Broken rib - aftercare
A rib fracture is a crack or break in one or more of your rib bones.
Your ribs are the bones in your chest that wrap around your upper body. They connect your breastbone to your spine.
A rib fracture can be very painful because your ribs move when you breathe, cough, and move your upper body.
The ribs in the middle of the chest are the ones that break most often.
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.
If you injure other body organs, you may need to stay in the hospital. Otherwise, you can heal at home. Most people with broken ribs do not need surgery.
In the emergency room, you may have received a strong medicine (such as a nerve block or narcotics) if you were in severe pain.
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 a lung infection (pneumonia).
Apply an ice pack 20 minutes of every hour you are awake for the first 2 days, then 10 to 20 minutes 3 times daily as needed to reduce pain and swelling. Wrap the ice pack in a cloth before applying to the injured area.
You may need prescription pain medicines (narcotics) to keep your pain under control while your bones heal.
If your pain is not severe, you can use ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn). You can buy these pain medicines at the store.
Acetaminophen (Tylenol) may also be used for pain by most people.
Tell your provider about any other medicines you are taking as drug interactions may occur.
To help prevent a collapsed lung or lung infection, do slow deep-breathing and gentle coughing exercises every 2 hours. Holding a pillow or blanket against your injured rib can make these less painful. You may need to take your pain medicine first. Your provider may tell you to use a device called a spirometer to help with the breathing exercises. These exercises help prevent a partial lung collapse and pneumonia.
It is important to stay active. DO NOT rest in bed all day. Your provider will talk with you about when you can return to:
While you heal, avoid movements that put painful pressure on your ribs. These include doing crunches and pushing, pulling, or lifting heavy objects.
Your provider will make sure you are doing your exercises and that your pain is under control so that you can be active.
There is usually no need for taking x-rays as you heal, unless you develop fever, cough, increasing pain or difficulty breathing.
Call your doctor if you have:
People with asthma or emphysema are at increased risk of developing complications from a rib fracture, such as breathing problems or infections.
Browner BD, Jupiter JB, Krettek C, Anderson PA. Scapula and rib fractures. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. 5th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 50.
Raja AS. Thoracic trauma. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 38.BACK TO TOP
Review Date: 4/8/2018
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Emeritus, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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