
Managing Pain
- Avoid straining yourself or lifting heavy objects until your rib has healed. Doing too much activity when you’re...
- Keep your torso elevated and avoid twisting your body or reaching for things. Moving your torso and arms can be...
- Apply a cold pack to your ribs for 20 minutes at a time. Wrap a bag of ice in a thin towel and hold it onto your ribs...
- Applying an ice pack or cold pack, followed by heat therapy. ...
- Resting and limiting all physical activity for a few days to allow time for the muscle strain to recover.
- Taking pain medications to reduce swelling and pain. ...
- Splinting the area if breathing is painful by holding a pillow against the injured muscle.
What are the best tips for rib muscle pain relief?
Gently massaging the injured rib muscle may provide some pain relief. A warm bath containing Epsom salts -- 1 to 2 cups added to a bathtub full of water -- may also reduce rib muscle pain.
How to prevent rib cage pain?
You can prevent rib cage pain due to muscle strains or sprains by stretching your muscles, using exercise equipment properly, and staying hydrated. If an illness is causing your rib cage pain, get plenty of rest and follow your doctor’s treatment plan.
How do you get rid of a bruised rib fast?
Other Treatments. Gently massaging the injured rib muscle may provide some pain relief. A warm bath containing Epsom salts -- 1 to 2 cups added to a bathtub full of water -- may also reduce rib muscle pain.
How do you treat an inflamed ribcage?
Every time you breathe, the rib muscles move, further irritating these muscles. Treatments generally include rest, local cold or heat and medications. Massage, epsom salt baths, injections and physical therapy may be tried as well. Any movement of the chest can stretch the rib muscles, increasing inflammation and pain.

What causes tight rib muscles?
Intercostal muscle strains don't usually occur during normal activity. Instead, they are caused by weakened muscles, overexertion, direct trauma such as a fall or car accident, or a blow such as a touch sport like hockey, or repetitive torso twists.
How long does it take for rib muscle pain to go away?
The average intercostal muscle strain takes about four to five weeks to heal, but the healing process may be shorter or longer depending on the severity of the strain.
What does a strained rib muscle feel like?
The symptoms of intercostal muscle strain may vary slightly, depending on how the injury occurred, and may include: Sudden, severe upper back/rib pain. Upper back pain or pain in the rib cage may be significant and come on suddenly, especially if the injury was caused by sudden impact or a blow to the chest or back.
How should I sleep with sore ribs?
Try to sleep in a comfortable semi-upright position for the first few nights. You can do this by placing a few pillows under your neck and upper back. This position will help you breathe more comfortably. Begin to sleep on your unaffected side after the first few days of injury.
When should I be concerned about rib pain?
Pain may be sharp, dull, or achy and occur after injury or develop over time. If your rib pain is severe, unexplained, and accompanied by other symptoms, seek medical treatment immediately: Sudden shortness of breath. Heart palpitations.
What is the fastest way to heal sore ribs?
Resting and restricting your activities are the main treatment options for bruised ribs. Ice may help relieve some of your pain and swelling. Since bruised ribs cause pain when you inhale — causing you to take more shallow breaths — your doctor may prescribe medication to help manage your pain.
How long does it take for intercostal muscles to heal?
Most cases of intercostal muscle strain can heal using only initial treatments, such as those listed above, within a few days to 8 weeks. Some severe strains may cause upper back pain to last longer; the healing period is largely reliant on the severity of the strain and the effectiveness of treatment.
Can you get muscle knots in your ribs?
Myofascial trigger points You can usually feel the knot by pressing on the painful area, unless it is located underneath the rib or in a chest muscle that is radiating pain to the ribs. Examples of things that can cause trigger points: Overworking the chest muscles, such as weight lifting or rock climbing.
How long does an intercostal muscle strain take to heal?
Most cases of intercostal muscle strain can heal using only initial treatments, such as those listed above, within a few days to 8 weeks. Some severe strains may cause upper back pain to last longer; the healing period is largely reliant on the severity of the strain and the effectiveness of treatment.
How do you tell if you have a cracked rib or pulled muscle?
Check if you have a bruised or broken rib Symptoms include: strong pain in your chest area, particularly when you breathe in. swelling or tenderness around the affected ribs. sometimes bruising on the skin.
Can you pull a muscle under your ribs?
Your intercostal muscles are the muscles between your ribs. They allow your ribcage to expand and contract so you can breathe. But if they stretch too far or tear, intercostal muscle strain is the end result. You can strain the intercostal muscles suddenly or by doing certain movements over and over.
What are the symptoms of torn rib cartilage?
Symptoms of rib injuriesPain at the injury site.Pain when the ribcage flexes – with movement, with a deep breath or when you cough, sneeze or laugh.Crunching or grinding sounds (crepitus) when the injury site is touched or moved.Muscle spasms of the ribcage.Deformed appearance of the ribcage.Breathing difficulties.
Tips
If your muscles feel tense, practicing breathing exercises or meditating may help you feel calm and loosen your muscles. [13]
Warnings
Talk with your doctor before adding a supplement or taking prescription medication. They can explain possible side effects and risks that are associated with the product.
About This Article
This article was co-authored by Jason Myerson, DPT, DMT, OCS, FAAOMPT and by wikiHow staff writer, Jessica Gibson. Jason Myerson is a Physical Therapist and a Certified Orthopedic Specialist. He is affiliated with Performance Physical Therapy & Wellness with clinics located in Connecticut.
The intercostal muscles and causes of strain
Your intercostal muscles are the muscles between your ribs. They allow your ribcage to expand and contract so you can breathe. But if they stretch too far or tear, intercostal muscle strain is the end result.
Intercostal muscle strain or pneumonia: how to tell the difference
Because intercostal muscle strain and pneumonia both cause chest pain, it can be hard to know the difference. But there are some telltale signs:
How to find relief from intercostal muscle strain pain
While you await your appointment, Dr. Morgan recommends these steps to take the edge off:
Rest
Any movement of the chest can stretch the rib muscles, increasing inflammation and pain. Large movements of the arms will often stretch these muscles as well. Avoiding activities that cause pain and resting in a chair or bed are useful treatments, especially in the first couple days when inflammation is at its peak.
Cold or Heat
In the first couple days after a rib muscle strain, applying cold to the area helps reduce inflammation. This will decrease pain and swelling. Chilled reusable gel packs, a plastic bag filled with ice or a bag of frozen vegetables may be used. After the initial 2 days, heat is more appropriate.
Medications
Rib muscle strains can be very painful, especially during the first couple days. While rest reduces the majority of voluntary motion, pain associated with breathing cannot be curtailed. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin, Advil) or naproxen (Aleve), are often beneficial.
Other Treatments
Gently massaging the injured rib muscle may provide some pain relief. A warm bath containing Epsom salts -- 1 to 2 cups added to a bathtub full of water -- may also reduce rib muscle pain. However, Epsom salts contain magnesium, which may be absorbed into the body during the bath.
Warnings and Precautions
Wrapping the chest is not recommended, as it can interfere with breathing, which may lead to a chest infection such as pneumonia. As chest pain may be caused by a large number of conditions, including rib fractures, back problems and heart disease, see your doctor to be sure that you have a rib muscle strain.
Is This an Emergency?
If you are experiencing serious medical symptoms, please see the National Library of Medicine’s list of signs you need emergency medical attention or call 911. If you think you may have COVID-19, use the CDC’s Coronavirus Self-Checker .
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Rib pain symptoms
Rib pain has a variety of causes. Rib pain following traumatic injury may be due to rib fracture, clavicle (collarbone) or sternum (breast bone) fracture, or internal injuries to the chest. Rib pain without traumatic injury may be due to muscle strain, joint inflammation, or chronic pain.
What causes pain in or around the ribs?
Rib pain, or pain in the chest wall that feels like it comes from a rib, has a variety of causes. Rib pain following any sort of trauma to the chest wall is the most concerning, and is possibly due to a rib fracture, clavicle or sternal fracture, or internal injury to the lungs or other organs in the chest.
9 rib pain conditions
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When and how to treat rib pain
Some causes of rib pain such as muscular strain or joint inflammation can likely be treated at home.
FAQs about rib pain
It is difficult to discern the difference between a bruised or cracked or broken rib. Generally, a bruised rib and cracked rib follow a blow or pressure to the rib cage, may show bruising on the skin, may be accompanied by a sharp pain on inspiration or breathing in and may also be preceded by a cracking noise.
Questions your doctor may ask about rib pain
A month ago, while taking a bath I reached for something, slipped, and right rib hit the side of the tub and hurt like the dickens. I had difficulty sleeping on my right side. Some nights a heating pad helped as well as ibuprofen. It is getting better. Yesterday I took a walk/run, cleaned out our garage and did some heavy lifting.
