Ribs are bones in your chest that make a cage to protect the heart, lungs and other organs. There are twelve pairs of ribs. Each is joined at the back to your spine. The front ends of the ribs are linked to the sternum by cartilage. Broken ribs are called rib fractures. Rib fractures can occur if there is trauma to the chest.

Rib fractures can be painful. Rib fractures affect muscle movement, making it difficult to breathe. You may have more pain when breathing deeply and coughing.


Tests

  • Chest x-rays and CT scans can show rib fractures and other injuries.

  • ABG (arterial blood gas)/VBG (venous blood gas) measurements can show if the lungs are able to get enough oxygen to the body.

  • Pulse oximeter (“pulse ox”): A plastic clip or sticker placed on your finger or toe that tells us your oxygen level.


Treatment

The main treatment for rib fractures is pain relief. Pain medicine will not take this pain away fully. There is no brace to help rib fractures heal.

Clearing lung secretions is also important to prevent pneumonia. It is vital that you use your incentive spirometer to help you take deep breaths. You will be asked to cough and deep breathe, even though it hurts. Extra oxygen can be given though your nose or by a face mask if needed.


What to Expect at Home

  • Rib fracture pain is worst during the first 2 weeks after injury. It takes about 6-8 weeks for your ribs to heal. The pain will get better during that time. Take pain medicine if needed and as prescribed.

  • It may be hard to find a comfortable position to sleep. Some people try to sleep in a chair or recliner or propped up in bed. With time you should be able to return to your preferred sleep positions.

  • People often feel stiff in the morning. Try a hot shower or warm heating pad.

  • Let pain be your guide as you return to normal activities. If you hurt a lot after doing something, it is probably too soon to be doing it. Listen to your body.