The ribs articulate with the vertebral segments on the back and joins the sternum at the front. Due to the constant back and forth movement of the ribs from breathing allied with a poor posture and thoracic misalignment, rib issue is a common condition seen among patients. Subtle misalignments will only cause a discomfort when actively provoked during clinical assessment. Severe misalignments could be quite debilitating casing sharp pain at the level of the rib and is aggravated with twisting and arm movement.

Tietze’s Syndrome is a condition characterized by chest pain and swelling of the cartilage of one or more of the upper ribs where attaches to the sternum (costochondral joint). Usually this disorder is secondary to posterior rib misalignment

In my clinical experience, rib issue is rarely the primary problem, usually the vertebral misalignment is the precursor for this condition.

Treatment protocol

The treatment care should aim to restore the Spinal and rib alignment, the soft tissue muscles/tendon and ligamentous health as well as stimulating and remodelling the cartilage repair.

Specific adjustments of the spinal and rib followed by a rehabilitation regime to strengthen the entire soft tissue support of the spine.

Soft tissue and disc healing protocol

Application of Low-level Laser and PEMF directly over the injured tissues to aid on the cellular level of healing as well as improving the microcirculation for the area. Due to the natural poor blood supply properties of the cartilage, this treatment modality is essential to enhance cartilage healing

Friction soft tissue therapy helps to reduce dysfunctional scar tissue

Specific stretches and strengthening to improve the resilient of the soft tissue support

Specific selected essential oil application to enhance healing

Dry Needling to promotes blood flow and enhance the soft tissue and disc healing.

Depending on the level injury and chronicity, a minimum of 6 weeks up to 12 weeks of treatment care may be necessary to resolve this condition.