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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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People Banged Chest, Abdomen Against Metal Barrier During Concert. Rib Below Breast Tender To Touch. Why?

hi, I was at a concert last night and I was stood at the front at the barrier. people from the mosh pits were banging against me and squashing against me, banging my chest/abdomen on the metal barrier. I woke up this morning and the first rib I can feel below my breast and towards the centre of the breast is tender to touch, what is this?
Wed, 13 Nov 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the description of symtoms, I suspect that you could have suffered a rib fracture or a soft tissue contusion. The management in either case is only by conservative methods (medical treatment).

An xray of the involved area is needed to rule out any bony injury.

The initial management of your condition is as follows -

- Take Rest and do not do any activities that cause pain till the acute pain subsides
- Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.
- Take ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) to help relieve pain
- Use heat only when you are returning to physical activity. Then use it before stretching. Gentle heating can help loosen the muscle
- When the acute pain is gone, start gentle stretching exercises. Stay within pain limits. Hold each stretch for about 10 seconds and repeat 6 times.
- Local massaging with creams and gels may provide temporary relief from inflammatory pain.

Hope this information is helpful. Good day
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People Banged Chest, Abdomen Against Metal Barrier During Concert. Rib Below Breast Tender To Touch. Why?

Hi, thanks for writing to HCM. Based on the description of symtoms, I suspect that you could have suffered a rib fracture or a soft tissue contusion. The management in either case is only by conservative methods (medical treatment). An xray of the involved area is needed to rule out any bony injury. The initial management of your condition is as follows - - Take Rest and do not do any activities that cause pain till the acute pain subsides - Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin. - Take ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) to help relieve pain - Use heat only when you are returning to physical activity. Then use it before stretching. Gentle heating can help loosen the muscle - When the acute pain is gone, start gentle stretching exercises. Stay within pain limits. Hold each stretch for about 10 seconds and repeat 6 times. - Local massaging with creams and gels may provide temporary relief from inflammatory pain. Hope this information is helpful. Good day