FAQ - cervical rib syndrome
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Slipping or Floating Rib Syndrome?


I was wondering if anyone had any information, or knew of any resources, that discussed slipping/floating rib syndrome?

I have been dealing with upper right abdominal pain for nearly two months. This pain has been accompanied by nausea. My doctors' kneejerk reactions was to say it was gall bladder disease, but all of my tests (ultrasound, blood tests, hida scan and EGD) have turned out as normal, with nothing to indicate what is causing my pain.

I had to go to the ER again Tuesday night because of the pain. The ER doctor feels that I don't necessarily have gall bladder disease, but rather that a floating/slipping rib is rubbing against the gall bladder and causing my symptoms.

My question is: what the heck does "slipping or floating rib syndrome" mean? What causes it? What can be done to fix it? Does it require surgery or life-long pain maintenance? The only info I can find on it is natural herbal cures for this problem, so I was hoping that someone on here had more info.
Oh, I forgot to mention: I have had no trauma to my ribcage at all. My job, though stressful, can all be done from a desk. I am also a full-time student, but again, all my work is done from a desk. I was doing Pilates before I started experiencing the pain, but I've done pilates for years.
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The ribs actually form joints where they meet the spine and where they join together in the chest. A slipped joint is a condition where the rib is slightly out of place at one of the joints.

You don't need to guess about a slipped rib - it shows up on an MRI, and you can find it very easily by examining your spine and pressing down firmly on each rib where it meets the vertebra, sternum, or another rib. If you have a slipped rib, the pressing will cause a very sharp pain, and you can also feel a knot.

Slipped ribs can be chronic, but usually they are result of insufficient exercise, joint inflammation, or chronically sitting or standing in a certain position. Ribs commonly move a little when moving the torso. If people are very active, the rib joints get moved frequently, which keeps the joints flexible, and a displaced rib quickly slips back into place. In an inactive person, or in people with certain types of joint inflammation, the rib joints do not move easily, and once something slips out of place, it tends to stay in the wrong place.

Floating ribs are the opposite problem of a slipped joint. With floating ribs, the rib joints are too loose, so the rib never stays in the proper position. Pain from a floating rib usually changes when you change positions, and it may come and go throughout the day. Pain from a slipped rib is constant.

Your best best might be to follow up with an orthopedic doctor or a chiropractor. Chiropractor can be very helpful for this type of problem and they usually explain stretches or exercises to prevent the problem from re-occurring.  (+ info)

What exercises are good for people with rib and back problems?


I'm fifteen years old. I have tietze syndrome, and I have a bad back. I really want to tone my thighs. I can't run outdoors very well as I have terrible allergies. Any suggestions? (Obviously, no crunches).
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I would suggest yoga or pilates! These would be great for you, especially if what you're looking for is more of a muscle tone, like you've said, over burning a lot of calories or bulk muscle. These exercises are built for lengthening learn muscle. Also, they incorporate slow, low impact movements, which would be great for someone with a bad back.

Good luck!  (+ info)

can i get some info on slipping rib syndrome?


I am 18 years old and since last year i have noticed what seems to be a huge dent on where my ribs are on my right side. I am not active in any sports and i don't recall having received an impact strong enough to have damaged my ribs. I looked on the internet and came across slipping rib syndrome, i have been having some chest pains that come and go at times and sometimes i have trouble breathing.I don't have insurance or the money to pay for a doctors appointment. So I would like to hear from physicians who know what the syndrome is exactly or some of you on a personal level. I want to know how it can be diagnosed, if it's a possibility i have it, and what problems could be presented if it remains untreated. I am afraid that worst case scenario is if it remains untreated it could possibly compress my lungs. So could someone enlighten me on this situation. Thank You
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I am also 18 and I have had the same problem since I was 14, my docter explained it to me as arthritis of the ribs, which basicly means your ribs slightly shift from time to time and the pain comes from the ribs rubbing together, she said it's not life threatening or anything serious, just uncomfortable. I wasn't prescribed any medication or anything. I find it helps to do some stretches when I start to feel pain. But I'm not a docter and I suggest you find a way to see a docter asap because you never know!  (+ info)

front rib pain, chest pain, arm and shoulder pain...costochondritis/tietze syndrome?


One morning I woke up and i had severe chest pain and it radiated down my right arm and was also in my shoulder...i went and had my BP taken by an emt and they told me they didn't think i was having heart problems because my BP was normal. The last year or so the front of my ribs on both sides have been tender to the touch and the pain is worsened by activity. I went to the doctor and they believed my T4 rib was locking up so I have been to the chiropractor 5 times and have been adjusted. The pain hurts almost constantly but worse with activity. My arm hurts like i have muscle fatigue and my shoulder shoulder hurts. i have some random chest pains during certain activity and pain increases when i take deep breaths. do you think this could be costochondritis/tietze syndrome?
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If you have had any respiratory infections or chest trauma, especially surgery, you are very vulnerable to costochondritis. IV drug use also makes you more susceptible. Normally, however, it resolves itself, and a case should not last a year, unless you have infectious (as opposed to non-infectious) costochondritis. Ask if your insurance company covers a gallium scan, if you do not react to reduced activity and NSAID therapy. If there is no swelling, and is affecting your 4th or 5th ribs, it is more likely than not costochondritis. Bear in mind that if it is infectious and does not respond to antibiotics and NSAID therapy, you may require steroid shots, IV antibiotics, and if that fails, surgical repair/removal of the affected tissue.

I doubt it is Tietze syndrome as it is a very rare disorder, and most likely not the cause of your pain. It more commonly affects the 2nd and 3rd ribs at the cartilage, and not the lower ribs. If you have localized swelling where the pain is (around the sternum) you very well may be looking at Tietze, and discuss the possibility with your doctor. Keep in mind that it is very rare and is usually resolved on its own.   (+ info)

The lower left side of my rib cage is really sore. I also have allergic reactions in my mouth. Any ideas? ?


Does anyone know what this could be? My ribs are really sensitive to touch and have been sore for multiple weeks. I also have oral allergy syndrome as a reaction to certain fruits like grapes. I have IBS and used to have acid reflux, and recently have suffered from asthma onset by exercise. Any ideas as to what this is?
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No I do not. I would go to your doctor and get it checked out and get a X-Ray.
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Is the surgery for Thoracic Outlet Syndrome as painful as it seems?


I have played softball for years and it has caused multiple signs of TOS. I have only been doing therapy for a little while and we aren't seriously considering surgery yet but I would like to know if the removal of a rib is as crazy as it seems like it would be.
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Which of the following will not put a woman at risk for toxic shock syndrome?


Which of the following will not put a woman at risk for toxic shock syndrome?
A. Having multiple sexual partners
B. Wearing a super-absorbent tampon
C. Using a diaphragm, cervical cap, or sponge during her period
D. Leaving a tampon in the vagina for more than a few hours
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As a guy, I'm hoping that the answer is 'A'.  (+ info)

Will it affect my aviation medical exam if I have an extra cervical rib and a straight neck(Military Neck)?


No, the doctor won't even find the extra (?) rib, and most likely won't be concerned with your neck unless you point it out.

He/she will be looking mainly at your heart, lungs, ears, eyes, and depth perception, as well as muscle reflexes. If you aren't obviously deformed you probably won't have anything to worry about.

Me  (+ info)

Cervical Rib Management - Physiotherapy? or Surgery?


Hi,
I'm 36 years old, female, teacher suffering from neck, shoulder and hand pain for the last 6 months. X-ray: Bilateral large complete cervical ribs, Nerve conduction study: Normal. MRI: No disc problems.
Adson's test: Negative. I underwent Physiotherapy (Ultra sound, IFT, Trigger point release, Stretching exercises etc) for about 2 weeks. But pain and discomfort still persists. I couldn't do over head activities (writing in notice board etc., paper corrections, washing ect.) Even at rest also I have pain especially fingers.
Physician suggested to go for decompression surgery.
Kindly help me out.
Thanking you

-Uma Shankar
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it seems that your brechial plexus is involved, ultra sound IFT wil not help you much cause it will try to supress the pain without removing the cause for the pain.
you go for Intermittent cervical traction (ICT) fo 3 alternate days, but be careful when taking ICT, if you feel any giddiness or blurred vision or exaggeration of your symptoms ask the doc to stop the ICT immediately.don't be over precautious, ICT if given properly is a very safe treatment.
second you go for neural tissue mobilisation, such as ULTT, with stretching of all soft tissues around neck bilaterally.
the treatment duration should be of just 6 days, if you don't get any significant relief in 6 days then go for surgery.
don't be over enthusiastic, be patient don't expect miraculous changes in 6 days, there should b a good relief only.
good luck  (+ info)

" floating rib syndrome " (pic included)?


I've had this thing where one of my ribs is pushed out further than the rest. (I'm not sure of the real name, I've only heard people call it floating rib ''
I haven't been able to find many people asking about it so I assume it's not as common as I thought it was. anyway, It's been a real struggle to have, not only does it look weird but recently I've been working out more and It was effecting me very much. it feels like It's going to pop out every time I put pressure on my stomach now. It's a pain to do push ups, or just get up from bed, or even just run.
I have no clue if there is a fix to it, I'm sure it would require a doctor though.
Does anyone else have this, or know someone who has this and knows a way to fix it?


http://img262.imageshack.us/i/floatingrib.jpg/
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I think I understand what you're saying, my ribs looked something like that, only I had a nub that was right under my rib cage which caused me discomfort. Turns out I had an extra rib, which was removed with as an outpatient procedure. I was in at 6 am and out by 2 pm, I only have an inch scar that looks like a cat scratch. My advice, see your doctor, it may seem scary but it is so much better when you are not walking around in discomfort all day.  (+ info)

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