
A broken rib is a common chest injury, usually caused by a direct blow or trauma, like a car accident or fall. The ribs are some of the strongest bones in the body, but they can still break, and when they do, it can be scary and painful. The pain is often strong and can be felt when breathing, coughing, or moving the chest and upper body. It can also cause a feeling of electricity, which may be due to the nerves in the area being affected by the break. This can be managed with painkillers and ice packs, and in some cases, surgery may be required if internal organs have been damaged.
| Characteristics | Values |
|---|---|
| Cause | Trauma, such as a car accident, fall, physical assault, or sports injury |
| Symptoms | Pain, especially when breathing, coughing, twisting, or bending; tenderness; swelling; bruising; difficulty breathing |
| Treatment | Rest, ice, breathing exercises, pain relievers, holding a pillow against the ribs when coughing or breathing |
| Healing Time | Typically 4 to 6 weeks, but can take longer in more severe cases |
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What You'll Learn

Potential damage to internal organs
A broken rib can cause serious damage to internal organs. The rib cage protects vital organs in the chest and abdomen, so a rib fracture can be associated with injuries to internal organs and blood vessels.
Upper rib fractures can cause injuries to the large vessels that bring blood to and from the heart. It is also common for a fractured rib to cause injury to the lungs, sometimes leading to a collapsed lung or bleeding into the chest cavity. A broken rib can also cause a pulmonary contusion, or bruise on the lung, which can lead to serious lung conditions and respiratory failure.
Lower rib fractures can cause injuries to the liver and spleen. The most commonly injured intra-abdominal organ in rib fracture patients is the liver, comprising about 40% of intra-abdominal injuries.
If a broken rib has damaged internal organs, surgery may be required to repair the damage.
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Pain management and medication
Pain management is crucial in the case of broken ribs, as the pain can make it difficult to breathe properly, cough, and go about your daily activities. It is important to seek medical help if you experience severe pain, especially when breathing deeply, coughing, or sneezing.
There are several options for managing pain associated with broken ribs. Over-the-counter pain relievers, such as acetaminophen, ibuprofen, or naproxen, can be effective in reducing pain and discomfort. Lidocaine patches, a topical treatment, can also be used in conjunction with oral medications. Icing the injured area is another recommended method to alleviate pain and reduce swelling. It is important to listen to your body during the recovery process and avoid activities that aggravate the pain, such as lifting, pulling, or pushing objects.
In some cases, stronger painkillers may be required, and it is advised to consult a healthcare professional for guidance on appropriate medication. Prescription pain medication may be prescribed, but it is important to be aware of potential side effects, such as constipation. Additionally, narcotic pain medications may be initially prescribed, but their use should be minimised due to the risk of addiction.
If the pain is not adequately managed with the above methods, more specialised treatments may be considered. Continuous anaesthesia, delivered through the placement of catheters, can target specific nerves to control pain. In severe cases, rib-stabilisation surgery may be recommended, especially if breathing difficulties are present. This surgery uses plates and screws to stabilise the ribs, allowing for improved breathing during the healing process.
It is important to note that broken ribs usually heal on their own within 2 to 6 weeks. However, during the recovery process, maintaining open communication with your healthcare provider is essential to address any concerns or adjustments needed in your pain management plan.
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Breathing exercises
Broken ribs usually heal within 2 to 6 weeks, and during this time, you can do breathing exercises to aid your recovery. These exercises help prevent pneumonia and keep your lungs and chest moving as they usually would.
- Sit upright in a chair and place your hands on your sides, where your lower rib cage is located.
- Inhale slowly, breathing so that your sides push into your hands.
- Hold your breath for 10 seconds, then exhale slowly.
- Repeat this cycle between 5 to 10 times, for 3 to 4 sessions each day.
As you heal, you can incorporate chest stretches to work the muscles across your chest. Here is a guide to one such stretch:
- Sit upright in a chair and lift your arms, bending your elbows to a 90-degree angle. Alternatively, you can try to raise your arms and interlock your fingers.
- Gently squeeze your shoulder blades toward one another.
- Hold for 5 to 10 seconds, then release.
- Return your arms to their original position.
While doing these exercises, it is normal to feel some pain. However, if the pain increases, you should stop the exercises and contact your doctor. Additionally, seek medical attention if you experience symptoms such as coloured or bloody mucus, fever, or shortness of breath.
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Healing time
The healing time for broken ribs varies. Most sources suggest that broken ribs usually heal within six weeks, but some state that it can take up to twelve weeks. In some cases, it may take even longer, with some people not being back to full work capacity at six months and still experiencing some degree of pain a year after the injury.
There are several factors that can affect the healing time. If you have other injuries or internal damage, it may take longer to recover. The severity of the break will also affect the healing time, with more complex fractures taking longer to heal. For example, upper rib fractures can cause injuries to the large vessels that bring blood to and from the heart, and fractured ribs can cause injuries to the lungs, liver, spleen, or kidney. If you have damaged your organs, you may need to stay in the hospital while these injuries are repaired.
In most cases, a fractured rib will heal on its own. To aid healing, it is recommended that you rest, ice the injury, and take over-the-counter painkillers such as ibuprofen or aspirin. It is important to continue breathing exercises and coughing to help prevent pneumonia and keep your lungs and chest moving as they usually do. You should also try to stay active while you recover, although you should avoid intense workouts and sports.
In more severe cases, surgery may be required to stabilize the ribs and allow the patient to breathe properly while healing. This usually involves inserting metal plates and screws into the bone to hold the pieces together. In some cases, pins and wires may be used for smaller bones. These pieces may be left in the body permanently, or they may need to be removed in follow-up surgeries.
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Risk of infection
While broken ribs usually heal by themselves within 2 to 6 weeks, they can lead to life-threatening complications. One of the risks associated with broken ribs is infection.
Broken ribs can cause serious damage inside the body. They can injure internal organs like the lungs, liver, or spleen. One of the most common complications of a broken rib is a punctured lung, which can lead to a collapsed lung or pneumothorax. This can increase the risk of developing pneumonia. Pneumonia is an infection that affects the lungs and can be life-threatening if left untreated.
To prevent pneumonia, it is important to continue breathing exercises and coughing when needed. Coughing helps clear mucus from the lungs, preventing chest infections. Deep breathing exercises, including slow, deep breaths, help keep the lungs clear and expand the lungs to their full capacity. Holding a pillow against the chest during coughing and breathing can help cushion the pain.
In addition to pneumonia, broken ribs can also increase the risk of other infections, such as chest or sinus infections. Chest infections can develop due to a build-up of mucus in the lungs if proper breathing and coughing are not maintained. Sinus infections may also occur as a secondary infection following a broken rib.
It is important to seek medical attention if experiencing symptoms such as pain, tenderness, bruising, or difficulty breathing, as these could indicate more severe complications or infections.
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Frequently asked questions
Broken ribs do not feel like electricity, but they can be extremely painful, especially when breathing, coughing, twisting, or bending. The pain can be sharp or dull and may be accompanied by tenderness, swelling, and bruising.
Symptoms of a broken rib include pain, tenderness, swelling, and bruising over the injured area. Breathing may be difficult, and coughing, laughing, or sneezing can increase the pain.
Broken ribs usually heal on their own within 2 to 6 weeks. Treatment includes rest, ice, and over-the-counter pain relievers such as ibuprofen or aspirin. Breathing exercises and coughing every few hours are important to prevent pneumonia and keep the lungs clear.
If you suspect you have a broken rib, it is important to seek medical attention. A doctor can determine the severity of the break and rule out any internal organ damage or other injuries. If you are experiencing severe pain, difficulty breathing, or have concerns about other injuries, go to the emergency room or call for an ambulance.











































