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X-ray evidence of 2 (dislocated) Broken ribs (3 and 4) - Training management

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  • X-ray evidence of 2 (dislocated) Broken ribs (3 and 4) - Training management

    Hey guys,

    7 days ago I fell off my bike, hit my head and broke 2 ribs. I was hospitalized for 3 days for observation (no pneumothorax or other complications).

    The X-rays suggest that I have 2 broken (and dislocated) ribs - 3 and 4 on the right side. I am in some pain (3-4/10) while lying down and taking a deep breath but not much else. Not taking any pain meds.

    Here are my questions:

    - When can I be back to training?
    - What type of movements would you recommend?
    - What should I avoid (can I make things worse)?
    - Should I expect 100% recovery and in what time frame?

    Regards!


  • #2
    Curious,

    Glad to hear you're okay and I am wishing you a speedy recovery.

    Unfortunately, we cannot give you specific recommendations, as neither of us have evaluated you or know much about you medical and training history.

    That said, most rib fractures heal with conservative management. I would expect your fractures to be resolved in 4-6 weeks. If it were me, I would figure out what exercises I can do with tolerable pain, which is likely to be influenced by movement and intensity.

    I would avoid things like wearing a belt, smoking, and situations where trauma is likely (e.g. MMA training).

    Other than that, this is going to be an experimental phase. Given that it's been 7 days, I'd be more curious as to what you've tried and what your doctor(s) said?
    Barbell Medicine "With you from bench to bedside"
    ///Website /// Instagram /// Peri™ Rx /// Whey Rx /// Barbell Medicine Podcast/// Newsletter /// Seminars ///

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    • #3
      Hey Jordan,

      I am 86kg, 5"10', 30, male. Never smoked. No medical conditions to report.

      I've been lifting for 1 year and 10 months, without skipping a session. Started on the LP, The Bridge ... and most recently ran the Hypertrophy Bias template.
      I resistance train 3-4 times per week and do cardio 1-3 times per week. I hike and ride my bike. Not much else.

      My best lifts:

      Deadlift - 200 [email protected]
      Squat - 160 [email protected]
      Bench - 110 [email protected]
      OHP - 75 [email protected]

      I plan to visit the gym and try out different squat/bench/deadlift variations while staying in the 6-7 RPE range. How would you practically define "tolerable pain"?

      My doctor told me to expect pain within the next 10-15 days, no meds were given.

      Thank you for taking the time, I know you're a very busy man!
      Venelin

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      • #4
        Thanks for the follow up and nice pulls

        I wouldn't put any definition on tolerable pain other than the very literal- pain you can tolerate. It's going to be subjective and you'll have an idea whether you can continue with the particular exercise or not.
        Barbell Medicine "With you from bench to bedside"
        ///Website /// Instagram /// Peri™ Rx /// Whey Rx /// Barbell Medicine Podcast/// Newsletter /// Seminars ///

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        • #5
          Hey Jordan,

          Happy to report that I've done 3 sessions this week. Thanks for the encouragement to start training

          Will be happy to write more detailed description/tips if anybody else is in a similar situation.

          Regards,
          Venelin

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          • #6
            Originally posted by curiousily View Post
            Hey Jordan,

            Happy to report that I've done 3 sessions this week. Thanks for the encouragement to start training

            Will be happy to write more detailed description/tips if anybody else is in a similar situation.

            Regards,
            Venelin
            Glad to hear it!

            With respect to tips/instructions, I think I'd avoid that given the individual nature of this and risks associated with taking responsibility for other people's management of a fracture. That being said, I'm really happy you're back training.
            Barbell Medicine "With you from bench to bedside"
            ///Website /// Instagram /// Peri™ Rx /// Whey Rx /// Barbell Medicine Podcast/// Newsletter /// Seminars ///

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