The painful rib syndrome

Kumar, Rajender; Ganghi, Ritika; Rana, Vivek; Bose, Meenaxi

doi:10.4103/0019-5049.115585

Cited by 6 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If a patient tests positive using the hooking maneuver, the syndrome is suspected. If tender spots causing pain are felt upon palpation, and the pain can be relieved when intercostal nerve blocks are performed, this confirms the diagnosis of the syndrome [ 1 ]. Imaging tests such as CT, MRI, or bone scan do not offer much help, and if a differential diagnosis is deemed necessary, tests for biliary tract pathology, peptic ulceration, and urological pathology can be performed.…”

Section: Discussionmentioning

confidence: 88%

“…If the pain relief effect is not sustained, an intercostal nerve cryotherapy, costo-vertebral blocks, and a percutaneous dorsal root ganglion radiofrequency thermos-coagulation can be performed. If the pain is not controlled by the above procedures, a rib resection can be performed [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…The 12 th rib syndrome is a disease that causes pain in the upper abdomen and the lower chest, and its pathophysiology has not been clearly identified. However, it is assumed that the impingement on the intercostal nerves causes pain in the lower chest, upper abdomen, and flank [ 1 ]. The syndrome can be diagnosed using a patient's medical history and a simple physical examination, but without the full understanding of this syndrome, it can often go unnoticed.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Nineth Rib Syndrome after 10^th Rib Resection

Yu¹,

Jeong²,

Lee³

et al. 2016

Korean J Pain

View full text Add to dashboard Cite

The 12th rib syndrome is a disease that causes pain between the upper abdomen and the lower chest. It is assumed that the impinging on the nerves between the ribs causes pain in the lower chest, upper abdomen, and flank. A 74-year-old female patient visited a pain clinic complaining of pain in her back, and left chest wall at a 7 on the 0-10 Numeric Rating scale (NRS). She had a lateral fixation at T12-L2, 6 years earlier. After the operation, she had multiple osteoporotic compression fractures. When the spine was bent, the patient complained about a sharp pain in the left mid-axillary line and radiating pain toward the abdomen. On physical examination, the 10th rib was not felt, and an image of the rib-cage confirmed that the left 10th rib was severed. When applying pressure from the legs to the 9th rib of the patient, pain was reproduced. Therefore, the patient was diagnosed with 9th rib syndrome, and ultrasound-guided 9th and 10th intercostal nerve blocks were performed around the tips of the severed 10th rib. In addition, local anesthetics with triamcinolone were administered into the muscles beneath the 9th rib at the point of the greatest tenderness. The patient's pain was reduced to NRS 2 point. In this case, it is suspected that the patient had a partial resection of the left 10th rib in the past, and subsequent compression fractures at T8 and T9 led to the deformation of the rib cage, causing the tip of the remaining 10th rib to impinge on the 9th intercostal nerves, causing pain.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Nineth Rib Syndrome after 10^th Rib Resection

Yu¹,

Jeong²,

Lee³

et al. 2016

Korean J Pain

View full text Add to dashboard Cite

show abstract

“…Diagnosis is often arrived after exclusion of all other possible other causes and confirmed by a "hooking manoeuvre" described by Heinz et al 3 This leads to delayed diagnosis and management of TRS. 4 Conservative management is generally the first line of treatment with analgesics, heat packs and rest. 4 Nerve blocks are effective in short terms but their long term evidence is lacking.…”

Section: Discussionmentioning

confidence: 99%

Twelfth rib syndrome: role of intercostal blocks: case series of 10 patients

Phadnis,

Gadhe,

Kale

et al. 2023

Int J Res Orthop

View full text Add to dashboard Cite

Twelfth rib syndrome (TRS) is a rare condition that causes severe pain in the loin. It is often misdiagnosed, leading to unnecessary investigations and treatments. Intercostal blocks in the 11th and 12th rib often resolve the pain for these patients. In this research paper, we aim to explore the role of intercostal block in the management of TRS based on our experience with 10 patients. Data of patients who were diagnosed with TRS were studied retrospectively from our hospital records who have been given intercostal block injection from the period of Jan 2022 to August 2023 as an audit. Four patients underwent intercostal blocks. VAS scores were measured in follow-up for 1 and 3 months. 4 patients were lost to follow up and hence not considered in this study. The male to female ratio was 7:3. There was a statistically significant reduction in VAS score at 1 month and 3 months compared to pre-injection times. Patients who have failed conservative management for TRS can be effectively managed with intercostal block injections.

show abstract

“…

Multitudinous causes, both traumatic and atraumatic, as well as the management of chronic rib pain have been discussed. [1][2][3] Painful rib syndrome and slipping rib syndrome are well-recognized entities resulting in chronic rib pain. [3][4][5] Chronic pain related to the costovertebral joint, however, is less well understood and described.

…”

mentioning

confidence: 99%

Bilateral 11th rib disarticulation and resection for chronic rib pain: A case report

Cail¹,

Wei²

2022

JTCVS Techniques

View full text Add to dashboard Cite

The painful rib syndrome

Cited by 6 publications

References 6 publications

Nineth Rib Syndrome after 10^th Rib Resection

Nineth Rib Syndrome after 10^th Rib Resection

Twelfth rib syndrome: role of intercostal blocks: case series of 10 patients

Bilateral 11th rib disarticulation and resection for chronic rib pain: A case report

Contact Info

Product

Resources

About

The painful rib syndrome

Cited by 6 publications

References 6 publications

Nineth Rib Syndrome after 10th Rib Resection

Nineth Rib Syndrome after 10th Rib Resection

Twelfth rib syndrome: role of intercostal blocks: case series of 10 patients

Bilateral 11th rib disarticulation and resection for chronic rib pain: A case report

Contact Info

Product

Resources

About

Nineth Rib Syndrome after 10^th Rib Resection

Nineth Rib Syndrome after 10^th Rib Resection