Rib Pain

Updated on 5 March 2026

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Rib pain refers to any sensation of discomfort, pressure, or pain felt near the bones of the rib cage. These pains can vary, ranging from a mild discomfort to intense pain, and may be localized in a specific spot or spread over a larger area. They can be felt at the front, on the sides, or at the back of the thorax.

It is important to consult a healthcare professional, such as a chiropractor, if rib pain persists or worsens in order to determine the underlying cause and receive appropriate treatment.

The Rib Cage and Rib Pain

The rib cage is the bony structure that protects vital organs located in the thoracic cavity, such as the heart and lungs. It consists of twelve thoracic vertebrae (or dorsal vertebrae) that are part of the spinal column, and twelve pairs of ribs, each attached to a thoracic vertebra. It is completed at the front by the sternum, a flat blade-shaped bone.

Intercostal nerves are the nerves located between the ribs. The human body has 22 intercostal nerves, 11 on each side. When these nerves are irritated or compressed, they can cause intercostal pain, which is pain felt along the spaces between the ribs.

Besides irritation of an intercostal nerve, rib pain can be related to other medical issues, such as rib fractures, inflammation of the costal cartilages (costochondritis), lung infection, or heart conditions. It is essential to consult a healthcare professional to determine the exact cause of the pain and receive appropriate care.

What is the Healing Time for Rib Pain?

Patients consulting a chiropractor to relieve musculoskeletal rib pain may feel relief from the first chiropractic treatment sessions. For more complex conditions or chronic pain, longer-term treatment may be necessary.

What are the Symptoms of Rib Pain?

The main symptom is pain, which can be dull, sharp, or stabbing. Depending on the nature of the underlying condition, it may be localized to a specific area or felt throughout the rib region. Often, painful areas are tender to the touch, and palpation can trigger or worsen the pain.

Breathing can also become uncomfortable. Some people experience discomfort during deep breathing or even normal breathing. In some cases, the pain may radiate to the back or abdomen, which can make diagnosis more complex. Rib pain may also be experienced as chest pain, which can be confused with cardiac pain.

Finally, rib pain, especially when related to traumatic injury or joint problems, can lead to reduced mobility, particularly limiting trunk rotation movements. When the problem is joint-related, clicking or crepitus may be felt during movements, although this is rarer.

An evaluation by a competent healthcare professional, such as a chiropractor, allows determination of the underlying cause of the pain as well as appropriate treatment.

What Can Cause Rib Pain?

Various conditions can cause rib pain. Costochondritis, for example, is inflammation of the costal cartilages that can cause sharp and persistent pain along the sternum.

Respiratory and pulmonary problems, such as bronchitis or pneumonia, can also cause rib pain. Frequent coughing associated with these diseases can place stress on the intercostal muscles, resulting in pain in that area.

Joint problems may also be responsible. Indeed, the joints between the ribs and the spine (costovertebral joints) or between the ribs and the sternum (costosternal joints) can be painful in cases of dysfunction, inflammation, or injury.

Musculoskeletal problems, often caused by repetitive movements or poor posture, can also cause rib pain due to spasms and tension in the intercostal muscles.

Finally, physical trauma, such as falls, car accidents, or direct blows, can cause rib fractures or cracks. In such cases, the rib pain is generally intense.

Who is at Risk of Suffering from Rib Pain?

People at risk of suffering from rib pain are mainly adults, including those who perform physical labor, athletes and sportspeople, elderly individuals, and people with respiratory disorders.

Chiropractic Diagnosis of Rib Pain

As a healthcare professional, the chiropractor is qualified to determine the cause of pain felt in the thoracic region. Their training allows them to differentiate neuro-musculoskeletal pain (pain related to muscles, nerves, and joints) from visceral pain (pain originating from an internal organ, such as the heart or lungs). The latter require swift intervention, and the chiropractor will not hesitate to refer the patient to a physician or emergency services if their health condition demands it.

During the consultation, the chiropractor performs several steps to arrive at a precise diagnosis. They first ask the patient questions to thoroughly understand their symptoms and medical history. They then conduct a comprehensive physical examination, followed by orthopedic and neurological tests. To confirm or rule out the presence of a fracture or joint problem, radiographs may also be recommended.

Based on the gathered information, the chiropractor makes their diagnosis. If the rib pain is neuro-musculoskeletal in origin, they propose a personalized treatment plan for the patient. If necessary, they may also recommend consultation with other healthcare professionals.

Chiropractic Treatments to Relieve Rib Pain

The care offered by the chiropractor aims to reduce the patient’s pain, restore normal movement in the thoracic region, and prevent recurrences. The main technique used to achieve this is chiropractic adjustment, which consists of precise manipulations performed on the dorsal vertebrae and joints of the rib cage.

The chiropractor may also use muscle release techniques, such as massage and stretching, to reduce muscle tension in the thoracic region. Ultrasound therapy, ice or heat application, and electrical stimulation are other treatments the chiropractor may propose to promote healing.

Finally, from a preventive perspective, the chiropractor can provide posture and ergonomics advice to help the patient adopt positions that reduce stress on the ribs and spine. They may also suggest exercises aimed at strengthening the muscles of the rib cage and promoting better musculoskeletal stability.

Finding a Chiropractor to Treat Intercostal Pain

To relieve persistent intercostal pain, consulting a chiropractor proves valuable. By carefully evaluating your symptoms, this healthcare professional can identify the source of your pain and offer you a personalized treatment plan.

In addition to relieving rib pain, chiropractic care can also alleviate various other ailments such as lower back pain, hip pain, and chronic pain.

Make an appointment with a chiropractor today to regain well-being and optimize your neuro-musculoskeletal health.

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