Q. What is the effective treatment for chronic back pain due to rib fractures?

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 09, 2023

Hello doctor,

I have been experiencing terrible back pain for three years. It started after a car accident. It was discovered that I fractured my posterior ribs 2 to 6 on the left side and 4 on the right side. It hurts during breathing and physical activities like bending, twisting, and stretching. I find it hard even to clean my house. I have lots of pain in my scapula, under the clavicle on the left side, and under my left breast around my serratus anterior, to my back, and on the scapula. There are also certain spots that hurt when pressed. I find it hard to sleep at night due to back pain. This has been ongoing, and I have images of my thoracic spine. Please review my MRI report.

Please help.

Thank you.



Welcome to

I read your query and understand your concern.

The MRI (magnetic resonance imaging) images (attachments removed to protect the patient's identity) you have uploaded do not show significant abnormalities that might be causing you pain in the chest wall. There is no spinal canal stenosis in the thoracic spine. Having said this, your pain is likely due to post-traumatic rib injury. The ribs are not well visualized in the given images, and X-ray and CT (computed tomography) scans of the chest are investigations to confirm rib fractures. Please share X-ray or CT scan chest images if you got any images.

Thank you.

Hello doctor,

Thank you for your response.

I do not have any other images on hand. I thought I uploaded the full DICOM files. If you do not have it, I am unsure if I uploaded it correctly. Can you tell me what issues I may be having from what is stated in the reports?

Thank you.



Welcome back to

I have reviewed the X-ray reports (attachments removed to protect the patient's identity). The X-rays show mild degenerative changes in the mid-thoracic and lower lumbar vertebral levels. Sorry, the DICOM (digital imaging and communications in medicine) files are still not available to me for review. Please attach them again.

Thank you.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
MRI of the Postoperative Knee- Interpretations and Diagnostic Criteria

.. is the most valuable imaging technique to assess the postoperative knee. Read this article to know more information .. ...   Read full

How long can I take Ibuprofen for pain from broken ribs?

.. is a strong painkiller, it should not often be taken, as it has many side effects like gastritis, liver and kidney damage. But in initial days of pain following rib fracture, pain is actually very severe. I suggest you try doing the following: ...   Read full

Managing Lower Back Pain

.. very prevalent problem that many of us experience at some point in our lives. This article explains the causes, risk factors, and ways to manage lower back pain .. ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Radiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.