Will rib fractures swell?

Written by Li Jie
Orthopedics
Updated on September 04, 2024
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Generally, swelling after a localized fracture is due to damage to the blood vessels in the area of the fracture. The bleeding that follows accumulates under the skin at the fracture site, causing obvious swelling. However, rib fractures are somewhat unique because after a rib fracture, the bleeding generally occurs internally, meaning the blood enters the chest cavity, leading to accumulation of blood and fluids within the chest. Generally, the blood does not accumulate under the skin. Therefore, rib fractures typically do not exhibit obvious swelling. There might be some local swelling, but it is usually not prominent. If not examined closely, it is generally not noticeable that there is significant swelling at the site of a rib fracture.

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Written by Li Jie
Orthopedics
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How long does a rib fracture hurt?

Rib fractures are indeed quite painful because there are abundant intercostal nerves around the rib cage. Once a fracture occurs, if it is not effectively immobilized and treated promptly, the pain is very noticeable. If treated effectively, such as applying external fixation with a rib belt or chest band, and addressing any pneumothorax or hemothorax with targeted treatments, along with using medications that activate blood circulation, reduce swelling, and relieve pain, proactive treatment can usually significantly alleviate the pain of rib fractures within about a week. Typically, by around two weeks, the pain can essentially disappear. However, if not treated actively, the duration of pain may significantly increase.

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

After a rib fracture, it is recommended to adhere to the following aspects in terms of care. Firstly, after a rib fracture, a chest bandage can be used to protect and stabilize the area, which generally requires about four to six weeks. Secondly, in terms of diet, it is important to enhance nutrition. Consume foods rich in high-quality proteins, calcium, and vitamins. These foods aid in recovery by providing nutrients and energy, helping to promote the healing of fractures. Additionally, symptomatic medication treatment, such as non-steroidal anti-inflammatory painkillers and traditional Chinese medicine that invigorates blood circulation and removes blood stasis, can be used to facilitate recovery. During the recovery period of the fracture, it is advised to start rehabilitation exercises as soon as possible and encourage activities such as coughing and expectorating to prevent complications such as dependent pneumonia and atelectasis. (Please consult a professional physician for specific medication usage and avoid self-medication.)

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
1min 54sec home-news-image

Complications of rib fractures

Rib fracture complications. Structurally, each rib is located above the intercostal arteries, veins, and nerves. Therefore, the most critical issue with rib fractures is that they can cause severe pain for the patient. Thus, the main complication of a rib fracture is pain. This pain persists 24 hours a day, especially when the patient takes deep breaths, coughs, or turns over while sleeping during the night, which can awaken them due to the severe pain. Additionally, because of this pain, the patient is unable to cough effectively. Therefore, a large amount of phlegm, especially in smokers, accumulates in the lungs, leading to complications such as lung infections and pneumonia. Besides pain, another complication of rib fractures is the potential puncture of intercostal arteries or veins, which can cause hemothorax. This condition can result in a significant accumulation of blood in the pleural cavity, and a severe hemothorax can be life-threatening, especially a progressing hemothorax. Therefore, for patients with fractures of three or more ribs, it is recommended, according to the 2017 US guidelines for the treatment of internal fractures and the 2018 consensus from Chinese experts on internal fracture treatment, to actively proceed with surgical interventions. Studies have found that active surgical intervention for fractures of more than three ribs can significantly reduce the patient's pain, shorten hospital stays, and improve quality of life. In summary, the main complications of rib fractures include pneumothorax, hemothorax, pain, and resultant lung infections and pneumonia. These complications are crucial in the treatment of rib fractures and need to be actively addressed.

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Written by Lv Yao
Orthopedics
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Does a rib fracture hurt?

Rib fractures are generally caused by trauma, resulting in localized pain and restricted respiratory movements. In severe cases, there may be blood or fluid accumulation inside the chest cavity, or even respiratory distress, presenting symptoms similar to flail chest. Therefore, when a rib fracture occurs, the pain is very severe because the ribs are an important part of the thoracic cage, which is a crucial structure during respiratory movements. Thus, during breathing, the pain from a rib fracture can be quite intense.

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Written by Li Jin
Orthopedics
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Does a rib fracture hurt?

Rib fractures can result in pain, which is one of the most common complications associated with fractures. When experiencing pain, one can use non-steroidal anti-inflammatory drugs to alleviate the discomfort. For the treatment of rib fractures, if it is a single or multiple closed fractures without any associated internal organ damage, and the fracture is well-positioned, non-surgical treatment methods are generally adopted and can achieve good results. Using a chest binder for protection usually enables effective recovery within about four to six weeks. For multiple rib fractures accompanied by abnormal breathing, open fractures, or associated internal organ injuries, surgical methods are primarily used for treatment.