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Old 01-31-09, 01:36 AM   #1
Falchoon
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Is there a doctor in the house?

I had a fall off my bike just over a week ago and according to the doctor I have bruised my ribs. He came to this expert diagnosis after a five minute examination, no x-rays. I have no bruising in the area (just under right armpit). I'm taking some anti-inflammatory drugs that seem to have helped a lot but I'm still experiencing a pinching pain, especially when lifting using my left arm. Today was the first day I managed to get 120psi in my bike tyres using my track pump. Up until now I would top out at ~80psi before this pinching pain was too much to bear. It's sort of a cross between a pinching pain and someone ripping off a self-adhesive bandage.

I can ride my bike ok, just can't stand up to ride up hills yet because of the pinching pain

So, has anyone else experienced bruised ribs and do my symptoms match the diagnosis or do you think I might actually have a slight fracture? Or am I just impatient waiting for the injury to heal?
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Old 01-31-09, 03:08 AM   #2
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I'm not a doctor.
I got hit by a delivery van 18 months ago. I impacted
on my left side and thought I broke some ribs. I didn't
but it hurt off and on for a few months. It eventually
went away. (I did get xrays)
Turns out I had to get surgery on my right hip (where I
landed on the concrete) that I thought I had just bruised.
Tore my labrum and now have a 12 1/2 in scar to show for it.
If they say you don't have broken ribs you probably don't.
I hear broken ribs are near unbearable. Heal quick.
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Old 01-31-09, 12:11 PM   #3
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Breaking ribs is fun, hurts like heck. Every breath you take just...ouch
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Old 01-31-09, 12:48 PM   #4
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Falchoon, do you have any tinging or other sensations traveling down your arm?
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Old 01-31-09, 06:29 PM   #5
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Thanks for the replys. No tingling, just this pinching pain that starts in my side and goes around to my shoulder blade that is sort of intermittent (bad today though I think this may be aggravated by heavy lifting at work yesterday). I can breath ok, deep breaths and even coughing isn't a problem. It hurts if I try and sit upright to get out of bed, I need to sort of roll out of bed half lying down still. Hurts to get on the bike (but not off - go figure?) but once I'm upright and away pedaling the pain stops. Went for an ~80km ride this morning averaging 30+km/h no worries. Sounds like this could go on for a month or so, I'll just have to learn to be patient.
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Old 01-31-09, 06:33 PM   #6
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IANAD, and I didn't even stay at a Holiday Inn Express last night... aside from the obvious suggestion to "get a second opinion," I think I remember reading somewhere that NSAIDs prevent bones from knitting. You should obviously ask for the advice of a professional, but you might verify this and maybe stop taking them if you think you may have broken bones...
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Old 01-31-09, 06:47 PM   #7
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Quote:
Originally Posted by Falchoon View Post
...and according to the doctor I have bruised my ribs....am I just impatient waiting for the injury to heal?
Yup, sure sounds like my bruised ribs when I had a similar injury and it'll 5-6 weeks or more at the minimum. There's at least one other bruised/cracked ribs thread asking almost exactly what you've just asked.

http://www.bikeforums.net/search.php
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Old 01-31-09, 06:48 PM   #8
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sounds like you have gonorrhea.
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Old 01-31-09, 06:52 PM   #9
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Sounds like bruised ribs and muscle spasms. Gentle range of motion and stretching of your arms and shoulders in all directions should help out a bit.
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Old 01-31-09, 07:03 PM   #10
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Quote:
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I had a fall off my bike just over a week ago and according to the doctor I have bruised my ribs. He came to this expert diagnosis after a five minute examination, no x-rays.
You expect someone online to arrive at a more meaningful diagnosis, after zero minutes of examination, and with no x-rays? If you want to vent, Foo is great. But if you have doubts about the diagnosis, see another doctor.
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Old 01-31-09, 07:27 PM   #11
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bruised ribs basically means you bruised/injured the intercostal muscles...these are the muscles that are between the rib bones and help to expand the chest cavity when you breath. But...as jschen stated.....see another doctor if you have doubts about the way the first dr. diagnosed you. If it were me, I would at least want an x-ray if I thought I had broken a rib.
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Old 01-31-09, 09:41 PM   #12
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Quote:
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Yup, sure sounds like my bruised ribs when I had a similar injury and it'll 5-6 weeks or more at the minimum. There's at least one other bruised/cracked ribs thread asking almost exactly what you've just asked.

http://www.bikeforums.net/search.php?
Thanks for that, I didn't think to search for rib injury but reading a few threads it sounds like I have a pretty minor injury really. It's just I'm not used to being sick/injured/otherwise incapacitated soI'll just have to get used to it for a while. Probably no point in going back for an x-ray anyway, doesn't seem like there is much the doc can do for treatment anyway if it turns out I do have a cracked rib.

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Old 02-01-09, 01:32 AM   #13
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Yeah, if it was broken ribs even typing as much as you have would hurt. I broke ribs on both sides and couldn't breath w/o light doses of narcotics. Broken ribs are unmistakable.
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Old 02-01-09, 03:06 AM   #14
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Quote:
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Breaking ribs is fun, hurts like heck. Every breath you take just...ouch
And every cough, laugh or god forbid sneeze...
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Old 02-01-09, 03:20 AM   #15
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Old 02-01-09, 03:31 AM   #16
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Thanks for that, I didn't think to search for rib injury but reading a few threads it sounds like I have a pretty minor injury really. It's just I'm not used to being sick/injured/otherwise incapacitated soI'll just have to get used to it for a while. Probably no point in going back for an x-ray anyway, doesn't seem like there is much the doc can do for treatment anyway if it turns out I do have a cracked rib....
No problem. Bruised rib recovery sucks. Hope you get better soon.
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Old 02-01-09, 06:34 AM   #17
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Originally Posted by Falchoon View Post
I had a fall off my bike just over a week ago and according to the doctor I have bruised my ribs. He came to this expert diagnosis after a five minute examination, no x-rays. I have no bruising in the area (just under right armpit). I'm taking some anti-inflammatory drugs that seem to have helped a lot but I'm still experiencing a pinching pain, especially when lifting using my left arm. Today was the first day I managed to get 120psi in my bike tyres using my track pump. Up until now I would top out at ~80psi before this pinching pain was too much to bear. It's sort of a cross between a pinching pain and someone ripping off a self-adhesive bandage.

I can ride my bike ok, just can't stand up to ride up hills yet because of the pinching pain

So, has anyone else experienced bruised ribs and do my symptoms match the diagnosis or do you think I might actually have a slight fracture? Or am I just impatient waiting for the injury to heal?

YES your being impatient. I had bruised ribs like twice and fractured my ribs like three or four times, just sit still and let them heal, takes some time, the more you do the longer its going to take. (no, Im not a doctor, but I play one on TV)
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Old 02-01-09, 11:10 AM   #18
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Sounds like bruised ribs and intercostal strains to me. I am an athletic trainer(sports medicine.. run on the field guy NOT personal trainer) and do have a bit of experience in the area

If you can breathe deep and cough without major stabbing pains then Fx is probably not an issue. Being able to ride and roll over on that side at all is also a good indicator that you probably didn't break anything.

like someone else said do some light stretching.. ice for 15-20mins at a time if the pain bothers you. Ibuprofen or whatever should be fine.. i've never seen anything about reduced healing before
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Old 02-01-09, 11:27 AM   #19
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I have a Ph.D. in philosophy. I am surprised the doc did not not take an X-ray. However, the prognosis for broken ribs and the prognosis for a muscle or ligament sprain in the rib area is more or less the same: slow, painful recovery with nothing much to be done about it short of managing the pain.

If you have any questions about Aristotle, I can perhaps be of more help.

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Old 02-01-09, 11:37 AM   #20
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I think his "inner self" is in more physical than psychological pain at the moment Though depending how long he can't ride the way he wants that might change
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