Edge bruise is a trauma of soft tissues( skin, subcutaneous tissue, muscles) in the chest area. Occurs in a fall, impact or compression. Unlike most other chest injuries, it is classified as a light injury and does not pose a potential danger to life. May be accompanied by a fairly intense pain syndrome, swelling, bruising, or hemorrhage. Diagnosis is made after the exclusion of other injuries of the chest. The treatment is conservative, the period of incapacity for work is up to 1 month.
The contusion of the ribs is the easiest trauma of the chest. With such damage, only superficially located soft tissues usually suffer, and the bones and internal organs remain intact. There is rarely a combination of rib injuries with other injuries: concussion, bruising or rupture of the lung, hemo- or pneumothorax. Such damage, even with the integrity of the ribs, can be life threatening to the patient and require urgent specialist treatment. Therefore, careful differential diagnosis of chest injuries, the exclusion of severe injuries and the correct choice of treatment tactics are the most important tasks of specialists working in the field of traumatology and orthopedics.
Symptoms of rib contusion
Patient with a bruised rib troubled by pain, aggravated by deep breathing and movements. In the area of the bruise appears swelling. There are foci of hemorrhages of various sizes and shapes. With sliding strokes, hematomas are often formed. Soft tissues are painful when palpated. It is difficult to assess the level of pain during palpation of the rib in the area of injury, since this part is in the zone of soreness of soft tissues. To exclude fracture of a rib, it is possible, having pressed on an edge on some distance from area of a bruise - if a bone is whole, pressure will be painless.
Another symptom that allows differentiating the bruises of the ribs from fractures is pressure on the chest. The traumatologist puts both palms on the side surfaces of the chest and squeezes it gently. If a sharp increase in pain is absent - it is highly likely to exclude fracture of the ribs on the basis of clinical examination. It should be borne in mind that severe injuries( shaking of lungs, pneumothorax, etc.) in some cases can occur even in the absence of fractures. Auscultation is performed to assess the state of the respiratory system. With uncomplicated bruises, the lungs are tapped in all departments, breathing on the sore side can be slightly weakened. Percutaneous lung borders are normal.
Damage complicating the bruise of the
ribs The mild degree of concussion of the lung is accompanied by poorly expressed clinical manifestations. The patient complains of a feeling of lack of air, the examination reveals a change in the rhythm and frequency of breathing. With severe concussion, the patient's condition worsens, acute respiratory failure develops. Breathing becomes frequent, superficial and uneven. The skin acquires a cyanotic color. Patients and palms of the patient are cold, wet. Pulse is rapid, arrhythmia is possible. Such conditions are life-threatening and require intensive care.
The bruise of the lung is accompanied by hemorrhages in the lung tissue or under the pleura. The pleura remains intact, therefore, pneumo- and hemothorax is usually absent. In some cases, ruptures of sufficiently large vessels and bronchi are possible. In patients with a slight bruise of the lung, dyspnea and hemoptysis occur. During the examination, a local weakening of breathing and blunting of the percussion sound are found. In severe contusions, acute respiratory failure develops, which is manifested by weight gain, breathing disorders, cyanosis, cardiac rhythm disturbances, cooling of the extremities, etc. As with severe lung concussions, intensive therapy is required.
Haemotorax with rib contusions that do not combine with fractures rarely occurs. An exception may be cases in which a patient with a bruise has bleeding disorders, there is a tumor of the pleura or near-pleural regions of the lung. Small hemothorax does not appear in any way and is only detected by radiography. With a large hemothorax, there is a decrease in blood pressure, tachycardia, dyspnea, cyanosis, cough and chest pain.
The following symptoms are typical for contusion of the ribs:
Severe and severe pain in the process of injury
Because of the large innervation in the rib area, unbearable pain sensations arise which, in time, weaken .
Pain sensations at the site of the injury
Strengthens with breathing and movements with the trunk. They can bother from several days to several months.
Bruises in the area of damage
The more damaged blood vessels, the greater the size of the bruise. At first, the hematoma becomes crimson or brown, then gradually turns pale to yellow and disappears.
Because of pain in the ribs, breathing problems are possible: unpleasant sensations during inspiration, shallow breathing, and if the lung is damaged, respiratory arrest may occur.
After a while after the injury, it can become denser, but with time the swelling disappears.
Hot to the touch skin
Immediately after the injury, the skin in the damaged area turns red and becomes hot.
To determine the bruise of the ribs is easy, but to exclude fracture and damage to the internal organs, an X-ray examination will be required. It allows the doctor to assess the condition of the bones and their integrity, to see damage to the internal organs.
To reduce pain and avoid complications, you need to know what to do immediately after getting injured.
The doctor prescribes treatment depending on the degree of severity of the injury and symptoms:
Folk medicine can help to speed up the healing process:
Frequently Asked Questions
What should I do first if there is a severe rib contusion?
Immediately after the injury, you must perform all the actions for the provision of first aid and exclude a fracture. Do not self-medicate.
Consult a doctor who will prescribe an examination and a comprehensive treatment.
Why did not the bruises appear after the injury?
After a bruise, the skin reddens due to a rupture of capillaries and blood vessels, liquid or coagulated blood accumulates in the damaged area. This is what causes bruises. But not always with bruises of ribs appear bruises. If cold is applied immediately after getting an injury to the damaged area, hematomas can be avoided.
How to identify a fracture or bruise?
Only a doctor can exclude fracture after carrying out an X-ray examination. But in the first minutes after getting the injury, you can do it yourself. Carefully pass your hand over the bruised place: a swelling may appear, but there should be no protuberances or dents. Then examine the entire thorax, the protrusions may appear not only on the site of the injury.
How much will it hurt?
The site of the injury can be aching from several days to several months. It depends on the degree of damage and the correctness of the treatment. The most important thing during the recovery period is to avoid physical exertion, and in the first 2 days to comply with bed rest.
What ointments to use?
If the ribs are bruised, doctors often prescribe "Ibuprofen" is an anti-inflammatory non-steroid agent that effectively fights pain. It should be applied to the damaged area 3-4 times a day.
"Nurofen" has an anti-inflammatory effect. This ointment is rubbed into the skin until it is completely dissolved.
Another effective tool is the "Voltaren" .It is made on the basis of phenylacetic acid, removes the inflammatory syndrome.
Rib bump is a serious injury that rarely threatens the life of the victim, but can lead to serious complications.
If you do not receive timely medical care, you may develop prolonged pain syndrome, hypoxia, hydrothorax, pneumothorax or pneumonia.
Treatment takes place in several stages, ends with rehabilitation, which returns to a full life.
Pneumothorax with contusion of ribs is more often formed against the background of already existing pathology: pleural joints, chronic obstructive pulmonary diseases, lung tumors, etc., although the development of this pathology is possible in healthy lungs. The patient's condition deteriorates sharply, which is associated not only with the decline of the lung, but also with changes in the position of the heart. There is a rapidly increasing suffocation, swelling of the cervical veins, cyanosis, a decrease in blood pressure, an increase in heart rate and other signs of progressive acute respiratory failure. To facilitate breathing, the patient takes a forced sitting position, lifting her shoulders and leaning her hands on the edge of the seat. Palpator under the skin of the upper half of the body can be found areas of air accumulation, with the palpation of which you hear a soft tender crunch. Breathing on the sore side is absent, with percussion tympanic or boxed sound is determined. It is possible to shift the boundaries of the heart.
Diagnosis of contusion of ribs
The primary differential diagnosis of rib injuries is performed taking into account the patient's condition and inspection data. For the final elimination of severe damage, chest radiography is prescribed. With bruises of the lung, foci of darkening are detected, which do not coincide with the boundaries of lobes and segments, it is possible the appearance of ribbon-like fading bands along the course of certain bronchi. With hemothorax, a prominent, contrasting homogeneous darkening with a horizontally located upper border appears in the lower sections.
With pneumothorax, the pulmonary pattern is absent in the areas of lung collapse, the mediastinum shadow is shifted to a healthy side, sometimes air layers are visible under the skin. In doubtful cases, in addition to radiography, MRI of the lung can be prescribed, which allows to detect small areas of lung decay, small foci of hemorrhages, etc. In case of cardiac disorders, a cardiologist is invited for consultation, in case of severe respiratory disorders, a pulmonologist or a thoracic surgeon. If pathological manifestations from the ribs and internal organs are absent, the bruise of the ribs is diagnosed.
First aid and treatment of rib contusion
The injured person should be given an analgesic, cold should be applied to the area of the injury - this will help reduce edema, hemorrhages and bruises. Even with a satisfactory condition and no signs of severe injuries to the chest, the patient must be rushed to the emergency department or traumatology hospital, because at the initial stages severe injuries can be asymptomatic. Delivery is best done in a sitting or semi-sitting position - this will help the victim to facilitate breathing.
Patient with a bruised rib is recommended to limit physical activity. Sleep better in a semi-sitting position( with a large pillow or a raised head end of the bed).Breast bandage should be used with caution, only with severe pain and for a short while, because the bandage not only reduces pain, but also limits chest excursions. This entails a worsening of the ventilation of the lungs and increases the likelihood of posttraumatic bronchitis and pneumonia, especially in older people and patients suffering from respiratory diseases.
For intensive pain, analgesics are prescribed. Patients are referred to UHF, and then to electrophoresis. It is advised to perform breathing exercises to prevent hypoventilation. When coughing, expectorants are prescribed with a bronchodilator effect. Regularly carry out repeated examinations for the timely detection of complications. With prolonged non-absorbable hematomas of soft tissues, an opening and drainage is performed. Recovery usually occurs within a period of up to 1 month.
Edema of the ribs: symptoms, signs, treatment, photo
How and what to treat the bruise of the ribs
Pain in the ribs when coughing or sneezing, as well as the torso of the trunk often indicates a severe bruise. You can alleviate and eliminate discomfort in many ways.
How and what to treat the bruised ribs yourself?
Before taking any medication, you need to make sure that the bones are intact and the damage is not dangerous. A bruise or a crack in the rib is damage, but the bone remains in its original place. In case of a fracture, it can be shifted from its natural position, creating a threat of puncturing nearby organs and tissues. Therefore, if you doubt the harmlessness of the injury, seek medical help from a trauma doctor.
Ribs perform an important function: they protect vital organs from damage. At the same time, they themselves can become a potential threat to human life and health. Contusion of the ribs is a very painful and severe trauma, which can occur when falling or striking with a blunt object. For this case, it is characteristic, first of all, of the pain syndrome. It manifests itself quite intensively. Along with this, patients often have difficulty breathing, because even such minor movements provoke severe pain. The contusion of the ribs is also characterized by the following features:
- Prolonged pain. After the injury, the pain can last from 2-3 days to several weeks, depending on the severity of the injury;
- Difficulty breathing. Peak pain occurs at the time of inspiration, which is why the patients often have shallow breathing. There are also short-term stops of breathing;
- Bruise at the site of the injury. The size and scale of the hematoma is determined by the number of vessels damaged in the trauma. As the healing progresses, the color of the bruise changes;
- Edema. Swelling of the tissues at the site of the injury is a typical symptom of such rib damages. As you recover, the area becomes denser and stops ache;
- Redness of the skin. Where the injury is localized, hyperemia often occurs, the skin becomes hot by touch.
To understand how to treat the bruise of the ribs, a traumatologist will help you. After the examination, he will perform the necessary diagnostic measures that will help to accurately determine the site of the injury, the extent and nature of the damage. After the diagnosis is established, the specialist will offer you the following set of treatment procedures than to treat the bruise of the ribs at home:
- Restriction of physical activity. Try not to disturb the sore spot and for a few days adhere to bed rest;
- Taking painkillers. For the removal of pain syndrome, the trauma specialist will most likely recommend painkillers such as diclofenac, ibuprofen and the like;
- Cold compress. Give the body an elevated position and fix a dense bandage on the site of the injury. Attach a packet of ice to the area. Repeating the procedure will reduce pain and swelling;
- Heating compresses. After certain results have been achieved in treating rib contusions, warm compresses should be used to accelerate the process of tissue repair;
- LFK.A set of special exercises aimed at stretching, will help to finally recover from injury and return the usual mobility to the body.
During the entire treatment process, patients should rest more and try not to overexert themselves physically. Try to lie more on the damaged side: oddly enough, but this will facilitate breathing and partially relieve the pain.
Often in the decision of a question how to treat a bruise of ribs, folk remedies are used. And you need to give them their due, in most cases they give a positive result. If desired, you can also use them, after consulting with your doctor:
- Chicory tincture.100 grams of finely chopped chicory rootlets, pour 500 ml of vodka, insist 2 weeks. The resulting infusion rub the bruised place;
- Ointment from honey and aloe. Mix these ingredients in a 1: 2 ratio, respectively, pre-crushing fresh aloe to a mushy mass. Ointment lubricate the sore spot every day;
- Bodywoman. Mix the powder of this plant with warm water in a proportion of 1: 2, apply, not rubbing, on the area of damage and wash off after 15-20 minutes.
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A rib injury is a mechanical damage, usually without disrupting the integrity of the skin and actually the rib itself. A bruise can lead to a fall even from a slight height or a blunt object blow into the chest area.
Ribs are long plates that refer to flat bones and are located in pairs on both sides of the sternum in a total of 24( 12 on each side).Given the anatomical features of their structure( mobility, well-developed innervation, participation in the act of breathing, proximity of internal organs), even minor damage can cause severe local pain and unfavorable prognosis for the future. Especially on condition that under the bruise the fracture of the rib is masked, which was not diagnosed in time.
To avoid this, it is necessary to clearly define the status of the damage, use differential diagnostics, primarily with fractures of the ribs, to conduct adequate therapy, often at the pre-hospital stage.
By itself, the diagnosis of a rib bruise is not critical. This pathology is well treatable and, with proper subsequent rehabilitation, is completely harmless to the patient's health.
Like any tissue damage caused by a traumatic factor, the rib contusion is manifested by intense pain sensations of an acute nature, which are intensified by movement and breathing.
Pain in the affected area occurs immediately after an injury. Especially it is manifested in movements in which the thorax is involved - acts of inhalation and exhalation, sneezing, coughing, torso turns to the side and inclines.
The borders of the lesion are easily palpable, as the pain syndrome, when pressed on the bruised rib, is significantly enhanced.
The lesion is easily visualized:
- A swelling and swelling, painful when touched, appears on the site of the injury.
- There is a hematoma. Since the ribs are located in close proximity to the skin, with a branched network of blood vessels, subcutaneous blood clusters are quite abundant. The appearance of a hematoma is manifested by a change in skin color: from red to blue and violet.
- Sealing is possible at the site of the injury.
Combined bruises are the most dangerous when the lung is affected simultaneously with the ribs. Sign of such damage is shortness of breath, until its complete stop. Combined injury requires immediate first aid and urgent hospitalization of the victim.
When making a diagnosis, great importance is given to collecting an anamnesis of the disease. The doctor should find out the reason: if this is a mechanical trauma - the force and direction of the impact, if the fall - at what height.
Of no less importance is general examination, palpation of the bruised area of the chest and auscultation of the lungs and heart for the presence of extraneous noise and wheezing.
When a rib is bruised, it is always advisable to perform a chest x-ray or chest X-ray in two projections - direct and lateral.then it is necessary to do to exclude a fracture of the rib, which often at the initial stage( especially if it is a fracture without displacement of the fragments) can be masked for bruising.
If, for any reason, an X-ray examination is not possible, it may help( to distinguish a bruise from a fracture) technique, in which the doctor presses on the chest in front and from the sides( axial load).With a fracture, there will be a pronounced pain in the injury site, and if there are injuries such pain sensations are absent.
It is also informative to tap the patient's chest( after a preliminary assessment of the patient's general condition): if there is a fracture, cough and sputum with blood veins will be noted.then it says that there is a fracture of the rib and the lung is pinched. With bruises of this symptomatology there.
In addition to suspected fracture of the rib, differential diagnosis is performed with intercostal neuralgia, with the leading place belongs to collecting an anamnesis - the presence or absence of a previous injury.
Associated lesions and complications of
A rib injury is not as dangerous as fracture of , when a broken bone can damage the integrity of the pleural membrane and cause complete respiratory arrest. In case of trauma, a complex of diagnostic measures must be carried out in order to eliminate the violation of the integrity of the rib. The accumulation of air( pneumothorax) or fluid( hydrothorax) in the pleural cavity, caused by damage to the lung end of the broken rib, can cause serious disturbances in the respiratory system.
Ribbed edge. With such a fracture there is no displacement of fragments of damaged bone, determined palpably.
A severe rib contusion in combination with an lung injury can cause internal bleeding - the accumulation of blood in the chest, namely in the pleural cavity. Because of the increased pressure, the injured lung does not participate in the breathing process, the patient's condition deteriorates sharply, immediate hospitalization is required.
Inflammatory process. The development of inflammation in the injured area is manifested primarily by a significant increase in body temperature. Ignoring this symptom can lead to the development of serious diseases, one of which is post-traumatic pneumonia.
The rib edge itself is characterized by a long and intense pain syndrome that does not last for several weeks, and sometimes months( depending on the severity of the injury).Restriction of activity, constant discomfort and movement pain can cause stress states .
Since a deep breathing in and out with the "full breast" of the patient is not possible due to the intense pain that arises, a lack of oxygen can lead to the development of hypoxia .Developing deficiency of oxygen in external respiration manifests itself in mood swings( for example, unmotivated sense of euphoria), frequent dizziness. The most damaging is the lack of oxygen in the venous blood, "saturated" from the lungs, for the heart, the central nervous system, kidneys and liver.
The general principles of treatment of rib contusions are reduced to a number of specific measures - prevention and treatment of hematoma, relieving muscle tension and pain, as well as limiting mobility in the chest.
Hematoma. The impact damages the muscle layer of the chest( at the point of application of force) with the rupture of muscle fibers and the appearance of local internal bleeding, which is formed from the blood vessels that feed the muscles. With the progression of this process, the blood clot begins to press on nearby nerve fibers, strengthening pain sensations.
Ice packs( or any other object that provides cold) are used to control the hematoma, which is applied externally to the site of injury.then it makes it possible to slow down the intensity of the hemorrhage or stop it, to remove the swelling of the tissues, which in turn will facilitate the general condition of the patient and relieve the pain. The most effective treatment of cold in the first day after injury. Further, internal hemorrhage therapy is carried out with the help of various resorptive ointments and compresses.
At large sizes, hematomas conduct puncture of the hematoma with the extraction of its contents.
With minor damage to conservative therapy, it is enough( with bed rest on the first days) that the symptoms of the injury disappear and the patient returns to a normal lifestyle.
Pain. In severe pain syndrome, asymptomatic analgesics of various groups are used. The most effective non-steroidal anti-inflammatory drugs that are used locally, on the surface of the skin at the site of damage: various gels and ointments. Their use is advisable to start from the second day after the injury.
If the suspected lung contusion, as well as to prevent stagnant phenomena in them, the doctor can prescribe antispasmodics such as euphyllin or its analogues( according to the mechanism of action).Expectorant therapy is also recommended.
If you have severe pain, it will be advisable to carry out the Novocain blockade, in rare cases - the use of narcotic analgesics ( provided that a thorough diagnosis and a broken rib is excluded).
Restriction of movement. Regardless of the diagnosis( bruise or fracture), which will put the specialist, to limit movement is necessary immediately after the injury.it is due to the fact that during movement, especially with increased physical exertion, the lungs begin to participate more intensively in the act of breathing, moving the thorax( the ribs are its main component).With a bruise, every movement will intensify the pain, and if there is a suspicion of a fracture, it will lead to more sad consequences - traumatization of the pleural cavity with fragments of the rib.
The most simple and effective restriction of motion is bed rest in the first two days after the injury. The patient should be in bed most of the time with a large pillow( or roller): the upper part of the trunk should be on the dais.then it will be possible to prevent the development of stagnant phenomena in the lungs.
Other procedures for treating a bruise are procedures such as physiotherapy( electrophoresis, UHF), which is applied by the end of the first week after injury, breathing exercises, dry heat treatment( not earlier than on the second day after trauma) and various folk methodstherapy.
Of the complications of contusion of the ribs, it is necessary to isolate such conditions as pneumonia, hydro- or pneumothorax, prolonged pain syndrome and prolonged subfebrile temperature, which may indicate the development of a chronic inflammatory process. To exclude them, you should immediately turn to specialists and follow all recommendations for diagnosing the disease, treatment and subsequent rehabilitation.
Providing first aid at the prehospital stage is of great importance in case of damage of this type.
First aid includes the following:
- Elimination of rib fracture. Of course, the most effective method is an x-ray study. But if immediately after the injury there is no possibility to do it, knowledge will be useful that will help determine the fracture by external signs: the presence of bulging under the skin of the rib elements( not necessarily at the site of impact), the appearance of dents in the chest and strong protuberances( a small swelling is allowed with a bruise).
The pain syndrome is more pronounced from the first minutes of the trauma in the fracture. There is a crepitation of the ribs( a kind of "crunching" of bones on inhaling and exhaling).If there is a suspicion of a fracture, it is necessary to call a doctor.
- In any case, the patient needs to ensure peace. The first days - a strict bed rest.
- Apply cold to the damaged area.then there may be an ice pack, a bottle of chilled liquid or snow, for example .Cold is effective in the first day after the injury. In the future apply warming ointments and compresses.
- Taking analgesics. The most effective for such injuries is ibuprofen, diclofenac( both in tablets and ointments on its basis).
- Obligatory consultation of a medical specialist to exclude the defeat of internal organs, especially the lungs.
Which doctor treats
In case of a rib injury, it is necessary to consult an orthopedic trauma specialist for the final diagnosis and appropriate treatment.
If the impact with the injury was insignificant, the pain in the damaged area is not strong, passing after the application of the cold, you can simply make a chest radiograph to exclude fracture of the ribs. A qualified radiologist will be able to determine its presence according to the results of the study. Be healthy.
A rather common reason for visiting a trauma doctor is a bruised rib. Patients, of course, are interested in what is rib bruise, symptoms and treatment of this ailment. This is a common trauma among all age groups of the population, from children to the elderly. Very often observed in athletes, as a result of a fall during training or competition.
Children are very mobile lifestyle, do not exclude falls and bruises. As for the older population, this is mainly a manifestation of uneven physical activity, or loss of coordination of movements under weather conditions and in everyday life.
How to recognize the symptoms of a rib
injury First of all, one should suspect of a trauma after any fall, impact on some object, road accident, industrial damage. As a result, there was an acute, cutting pain in the chest, heart or the place where the entire force of impact fell. With contusion of the ribs, the following symptoms are observed:
- breathing is difficult, as the thorax is injured;
- there is a high soreness, the body temperature rises at the site of the injury;
- appears puffiness, bruising on the site of the affected area of the body and skin;
- there are non-natural bulges and cavities in the ribs;
- sharply increases the overall body temperature, fever;
- there may be shortness of breath, coughing, dizziness;
- with a larger chest contusion causes soreness of adjacent organs;
- hindered physical activity;
- internal organs damage;
- tenderness in lying and sleeping position.
It is important to understand that a simple rib contusion is not a life-threatening injury, but if it is accompanied by a fracture or fracture, then it's about the health of the whole organism.Back to the table of contents
Diagnosis of a rib injury
Due to the high soreness of sensations with a bruised rib, it is hardly possible to neglect this damage. In addition to visual inspection of the integrity of the ribs, the appearance of uncharacteristic bulges and dents in the chest, there are humane, effective methods of diagnosis. These are:
- X-ray examination of chest organs in its different projections - will give an integral picture of the condition of the ribs and internal organs;
- computed tomography - will help to find out whether there are any defects in the affected area;
- MRI - will design the condition of both the ribs and internal organs in all planes and sections.
X-ray examination is needed to obtain a general picture of anxiety, and for a more detailed examination, computer and magnetic resonance imaging are assigned. In case of complicated traumas, additional diagnostics of the internal organs, from measurement of the rhythm of the heartbeat to ultrasound, are prescribed. Timely diagnosis will save you from serious injuries and death. It is important to apply to a specialist when developing persistent, acute pain in the ribs, breathing, coughing, any physical activity and rest. A normal examination of the doctor will benefit the recovery.Back to the Table of Contents
Treatment of Contusion of Ribs
Treatment of a bruise should be immediate, special attention requires a strong injury. Basically, physical pain with bruised ribs is intolerable. Therefore, all efforts are made to reduce the painful discomfort of any movement. Injuries are accompanied by bruises, bruises, bruises, cracks and fractures. In these cases, all efforts are directed to reducing swelling, redness, soreness of the affected area. Much more difficult cases with fracture of the rib or even several ribs. In this situation, a rigid fixation of the edge position is necessary. This is possible with the help of various corsets, but sometimes apply a tight bandage of the chest, which is fraught with consequences.
Treat yourself to rib contusion is life-threatening. Professional therapy is very important in this case.
Treatment is applied depending on the severity of the injury. Thus, both inpatient and outpatient treatment of patients is possible. After receiving radiographic shots, finding out the general picture of the disease, the trauma doctor appoints the appropriate treatment. The use of drug treatment is accompanied by a series of physiotherapy procedures and gymnastics. For example, all medicamental efforts are aimed at eliminating the painfulness of breathing, the mobility of the body. Anesthetics, anti-inflammatory, antipyretic, decongestants are used, both in the form of tablets, and in the form of various syrups and ointments. These can be: