Strange happenings/even stranger doctor response?

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jamief
Regular Member


Date Joined Feb 2005
Total Posts : 200
   Posted 4/15/2008 11:20 PM (GMT -7)   
Hey all! Recently I had to go to the ER because I had visibly dislocated ribs. It was freaky, uncomfortable.. and I couldn't figure out how in the world I had done it. The ER doc did chest xrays and a CT scan on my ribs and said it all looked okay, that the ribs hadn't crossed under or over one another... and that nothing was broken. A few ribs (two is what they're guessing) seem to have just popped out from inbetween the others and the ligaments? 2 months downtime is what they're telling me plus I had alot of other appointments to figure out the cause. Well... I went and saw my family doctor and a chiropractor (they thought he may be able to manipulate them back in place) and what they both tell me is that there isn't a way to do that. That the cartilidge in my chest had swollen up and pushed out the ribs. They also made a huge deal out of the doses of pred I had been on in the past while dealing with CD. I was told that because of pred usage and CD that my bones and ligaments were weaker and it could have happened just by sneezing or coughing too hard? I have 2 questions I guess. 1.. has anyone dealt with this before? and 2.. has anyone ever been told that pred and/or CD could cause something to happen like this? I guess it's just really freaking me out. No one has even sent me for testing on my joints or bones or anything. I had been on 40 to 50 mgs of pred for over a year (going on and off of it O.o) but that was a few years ago? I don't know, I'm just a little confused and wondering if anyone had experienced this before or knew anything about this at all. Thanks guys for reading :)
 
Jamie

Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 4/15/2008 11:51 PM (GMT -7)   
Hi Jamie,
I see some major rib dysfunctions as an osteopathic med student. It's not necessarily blazingly abnormal - can I venture a guess here and say that you're probably on the thin side and can see/feel most of your ribs without too much prodding/poking? Did you notice this based on the discomfort, or was it something you happened to notice in the mirror or while you were in a certain position?

If this is causing you a lot of distress, you might benefit from seeing a musculoskeletal medicine specialist - i.e., a D.O. (doctor of osteopathic medicine). It's hard to glean the cause or effect of this occurrence. It's totally plausible that you could have displaced ribs as a result of a random cough/sneeze attack; plus, the medications you are taking for CD, especially if taken for many years, can have all kinds of bizarre effects on the body and you just might not be as "elastic" as you once were.
Co-moderator - IBS Forum

Please always remember to consult your medical professional regarding your medical questions; this forum is intended to provide patient-to-patient support. Although some of us have healthcare backgrounds, we cannot diagnose or treat patients on the board.


jamief
Regular Member


Date Joined Feb 2005
Total Posts : 200
   Posted 4/16/2008 12:15 AM (GMT -7)   
Yep, I can kinda see my ribs anyways. I noticed it when I tried to lay down to go to sleep after work one night, couldn't do it. My back was hurting and had alot of discomfort in my chest. Looked down and saw them sticking out. It's the lower ribs. I suffer from alot of tendonitis as well. I'd honestly never heard of anyone just having ribs dislocate that way until it happened. Thank you for responding! :) I'm happy to hear it's not abnormal! I definitely don't feel elastic anymore, haha. It just caught me off guard. Also thank you for telling me about a D.O. Hopefully I won't have to visit one anytime soon but if this happens again I suppose it'd be a good idea.

Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 4/16/2008 12:23 AM (GMT -7)   
If you want to find a specialist, try www.osteopathic.org - you might benefit from some OMM with your history of back and chest pain. Sometimes the stuff works miracles. And I don't say that very often because I'm a skeptic by nature. But it might be worth a shot.
Co-moderator - IBS Forum

Please always remember to consult your medical professional regarding your medical questions; this forum is intended to provide patient-to-patient support. Although some of us have healthcare backgrounds, we cannot diagnose or treat patients on the board.


ERANJO
Regular Member


Date Joined Apr 2008
Total Posts : 60
   Posted 4/16/2008 3:27 AM (GMT -7)   

nono  WOW, that is crazy, I have had CD for 2 years now, I have always had slight joint pain, but it seems to have gotten worse recently, well last week my ortho doctor sent me for an MRI of my knees, well, I have a stress fracture in both, and a sprained ACL in the left and a tear in the right knee, no idea how this happened, I mean I am NOT very athletic....does anyone know if CD causes joint issues like this?

Kelly


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/16/2008 3:44 AM (GMT -7)   
I have a rib that won't go back into place. I feel your pain. Mine happened when I became sick, after a severe kidney infection, so they thought it was kidney related. It was months before they discovered (a physical therapist discovered it) the rib was subluxed. My rib is still out of place and the osteo (D.O.) can't get it back into place. It has been nearly a year now & I have had some steroid injections that do help a bit in the pain department, but haven't fixed the problem.

I hope they get it back into place for you right away. The longer they wait, the harder it will be.
Live for today, for tomorrow you might just get hit by a semi.


EMom
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Date Joined Aug 2007
Total Posts : 990
   Posted 4/16/2008 5:17 AM (GMT -7)   
Maybe it will make you feel better to know this has happened to both my kids (no pred. involved). Once when it happened to my daughter there was absolutely no explanation, as she was doing nothing at the time that she could put her finger on that might have caused it. My son's incident happened when he had bronchitis about 2 months ago and was coughing a lot.

Since we have used a chiropractor for many years, when this happens we go to him. If we get there in a timely manner (before too much swelling has occurred), the rib is "popped" back in and the relief is instantaneous. (My son didn't tell me about his right away and it had become quite swollen. His took much longer to heal.) Ice helps before and after. My kids say the pain, until it's popped back in, is excruciating, though.

I hope your situation improves fast and the pain subsides!
EMom
Mother to 16 year old boy diagnosed in June, 2007.
Currently taking Asacol, omega 3s, digestive enzymes, probiotics, iron, vit. C, calcium w/D3 and a good multivitamin.
Started The Maker's Diet in early September.


Sugarmarie
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Date Joined Jul 2003
Total Posts : 1205
   Posted 4/16/2008 7:23 AM (GMT -7)   
Pred does kill your bones,its nasty stuff but somethings needed with crohns.
Confucius say : He who goes to bed with itchy butt wakes up with stinky finger.

Words of wisdom: Never trust a fart

:) Sugarmarie A.K.A. Poopy Pants :)


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/16/2008 9:40 AM (GMT -7)   
My osteo has performed OMT on my many times for this rib, but it just won't go back in. The physical therapist said that she had a woman go to ER due to the excruciating pain. She couldn't believe I could function as long as I have with this rib out. Of course, I am on pain medications that help immensely. Besides, I have a high tolerance to pain (both children born natural childbirth).

It would be nice to get rid of this pain once and for all. It's been since June 07 that I have had this rib out. My problem is in my back, where the rib connects to the spine. I am thinking of going to a chiro, but wondering what would they would different than the osteo....
Live for today, for tomorrow you might just get hit by a semi.


jamief
Regular Member


Date Joined Feb 2005
Total Posts : 200
   Posted 4/17/2008 4:26 AM (GMT -7)   
I hope a chiro can help you more than what they did me, Hukle, and I'm sorry to hear that it still hasn't went in! It can go back in place on it's own right?? I have alot of problems in my back as well out of it. Eranjo wow! I hope you're doing better now. EMom, how long did it take your son to heal? I've tried ice, heat, the wrap around rib thing for pressure, lying down specific ways to not irritate the area any further, bedrest... and I've really had no improvement. It's been about four weeks since the accident occured. Thanks you guys!

hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/17/2008 4:42 AM (GMT -7)   
Probably sounds like you are going to have a hard time getting this fixed like I am. The chiro didn't help you? Physical therapy & OMT haven't helped me either. I have tried the ice, heat & all that along with stretches & exercises & PT & OMT. NOTHING WORKS. It's been since June 07!
Live for today, for tomorrow you might just get hit by a semi.


EMom
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Date Joined Aug 2007
Total Posts : 990
   Posted 4/17/2008 4:42 AM (GMT -7)   
jamief said...
EMom, how long did it take your son to heal? I've tried ice, heat, the wrap around rib thing for pressure, lying down specific ways to not irritate the area any further, bedrest... and I've really had no improvement. It's been about four weeks since the accident occured. Thanks you guys!


It took my son's rib quite some time to heal...like maybe 10 weeks... I was surprised. Of course, he was swimming/training at least 2 hours a day at the time so he wasn't giving it any rest whatsoever. Probably not the best thing...

Hukle, what is OMT? My kids' problem was in their back, too. I don't really know the bottom line difference between an osteopath and a chiropractor--as far as how they manipulate--if there even is a difference.
EMom
Mother to 16 year old boy diagnosed in June, 2007.
Currently taking Asacol, omega 3s, digestive enzymes, probiotics, iron, vit. C, calcium w/D3 and a good multivitamin.
Started The Maker's Diet in early September.


jamief
Regular Member


Date Joined Feb 2005
Total Posts : 200
   Posted 4/17/2008 4:52 AM (GMT -7)   
I hope not hukle.. the chiro told me he wouldn't touch me because of the swelling. He said it wasn't really safe to manipulate it with the swelling and as soon as the swelling went down that the rib would go down with it. But.. the "swelling" hasn't lowered at all, and I've tried everything. Hopefully a chiro can do more for you. You have a strong son EMom! Swimming and training? I can't even lay down right O.o haha. Ten weeks isn't bad though, hopefully that's about all it should take, I hope.

hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/17/2008 9:10 AM (GMT -7)   
OMT = Osteopathic Manipulation Therapy.

I just wonder if I should see a chiro, if he would do something different than the manipulation that I get from the osteo.... I don't know what to do to get rid of it, to be perfectly honest.
Live for today, for tomorrow you might just get hit by a semi.


Glad Bag
Veteran Member


Date Joined Mar 2007
Total Posts : 699
   Posted 4/17/2008 12:29 PM (GMT -7)   
it doesn't surprise me that a Chiropractor, whose profession is based on non-medicinal approaches to healing, would make a big deal about prednisone, as well as a Primary doc, since they don't prescribe it as much as GI docs, and don't get the balance aspect of being on prednisone, it's basically the lesser of two evils....the fact is you needed to take the prednisone or else your health would have suffered more than this rib problem.

I hope you and your doctors find a way to get you better.

Nat
"I am he as you are he as you are me and we are all together!" - The Beatles

doesn't that just sound cool when you sing it?


EMom
Veteran Member


Date Joined Aug 2007
Total Posts : 990
   Posted 4/17/2008 8:58 PM (GMT -7)   
hukleberrie said...
OMT = Osteopathic Manipulation Therapy.

I just wonder if I should see a chiro, if he would do something different than the manipulation that I get from the osteo.... I don't know what to do to get rid of it, to be perfectly honest.


Oh! Thanks! :-)

I really know nothing whatsoever about how an osteopath works. When one goes to an osteopath for a specific problem, does the osteo have you return 1,2, maybe 3 times a week (depending on how acute the problem) until the problem is resolved?

It is my guess that IF you decided to go to a chiro, he/she would want you under their care for several months (since this has been a problem for you for nearly a year). Maybe 2 to 3 appointments *each week* for several months. It can be time consuming, not to mention expensive, but on the other hand, it just *might* help. The chiro may explain the reason your rib is out of place is due to a sublexation in the spine somewhere, or possibly a postural problem--or both. Also, they would explain that one or two spinal adjustments will not help because it will take time and multiple adjustments before the body begins to recognize the "correction" the chiro is trying to achieve in the spine.

Oh brother....Am I making any sense? confused

Anyway, many chiros will allow a one time free consultation to new patients. You might ask friends for referrals and make a few calls to inquire if any in your area offer this. If they do, I say what the heck. Have a consultation and ask all the questions you can--including price, of course!

These are just my thoughts, hukleberrie....a little long winded tonight.... In a nutshell, I can't say whether a chiro manipulation would be any different than an osteo's because I'm not familiar with how an osteo works. I do have about 17 years experience going to a chiro myself, though, so I have some background there. I only wish I had one in the family!
EMom
Mother to 16 year old boy diagnosed in June, 2007.
Currently taking Asacol, omega 3s, digestive enzymes, probiotics, iron, vit. C, calcium w/D3 and a good multivitamin.
Started The Maker's Diet in early September.


broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 4/17/2008 10:06 PM (GMT -7)   
Thank you for this topic guys! I am about to be evaluated for connective tissue disease. I've had an adhesion in my left shoulder, course of PT for that already. Now both shoulders, neck, hands, SI joint, ribs and right knee are involved. I had to push for the Rheumy appt. and the GI did a full RA workup on me again last week. She didn't bother to tell me she found arthritis in both hands, only that it didn't show RA. Learned this from my GP today as well as my ANA's haven't come back yet.

Jamief- I've had two episodes with my connective tissue in the ribs. One caused by painting and the other from broncitis. Chest xrays will not show inflammation in the connective tissue and no further tests were done on me either time. I can't imagine finding a dislocated rib/ribs! Wow! I have been on pred over the last two years anywhere from 5mg-60mg daily. I have finally weaned off totally as of the beginning of February. If I were in your shoes I would demand a referral to a Rheumy doctor as well! I can't believe your GI has not sent you already.

Sarita- Thanks for the heads up on the osteopathic.org. I didn't know they existed either!
Dx'd Jan'06, 1st Resection 7/06, Predinsone, Humira, Imuran, B12 injections, Nexium. Secondary conditions: Psorasis, Acne, Fatigue, Joint Pain, Lactose Intolerant, gallstones, fibroid cysts, peri-menopausal.

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