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displaced rib

 
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displaced rib - December 12, 2007 3:32:29 PM   
Ed Spat

 

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Saw a female patient 30 weeks pregnant with a displaced rib (vertebrocoastal junction). I was able to get the rib back in place, but it did not stay...

Any ideas to conservatively manage this?
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RE: displaced rib - December 12, 2007 7:29:46 PM   
bonez

 

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Why did it displace?

(in reply to Ed Spat)
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RE: displaced rib - December 12, 2007 8:11:21 PM   
Herbie

 

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I assume is is because she is pragnant.  When my wife was a pragant a co-worker of hers was prangant as well, and had the same problem.  She was told not to lay on her side, try not bending over, and not carry heavy items.

(in reply to bonez)
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RE: displaced rib - December 13, 2007 2:29:57 AM   
jma

 

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I don't think moving it around during this time of the pregnancy would be warranted. It might be something to look into once the pregnancy is over.

(in reply to Herbie)
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RE: displaced rib - December 13, 2007 6:04:37 AM   
bonez

 

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My concern was how it happened and hw it was fixed. Since she is late in her pregnancy one needs to me mindful of aggressive repetitive mobilzation/manipulation. She will be producing hormones which are seeking to soften many holding elements to prepare for delivery.

(in reply to jma)
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RE: displaced rib - December 13, 2007 9:33:40 PM   
OAK

 

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This thread is wrong for so many reasons.

(in reply to bonez)
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RE: displaced rib - December 13, 2007 10:53:46 PM   
Belmondo

 

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    (original poster here - old login is not working...).

OAK, please steer us on the right path if you can... what you have posted doesn't really help, but I would be happy to have the benefit of your knowledge.

As to how the rib became displaced: she couldn't pin it to anything... she had a slip on ice 7-10 days before pain & other symptoms came up. However, she did not think that had anything to do with it. She is a very high level rock-climber who was continuing to train, but at a reduced level.

(in reply to OAK)
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RE: displaced rib - December 14, 2007 12:20:56 PM   
Sebastian Asselbergs

 

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I'll bite: how was it established that the rib was "displaced"? How was it established it "was back in place"? What tests - re-tests were performed?

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Mundi vult decipi

(in reply to Belmondo)
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RE: displaced rib - December 14, 2007 10:52:55 PM   
OAK

 

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Sorry to sound negative.

She's a pregnant rock climber and she can't understand why her back is sore?  (Probably in denile )

If you think of an injury as something coming "out of place" and a mobilization/manipulation technique as putting it "back in place" you will usually run into trouble.

Try treating it as a sprain/strain and it will make much more sense.

Also, I always believe that these injuries should be treated before the baby is born as the mother will be doing alot of bending/lifting with the baby, and as well, probably won't have time to come in for treatment during this time.

Hope this helps.

(in reply to Sebastian Asselbergs)
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RE: displaced rib - December 14, 2007 11:39:08 PM   
hmgross

 

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A river in Egypt?  I'm so sorry OAK, I couldn't help myself but I do agree to address it as a sprain/strain vs something "out of place"

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Holly Gross PT

(in reply to OAK)
Post #: 10
RE: displaced rib - December 19, 2007 2:21:23 PM   
Ed Spat

 

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    Thanks Oak, hmgross & others.

The full story is that I am a soon to graduate student and a friend back home wrote me about her 'displaced rib'. She said he did a manip, she heard a pop and "it went back in but later came out" and that she still had pain ++. I suspect what happened is that the PT found a structural anomaly, treated it with an appropriate manip, but failed to explain the 'displaced rib' as a sprain / strain and warn against post treatment soreness.

any further comments are welcome... Thanks again.

(in reply to Ed Spat)
Post #: 11
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