Ribs

Question 1

name the seven types of rib injuries/subluxations

Answer 1

1. costo-sternal
2. costo-chondral
3. costo-angle
4. costo-transverse
5. costo-vertebral
6. anterior dorsals T4-T12
7. anterior dorsals T1-T3

Question 2

costa-sternal includes which ribs

Answer 2

upper 6 as they meet up with the sternum and attach with ligaments

Question 3

what does the pt present with if the have a costa-sternal rib subluxation

Answer 3

pt presents with isolated pain especially upon palpation

Question 4

after a cost-sternal rib adjustment how long may the pain last

Answer 4

48 hours

Question 5

xosto-chondral includes which ribs

Answer 5

upper 10 ribs

starting superior and medially

Question 6

at which rib is the costo-chondral junction located at the mid-clavicular line

Answer 6

5th rib

Question 7

what type of pain does the pt present with for costo-chondral

Answer 7

this subluxation does NOT cause intercostal neuritis/neurlagia

Question 8

how long for pain to go away after a costo-chondral subluxation

Answer 8

this may take up to 48 hours for the pain to subside and up to 6 weeks for stability

Question 9

what do costal angle fixations create

Answer 9

intercostal neuralgia/neuritis

aching along rib

Question 10

for a costal angle is there more pain in the compressed or stretched space

Answer 10

compressed space most painful while the stretched space is less

Question 11

what type of pain does pt present with costal angle

Answer 11

pt can present with pain upon taking a deep breath, asthma, pulmonary dx.. COPD, scapular abnormalities

Question 12

costo-transeverse/costo-vertebral pt presents with

Answer 12

intercostal neuralgia-unilateral or bilateral
palpable or painful
deep ache that doesn’t subside after the spinal adjustment

Question 13

anterior dorsals t4-t12 aka

Answer 13

potting saucer

Question 14

as the spine straightens

Answer 14

ribs move forward, causes irritation on a few nerves

Question 15

most of the problems with t4-t12 anterior dorsals caused by muscle imbalance and weakness of

Answer 15

serratus anterior

Question 16

what are questions to confirm a weakness of SA

Answer 16

do you ever get stabbing pain into the chest that feels like a heart attack?

do youe ver catch your breath 1/2 way through with a quick pain that stops you rom taking a full breath?

Question 17

how to strengthen serrates anterior

Answer 17

two weeks of push ups plus to fatigue- 2x daily to get strong enough to keep the thoracic curve
-pts that actually perform the exercises hold the thoracic adjustments longer and with less symptoms