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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Upper Part Of The Rib Cage?

I have been having pain in my upper ribs on the right side which often moves to the back under my shoulder. I ve had a chest x-ray and mammography. Both showed nothing. Also had bloodwork done. I work out everyday. Could this possibly be muscle strain?
Thu, 27 Aug 2015
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.
I will like to give few differential diagnoses for your symptoms.
There can be thoracic nerve compression in spinal canal leading to right sided pain from rib and shoulder.
Due to compression of this nerve root there is pain in your rib.

I will advise you to do MRI spine for this.
Another possibility of abdominal mass leading to pain on right side.
CT scan abdomen with pelvis will help to get further details.

Till time for these symptoms analgesic and neurotropic medication can be started.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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What Causes Severe Pain In The Upper Part Of The Rib Cage?

Hello, I have studied your case. I will like to give few differential diagnoses for your symptoms. There can be thoracic nerve compression in spinal canal leading to right sided pain from rib and shoulder. Due to compression of this nerve root there is pain in your rib. I will advise you to do MRI spine for this. Another possibility of abdominal mass leading to pain on right side. CT scan abdomen with pelvis will help to get further details. Till time for these symptoms analgesic and neurotropic medication can be started. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.