Is anyone familiar with slipping rib syndrome?

Posted by brayimee @brayimee, Aug 21, 2020

Is anyone familiar with slipping rib syndrome?

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@coco8

I have had a cat scan. The only relief I get is when the chiropractor adjusts it.

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Hello @coco8

I read with interest your post about slipping rib syndrome. You mention that you get relief with the chiropractor adjusts it.

If you care to share more, how long does the relief last after the chiropractor's appointment? Is there anything that triggers the return of the pain?

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@hopeful33250

Hello @coco8

I read with interest your post about slipping rib syndrome. You mention that you get relief with the chiropractor adjusts it.

If you care to share more, how long does the relief last after the chiropractor's appointment? Is there anything that triggers the return of the pain?

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My issue is with rib 3 and my vertebrae. Started with a frozen shoulder and I do not know if they are connected. The pain radiates up my arm and down my leg and pressure in my head when out. The issue for me is the muscles must be weak and does not stay long. I can get relief for 2-4 weeks. Many times I do not know what does it to make it go out. This last time I arched my back to roll over in bed and heard the pop. I am being referred to a pain management Dr. that does PT too to try and strengthen the muscles.

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@coco8

My issue is with rib 3 and my vertebrae. Started with a frozen shoulder and I do not know if they are connected. The pain radiates up my arm and down my leg and pressure in my head when out. The issue for me is the muscles must be weak and does not stay long. I can get relief for 2-4 weeks. Many times I do not know what does it to make it go out. This last time I arched my back to roll over in bed and heard the pop. I am being referred to a pain management Dr. that does PT too to try and strengthen the muscles.

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I appreciate the additional information, @coco8. This sounds like a difficult situation but I admire your tenacity in trying different forms of treatment to help you.

What kind of exercise can you do on a regular basis to keep your muscles strong?

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@coco8

My issue is with rib 3 and my vertebrae. Started with a frozen shoulder and I do not know if they are connected. The pain radiates up my arm and down my leg and pressure in my head when out. The issue for me is the muscles must be weak and does not stay long. I can get relief for 2-4 weeks. Many times I do not know what does it to make it go out. This last time I arched my back to roll over in bed and heard the pop. I am being referred to a pain management Dr. that does PT too to try and strengthen the muscles.

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My daughter is diagnosed with slipping rib syndrome. Her 10th rib is slipping out of place hitting a nerve and causing a lot of pain. We recently had a consultation with doctor Klickner at the Mayo Clinic in Rochester MN and she recommended surgery-Suturing technique to stabilize the rib. My daughter is scheduled to have this surgery next week.

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@stacey01

My daughter is diagnosed with slipping rib syndrome. Her 10th rib is slipping out of place hitting a nerve and causing a lot of pain. We recently had a consultation with doctor Klickner at the Mayo Clinic in Rochester MN and she recommended surgery-Suturing technique to stabilize the rib. My daughter is scheduled to have this surgery next week.

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Hello @stacey01,

I wish your daughter well with this surgical treatment. Will you post again and let us know how she is doing?

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@coco8

My issue is with rib 3 and my vertebrae. Started with a frozen shoulder and I do not know if they are connected. The pain radiates up my arm and down my leg and pressure in my head when out. The issue for me is the muscles must be weak and does not stay long. I can get relief for 2-4 weeks. Many times I do not know what does it to make it go out. This last time I arched my back to roll over in bed and heard the pop. I am being referred to a pain management Dr. that does PT too to try and strengthen the muscles.

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@coco8 The symptoms you describe are common to my own issues. I don't have slipping rib syndrome, but I do have thoracic outlet syndrome and muscle tightness that extends from my jaw and neck through my chest and rib cage to my pelvis and it is tighter on one side. It pulls one hip bone forward which puts pressure on my lower back and causes sciatic pain. I have had ribs twist because of the tightness. I've had a frozen shoulder too. Sometimes exercise to strengthen muscles makes this kind of problem worse because the fascia holds the tightness and strength training makes it tighter. What helps me is myofascial release, so if you find a physical therapist who also does that, it might be worth exploring MFR to see if it helps you. A TOS diagnosis is often missed because it is only covered for a day in many medical schools, so finding a doctor who understand it is difficult. Look at medical centers who list TOS as a condition that they treat to find specialists. I have had pops and clicks in my spine because of the tightness and after a PT session, at one time I laid on and rolled on a wooden roller (Body back Roller) and it reset every level of my vertebrae with a click and I felt much better after it realigned itself. That was possible because my therapist had already manually loosened everything, so it went back in place willingly on its own. I can also stretch by twisting my spine which lets me know if I am maintaining proper movement. You may not need to manage pain if you can find a therapist who can get the fascia gliding again. Clearly you are stuck if all you have to do is arch your back and it pops. Maintaining proper posture is important to spinal discs too because if they are held with uneven pressure, it causes misalignment issues that can lead to bone spurs and disc problems from uneven pressure on the end plates of the vertebral discs. I know a lot about that through personal experience as a spine surgery patient. The bottom line is that when you can get everything properly aligned in your body from the head to the pelvis and properly moving again, it eases the pain. Misalignment leads to squishing nerves and sometimes blood vessels. If I can answer any more questions, please ask. It is kind of tough to recover when you have doctors looking at small parts of the problem and not seeing the entire problem as it relates to itself. Here are some links that further explain (you may want to show these to your specialists):
https://mskneurology.com/how-truly-treat-thoracic-outlet-syndrome/
https://www.mayoclinic.org/diseases-conditions/thoracic-outlet-syndrome/symptoms-causes/syc-20353988
https://mskneurology.com/identify-treat-lumbar-plexus-compression-syndrome-lpcs/
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/?pg=1#chv4-comment-stream-header
Provider search http://www.mfrtherapists.com/

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Thank you so much for this information. Did yours start with frozen shoulder? How often does yours go out? Have you been able to strengthen the muscles and get improvement? Did you go to a orthopedic Dr?

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@jenniferhunter

@coco8 The symptoms you describe are common to my own issues. I don't have slipping rib syndrome, but I do have thoracic outlet syndrome and muscle tightness that extends from my jaw and neck through my chest and rib cage to my pelvis and it is tighter on one side. It pulls one hip bone forward which puts pressure on my lower back and causes sciatic pain. I have had ribs twist because of the tightness. I've had a frozen shoulder too. Sometimes exercise to strengthen muscles makes this kind of problem worse because the fascia holds the tightness and strength training makes it tighter. What helps me is myofascial release, so if you find a physical therapist who also does that, it might be worth exploring MFR to see if it helps you. A TOS diagnosis is often missed because it is only covered for a day in many medical schools, so finding a doctor who understand it is difficult. Look at medical centers who list TOS as a condition that they treat to find specialists. I have had pops and clicks in my spine because of the tightness and after a PT session, at one time I laid on and rolled on a wooden roller (Body back Roller) and it reset every level of my vertebrae with a click and I felt much better after it realigned itself. That was possible because my therapist had already manually loosened everything, so it went back in place willingly on its own. I can also stretch by twisting my spine which lets me know if I am maintaining proper movement. You may not need to manage pain if you can find a therapist who can get the fascia gliding again. Clearly you are stuck if all you have to do is arch your back and it pops. Maintaining proper posture is important to spinal discs too because if they are held with uneven pressure, it causes misalignment issues that can lead to bone spurs and disc problems from uneven pressure on the end plates of the vertebral discs. I know a lot about that through personal experience as a spine surgery patient. The bottom line is that when you can get everything properly aligned in your body from the head to the pelvis and properly moving again, it eases the pain. Misalignment leads to squishing nerves and sometimes blood vessels. If I can answer any more questions, please ask. It is kind of tough to recover when you have doctors looking at small parts of the problem and not seeing the entire problem as it relates to itself. Here are some links that further explain (you may want to show these to your specialists):
https://mskneurology.com/how-truly-treat-thoracic-outlet-syndrome/
https://www.mayoclinic.org/diseases-conditions/thoracic-outlet-syndrome/symptoms-causes/syc-20353988
https://mskneurology.com/identify-treat-lumbar-plexus-compression-syndrome-lpcs/
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/?pg=1#chv4-comment-stream-header
Provider search http://www.mfrtherapists.com/

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My son in law had emergency surgery to me move a piece of the collar bone because his arm was turning purple. He was a gymnast and had built up a lot of muscle to where the blood flow was being restricted.

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@hopeful33250

Hello @stacey01,

I wish your daughter well with this surgical treatment. Will you post again and let us know how she is doing?

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Thank you. I am so hopeful. Yes, I will keep everyone posted.

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@coco8

Thank you so much for this information. Did yours start with frozen shoulder? How often does yours go out? Have you been able to strengthen the muscles and get improvement? Did you go to a orthopedic Dr?

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@coco8 The issues that started were that my shoulder came forward and my back rounded which moved my shoulder blades apart and forward as they supported my shoulders which was happening with TOS. I was working at a high stress computer job and holding my arms up to type while looking at the keys. This is bad posture to sustain day after day. So when the body gets stuck like this, it doesn't take a lot to cause an injury. With one shoulder I had turned around from the driver's seat and grabbed and yanked at something in the back seat which caused a slight tear in the shoulder cartilage. A separate occurence was that my other shoulder became unstable in the forward position and was causing pain when I tried to put on a jacket and scoot my arm into the sleeve. An orthopedic doc did a diagnostic MRI and injected gadolinium into the shoulder joint which caused major inflammation and pain in the joint. Just the amount of movement of breathing hurt the joint and I was in constant pain for about 6 weeks before it started getting better, but I was left with a frozen shoulder and went through PT for that. This was separate from having thoracic outlet syndrome, but it did exacerbate the TOS because of limited movement. Unfortunately he didn't believe that I had TOS and told me it was rare, but It had already been diagnosed a couple years earlier. He even had Doppler studies done which showed decreased circulation in my arms with change of position, then he had no explanation for this.

It was a few years later that I found a thoracic surgeon who understood TOS and could treat it who send me to PT and recommended myofascial release therapy. Usually strength training will kick it up and make things worse with the exception of strengthening the scapula and trying to get them back into position, but that also depends on loosening up muscles of the front of the chest so the muscles attached to the scapula can move back and hold that in place. My back doesn't go out, but when things are too tight it pulls my pelvis forward on one side causing that side of my chest to be too tight and it affects my breathing causing trapped phlegm which can lead to infections. I have allergies too, so I have to try to keep all that at bay. What also really helps strengthen my back and correct my posture is horse back riding, just at a walk because I have to compensate for the horse's movements. I own a horse and enjoy this which does help me a lot. I still go to PT for MFR therapy and have been doing this for about 10 years. I had spine surgery and rehab from an ankle fracture in there too which slowed my progress for TOS.

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