Doctor insights on:
Chest Trauma Injuries
See a doctor: Chest trauma is a very large topic. It can range anywhere from a rib fracture to major internal organ injury. The majority of chest trauma is caused from blunt injury such as car accidents, falls, etc. If you are involved in an accident and have pain, shortness of breath, bleeding, light headedness, vomiting, palpitations, or other symptoms you need to be evaluated in an er. ...Read more
Occasional: Chest trauma occurs when the chest receives a direct blow. Common causes include motor vehicle accidents, sports accidents, personal altercations (a punch to the chest), falls, and industrial injuries. Minor trauma is uncomfortable but does not affect breathing. More major trauma may include broken ribs or sternum, and can affect breathing and may reflect injury inside the chest. ...Read more
Chest injury: Any injury to chest wall, lung, heart or other structures in the chest, apart from the spine itself. This may result from blunt force, blast injury, penetrating injury or sudden and massive accelerating / decelerating forces. ...Read more
Rest, ice and..: ...Pain relievers (tylenol (acetaminophen) or Ibuprofen for example). Wait...This all assumes you are not seriously injured. By chest trauma are you referring to sore ribs from wrestling your friend, or major blunt chest injury with lung contusion, bleeding etc., if its more the latter, get to the hospital, insurance or not. ...Read more
Kinetic energy: Deceleration trauma, baro trauma, penetrating trauma. All of these are forms of thoracic trauma. They may result or not on life threatening situations depending on the kinetic energy transfer. ...Read more
Trauma being one that you mentioned;
Others include: Inflammation from any reason; Infection, like Viral, bacterial, etc; Idiopathic, where no cause can be found for it.
I believe a number of mechanisms work together and in most cases no particular cause can be identified. ...Read more
Is there a collision speed beyond which seatbelts are helpful (ie causes chest trauma). Just curious - obviously going to use one!?
Beyond a Belt: Since seatbelts are themselves not the cause of chest trauma resulting in serious injury, but rather the deceleration of the collision, it is the speed that is the factor. Seatbelts will always serve the purpose they were intended to do, i.e. Keep an individual from being thrown from the vehicle. Superficial trauma comes from the seatbelt, but internal trauma comes from shear forces on organs. ...Read more
If I treat chest trauma will it be gone, or do I need to keep worrying? I have so much on my mind.
Depends on severity: Depending on the severity of the injury, your primary md may be able to help you or perhaps refer you to a thoracic surgeon or trauma surgeon. ...Read more
No rhyme/reason resting chest pain radiates up neck intense lasting 15-30mins, cardiac work up all normal 1900 pvc's in 48hrs, no chest trauma, advice?
Vasospasm: What if the muscles in the wall of an artery in heart clamps down, with resultant decreased flow of blood, then opens? In theory, workup could be negative and yet you have a problem. A medicine to relax those muscles would help. Other non cardiac causes, thereafter. But you have pvcs. ...Read more
When should one be concerned about mild chest trauma? 72 hours ago, fell about 4 feet and chest landed squarely on padded surface. A bit sore, but no shortness of breath, bruising, hypotension, etc.
Not yet, BUT...:
After a blow to the chest, some degree of soreness is predictable. Things that should prompt a trip to your doctor or ER:
*Shortness of breath
*Coughing bloody mucous or just plain blood
*Nausea / vomiting
*Increasing tenderness in the upper belly
If those symptoms aren't there, you will probably recover just fine. If in doubt? See your doc for a checkup. ...Read more
Other injuries: You may have other associated injuries. Trauma to the chest commonly causes minor bruising and pain to the entire torso. You could also have other injuries like rib fractures (on the back of your chest). Depending on what type of injury occurred, it is also possible to have spine fractures. If the pain continues or you feel like you are getting worse, see your doctor. ...Read more
Need more details: A chest injury can lead to a minor bruise, a popped lung, an injured heart or torn blood vessels inside the chest. Thus, chest injuries can be minor or life threatening. You have expressed concern and you will need to see a doctor who can check to see what kind of injury you have. ...Read more
That depends: First, it depends whether you are talking about blunt or penetrating. Assuming you mean blunt (fall, car wreck), the important parts are pain control to prevent atelectasis (microscopic lung collapse) and pneumonia. Select interventions include narcotics, invasive pain measures (e.g. On-q pain block), operative stabilization of rib fractures. Care is individualized, so check with your doctor. ...Read more
Abnormal enlargement of artery, weakening of artery wall and eventual rupture. Usually caused by Atherosclerosis and degenerative changes,
Penetrating injury can cause a false aneurysm due to a sidewall injury that partially heals then enlarges and ruptures.
Both need Surgical repair ...Read more
Weakness: An aneurysm is an abnormal ballooning of an artery caused by weakness of its wall. As this ballooning gets bigger it can get thinner in the process and is at risk of rupture. These are usually followed periodically by a vascular surgeon using either CT or ultrasound. The initial weakness can indeed be caused by trauma. It can also be due to high blood pressure or cholesterol. ...Read more
Haven't lifted weights in a month due to chest injury. Left deltoid stiff and burns w/ease from lateral movements. Is this common from disuse? Advice?
That depends: You are very young and should not have such symptoms, unless your injury was severe and long standing. Speak to your doc about it. ...Read more
I had a blunt chest injury 2 weeks ago and had severe pain in my sternum. I still have pain when I laugh cough or lift items. Could this be a fx?
Yes: You may have an undiagnosed sternal fracture causing the pain. X-rays are not 100% at being able to diagnose these. Nevertheless, the treatment remains the same and is nonoperative. Follow up with your primary doctor if the symptoms persist. ...Read more
It's been nearly two years since my chest injury and the diagnosis is now costochondral separation of second rib. Any chance it will heal now?
Possibly: Chronic costochonral separation might or might not be a correct diagnosis. Chronic (over three months) chest pain is possibly a chronic inflammation called costochondritis, in which case a single small local anesthetic injection with corticosteroid can be miraculous. If is separation, then spontaneous healing after two years unlikely. An osteopath is good specialist to help with such problems. ...Read more
Golf ball size, painful lump in right chest, near under arm area. No recent illness, injury or trauma. Any idea what this could be?
Lump: Please see your primary doctor about this as soon as possible ...Read more
I have shortness of breath pain in chest and occasionally pain in left shoulder sweating feeling faint and nauseated. I had no injuries or trauma?
See Doc: Multiple causes, but should be evaluated asap to make sure this isn't a heart issue. ...Read more
I have really sore ribs but haven't had an injury/accident/trauma. What could possibly be making them sore?
I was treated for sob, after tests they saw scarring on my lungs. But I never had phenumonia, serious injury or trauma. What causes the lung scaring?
Many possibilities: Smoking, second hand smoke (even if you never smoked), smog, air pollution, dust, fungal infections (even though you've never had pneumonia), allergic lung diseases, auto-immune lung diseases, sarcoidosis, healed TB - just to name a few. If you're still sob, you should see a pulmonary specialist. Have you had a ct scan? ...Read more
Have had an itchy Breast over past 2-3 weeks. Noticed a bruise like discolouration on the same Breast. No recent trauma or injury. Possible causes?
I agree: I agree with the other definitions above, but to be more specific, a flail chest is defined as three or more consecutive segmental rib fractures. This means the ribs are broken in two or more spots. ...Read more
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