Sports Injuries

Sports Injuries: Stress Fractures to the Ribs

Share

Stress fractures to the ribs occur in rowers, golfers, canoeists, lacrosse players, and baseball pitchers. They are more common in sports involving an element of trunk rotation with scapula movement across the rib cage.

A stress fracture is described as an overload of the bone caused by repetitive loading due to a particular movement. Any load on the bone will create stress in the bone. However, given enough recovery time, the bone heals and becomes stronger. This is known as Wolfe’s law. But, if the bone load is too high or too frequent, then the bone does not repair quickly enough, a stress response occurs, and a fracture follows.

In rowing, repetitive loading is created by several factors. Muscles such as the serratus anterior and abdominals that directly attach to the ribs can lead to loading on the ribcage due to contraction. Bad rowing technique, perhaps caused by poor hip flexibility, which requires excessive compensatory thoracic rotation, may lead to rib breakdown.

Other causes include equipment issues such as the oar type (lighter carbon oars increase rib loading) and bigger boats with more drag and position in the boat (bow rowers have less incidence due to lower stroke rate and force). Rib cross-section and density also influence the chance of stress fractures, and women have a higher chance due to the greater likelihood of bone density issues. Finally, training variables such as volume, intensity, type of loading, and off-water training can also be factors in stress fracture development.

The signs and symptoms are usually straightforward. These include generalized rib pain with a focused spot of tenderness, pain rolling onto the ribs whilst sleeping, and pain with deep breathing. They can be confirmed with a bone scan (black spot) and/or MRI (white spot).

Unfortunately for the rower, the immediate management of the injury involves rest. Usually, 4-6 weeks away from rowing will be enough to allow bone healing, followed by a progressive increase in rowing load over another 4 weeks before the athlete is back to full training.

Additional Topics: Chiropractic and Athletic Performance

Chiropractic care is a popular alternative treatment option that focuses on diagnosing, treating, and preventing injuries and/or conditions associated with the musculoskeletal and nervous system, primarily the spine. Many athletes and civilians seek chiropractic care to restore their natural health and wellness; however, chiropractic has been demonstrated to benefit athletes by increasing their athletic performance.

 

Post Disclaimer

Professional Scope of Practice *

The information herein on "Sports Injuries: Stress Fractures to the Ribs" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
Compact Status: Multi-State License: Authorized to Practice in 40 States*

Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card

Recent Posts

The Benefits of Brisk Walking: Burning Abdominal Fat

Can incorporating walking help accomplish health goals for individuals trying to burn fat? Walking To… Read More

July 12, 2024

Maintaining Correct Posture: Key Strategies to Manage Pain

For individuals who are feeling back pain, neck pain, or shoulder pain, can using postural… Read More

July 11, 2024

Voluntary Muscles: Controlling Movement and Function

Skeletal muscles attached to the arms, legs, neck, back, and trunk bones are voluntary and… Read More

July 10, 2024

Homemade Electrolyte Drink: Replenish Your Body’s Lost Minerals

Replenishing electrolytes and maintaining hydration is essential for individuals who work out, fitness enthusiasts, and… Read More

July 9, 2024

Pickleball Footwear Guide: Finding the Perfect Shoes for the Game

Proper shoes are highly recommended when playing sports, whether professional or recreational. Can wearing pickleball… Read More

July 8, 2024

Managing Headaches with Self-Care: Tips for Quick Relief

For individuals dealing with headaches, can utilizing self-care techniques help ease symptoms? Headaches Self Care… Read More

July 5, 2024