Cycling and bicycle discussion forums. 
   Click here to join our community Log in to access your Control Panel  


Go Back   > >

Fifty Plus (50+) Share the victories, challenges, successes and special concerns of bicyclists 50 and older. Especially useful for those entering or reentering bicycling.

User Tag List

Reply
 
Thread Tools Search this Thread
Old 10-18-08, 12:44 AM   #1
Red Rider
Don't mince words
Thread Starter
 
Red Rider's Avatar
 
Join Date: Jan 2007
Location: Vacaville, CA
Bikes: '08 Orbea Diva "The Avocado"; Specialized Dolce comp "Sweet Thang"; Co-Motion Roadster "Blue Jay", Fuji Team Pro
Posts: 6,948
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Broken Rib or Strained Muscle: What's the Difference?

No bike story to share; it was post-ride and I was attempting to sit down and my besocked foot slipped out from under me. I hit my back ribs, an inch under the scapula, on the edge of the chair. Klutz lives. For two days I'm sore but not limited.

Wed. I did something, some activity of daily living, that put the injury into red alert, so that Thursday I could hardly walk. Who knew that a right latissumus dorsi/rib injury could be affected by the non-injured side?

Today has been better, but I have to back up to a wall if I have to cough, sneeze or laugh. I've never broken a rib, so I don't know if this is broken or merely strained muscles. If I'm not better by Mon. I'll call my doctor.

Meanwhile, I'm wondering how to tell the difference.
Red Rider is offline   Reply With Quote
Old 10-18-08, 01:14 AM   #2
stapfam
Time for a change.
 
stapfam's Avatar
 
Join Date: Jan 2004
Location: 6 miles inland from the coast of Sussex, in the South East of England
Bikes: Dale MT2000. Bianchi FS920 Kona Explosif. Giant TCR C. Boreas Ignis. Pinarello Fp Uno.
Posts: 19,915
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
X-ray
__________________
How long was I in the army? Five foot seven.


Spike Milligan
stapfam is offline   Reply With Quote
Old 10-18-08, 05:41 AM   #3
Beverly
Senior Member ??
 
Beverly's Avatar
 
Join Date: Sep 2004
Location: Englewood,Ohio
Bikes: 2007 Trek Madone 5.0 WSD - 2007 Trek 4300 WSD - 2008 Trek 520 - 2014 Catrike Trail
Posts: 5,094
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by stapfam View Post
X-ray






Sorry about the injury, RR.

I broke a rib when I was a teenager so it's been too long ago for me to remember the specifics I do remember coughing, laughing and sneezing were things I avoided at all cost. Get yourself to the doc or an emergency center this weekend if the pain gets worse.
__________________
=============================================================

Enjoy the little things in life, for one day you may look back and realize they were the big things.
-- Antonio Smith
Beverly is offline   Reply With Quote
Old 10-18-08, 06:19 AM   #4
Timtruro
Senior Member
 
Timtruro's Avatar
 
Join Date: Nov 2007
Location: North Truro, MA
Bikes: Aegis Trident (Big Red)
Posts: 1,607
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
If it hurts to cough or sneeze, I mean really hurts, most likely a rib, and if it hurts to take a deep breath, almost definitely a rib. But in either case time will heal. Just take it easy and don't aggrevate it.
Timtruro is offline   Reply With Quote
Old 10-18-08, 06:49 AM   #5
jim p
Senior Member
 
Join Date: Apr 2006
Bikes:
Posts: 1,024
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Get it x-rayed. Probably a broken rib. If it is not trying to puncture a lung or artery, then you will just have to let it rest and it will heal up in about 7 weeks.

A 74 year old friend of mine went over the handlebars a year ago and broke 3 ribs. His family gave him so much grief and the recovery way painful to the point that he gave up riding. While he was being brow beaten about his accident I tried to get him to tell the family that mowing the grass, using a chainsaw and a lot of the hard work he does for them is dangerous and that he needed to suggest that he just sit and watch tv and let them bring him food and drinks but he didn't think my suggestion would fly.

About 3 years ago I was in the hospital and the doctor wanted me to cough really hard. I think that I cracked a couple of ribs and it took about 6 weeks for things to settle down. From now on a really hard cough for me will not be all that hard.

Good luck and heal quickly.
jim p is offline   Reply With Quote
Old 10-18-08, 06:50 AM   #6
George
Senior Member
 
George's Avatar
 
Join Date: Jul 2006
Location: Katy Texas
Bikes: Specialized Roubaix
Posts: 5,376
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Usually a broken rib will hurt in the same spot. Cracked ribs, the pain will move around. They don't wrap the rib cage anymore so they really don't do anything for it, besides pain pills.
__________________
George
George is offline   Reply With Quote
Old 10-18-08, 07:17 AM   #7
TurboTurtle
NeoRetroGrouch
 
Join Date: Jun 2004
Bikes:
Posts: 413
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Timtruro View Post
If it hurts to cough or sneeze, I mean really hurts, most likely a rib, and if it hurts to take a deep breath, almost definitely a rib. But in either case time will heal. Just take it easy and don't aggrevate it.
Ditto - rib= cough really hurts; sneeze will drop you to your knees. - TF
TurboTurtle is offline   Reply With Quote
Old 10-18-08, 07:17 AM   #8
Yen
Surly Girly
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Bikes:
Posts: 4,113
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Ooohh, sorry to hear about your injury. I'm not even going to guess.... my advise is to get an x-ray and proper treatment so it will heal right and you'll be on the road to recovery sooner. Best wishes for a complete recovery very soon!
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline   Reply With Quote
Old 10-18-08, 07:35 AM   #9
lbogart
Rothar
 
Join Date: Aug 2008
Location: chinle, az
Bikes: atlantis and a no-name fixie
Posts: 17
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Hi Red Rider!

Sorry to hear about your injury... a least it didn't happen during a rest break in the middle of a long ride .

It's fairly common, given the mechanism of injury, to disrupt the function of the costovertebral joint--the joint formed where the rib articulates with the vertebra (yup, it's a real joint just like the bigger joints, with articular cartilage, a joint capsule, and all that).

With a force such as you sustained to the rib, the head of the rib can be driven forward and most likely even rotated (when you inhale/exhale, your ribs not only lift and rise, but "spin" or rotate at the vertebrae).

A quick test (suggestive, though not necessarily diagnostic) is to push with your finger tips along the side of your sternum ("breast bone") on the same side as your back pain. Press fairly hard. If you find a spot on or between the ribs that is very painful and perhaps even hurts in your back, then you've likely a subluxed rib.

If you fractured the rib, it'll get better in a few weeks. If you've "subluxed" the rib, it may or may not resolve itself. If the pain persists, see a good Physical Therapist.

Good Luck!
lbogart is offline   Reply With Quote
Old 10-18-08, 11:21 AM   #10
Red Rider
Don't mince words
Thread Starter
 
Red Rider's Avatar
 
Join Date: Jan 2007
Location: Vacaville, CA
Bikes: '08 Orbea Diva "The Avocado"; Specialized Dolce comp "Sweet Thang"; Co-Motion Roadster "Blue Jay", Fuji Team Pro
Posts: 6,948
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by TurboTurtle View Post
Ditto - rib= cough really hurts; sneeze will drop you to your knees. - TF
That's it!

Dagnabbit!

Thanks for the well-wishes and advice; it's off to the ER so I can get something for the pain. Breathing hurts.
Red Rider is offline   Reply With Quote
Old 10-18-08, 11:45 AM   #11
BengeBoy 
Senior Member
 
BengeBoy's Avatar
 
Join Date: Jul 2007
Location: Seattle, Washington, USA
Bikes: 2014 Pivot Mach 5.7 MTB, 2009 Chris Boedeker custom, 1988 Tommasini Prestige, 2007 Bill Davidson custom; 1988 Specialized Stumpjumper
Posts: 6,941
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Sorry to hear about the injury, hope all goes well.

(I wonder if there is a special chapter of Club Tombay for folks who fall *off* the bike while wearing bike clothes? Socks are dangerous -- I was running around the house in my bike socks a couple of months ago and slipped while hurrying down the stairs; it was a very awkward fall and while I was bruised up a bit I'm happy I wasn't hurt worse.)
BengeBoy is offline   Reply With Quote
Old 10-18-08, 02:51 PM   #12
VolGirl
Senior Member
 
Join Date: Oct 2008
Bikes:
Posts: 201
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I cracked some ribs about 3 years ago in an endo. Horrible! I slept sitting in a chair for 2 weeks because between the ribs and the hemotoma on my elbow if I laid down I couldn't get up. Broken ribs really, really hurt.
VolGirl is offline   Reply With Quote
Old 10-18-08, 03:42 PM   #13
Neil_B
Guest
 
Bikes:
Posts: n/a
Mentioned: Post(s)
Tagged: Thread(s)
Quoted: Post(s)
Quote:
Originally Posted by Red Rider View Post
No bike story to share; it was post-ride and I was attempting to sit down and my besocked foot slipped out from under me. I hit my back ribs, an inch under the scapula, on the edge of the chair. Klutz lives. For two days I'm sore but not limited.

Wed. I did something, some activity of daily living, that put the injury into red alert, so that Thursday I could hardly walk. Who knew that a right latissumus dorsi/rib injury could be affected by the non-injured side?

Today has been better, but I have to back up to a wall if I have to cough, sneeze or laugh. I've never broken a rib, so I don't know if this is broken or merely strained muscles. If I'm not better by Mon. I'll call my doctor.

Meanwhile, I'm wondering how to tell the difference.
On tour this summer, I crashed going over wet railroad tracks outside Cumberland, MD. A local bike shop owner checked out my bike, patched up my road rash, and my traveling companion and I spent the night in Cumberland. I didn't see a doctor or visit the ER.

I expected to be sore the next morning, but I wondered why I was sore on my left side when I took a deep breath. And coughing or sneezing was very painful. I had difficulty loading my trailer, a fact that annoyed my companion no end. Still, I thought nothing of it, and rode 45 miles on the muddy and bumpy C & O Canal towpath to a campsite.

The next day I ground out another 45 miles to a motel, where we arranged to have me car transported to DC the next day. I'm the one on the right, holding onto Milepost 0 - I could barely stand by that point.



The next morning I was in Sibley in DC being x-rayed. I had a fractured rib. Another fall and it might have punctured something. I was very lucky I didn't. Don't tempt your luck.

BTW, ten weeks later I was at Milepost 0 again, this time unbroken and triumphant after riding 380 miles over 9 days. Not a bad comeback considering I spent six weeks off the bike. I'm sure you will heal about as quickly:

  Reply With Quote
Old 10-18-08, 04:59 PM   #14
zonatandem
Senior Member
 
zonatandem's Avatar
 
Join Date: Dec 2003
Location: Tucson, AZ
Bikes: Custom Zona c/f tandem + Scott Plasma single
Posts: 10,858
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 28 Post(s)
Self-diagnosis stinks! Get Xrayed.
Does sound like a ribber issue. Broke 6 of them (+ punctured lung) blown off the single bike from a hefty cross wind in the mountains.
Yup, hurts to laugh, sneeze, fart . . .
Get well!
zonatandem is offline   Reply With Quote
Old 10-18-08, 07:15 PM   #15
Red Rider
Don't mince words
Thread Starter
 
Red Rider's Avatar
 
Join Date: Jan 2007
Location: Vacaville, CA
Bikes: '08 Orbea Diva "The Avocado"; Specialized Dolce comp "Sweet Thang"; Co-Motion Roadster "Blue Jay", Fuji Team Pro
Posts: 6,948
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I went to the ER as soon as I finished posting. It was a slow day so I spend a grand total of 3 hrs. there. Once I got through triage and was evaluated by a PA they gave me a V!codin, and within 30 min. I was deep breathing and moving much easier. X-ray confirmed my broken rib, so now I have a bottle of V's to take every 4 hours, and full permission to avoid contact sports.

And Neil, thanks for sharing your story, and I'm glad you recovered, but I hope to h*ll I don't have to spend 10 weeks off my bike. I'm hoping I can ride my age on my birthday in 3 days. Even if it's sitting upright, and on the trainer.

Thanks again for the stories and well wishes. They take the sting out of the suckage of this event.
Red Rider is offline   Reply With Quote
Old 10-18-08, 07:24 PM   #16
Neil_B
Guest
 
Bikes:
Posts: n/a
Mentioned: Post(s)
Tagged: Thread(s)
Quoted: Post(s)
Quote:
Originally Posted by Red Rider View Post
And Neil, thanks for sharing your story, and I'm glad you recovered, but I hope to h*ll I don't have to spend 10 weeks off my bike. I'm hoping I can ride my age on my birthday in 3 days. Even if it's sitting upright, and on the trainer.
I was only off the bike five weeks. The other five were marred by depression, not the rib - I was upset from the crash, and I'm still not 100 per cent mentally or physically comfortable riding. (Not to hijack the thread, but I've even considered hanging up the lycra for good.)

I probably could have resumed riding before five weeks, but I was concerned another fall would have made things worse. The pain lessened considerably after the first week. BTW, I didn't take anything stronger than Ibuprofen, although I had a script for Percocet.
  Reply With Quote
Old 10-18-08, 07:28 PM   #17
JanMM
rebmeM roineS
 
JanMM's Avatar
 
Join Date: Jan 2006
Location: In Central IN
Bikes: RANS V3, RANS V-Rex, RANS Screamer
Posts: 13,337
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 16 Post(s)
Advice from a nurse: If you take more than the occasional vicodin, consider increasing the fiber in your diet, drinking more fluids, taking stool softeners, etc. Hydrocodone, like all opiates, constipates.
JanMM is offline   Reply With Quote
Old 10-18-08, 08:28 PM   #18
Red Rider
Don't mince words
Thread Starter
 
Red Rider's Avatar
 
Join Date: Jan 2007
Location: Vacaville, CA
Bikes: '08 Orbea Diva "The Avocado"; Specialized Dolce comp "Sweet Thang"; Co-Motion Roadster "Blue Jay", Fuji Team Pro
Posts: 6,948
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by The Historian View Post
I was only off the bike five weeks. The other five were marred by depression, not the rib - I was upset from the crash, and I'm still not 100 per cent mentally or physically comfortable riding. (Not to hijack the thread, but I've even considered hanging up the lycra for good.)

I probably could have resumed riding before five weeks, but I was concerned another fall would have made things worse. The pain lessened considerably after the first week. BTW, I didn't take anything stronger than Ibuprofen, although I had a script for Percocet.
Now I understand why you haven't posted much over the summer.

I'm sorry about the mental aspect. That's the most difficult hurdle to overcome. I hope you don't give it up; your bike and life journeys have inspired me and others. About the only way I know to get confidence back after a crash is to ride -- ride a lot, and ride often, and ignore the little voice in your head that tries to convince you to stay home, stay safe, stay small and don't indulge your passion.

I wish you well in finding your comfort on the bike soon.
Red Rider is offline   Reply With Quote
Old 10-18-08, 08:37 PM   #19
Red Rider
Don't mince words
Thread Starter
 
Red Rider's Avatar
 
Join Date: Jan 2007
Location: Vacaville, CA
Bikes: '08 Orbea Diva "The Avocado"; Specialized Dolce comp "Sweet Thang"; Co-Motion Roadster "Blue Jay", Fuji Team Pro
Posts: 6,948
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by JanMM View Post
Advice from a nurse: If you take more than the occasional vicodin, consider increasing the fiber in your diet, drinking more fluids, taking stool softeners, etc. Hydrocodone, like all opiates, constipates.
Thanks for the advice, Jan. The ER nurse told me the same thing. I'm breaking out the prune butter for my toast tomorrow.
Red Rider is offline   Reply With Quote
Old 10-18-08, 08:48 PM   #20
JanMM
rebmeM roineS
 
JanMM's Avatar
 
Join Date: Jan 2006
Location: In Central IN
Bikes: RANS V3, RANS V-Rex, RANS Screamer
Posts: 13,337
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 16 Post(s)
Quote:
Originally Posted by Red Rider View Post
I'm breaking out the prune butter for my toast tomorrow.
Yum!
JanMM is offline   Reply With Quote
Old 10-18-08, 11:48 PM   #21
Louis
Senior Member
 
Join Date: Dec 2001
Bikes:
Posts: 4,866
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Ouch! RR, sorry to hear about your mishap.

I crashed in a paceline pileup a number of years back. A doctor friend who was riding in the pack said I probably broke a rib...I never did go to the ER (because I'm an idiot). Anyhow, I did have some leftover painkillers that got me through the worst of it. After a week off I continued to ride but avoided hills as climbing was too painful. It took a few months before I felt normal.

Hang in there.
Louis is offline   Reply With Quote
Old 10-19-08, 01:07 AM   #22
Neil_B
Guest
 
Bikes:
Posts: n/a
Mentioned: Post(s)
Tagged: Thread(s)
Quoted: Post(s)
Quote:
Originally Posted by Red Rider View Post
I'm breaking out the prune butter for my toast tomorrow.
This is 50+. Isn't that the standard spread?
  Reply With Quote
Old 10-19-08, 03:08 AM   #23
stapfam
Time for a change.
 
stapfam's Avatar
 
Join Date: Jan 2004
Location: 6 miles inland from the coast of Sussex, in the South East of England
Bikes: Dale MT2000. Bianchi FS920 Kona Explosif. Giant TCR C. Boreas Ignis. Pinarello Fp Uno.
Posts: 19,915
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Quote:
Originally Posted by The Historian View Post
This is 50+. Isn't that the standard spread?
At least you are thinking like a 50+er. Just have to get you back to riding.

Few years ago and I nearly gave up riding too. It was the mental aspect of the illness that made me not want to push and I was not getting anything out of riding. I sent myself a goal and I had to work for it. Gave myself 6 months to get fit for a ride. Kill or Cure. Did the ride and haven't stopped since.
__________________
How long was I in the army? Five foot seven.


Spike Milligan
stapfam is offline   Reply With Quote
Old 10-19-08, 04:57 AM   #24
VolGirl
Senior Member
 
Join Date: Oct 2008
Bikes:
Posts: 201
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
For me ibuprofen was my preferred pain reliever. I used a PM version to sleep. The stronger stuff didn't relieve the pain as much as make me care less about it. I think the IB actually did more to relieve the pain.
VolGirl is offline   Reply With Quote
Old 10-19-08, 05:30 AM   #25
JanMM
rebmeM roineS
 
JanMM's Avatar
 
Join Date: Jan 2006
Location: In Central IN
Bikes: RANS V3, RANS V-Rex, RANS Screamer
Posts: 13,337
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 16 Post(s)
Quote:
Originally Posted by The Historian View Post
This is 50+. Isn't that the standard spread?
prune butter washed down with prune juice

Last edited by JanMM; 10-19-08 at 04:36 PM.
JanMM is offline   Reply With Quote
Reply


Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -6. The time now is 06:35 PM.