Life-Changing Surgery for Slipping Rib Syndrome
Dr. Adam J. Hansen and colleagues at West Virginia University Heart and Vascular Institute in Bridgeport, West Virginia, have developed a new way to fix the ribcage for people with slipping rib syndrome (SRS). This latest surgery technique, costal margin reconstruction, provides lasting relief and improves daily life for those with severe SRS.
What is slipping rib syndrome or SRS?
SRS is a rare but treatable condition where the cartilage of the lower ribs shifts out of place. These ribs irritate and impinge the nerves, causing severe pain in the chest or upper abdomen (belly).
What causes SRS?
The cause of SRS is stretched or torn ligaments that normally connect the front portions of the ribs together. SRS can happen after an injury or trauma. Some cases of SRS have occurred without any injuries, such as in cases of people with hypermobility where joints move beyond the normal range, people who are pregnant, and people who play sports.
What are the symptoms of SRS?
Symptoms can vary but often include:
- Sharp stabbing pain in the chest, upper abdomen, or back that is followed by an achy feeling
- Slipping, clicking, or popping sensations in the lower ribs
- Trouble breathing
- Symptoms that worsen with movement, coughing, or sneezing
SRS occurs equally as commonly on either side or on both sides.
How is SRS treated?
In some instances, SRS improves without treatment, but once a ligament has torn and allowed the rib to slip, it is likely to remain slipped. Treatment may include:
- resting
- avoiding strenuous physical activity
- applying heat and ice on the affected area
- taking painkillers
- stretching
For many, pain persists and can be debilitating. In these cases, a healthcare provider may recommend:
- a steroid shot to reduce swelling
- a shot in the intercostal nerve to relieve pain
- physical therapy
- surgery
Is the surgery for SRS effective?
Yes, surgery is highly effective in relieving pain and discomfort.
What does surgery for SRS involve?
The recommended surgery for SRS typically involves rib stabilization or reconstruction. This procedure secures the affected ribs and cartilage to prevent abnormal movement, reducing pain, and nerve impingement while restoring normal function.
UHC pioneers a new surgical technique for SRS
UHC’s Dr. Hansen and colleagues published research on a groundbreaking surgical technique called costal margin reconstruction. Before this technique, using sutures to reattach the affected rib to the surrounding cartilage or removing cartilage was common, but often led to the need for additional surgeries.
“Costal margin reconstruction has been a game-changer for patients with SRS. It relieves pain, reduces reliance on pain medications, including opioids, and eliminates the need for additional surgeries. This procedure is now the go-to solution for those with severe symptoms.”
– Dr. Adam J. Hansen, Thoracic Surgery Specialist
The new technique involves removing the affected cartilage and transplanting it between the ribs to prevent the ribs from pushing on the nerve. This approach provides stability and long-term pain relief.
Costal margin reconstruction for slipping rib syndrome.
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