Stabbing pain in right ribs for over a year with no relief from any treatment


Hello,
about a year ago my boyfriend started experiencing a stabbing pain in his right mid back rib area. He does mountain bike and lifts heavy tires for a living - but is always very careful. This seemed to come on out of the blue as well. He went to his Chiro and he adjusted him. Seemed to get worse after that.

It hurts worse standing up. He has been wearing a rib belt, which helps, but not completely. For the last 6 months he has tried acupuncture, cupping and has done prolotherapy twice now. The acupuncture/cupping seemed to give some relief - but nothing permanent. Since the prolotherapy the doctor has been sending him to another type of chiropractor and they keep saying his rib popped away from his spine. And the last visit they also found some vertebrae out of place. Nothing is helping him. By 3pm he is so exhausted from the pain and at his wits end. They have him on pain meds which he cannot stand taking.

He is pushing the people he loves away because he just can't seem to focus on anything other than managing this pain. Please, can someone give me an idea to help him.

It's must be a very distressing time for you all.

Has an x-rays of his chest and thoracic spine been taken? If not, that's where he should begin.

A few tests for he and you to do:
1. Take in a deep breath. Does it hurt, or did it in the past?

2. Sitting with behind him, you rotate his torso right and left, and then bend side ways. What happen?

3. Lying on his belly, just to the side of the spine, press down quite firmly, starting at the top and moving down, right and left. Any very tender spots?

4. Lying on his back, press where the rib meets the sternum. Sore? A lump?

Let me have SPECIFIC answers; do each one carefully and thoroughly, make notes and let me know if you want a useful reply.

Dr B


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» Stabbing pain in right ribs for over a year with no relief from any treatment



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Sep 18, 2017
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answers to DR questions
by: Deena

Has an x-rays of his chest and thoracic spine been taken? If not, that's where he should begin.
( yes he did have xrays but honestly not sure of where they focused - suspect just his right rib area)

A few tests for he and you to do:
1. Take in a deep breath. Does it hurt, or did it in the past?
(NO - there has never been any pain when breathing)

2. Sitting with behind him, you rotate his torso right and left, and then bend side ways. What happen?
( nothing happens, doesn't hurt. What is uncomfortable is stretching right shoulder up / right hip down. just sitting where that happens is uncomfortable.)

3. Lying on his belly, just to the side of the spine, press down quite firmly, starting at the top and moving down, right and left. Any very tender spots?
(Tender spots in 4-7 of the rib connection to the spine)

4. Lying on his back, press where the rib meets the sternum. Sore? A lump?
( no tenderness or lumps)

Let me have SPECIFIC answers; do each one carefully and thoroughly, make notes and let me know if you want a useful reply.

Hello Deena,
See if you can hold of the x-rays, and a copy of the report; they are usually digital today, but if on plain film you can film it using an ordinary digi camera. Keep it on record, and send me a copy to see.

I'm inclined to think this is a fairly typical rib subluxation, just hasn't been well managed; the most common adjustment is from the back towards the front but sometimes the so called 'anterior thoracic' treatment is more effective.

I'd be inclined to take a copy of the x-rays and perhaps this report to your chiropractor, or a different one, and have a new assessment; this usually isn't complex, but one treatment won't fix it.

Good luck.

Dr B

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