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Suggest Treatment For Dull Aching Pain In Lower Ribs
Question: Hi, I've been experiencing a dull aching sometimes slight burning pain in my lower 2-3 ribs on left side. It feels like it's in or in between my ribs but hard to tell. I also sometimes feel a rubbing or clicking sensation in the area. The pain in not constant. It usually bothers me when I first wake up and then if I'm straining or using that side. I can also feel it if I stretch or twist that side. It does not hurt at all when breathing. I do physical work as well as am an avid weight lifter...wondering if it could be some type of hernia or muscle/cartilage strain or tear or something more serious? It has been bothering me for roughly 2 months and is starting to worry me... Any advice would be greatly appreciated!
Brief Answer:
Most probably Costochondritis.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read and understood the following points - to recapitulate : M/ 37 - Physical work and avid weight lifter - dull ache , burning - left lower 2 to 3 ribs - 2 months - rubbing or clicking sometimes - on waking up / straining / using that side / stretch or twist that side .. ..
The most probable diagnosis I can think of is Costochondritis. your description fits well into this.
Another possibility is fracture, but without the history of severe pain and the history of not hurting on breathing makes it less possible.
I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids like Deflazacort '' ONLY IF'' required for its strong anti-inflammatory role.
-Lasix to reduced the edema.
This sort of a treatment helps all my patients. and should help you too.
I hope this answer helps you, please feel free to ask for relevant queries and give feedback.
Most probably Costochondritis.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read and understood the following points - to recapitulate : M/ 37 - Physical work and avid weight lifter - dull ache , burning - left lower 2 to 3 ribs - 2 months - rubbing or clicking sometimes - on waking up / straining / using that side / stretch or twist that side .. ..
The most probable diagnosis I can think of is Costochondritis. your description fits well into this.
Another possibility is fracture, but without the history of severe pain and the history of not hurting on breathing makes it less possible.
I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids like Deflazacort '' ONLY IF'' required for its strong anti-inflammatory role.
-Lasix to reduced the edema.
This sort of a treatment helps all my patients. and should help you too.
I hope this answer helps you, please feel free to ask for relevant queries and give feedback.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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