Rib subluxation, commonly known as a “slipped rib,” is a painful and often frustrating condition that can affect movement, breathing, and overall well-being. Many people may not even realise their symptoms stem from an issue with their ribs, mistaking the pain for muscular strain, a pinched nerve, or even cardiac-related discomfort. Osteopathy provides an effective, hands-on approach to diagnosing and treating rib subluxation, helping to restore mobility and relieve pain.

What is Rib Subluxation?

Rib subluxation occurs when one of the ribs moves out of its normal position, partially dislocating at the joint where it connects to either the spine (costovertebral joint) or the sternum (costosternal joint). Unlike a full rib dislocation, which is a more severe and rare injury, subluxation can be subtle but still cause significant discomfort.

This condition affects the structural integrity of the rib cage, which plays a crucial role in breathing, posture, and overall movement. The displaced rib can irritate surrounding muscles, nerves, and connective tissues, leading to sharp or persistent pain.

Causes of Rib Subluxation

Several factors can contribute to a slipped rib, including:

1. Trauma or Injury

• A direct blow to the ribs from a fall, sports injury, or accident can cause a rib to shift out of place.
• Whiplash injuries from car accidents may also contribute to rib misalignment.

2. Repetitive Movements

• Activities that involve repetitive twisting or reaching motions, such as golf, tennis, or weightlifting, can put strain on the rib joints.
• Poor lifting techniques or excessive strain on the upper body can also lead to rib subluxation.

3. Poor Posture

• Prolonged slouching or sitting in a hunched position can create uneven pressure on the ribcage.
• Office workers and those who spend hours at a desk may be more susceptible to rib dysfunction.

4. Chronic Coughing or Sneezing

• Persistent coughing due to conditions like asthma, bronchitis, or even a bad cold can place excessive stress on the rib joints.
• Sudden, forceful sneezes can also dislodge a rib.

5. Hypermobile Joints

• Individuals with conditions like Ehlers-Danlos syndrome (EDS) or general joint hypermobility may experience rib subluxation more frequently due to looser connective tissues.

Symptoms of a Slipped Rib

The symptoms of rib subluxation can vary depending on the severity and the specific rib involved. Common signs include:

• Sharp or aching pain in the chest, back, or side, which may worsen with movement.
• Pain when breathing deeply, coughing, or sneezing.
• A feeling of instability or “popping” in the rib area.
• Tenderness to touch or pressure along the ribcage.
• Pain radiating to the shoulder, arm, or abdomen.
• Restricted movement or discomfort when twisting or bending.

Some people may mistake rib subluxation for heart-related pain due to its location in the chest. However, osteopaths are trained to assess and differentiate musculoskeletal issues from more serious conditions, ensuring you receive the appropriate care.

How Osteopaths Can Help

Osteopathy takes a holistic approach to musculoskeletal health, focusing on restoring movement and function to the body. If you’re experiencing symptoms of rib subluxation, an osteopath can provide a range of treatments to alleviate pain and promote healing.

1. Assessment and Diagnosis

An osteopath will take a thorough history of your symptoms and perform a hands-on examination. They will assess the position of your ribs, muscle tension, and any movement restrictions to determine whether a rib subluxation is present.

2. Gentle Rib Mobilisation

Osteopaths use specific manual techniques to guide the rib back into its correct position. This may involve gentle pressure, stretching, or muscle energy techniques to encourage proper alignment without excessive force.

3. Soft Tissue Therapy

Tight or inflamed muscles surrounding the rib cage can contribute to pain and misalignment. Osteopathic soft tissue techniques, such as massage and myofascial release, help to relieve muscle tension and support proper rib function.

4. Breathing Techniques

Since rib subluxation can impact breathing, osteopaths may guide you through diaphragmatic breathing exercises to restore normal breathing patterns and reduce strain on the ribs.

5. Postural and Movement Advice

Improving posture and movement mechanics is crucial in preventing recurring rib issues. Osteopaths may recommend adjustments to how you sit, stand, or lift objects, as well as exercises to strengthen the muscles supporting the rib cage.

6. Rehabilitation Exercises

Strengthening the muscles around the ribcage, back, and core can help prevent future subluxations. Osteopaths can provide tailored exercises to improve stability and flexibility in the affected areas.

7. Lifestyle Recommendations

For those with chronic coughing, hypermobility, or other underlying factors contributing to rib issues, osteopaths may offer additional guidance, such as breathing exercises, ergonomic adjustments, or modifications to daily activities.

When to See an Osteopath

If you experience persistent or worsening rib pain that interferes with your daily activities, it’s important to seek professional help. An osteopath can assess your condition, provide targeted treatment, and help you recover safely.

However, if you have symptoms such as severe chest pain, shortness of breath, dizziness, or pain radiating down the left arm, seek immediate medical attention to rule out heart-related conditions.

Conclusion

Rib subluxation is a painful but treatable condition that can affect anyone, from athletes to office workers. Understanding the causes and symptoms can help you recognise when something is wrong and seek appropriate care. Osteopathy offers a safe and effective approach to relieving pain, improving mobility, and preventing recurrence.

If you suspect you have a slipped rib or are struggling with chest or back discomfort, book an appointment with Thrive Body Clinic today. We are here to help you move and breathe freely again.