Interchondral subluxation; Clicking rib syndrome; Slipping-rib-cartilage syndrome; Painful rib syndrome; Twelfth rib syndrome; Displaced ribs; Rib-tip syndrome; Rib subluxation; Chest pain-slipping rib

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The symptoms of slipping rib syndrome are similar to other medical conditions. This makes the condition difficult to diagnose.

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Treatment focuses on relieving the pain. If the pain is mild, you can use ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn) for pain relief. You can buy these pain medicines at the store.

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If the pain persists, surgery may be done to remove the cartilage and lower ribs, although it is not a commonly performed procedure.

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The pain often goes away completely over time, although the pain may become chronic. Injections or surgery may be required in some cases.

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When the ribs shift, they press on the surrounding muscles, nerves, and other tissues. This causes pain and inflammation in the area.

Your health care provider will take your medical history and ask about your symptoms. You will be asked questions such as:

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Your provider will perform a physical exam. The hooking maneuver test may be done to confirm the diagnosis. In this test:

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Waldmann SD. Slipping rib syndrome. In: Waldmann SD, ed. Atlas of Uncommon Pain Syndromes. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 72.

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Slipping rib syndrome refers to pain in your lower chest or upper abdomen which may be present when your lower ribs move a little more than normal.

Kolinski JM. Chest pain. In: Kliegman RM, Toth H, Bordini BJ, Basel D, eds. Nelson Pediatric Symptom-Based Diagnosis. 2nd ed. Philadelphia, PA: Elsevier; 2023:chap 8.

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This syndrome usually occurs in the 8th to 10th ribs (also known as false ribs) at the lower part of your rib cage. These ribs are not connected to the chest bone (sternum). Fibrous tissue (ligaments), connect these ribs to each other to help keep them stable. The relative weakness in the ligaments can allow the ribs to move a little more than normal and cause pain.

Slipping rib syndrome can occur at any age, but it is more common in middle-aged adults. Females may be more affected than males.

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McMahon, LE. Slipping rib syndrome: a review of evaluation, diagnosis and treatment. Semin Pediatr Surg. 2018;27(3):183-188. PMID: 30078490 pubmed.ncbi.nlm.nih.gov/30078490/.

Cupit GL, Dixit S, Chang CJ. Thorax and abdominal injuries. In: Madden CC, Putukian M, McCarty EC, Young CC, eds. Netter's Sports Medicine. 3rd ed. Philadelphia, PA: Elsevier; 2023:chap 52.