Pain in the rib cage area is a very common occurrence. Because the ribs
articulate with both the back of the body (with the vertebrae) and the front
(with the sternum), joint irritation can show up in either location. In addition,
the rib cage surrounds a number of vital organs, so inflammation or disease
in any of these organs can cause pain to the chest or the rib cage.
Where can rib cage pain come from? 
1. Joint Pain
Since the rib creates a joint with the sternum, and two separate joints with
the vertebrae, pain due to subluxations can be located in the front or back of the rib cage. It’s usually localized pain, achy or sharp, painful to the touch and
relieved by rest. There may be swelling over the area of the joint irritation.
Postural alterations are often contributing factors for rib subluxations.
Rounded shoulders and tension in the postural muscles can push or pull the ribs out of their normal, relaxed position. Taking a deep breath often increases the pain, as the ribs expand with the lungs.
Chiropractic adjustments are particularly effective with this condition, and often a single trip to your chiropractor will decrease the rib pain significantly.
2. Trauma
Accidents involving impact to the ribs can cause fractures, dislocations,
contusions sprains or strains to the rib cage structure.
If you suffer an acute injury involving the rib cage, your chiropractor will first
assess you. If he or she determines the injury is likely a rib fracture, your
chiropractor may recommend you visit your local hospital for medical attention.
What if it’s not a rib fracture? You will be advised to ice the injured area, rest for a couple of days, and wait for the immediate inflammation to subside.
If the rib is subluxated in the front or back of the rib cage, your chiropractor
will often be able to accurately reset the rib into its proper position. This will
help decrease your pain and increase your rate of recovery.
3. Nerve Pain
There are nerves that travel between the ribs, called intercostal nerves,
originating in your spine and crossing the entire circumference of your rib
cage to end up at your sternum. Anything that can irritate these nerves can cause
pain between the ribs. Two of the most common causes of nerve irritation are
subluxed costovertebral joints and shingles - a viral infection of the nerves
near the spine. One of the easiest ways to tell if you are experiencing an outbreak of shingles is to look for small blister-like bumps on the skin in the area of pain.
For shingles, your physician may recommend anti-viral medication.
However, if it’s a rib subluxation that’s irritating the costovertebral joint, your
chiropractor can definitely help alleviate this problem.
4. Organ Pain
Multiple organs can be the source of rib cage pain, but the most common
reason for chest pain is angina (heart pain). The pain caused by heart stress
is typically located near the sternum, more to the left than right, and may
also travel into the left arm, the jaw or the back. Pressure or heaviness over the
rib cage may be the dominant symptom. Angina is not relieved by rest, but is
aggravated by physical exertion. If you think you may be experiencing angina,
or a heart-attack, call 911 immediately. Another urgent medical emergency
that can cause rib cage pain is a pulmonary embolism, triggered by a blood
clot (thrombosis) originating in your leg. Be aware that a sudden shortness
of breath and chest pain following a long trip by plane or car may be signs
of this condition. It’s important to call 911 right away.
Other sources of rib cage pain can include pneumonia or pleurisy in the
lungs; stomach ulceration; heartburn or other esophageal conditions like
cancer; gall bladder stones/inflammation.
Your chiropractor is trained similar to
your medical doctor in the diagnosis of all disease. So it’s important to share
with your chiropractor as much information as possible related to the
symptoms you are experiencing in the rib cage. This will help your chiropractor
determine whether your problem can be helped with a chiropractic adjustment, or if it would best for you to be treated by a medical specialist
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