Hello,
1. As there is a history of physical impact [blunt force]:
i. Think of fractured rib.
ii. Think of
costochondritis, very common anteriorly
iii. Think of muscle
sprain.
If by adopting-
- Hot water fomentation
- Rest with minimal movements
- Chest strapping
- Intercostal nerve block
- Taking an
analgesic, anti-inflammatory enzymes, and
muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved to ask for Hb%, WBC, ESR and x-ray chest.
2. Apart from injury, pain could be a pleural pathology. [ask for a chest x-ray to exclude
pleuritis, pleural effusion]. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood