Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Pain In Left Arm ,chest Pain While Breathing,movement Of Skin Between Shoulder And Chest. History Of Hard Hit On Chest With Cracking Sound. Broken Ribs?
I am a karate student and was recently hit in the chest hard enough to hear cracking/popping sounds. I was hit between the left should and my chest (twice actually). It is difficult to move my left arm in some positions though I can move it without any pain in other positions. I can not pick up heavy loads and I feel pain when I breath in. Additionally my skin just between the shoulder and the chest moves in and out when I breath.
Based on previous experience (also from karate injuries) I am fairly certain I have broken or cracked one or more ribs and also have what I suspect is a minor flail chest condition. The pain is similar to a cracked rib I had on my lower right side approximately a year ago.
I have been able to manage the pain with Tylenol and Advil, I can take reasonably deep breaths and do most activities as long as they are not strenuous. Coughing is tough but doable.
Should I do anything more for this or like before, wait out the roughly 6 weeks it took previously to heal.
Mon, 8 Jul 2013
General & Family Physician, Dr. Lohit K's Response
Hi, Thanks for using HCM.
After hit in chest difficult to move left arm in some positions, unable to pick up heavy loads feeling pain when breath in, skin moveing in and out when breathing suggests thay you have displaced shoulder or injured any muscle and there may be some rib injury also. Skin moving with respiration suggests injury to lung. You need to restrict movement now, get xray of shoulder joint and chest and consult your doctor for examination and management ASAP. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.
Hi, First rule out any fracture in one or more ribs. If there is no fracture, nothing to worry, it will be alright gradually. Go for x-ray chest for having any fracture. Consult orthopedic surgeon and get examined. Ok and take care.
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Pain In Left Arm ,chest Pain While Breathing,movement Of Skin Between Shoulder And Chest. History Of Hard Hit On Chest With Cracking Sound. Broken Ribs?
Hi, Thanks for using HCM. After hit in chest difficult to move left arm in some positions, unable to pick up heavy loads feeling pain when breath in, skin moveing in and out when breathing suggests thay you have displaced shoulder or injured any muscle and there may be some rib injury also. Skin moving with respiration suggests injury to lung. You need to restrict movement now, get xray of shoulder joint and chest and consult your doctor for examination and management ASAP. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards Dr. Lohit