Suggest treatment for ribs pain despite taking Naproxen
Patient: Hi there.A few weeks ago I went toboganning with my daughter and I ended up wiping out pretty hard and landed on my left side.Felt like I was hit by a truck or something as the impact of landing was severe and I felt like I had the wind knocked out of me.I have roto-scoliosis so my left side rib cage has always protruded more than my right side.Took me a few minutes before I was able to get myself back up and I noticed it immediately hurt to inhale.I thought well maybe I just bruised my ribs or something and I took pain meds at home and iced the area but still was in a lot of pain so I went to my family doctor and she believes I may have several cracked ribs and prescribed me Naproxen and said she could order an xray but felt it was pointless as there s nothing that can be done anyhow.The breathing in has gotten easier but now I m finding myself in different pain that s almost constant but sometimes worse at times then others. Almost like I have a constant pressure..like I have a cement block sitting on me or something.I ve also developed a new symptom where I can feel a shifting or popping in there. I have no bruising but I do have swelling.This accident happened on family day(Feb 19th).The pain I have is not far below my left breast.Is this normal or should I go back to the doctor? Doctor: Hello,  The symptoms are most likely suggest the possibility of costochondritis. As a first line of management you can take analgesics like ibuprofen or diclofenac for pain relief. Anti inflammatory drugs like seratiopeptidase is also effective.  Hope I have answered your query. Let me know if I can assist you further.   Take care   Regards,  Dr. Shinas Hussain, General & Family Physician