Hi @paulp2 and welcome to Connect.
You will see that I moved your post to an ongoing discussion talking about slipping rib syndrome and how to deal with it. I did this so you could connect with members like @stacey01 and @marye2
Successful management of iliocostal impingement syndrome: A case series: https://journals.sagepub.com/doi/full/10.1177/0309364615605394
"How is rib-tip syndrome treated? If the condition persists or causes severe pain, surgery may be recommended. The procedure, known as costal cartilage excision, has been shown in clinical studies to be an effective treatment for slipping rib syndrome."
It sounds very painful, what are you doing to help with pain management?
Thank you. Slipping rib syndrome is a completely different animal than costa-iliac impingement syndrome, and yes, I have researched all the studies. I was hoping a person or doctor might have dealt with it. I use acetaminophen.
Unfortunately, she is not doing as well as we hoped. She still has pain occurring several days a week. One of my daughter’s ribs, on the right side, was totally detached and another rib on the left was a true slipping rib. The surgeon used the suture technique to stabilize the rib on the left and right side. I recently read this Submitted by Patrick McConnell on Wed, 2021-
01-1315:41 regarding a video of Dr. Hansen’s suture treatment of slipping rib syndrome and diagnosis;
Great video. I have not done this because of some
early experiences with suturing costal cartilage
with a variation on the true slipping rib and that is
costal fracture or pseudofracture of the 8/9 ribs
as they become disarticulated at the costal
cartilaginous intersection near the insertion of the
distal sternum. This creates a very clear popping
feeling and sensation on exam and my attempts to
stabilize with stitches all failed and required
resection with instant effect. That said, I've
lumped this truer form of 11 on 10th rib or 12 on
11 with this alternative form and so I may now
have confidence to adopt this for these true
slipping ribs. I also totally sympathize with the
anguish that these patients have in finding
someone to listen to them and the relief they have
when someone says to them - I know what the
problem is and how to fix it! the other was a true slipping rib. The surgeon sutured both RBI’s
I plan to follow up with my daughter’s doctor regarding if the detached rib should have a different treatment.
Thank you for your help. Yes the 10th rib resection resolved the pain. I had it Feb 2013 was in surgical pain still in June of that year. It’s a long recovery but a different pain. Slipping rib was a 10 pain after surgery it was a 7 pain but the pain slowly melted Away and then went away forever. Fortunately I had good insurance and a PCP who believed me and worked to help me solve this problem. I also went back to every doctor who told me I was crazy, drug seeking (I wasn’t taking any drugs)
and did endless wrong tests and procedures and told them about slipping rib. Here it is 2021! There are in-depth discussions I have posted on Reddit started posting there after I saw Dr Hansen surgery on there and other people have posted. I’ve never done Facebook so I don’t post there.
No not formally. I need to schedule a consultation. Initially thought it was likely something else because most docs have never heard of slipping rib syndrome and don’t believe it exists. Anyhow I have a lot of the issues that accompany it (clicking sensation in ribs, the chronic rib pain, and trauma to the chest that I can directly point it to easily). I have been a part of that Facebook group for 3 years now though and it’s really grown dramatically. I think this is just really underdiagnosed
I pray so much this will heal me, I prayed again for forgiveness for being selfish. I'm still sore today, but able to walk-around. Anesthesia has caused some BM issue so I'm figuring that out.
Dr. Hansen in WV is a wonderful man. His wife is also incredible. They make a great team and I hope his work is shared more and more with the world. I know he is working on other rib issue too.
He has a YouTube Ribinar that is very knowledgeable.
I'm not home yet, post of visit is tomorrow. I'll be sad to be away because I worry there are no doctors in my area familiar with this, but I know 7 hours isn't too far.
Thank you for your help. Yes the 10th rib resection resolved the pain. I had it Feb 2013 was in surgical pain still in June of that year. It’s a long recovery but a different pain. Slipping rib was a 10 pain after surgery it was a 7 pain but the pain slowly melted Away and then went away forever. Fortunately I had good insurance and a PCP who believed me and worked to help me solve this problem. I also went back to every doctor who told me I was crazy, drug seeking (I wasn’t taking any drugs)
and did endless wrong tests and procedures and told them about slipping rib. Here it is 2021! There are in-depth discussions I have posted on Reddit started posting there after I saw Dr Hansen surgery on there and other people have posted. I’ve never done Facebook so I don’t post there.
I had my surgery by Dr. Hansen last September. He fixed a deformity of rib 9 and sutured the hypermobile 10 to 8. My 9 had a little resection of cartilage and special suturing of 9 so it would stop poking my diaphragm.
Excused me if this is a repeat. I have been messaging so many people that I can not recall who I have already messaged. How are you doing years after surgery?
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Thank you. Slipping rib syndrome is a completely different animal than costa-iliac impingement syndrome, and yes, I have researched all the studies. I was hoping a person or doctor might have dealt with it. I use acetaminophen.
Hello @stacey01
Its been several months since your daughter's surgery. I hope she is doing well.
Could you post an update when it's convenient?
Unfortunately, she is not doing as well as we hoped. She still has pain occurring several days a week. One of my daughter’s ribs, on the right side, was totally detached and another rib on the left was a true slipping rib. The surgeon used the suture technique to stabilize the rib on the left and right side. I recently read this Submitted by Patrick McConnell on Wed, 2021-
01-1315:41 regarding a video of Dr. Hansen’s suture treatment of slipping rib syndrome and diagnosis;
Great video. I have not done this because of some
early experiences with suturing costal cartilage
with a variation on the true slipping rib and that is
costal fracture or pseudofracture of the 8/9 ribs
as they become disarticulated at the costal
cartilaginous intersection near the insertion of the
distal sternum. This creates a very clear popping
feeling and sensation on exam and my attempts to
stabilize with stitches all failed and required
resection with instant effect. That said, I've
lumped this truer form of 11 on 10th rib or 12 on
11 with this alternative form and so I may now
have confidence to adopt this for these true
slipping ribs. I also totally sympathize with the
anguish that these patients have in finding
someone to listen to them and the relief they have
when someone says to them - I know what the
problem is and how to fix it! the other was a true slipping rib. The surgeon sutured both RBI’s
I plan to follow up with my daughter’s doctor regarding if the detached rib should have a different treatment.
Still looking for answers.
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1 ReactionHello, my 14 year old daughter is diagnosed with slipping rib syndrome. Who did your surgery. Sounds like you did not have the Dr. Hansen technique?
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1 ReactionDid you have the consultation?
Aimee, my daughter has slipping rib syndrome. How are you doing now?
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1 ReactionWondering how you are doing
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1 ReactionExcused me if this is a repeat. I have been messaging so many people that I can not recall who I have already messaged. How are you doing years after surgery?
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1 ReactionDoes anyone know of a doctor in Minnesota to go to for this?
Where do I find Dr. Hansen?