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Contusion of the rib: symptoms, diagnosis and treatment of trauma

Contusion of the rib - the easiest traumatic injury of the chest, but bringing a lot of discomfort and pain.

The cause of the injury is chest damage due to mechanical, blunt trauma without damaging the structure of the tissues. It happens at fights, falling, car accidents. Trauma can be accompanied by a lung injury.

The main symptom is pain during breathing and movement of the chest muscles.

Content

Symptoms of a bruised rib

In the first hours, there are no external signs. At an objective inspection bruises can not be shown. After a quarter of an hour there are abrasions, bruises and local edema.

Symptoms of a bruised rib

Symptoms of a bruised rib

The bruise of the rib hurts for a long time, and the turns of the trunk become painful. Breathing movements are accompanied by increased soreness. The exact place of damage can be determined by probing.

The specific symptoms of injury of the ribs are as follows:

  • Pain with pronounced localization;
  • Pain when breathing or coughing;
  • Local edema of tissues;
  • Bruising at the site of injury;
  • Temperature increase.

Damage is detected by visual inspection. Mandatory auscultation of the lungs, with which you can determine the occurrence of complications.

Diagnosis: rib bruise or fracture?

contusion of rib or fracture - determination on X-ray

rib contusion or fracture

To determine the fracture or bruise of the rib, an additional examination is necessary. The main diagnostic method is radiography, which makes a direct and lateral picture of the chest.

With a fracture, deformation of the contour of the rib, displacement, discontinuity of the pattern is determined.

If a trauma causes damage to the lung, a free fluid can be found on the X-ray in the pleural cavity. It appears as a result of rupture of the vessel.

Possible complications

Violation of the integrity of a large artery causes serious, life-threatening bleeding. Damage to the bronchus leads to pneumothorax - the flow of air into the pleural cavity. As a result, there is a contraction of the lung and a dangerous displacement of the heart in the opposite direction.

Extensive subcutaneous hematoma after trauma requires surgical intervention. The blood is sucked off with a syringe with a thick needle. If the blood is curdled and the usual method is not removed, then a hematoma is needed.

Long-term pain and high fever with contusion of ribs testify to the attachment of post-traumatic pneumonia. The disease is accompanied by a cough that increases pain.

If the pain when coughing is associated only with a bruise, then you can treat the injury at home.

Specialized treatment of rib contusion

Appeal to the doctor is necessary, because to distinguish the bruise of the ribs of the chest from uncomplicated fracture is quite difficult. Only additional, after a physical examination, the methods of examination, will help to make the right conclusion.

rib contusion treatment

After clarifying the diagnosis, thoracic surgeons adhere to the following treatment regimen:

  • Cold to the place of injury;
  • Limitation of mobility, home, mostly bed rest;
  • Locally with bruises of the ribs of the chest apply ointment - diklak;
  • With a strong pain symptom, you can take painkillers tablets - trigan, ketones.
  • With an increase in temperature above 38 degrees, the reception of antipyretic drugs is indicated - ibuprofen, paracetamol.

High temperature with contusion of ribs appears when complicating pneumonia, its treatment requires additional examination and the appointment of antibacterial agents.

What ointments and medications are used for a rib bruise?

The goal of treatment with a rib bruise is to reduce pain, and use of anti-inflammatory drugs. Given the superficial location of the ribs of the chest, the treatment is widely used local remedies: ointments, gels and compresses.

The main means for treating the injury are as follows:

  • Anti-inflammatory local remedies - diclofenac ointments, fastum gel, dip-rel;
  • Painkillers - tablets of ketones, solpadein, analgin, naproxen;
  • Means that accelerate healing - trental, pentoxifylline.

Severe bruises with severe pain symptoms require the injection of painkillers: ketalong, dicloberl, dexalgin. In the rehabilitation period, breathing exercises, physiotherapy and massage are used.

Duration of treatment is 30-50 days.

Treatment of bruised ribs at home

Treatment of bruised ribs at home To speed up the recovery process is possible with a fixing vest that will protect the affected area from additional damage when displaced. This will relieve pain when breathing and moving.

After the stifling of the acute process, the rehabilitation period can be accelerated at home with the help of a Ledum, a decoction of which is recommended to rub the place of the bruise.

The anti-inflammatory properties of calendula are used. From her leaves prepare a decoction and apply compresses to the affected area. Treatment of hematoma with a decoction of water spray removes puffiness.

It is necessary to perform a special complex of respiratory movements.

To avoid complications and accelerate the recovery period, you should not allow repeated injury to the chest. It is necessary to observe peace and recommendations of specialists.

After a rib injury, do not engage in self-medication, but go through a complete examination to exclude fractures and other complications. Without X-ray diagnostics, the use of pressure bandages is prohibited.

Do not start treatment yourself at home if you are not convinced of the absence of complications of trauma.

First aid for suspected bruise of the rib

– приложить холод в виде льда или охлажденных предметов. The first action that must be done independently before calling a doctor is to apply cold in the form of ice or refrigerated objects.

This will relieve swelling and prevent the formation of a large hematoma. Cooling compresses are used the first two days after the injury.

Further actions should be appointed by the doctor after diagnosis of the injury.

Interesting

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