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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain After Straining Muscle In Ribcage?

I recently strained/torn a muscle (I think) in my right side. It is painful to touch from just below my ribcage on my right side, stretching around my back. There is no visible bruising, but I am on Warfarin for Antiphospholipid Antibody Syndrome and I am quite concerned that I may have torn or even ruptured a muscle and caused an internal bleed...is this possible? I also have been diagnosed with Systemic Lupus Erythematosus and have had past incidents with slipping joints...connective tissue problems and tendon and ligament problems. I also have been diagnosed with Jaccouds Arthropathy which is extremely rare. I had a Cholesystectomy and Appendectomy, so it cannot be related to my gallbladder or appendix. I have had (ten years ago) a small bowel resection due to Ischemic Bowel (which is how they diagnosed me with Antiphospholipid Antibody Syndrome). I don t know if you needed to know all this, but I thought it might help you to diagnose my pain that has seemed to worsen over the past few days (since initial onset). Thank you.
Wed, 8 Apr 2015
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Orthopaedic Surgeon 's  Response
It is quite possible that you would have strained your muscle, but since there is no visible bruising, the chances of hemorrhage inside is very minimal, but tear does cause pain, and it should wean with passing of time. Take analgesics, do not over stain or check if it is painful, give it some time to heal.
If you face any other problem or pain does not settle feel free to contact back.
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What Causes Severe Pain After Straining Muscle In Ribcage?

It is quite possible that you would have strained your muscle, but since there is no visible bruising, the chances of hemorrhage inside is very minimal, but tear does cause pain, and it should wean with passing of time. Take analgesics, do not over stain or check if it is painful, give it some time to heal. If you face any other problem or pain does not settle feel free to contact back.