From the Research
Management of bruised ribs from defense training should prioritize pain control, gradual return to activity, and prevention of complications, with a focus on deep breathing exercises to prevent lung complications like pneumonia, as noted in the latest review of pain management in rib fractures 1. The patient should initially rest the injured area for 1-2 days while applying ice packs for 15-20 minutes every 1-2 hours to reduce swelling and pain.
- Over-the-counter pain medications like ibuprofen (400-600mg every 6-8 hours with food) or acetaminophen (500-1000mg every 6 hours, not exceeding 4000mg daily) can effectively manage pain.
- Deep breathing exercises (10 deep breaths every hour while awake) are crucial to prevent lung complications like pneumonia, as rib fractures can lead to splinting, atelectasis, and poor secretion removal, ultimately increasing the risk of pneumonia 1. After the initial rest period, the patient should gradually resume normal activities as tolerated, avoiding strenuous exercise or contact sports for 3-4 weeks.
- Consider using a rib belt or compression wrap if recommended by a healthcare provider, though these aren't always necessary. It is essential to seek immediate medical attention if the patient experiences severe pain, difficulty breathing, coughing up blood, or fever, as these symptoms may indicate complications associated with rib fractures, such as hemothorax, pneumothorax, or pulmonary contusion 2. Bruised ribs typically heal within 3-6 weeks as the damaged tissue repairs itself, with the body's inflammatory response gradually subsiding as healing progresses.