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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Breathing, Difficulty In Right Shoulder Movement. Fell Down From Horse, Broken Rib. Should I Meet A Doctor Immediately?

Hi. I fell off my horse two weeks ago. I landed directly onto my shoulder and hip. I went to ER and was told I had possibly broken a rib but there was no displacement. Yesterday and today the pain is unbearable and worse than when I had the accident. Breathing is very painful. Movement of the right shoulder is almost impossible. I have taken nsaids and iced/heated the area. I don't know if I should wait til Monday or make another trip to the ER.
Wed, 31 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Your description typically suggests that you have suffered a RIB FRACTURE. These are generally self limiting and will resolve spontaneously within 4-6 weeks.

The recommended treatment is as follows -
* Get some rest
* Ice packing of the injured area to alleviate the pain
* Analgesics like Ibuprofen or Naproxen will help
* Avoid lying on the injured side
* Take daily calcium supplementation

Hope this information is helpful. Good day
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello and Welcome to HCM,
Thanks for writing to us.
As you have broken your rib and there is problem in breathing,there might be possibility of injury to pleura and lung from broken rib. I suggest you to go to ER to rule out any internal injury.
Hope this helps you.
Wishing you good health...
Regards.
Dr Saurabh Gupta
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
In my opinion , you should at once visit E R as this pain and painful breathing may be due to puncture in lung ( due to fracture in rib or ribs).
For shoulder pain they will assess the situation .
Good luck.
Dr. HET
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Painful Breathing, Difficulty In Right Shoulder Movement. Fell Down From Horse, Broken Rib. Should I Meet A Doctor Immediately?

Hi, thanks for writing to HCM. Your description typically suggests that you have suffered a RIB FRACTURE. These are generally self limiting and will resolve spontaneously within 4-6 weeks. The recommended treatment is as follows - * Get some rest * Ice packing of the injured area to alleviate the pain * Analgesics like Ibuprofen or Naproxen will help * Avoid lying on the injured side * Take daily calcium supplementation Hope this information is helpful. Good day