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Need help Bros

SlippedRibSSlippedRib Posts: 2
edited 11/22/2012 - 7:26 AM in Upper Back Pain, Thoracic
7 months ago through lifting weight, sleeping bad and working a labour job. I started to get back pain and long story short after it got bad enough for me to realize it wasnt just regular good pain.

Over that time I have went to 3 chiros and 3 physical therapists as well as had 1 session of Deep Tissue Massage. The ER, Family Doctors, had 3 xrays done, an ultrasound and an MRI.

One physio thought I had a rib head slipping, one thought I had tissue issues and the other thought both. Getting adjustments to my back makes it way worse. When he cracks the injured side I will feel, it feels like a muscle in my back that tears, sharp pain. The next day I will be in pain. And my back will feel looser, and more weak. Ive learned adjustments is a no-no.

The main source of my pain seems to be just beside my left shoulder blade. In the lower trap/rhomboid area. When I had deep tissue massage, whenever she pressed on that spot it would kill. She and I could feel a "rope" like knot in there. Symptoms were worse following that session so I stopped going.

This tells me I have a trigger point as well.

My symptoms are basically, a dull throb, can be sharp in that spot. Although depending on day/hr. There will also be the same pain either below in my ribs, at the side of my ribs. Just under my chest, or just under the front of my ribcage below my chest. I also have had pains when breathing in, but now I only have breathing in pain if overly hunch forward and inhale. I also had restless leg syndrome accompany all of this, which had gone away months ago. Although I fell down stairs a week ago and as well as pain increasing, I have that re-occuring now too.

According to these symptoms I am unaware what actual injury I have. My symptoms match up with all of these:

Myofascial Pain/Trigger Point
Slipping Rib syndrome
Tietzes Syndrome
Intercostal Costo Tear/Sprain

Id like to figure out if this is infact from the trigger point, or from rib joint inflammation or both.

What type of doctor can diagnose properly diagnose me?

I have a booking with a Pain specialist who deals with Prolotherapy and A booking with a chicago Prolotherapy expert at caringmedical. Id like to have some idea what I have before I see them so I can be sure.


  • He will take a look at your scans, etc., and probably do a pretty good examination. I tore my rhomboid muscle many years ago, and ended up with a nasty rope-like painful area for several years. I had physio, acupuncture, myofascial release, trigger point therapy, and lots of trigger point injections, but it was finally the prolotherapy that helped immensely. The rib stuff can be all kinds of things; I relate it to both the type of arthritis I have, as well as fibromyalgia, and the symptoms change from week to week. My physiotherapist has been able to help me out with putting ribs back into place when necessary, I have had to take the occasional course of prednisone when the pain between the ribs is unbearable, and I have had some trigger point injections with Marcaine.

    Has anybody done any bloodwork to explore different types of arthritis?

    You are probably one of the complicated cases (as am I), so be prepared to be patient while doctors try to come up with a diagnosis. :wink:" alt=":wink:" height="20" />

  • Hi SlippedRib, I started reading your post and realized we had alot of same symptoms and mine turned out to be thoracic herniation T7-8. For many months before diagnosis I had knots between my spine and shoulder blades that could be felt by massage therapist and she tried many times to get them out but the pain was horrible and she would have to stop. It even left bruises for days afterwards. I also had the pain in ribs that wrapped around to chest, chest pain and upper left abdominal pain which the surgeon said was the nerve being compressed at T7-8. I have pain when breathing in deeply.

    Have you had any tests done like x-rays, MRI, CT-scans. I have seen both Orthopedics and Neurosurgeons but may need referral from primary. Don't know if this is what may be going on but hope I was able to help.

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