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 Nie Lei Sheng
Orthopedics
1min 5sec home-news-image

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 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 Na Hong Wei
Orthopedics
1min 12sec home-news-image

Is a rib fracture serious?

Whether a rib fracture is serious depends mainly on the extent of the fracture and the damage to the surrounding tissues. Generally, a single rib fracture or a non-displaced rib fracture is not serious and requires conservative treatment. However, if there are multiple rib fractures occurring at once, breaking several ribs, including possibly the sixth rib, the consequences can be very serious because it may result in a flail chest. Secondly, a rib fracture can potentially damage surrounding structures such as the pleura, lung tissue, and blood vessels, resulting in conditions such as pneumothorax, pleural effusion, and even active hemothorax, which must be promptly treated to avoid life-threatening situations. Thirdly, if a rib fracture heals in a deformed manner and is not treated, it can compress blood vessels and nerves, causing a persistent type of intercostal neuralgia even after healing. Apart from the local deformity, this situation often stimulates the intercostal nerves and may require surgical intervention. Therefore, the severity of a rib fracture depends mainly on the degree of the fracture and its aftermath, and typically requires assessment by a professional doctor.

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Written by Li Jin
Orthopedics
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How to treat rib fractures?

For the treatment of rib fractures, if it is a single or multiple closed fractures, and if there are no internal organ injuries, and the fracture alignment is good, non-surgical treatment can generally achieve good results. For example, using a chest bandage to secure and protect the area, generally immobilizing it for about 4 to 6 weeks, can effectively aid recovery. For multiple rib fractures, especially those accompanied by abnormal breathing, open fractures, or concurrent internal organ injuries, surgical treatment is primarily adopted. During the recovery period from the fracture, rest is important. If there is pain, some non-steroidal anti-inflammatory pain relief medications can be used to alleviate the pain. Additionally, during the recovery period, coughing should be encouraged to prevent complications such as lung infections or atelectasis. (Please use medication under the guidance of a doctor)

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Written by Li Jie
Orthopedics
1min 13sec home-news-image

How to treat rib fractures well?

Rib fractures are very common. We consider fractures of three or fewer ribs to be stable fractures, which generally only require local external fixation using a rib belt or chest wrap to stabilize the fracture and alleviate pain. Additionally, treatments can include drugs that activate blood circulation and reduce stasis, anti-swelling and pain relief drugs, or non-steroidal anti-inflammatory drugs. Then, the fractures can heal on their own. However, if more than three ribs are fractured, we consider it an unstable fracture, which may need to be fixed. Such cases might require surgery to reposition and stabilize the fractured bones. Rib fractures themselves are not very concerning; what is concerning are the complications, such as hemothorax or pneumothorax. If conditions like pleural effusion or pneumothorax occur, it is advised to perform closed chest drainage by inserting a drainage tube to release the accumulated blood and air to avoid severe complications. Rib fractures do not require special treatment; with effective stabilization and treatment, most can fully recover.