing shortness of breath, trouble breathing deeply or coughing, fever, unusual cough, or a cough that produces mucus or blood, feeling dizzy or weak, or abdominal pain.

• #94 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  A painful crack or actual break in a rib. […] Symptoms include severe pain that gets worse when you take a deep breath. […] Treatment includes about six weeks of pain management and self-care at home. […] Pain from a fractured rib can even impede your breathing, leading to a chest infection. […] A rib fracture can be associated with other injuries to internal organs and blood vessels. […] Any rib injury should be evaluated by a physician. […] You will want advice for pain management, as well as to be assessed to see if there has been any other damage. […] If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called flail chest. […] It is important to see a doctor immediately, seeking emergency care if your rib fracture is accompanied by increasing shortness of breath, trouble breathing deeply or coughing, fever, unusual cough, or a cough that produces mucus or blood, feeling dizzy or weak, or abdominal pain.

• #95 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  A painful crack or actual break in a rib. […] Symptoms include severe pain that gets worse when you take a deep breath. […] Treatment includes about six weeks of pain management and self-care at home. […] Pain from a fractured rib can even impede your breathing, leading to a chest infection. […] A rib fracture can be associated with other injuries to internal organs and blood vessels. […] Any rib injury should be evaluated by a physician. […] You will want advice for pain management, as well as to be assessed to see if there has been any other damage. […] If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called flail chest. […] It is important to see a doctor immediately, seeking emergency care if your rib fracture is accompanied by increasing shortness of breath, trouble breathing deeply or coughing, fever, unusual cough, or a cough that produces mucus or blood, feeling dizzy or weak, or abdominal pain.

• #96 Bruised rib care Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/bruised-rib-care

  Bruised ribs recover in the same manner as fractured ribs, but a bruise takes less time to recover than a rib fracture. […] Healing takes about 4 to 6 weeks. […] You will not have a belt or a bandage around your chest because these would keep your ribs from moving when you breathe or cough. This may lead to lung infection (pneumonia). […] Here are some ways to help relieve pain and discomfort as you heal. […] Icing helps reduce swelling by decreasing the blood flow in the area. It also numbs the area and helps relieve pain. […] If your pain is severe, you may need prescription pain medicines (narcotics) to keep your pain under control while your bruise heals. […] Being in pain when you breathe can cause you to take shallow breaths. If you take shallow breaths for too long, it can put you at risk for pneumonia. […] You should contact your provider right away if you have: Pain that does not allow deep breathing or coughing despite using pain relievers.

• #97 Broken Rib: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-rib-care-instructions.uf8278

  A broken rib is a crack or break in one of the bones of the rib cage. Breathing can be very painful because the muscles used for breathing pull on the rib. […] In most cases, a broken rib will heal on its own. You can take pain medicine while the rib mends. Pain relief allows you to take deep breaths. […] Taking deep breaths may help prevent pneumonia or a partial collapse of a lung. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Even if it hurts, try to cough or take the deepest breath you can at least once every hour. This will get air deeply into your lungs. This may reduce your chance of getting pneumonia or a partial collapse of a lung. […] Call your doctor now or seek immediate medical care if: You have some trouble breathing. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have pain even after taking your medicine.

• #98 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  A painful crack or actual break in a rib. […] Symptoms include severe pain that gets worse when you take a deep breath. […] Treatment includes about six weeks of pain management and self-care at home. […] Pain from a fractured rib can even impede your breathing, leading to a chest infection. […] A rib fracture can be associated with other injuries to internal organs and blood vessels. […] Any rib injury should be evaluated by a physician. […] You will want advice for pain management, as well as to be assessed to see if there has been any other damage. […] If you have broken or cracked three or more adjacent ribs in two places, you may experience a condition called flail chest. […] It is important to see a doctor immediately, seeking emergency care if your rib fracture is accompanied by increasing shortness of breath, trouble breathing deeply or coughing, fever, unusual cough, or a cough that produces mucus or blood, feeling dizzy or weak, or abdominal pain.

• #99

  https://www.aast.org/resources-detail/rib-fractures

  The chest cavity contains vital organs and is protected by a bony rib cage. The ribs are connected to each other by several layers of muscles which assist with breathing. They are also attached to the spine for added stability. A rib fracture, simply put, is a break in the rib. Rib fractures that are single and non-displaced are classified as hairline fractures or simple fractures. Ribs usually fracture at the point of impact or in the back where structurally they are weakest. More complex fractures can cause the edges of the bone to become misaligned or displaced. A serious condition involved with rib fractures is called flail chest. It occurs when multiple adjacent ribs are broken in multiple places, separating a segment which is free-floating and moves independently. The most common ribs fractured are the 7th through 10th ribs. Fractures of the first and second ribs are rare but may be associated with serious damage to the brachial plexus of nerves, the subclavian vessels or associated with head, facial or thoracic aorta injuries. A lower rib fracture is more likely associated with injuries to the diaphragm, liver or spleen.

• #100

  https://www.aast.org/resources-detail/rib-fractures

  Rib fractures are typically diagnosed on chest x-ray and the severity of the fracture is easily seen. Simple (non-displaced) fractures appear as cracks in the rib or a jagged edge. Displaced fractures appear to lack contour along the edge of the rib on x-ray. Floating segments of ribs, known as a flail chest, can also be easily seen on x-ray. Other imaging modalities such as CT scans also diagnose rib fractures and are more sensitive to identify them. CT scans are useful to determine if underlying lung injury is present, known as a contusion, or to identify if air has escaped the lung as a pneumothorax. […] The most common symptom of rib fractures is pain. Pain is typically elicited with breathing or coughing. If the fractures are complex, the patient may suffer from additional damage to underlying structures. The sharp fractured end of the rib can puncture the lung, causing air leakage, a condition called a pneumothorax, which is potentially life threatening. In addition to pain, shortness of breath and decreased oxygen content in the blood can result from these injuries. A flail chest is invariably accompanied by pulmonary contusion, a bruise of the lung tissue that can result in a clinical entity called acute lung injury. In its most severe form, acute lung injury can lead to a life threatening entity called adult respiratory distress syndrome (ARDS). Respiratory failure is usually caused by the underlying pulmonary contusion but not by the anatomic flail chest itself. In addition, the flail segment moves in the opposite direction as the rest of the chest wall because of the ambient pressure in comparison to the pressure inside the lungs. This so-called „paradoxical motion” can increase the work and pain involved with breathing.

• #101

  https://www.aast.org/resources-detail/rib-fractures

  There is no specific treatment for rib fractures, but various supportive measures can be taken. Simple rib fractures can be managed with pain management alone. Patients are encouraged to use an incentive spirometer, a medical device used to help improve the function of lungs, and control pain with medication as per their physician. If the pain is not relieved with medication alone other methods of pain relieve may be considered, eg. nerve blockage. When patients sustain multiple rib fractures, oxygen support in addition to pain medication is sometimes required. A pneumothorax usually necessitates a procedure to drain the air out of the chest with a chest tube. A flail chest can significantly affect the mechanics of breathing and may require ventilatory support to improve blood oxygen concentration and possibly repair of the fractures with metal plates.

• #102 Broken rib: Symptoms, diagnosis, treatment, and recovery

  https://www.medicalnewstoday.com/articles/326109

  The severity of broken ribs can vary. Although painful, a hairline fracture in one of these bones may heal without treatment. However, blunt trauma or another injury can cause serious rib fractures. […] A serious rib fracture can damage the nearby internal organs, nerves, or blood vessels. […] When someone breaks three or more ribs in two or more places, it can lead to a serious condition called flail chest. People with flail chest will find it hard to breathe and need immediate medical attention. […] Simple fractures will usually heal by themselves. Doctors may recommend resting to facilitate this. […] If a person has more than one fractured rib, severe damage, or flail chest, they may need surgery. During the operation, a surgeon will use plates and screws to fasten the broken ribs together.

• #103

  https://www.aast.org/resources-detail/rib-fractures

  The chest cavity contains vital organs and is protected by a bony rib cage. The ribs are connected to each other by several layers of muscles which assist with breathing. They are also attached to the spine for added stability. A rib fracture, simply put, is a break in the rib. Rib fractures that are single and non-displaced are classified as hairline fractures or simple fractures. Ribs usually fracture at the point of impact or in the back where structurally they are weakest. More complex fractures can cause the edges of the bone to become misaligned or displaced. A serious condition involved with rib fractures is called flail chest. It occurs when multiple adjacent ribs are broken in multiple places, separating a segment which is free-floating and moves independently. The most common ribs fractured are the 7th through 10th ribs. Fractures of the first and second ribs are rare but may be associated with serious damage to the brachial plexus of nerves, the subclavian vessels or associated with head, facial or thoracic aorta injuries. A lower rib fracture is more likely associated with injuries to the diaphragm, liver or spleen.

• #104 Rib Fracture: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/825981-overview

  While first-rib fractures have a high association with spinal fractures and are associated with multisystem injuries, the occurrence of first-rib fractures is not always associated with increased morbidity and mortality. […] Mortality rates as high as 36% have been reported with fractures of the first rib, which are associated with injury to the lung, ascending aorta, subclavian artery, and brachial plexus. […] Rib fractures are the most common injury in elderly blunt chest trauma patients, and each additional rib fracture increases the odds of dying by 19% and of developing pneumonia by 27%.

• #105 Rib Fracture: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/825981-overview

  A small percentage of rib fractures do not heal even though a fibrous capsule may envelope the fracture. A nonunion may present months to years after injury and can cause discomfort with respiration because of movement of the fracture site. […] Rib fractures are not usually dangerous in and of themselves. Patients may develop pneumonia from splinting. Morbidity correlates with the degree of injury to underlying structures. […] First-rib fractures have often been described as having a high association with serious or lethal spinal or vascular injuries. […] The presence of a first-rib injury requires a multidisciplinary approach. CT of the spine and chest allows for an early diagnosis. Appropriate treatment and observation in the intensive care unit may prevent further morbidity and/or mortality.

• #106 Broken ribs | They are normally painful | We treat kid’s Broken Ribs

  https://medicalcitykidsortho.com/broken-ribs/

  Broken Ribs (also known as Rib fractures) usually happen when children are playing or taking part in sports. If a child slips and falls into something, such a fall has a high chance of resulting in broken ribs. […] When one of the bones in the human rib cage breaks or cracks, it is known as a broken rib. Many cracked ribs are actually shattered ribs. Cracked ribs are less harmful than ribs that have been fractured into distinct pieces, however, they are nonetheless unpleasant. […] It is critical to maintain adequate pain control so that your child may continue to breathe deeply and avoid lung issues such as pneumonia. […] Children with broken ribs may experience symptoms like severe pain at the site of the injury, pain that worsens with breathing, coughing, or movement, tenderness and swelling over the fractured area, and sometimes difficulty breathing.

• #107 Broken Rib in Children: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.broken-rib-in-children-care-instructions.bu1140

  A broken rib is a crack or break in one of the bones of the rib cage. Breathing can be very painful, because the muscles used for breathing pull on the rib. […] In most cases, a broken rib will heal on its own. Your child can take pain medicine while the rib mends. Pain relief allows your child to take deep breaths. […] Taking deep breaths at least once an hour may help prevent pneumonia or a partial collapse of a lung. […] Healthy habits can help your child heal. Give your child a variety of healthy foods. And don’t smoke around your child. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. […] Help your child cough or take the deepest breath possible at least once every hour, even if your child feels some pain. This will get air deeply into the lungs. This may reduce your child’s chance of getting pneumonia or a partial collapse of a lung. […] Call your doctor now or seek immediate medical care if: Your child has some trouble breathing. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child has pain even after taking pain medicine.

• #108 Rib Fracture (Broken Rib) > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/rib-fracture

  Most people with rib fractures are sent home with advice on taking care of themselves. […] In most cases, a fractured rib will heal on its own in about six weeks. […] Pain management is important, especially in the first few days after an injury. […] Surgery for rib fractures may be recommended only for the most complex cases, including when the injury has made breathing so difficult that a respirator is necessary. […] Yale Medicine thoracic surgeons are skilled in rib-stabilization surgery, which uses plates and screws to stabilize the ribs so that the patient can breathe properly while healing. […] Yale New Haven Hospitals Level 1 Trauma Center has trauma surgeons available 24-7 to provide immediate care for patients with rib fractures.

• #109 Acute and Chronic Rib Conditions | MUSC Health | Charleston SC

  https://muschealth.org/medical-services/critical-care/rib-fracture-care/acute-and-chronic-rib-conditions

  Ideally, the surgery is done within 72 hours of injury. For severely injured patients this may not be possible and then surgery is done as soon as possible. […] The location of the broken ribs is identified. An incision is then made to optimally access the location of the fractures and limit the amount of muscle that has to be opened (muscle sparing incisions). The chest is evaluated for other injuries and then the ribs are put back in their normal position. Titanium plates with screws are used to hold the broken ribs in position.

• #110

  https://www.healthonecares.com/healthy-living/blog/rib-fixation-promotes-healing-and-reduces-pain-for-fractured

  Rib fractures are a common injury, often caused by blunt trauma to the chest. […] Rib plating is a surgical technique used to stabilize fractured ribs and promote healing. […] This procedure can be particularly life-changing for certain patients and can lead to a decrease in opioid use during the recovery process. […] Immediately after the procedure, patients can breathe better and are relieved of the extreme pain associated with rib fractures. […] Rib plating can be particularly beneficial for patients who have suffered multiple rib fractures or who have underlying health conditions that make healing more difficult. […] Also called rib fixation or internal fixation, rib plating may also be recommended for patients who are experiencing severe pain or difficulty breathing as a result of their injuries.

• #111

  https://www.healthonecares.com/healthy-living/blog/rib-fixation-promotes-healing-and-reduces-pain-for-fractured

  The procedure is typically performed under general anesthesia, and patients may require a short hospital stay after surgery. […] Another significant benefit of rib plating is the potential for decreased opioid use during recovery. […] By reducing pain and promoting healing, rib plating can help patients avoid or minimize the need for opioids during recovery. […] With proper care and attention, patients who undergo rib fixation can look forward to a faster and more comfortable recovery, allowing them to return to their normal activities and enjoy a better quality of life.

• #112 Rib Fracture – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK541020/

  Depending on the severity of the trauma sustained and degree of pain, rib fractures may be managed either outpatient or inpatient. Isolated rib fractures tend to heal well and do not need any further interventions beyond pain control, rest, and ice. Multiple rib fractures, displaced rib fractures, or those with underlying concomitant injuries may require inpatient monitoring for respiratory failure or surgical correction. […] The most severe complications related to rib fractures are the flail chest and damage to the underlying structures. Solid organ injuries associated with rib fractures include liver injuries and splenic injuries. Typically, the higher the rib fracture is within the thoracic cage, the more likely it is to cause a liver or splenic injury. […] Given that rib fractures in the elderly are associated with higher mortality and morbidity, particular attention and resources need to be directed towards fall prevention to reduce the incidence of rib fractures. Studies show that an interdisciplinary team can significantly reduce the risk of falls in the elderly and therefore, clinicians and hospital staff should receive training on how to provide the necessary tools and resources needed to prevent falls.

• #113 Rib Fracture – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK541020/

  Depending on the severity of the trauma sustained and degree of pain, rib fractures may be managed either outpatient or inpatient. Isolated rib fractures tend to heal well and do not need any further interventions beyond pain control, rest, and ice. Multiple rib fractures, displaced rib fractures, or those with underlying concomitant injuries may require inpatient monitoring for respiratory failure or surgical correction. […] The most severe complications related to rib fractures are the flail chest and damage to the underlying structures. Solid organ injuries associated with rib fractures include liver injuries and splenic injuries. Typically, the higher the rib fracture is within the thoracic cage, the more likely it is to cause a liver or splenic injury. […] Given that rib fractures in the elderly are associated with higher mortality and morbidity, particular attention and resources need to be directed towards fall prevention to reduce the incidence of rib fractures. Studies show that an interdisciplinary team can significantly reduce the risk of falls in the elderly and therefore, clinicians and hospital staff should receive training on how to provide the necessary tools and resources needed to prevent falls.

• #114 Rib Fracture: Symptoms, Diagnosis, and Treatments for a Broken Rib

  https://resources.healthgrades.com/right-care/bones-joints-and-muscles/rib-fracture

  Rib fractures may occur due to an injury or a severe cough. This can cause acute pain when you breathe or move. Following a treatment plan, which can include icing the injury site, taking medication, and more, can encourage healing and prevent complications. […] Treatment for a rib fracture depends on the severity of the break and any complications. Simple fractures without complications require rest, ice, and pain management. Taking deep breaths throughout the day decreases your chance of complications such as pneumonia. […] If you experience bone weakness, take extra care not to fall. If you have a tendency to lose your balance, talk with your doctor about possibly using a cane or walker to decrease your chance of falling. […] Anytime you have significant chest pain, including after an injury to the chest, contact a doctor. Fractured ribs can have complications that require medical treatment, including a collapsed lung, injury to vital organs, pneumonia, and other lung infections.

• #115 How to Treat Broken Ribs: 8 Steps (with Pictures) – wikiHow

  https://www.wikihow.com/Treat-Broken-Ribs

  Broken ribs are particularly problematic in the night during sleep, especially if you sleep on your stomach, sides or roll around frequently. […] Eating a balanced diet rich in minerals and vitamins is a great strategy. […] Avoid consuming things that may hinder bone healing, such as alcohol, soda pop, fast food and refined sugars. Smoking also slows the healing time of broken bones and other musculoskeletal injuries.

• #116 How to Treat Broken Ribs: 8 Steps (with Pictures) – wikiHow

  https://www.wikihow.com/Treat-Broken-Ribs

  Broken ribs are particularly problematic in the night during sleep, especially if you sleep on your stomach, sides or roll around frequently. […] Eating a balanced diet rich in minerals and vitamins is a great strategy. […] Avoid consuming things that may hinder bone healing, such as alcohol, soda pop, fast food and refined sugars. Smoking also slows the healing time of broken bones and other musculoskeletal injuries.

• #117 Acute and Chronic Rib Conditions | MUSC Health | Charleston SC

  https://muschealth.org/medical-services/critical-care/rib-fracture-care/acute-and-chronic-rib-conditions

  At MUSC Health we have the team to help obtain a full recovery after rib fractures. […] Non-Healing or Non-Union rib fractures can cause significant pain and disability. Patients with rib fractures that did not heal properly can have deformity, popping or clicking with breathing or movement, or significant pain in a certain part of their chest wall. […] The primary therapy for this condition is surgically stabilizing the ribs and removing their ability to push on the nerve of the rib above. […] Recovery from injury requires good nutrition and blood flow to the injured areas. […] Multimodal pain medication management and surgery if needed can greatly improve patients recovery. […] The decision for surgery is determined by a careful conversation between the patient and surgeon. Anyone with significant pain after rib fractures should be considered for surgical intervention.

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