Rotated rib

Hi Doctors,

I had been coaching a friend for several months and they developed some mid back tightness that they attributed to poor form on a DB Row. They were then diagnosed with a rotated rib, by either a PT or Chiro, I am uncertain if imaging was involved. They are now afraid of re injuring themselves and seem reluctant to return to barbell training. My question to you is does a rotated rib seem plausible? Is that really a thing that happens?

For a little more background if interested:
The injury came about during an incredibly high stress period of their life. I talked about the link between injury and overall stress. We monitored their session RPEs which were consistently rated as 7s and 8s. I made recommendations along the lines of Dr. Baraki’s approach to training with injuries/pain, i.e. load reduction followed by ROM reduction followed by exercise variation. They were able to continue training outside of certain movements like rows and deadlifts that aggravated their back, but the diagnoses seemed to scare them and I believe they feel that barbell training is a type of high intensity activity that cannot be sustained. It has been a bit discouraging to see them become afraid of barbell training.

If they are interested I would like to refer them to you since this sort of thing is totally out my scope. Thanks for all that you do!

Alec

They were then diagnosed with a rotated rib, by either a PT or Chiro, I am uncertain if imaging was involved. They are now afraid of re injuring themselves and seem reluctant to return to barbell training. My question to you is does a rotated rib seem plausible? Is that really a thing that happens?

See, this is exactly the kind of problem we are fighting against. Making up bullshit diagnoses that induce fear avoidance in our patients, a.k.a. doing harm.

Not a thing.

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