Can you move with a rib fracture?

Written by Li Jie
Orthopedics
Updated on September 07, 2024
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After a rib fracture, the patient's limbs can still move, and movement of the limbs should generally not pose major problems. However, excessive movement can sometimes cause pain, as well as movement and displacement at the fracture ends. Therefore, it is generally advised that after a rib fracture, the patient should primarily rest and minimize movement, especially within the first two weeks of the acute phase, where bed rest is strongly recommended. Avoid strenuous activities, although some gentle exercise can be appropriate, but vigorous physical labor is not advised.

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Written by Guan Jing Tao
Orthopedics
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What should I do if I have a rib fracture?

If it is a single, isolated rib fracture, and a chest CT scan shows no significant pleural effusion or obvious damage to the lungs and other thoracic organs, bed rest and wearing a chest brace for protection are recommended. A follow-up X-ray should be taken one and a half months later. If significant callus formation is observed at that time, attempts can be made to sit up and engage in weight-bearing activities. In this case, the recovery period should be at least three months. After three months, another X-ray should be taken; if further growth of the callus is observed, the chest brace can be removed, and normal daily activities can resume, but it is important to avoid heavy lifting to prevent exacerbating local pain. If multiple, severe rib fractures are present, accompanied by significant displacement and damage to the thoracic organs and tissues, hospitalization and possibly surgery are required.

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Written by Li Jin
Orthopedics
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Can someone with a rib fracture move?

Patients with rib fractures should rest during the acute injury phase. Premature activity can cause pain at the fracture site and is detrimental to the recovery of the fracture. After the condition stabilizes and symptoms such as pain have alleviated, patients can appropriately start mobilizing. Proper exercise can help prevent complications such as dependent pneumonia and bedsores. Rib fractures are generally treated non-surgically. A chest brace can be used for protection in conjunction with anti-inflammatory and analgesic medications, as well as Chinese medicines that promote blood circulation and remove blood stasis, which aid in the healing of the fracture. Recovery from a rib fracture generally takes about four to six weeks.

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Written by Wang Cheng Lin
Orthopedics
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Rib fractures are divided into several types.

The most common types of rib fractures in clinical practice are: The first is pathological fractures, the second is spontaneous rib fractures, the third is a single rib fracture, and the fourth is multiple rib fractures. Pathological rib fractures are due to inherent diseases, such as tumors leading to rib fractures. The second type, spontaneous fractures, occur due to intense activities or movements of the patient, such as severe coughing and sneezing, or sudden severe contraction of the chest muscles, causing the ribs to break due to tensile forces; this is called a spontaneous rib fracture. The third type is a single rib fracture, and the fourth type involves multiple rib fractures, both of which are commonly seen in rib fractures caused by trauma. These are the most common types of rib fractures currently seen in clinical practice.

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Written by Nie Lei Sheng
Orthopedics
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What should I do if I have a rib fracture?

Firstly, a clear diagnosis should be made for rib fractures to determine whether the fractures have caused damage to internal organs, leading to complications such as pneumothorax or hemopneumothorax, which are more serious conditions. Active treatment for internal organ damage and management of pneumothorax or hemopneumothorax should be pursued, along with treatment for the rib fractures. If the rib fracture is merely a simple, non-displaced fracture and the number of fractured ribs is less than three, wearing a chest brace for protection can be sufficient. Supportive symptomatic treatment and bed rest should be adopted. Generally, the fracture can begin to heal within four to six weeks. In cases of multiple rib fractures where the chest wall is unstable, with symptoms like abnormal breathing, surgery may be necessary to stabilize the chest wall and ensure respiratory and circulatory function. Therefore, treatment for rib fractures should be tailored based on the condition of the patient.

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Written by Li Jin
Orthopedics
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How to care for a rib fracture

After a rib fracture, if it is a single or multiple closed fractures and there are no internal injuries with the fracture in a good position, this situation can be treated conservatively using a chest strap for stabilization. If there are multiple rib fractures accompanied by abnormal breathing, open fractures, or associated internal injuries, surgical treatment is mainly adopted. During the recovery period of the fracture, it's important to rest. If there is pain, non-steroidal anti-inflammatory analgesic drugs can be used to alleviate the pain. During recovery, it is encouraged to cough and expectorate to avoid complications such as lung infections or atelectasis. Additionally, it is necessary to focus on a nutritious diet; generally, rib fractures can effectively recover in about four to six weeks. (Specific medications should be used under the guidance of a physician.)