Rib Dysfunction Physio

Often postural stresses can lead to prolonged loading of the area between the shoulder blades leading to rib dysfunctions. These can present in many ways the most common of which is elevated first and second ribs, often associated with increased muscle tone as well as mechanical or postural stress.

This can lead to headache, arm pain, pins and needles and breathing disturbances. When found in association with soft tissue shortening as a result of increased muscle tone, a diagnosis of thoracic outlet syndrome can be reached.

Direct trauma from contact sports or falls can lead to muscle spasm preventing a rib or group of ribs from moving properly, interfereing with breathing patterns and impinging nerves.

Abnormal breathing patterns in themselves can cause secondary soft tissue adaptations that affect the full excursion of the rib cage.

Physiotherapy to correct soft tissue and muscle imbalances, mobilise rib attachments to the spine and re-educate breathing paterns can be of great benefit. Pilates helps to improve posture and breathing control.