Pain in the left rib when stooping

Pain in the left costal arch

General

The costal arch is one cartilaginous structurewho have the lower Ribs with the Sternum connects.
Trauma, organ diseases or other causes can lead to pain on one or both sides.

Causes of left rib pain

Common causes:

In most cases, the causes of costal pain are harmless. An organic disease is seldom the cause.

Traumathat occur during exercise, for example, are a common cause of this pain. This can cause it to Bruises come in the area of ​​the ribs, Torn muscle fibers between the ribs or in particularly severe cases even to Broken ribs.

AlsoHerpes zoster, a viral infection, can cause pain in the left costal arch. With this disease it comes to belt-shaped blisteringthat extends from the back to the chest or stomach.

Another possible cause is this pleurisywhich can cause severe pain in the ribs, including the left side. The Duration of such pleurisy is mainly dependent on the severity of the inflammation.

But also organic causes can cause pain in the left costal arch. In this area is the spleen localized. If this is greatly enlarged (Splenomegaly) it can lead to discomfort in the area of ​​the left costal arch.
This can be done by Blood disorders, how leukemia, from severe infections or from a Blood poisoning (sepsis). Also a congestion of blood in the Hepatic vein, for example through a Cirrhosis of the liver can be the trigger for an enlarged spleen. But also a Splenic infarction, so an undersupply of the organ with oxygen, or a Rupture of the spleen (Ruptured spleen) can cause very severe pain.

Inflammation of the intestine, such as diverticulitis, or inflammation of the gastric mucosa and stomach ulcers can also cause left-sided rib pain, as these organs are also partially covered by the costal arch. This also applies to the pancreas if it is inflamed.

Other causes:

1. Diseases of the heart

If you experience sudden pain in the left costal arch, possibly in the company of others sudden pain the left sideso this can be an early sign of one Heart attack be. In this case, a doctor should be consulted as soon as possible. Especially in women, the pain caused by the Heart attack in the area of ​​the costal arch.

2. Back disorders:

Pain in the costal arch can also be through existing Middle back painor functional disorders of the back arise.
Herniated discs of the thoracic spine (in the thoracic spine area) are extremely rare, but can occur and manifest as pain in the costal arch when certain nerves are compressed.
Also Blockages in the area of ​​the thoracic vertebrae can lead to such symptoms.
Mostly there is tenderness in the costal area and pain when inhaling deeply.

Read more about this under: Rib pain - these are the causes

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Figure pain in the left costal arch

Left costal arch pain

  1. Left lung - Pulmo sinister
  2. Pericardium - Pericardium
  3. Left Costal arch -
    Arcus costalis sinister
  4. Spleen - Sink
  5. Liver - Hepar
  6. Stomach - Guest
  7. Sternum - sternum
  8. Rib 5 - Costa V
  9. Rib 6 - Costa VI
  10. Rib 7 - Costa VII
  11. Rib 8 - Costa VIIi
  12. Rib 9 - Costa IX
  13. Rib 10 - Costa X
  14. Colon - Intestinum crassum

    The costal cartilages of the 7th - 10th rib
    merge to Costal arch.

You can find an overview of all Dr-Gumpert images at: medical illustrations

Localization of the pain

Pain in the left front costal arch

Pain on the costal arch, which is most pronounced on the left front at first no need to worry represent.

In most cases there is no threatening illness behind it, but a problem of the ribs, muscles or superficial nerves. The anterior costal arch is often of due to its exposed position Bruises (Bone Bruises) or fractures of the ribs affected.

Serious falls and injuries can also result in series breaks. Small, sharp pains that cannot be traced back to the bones are sometimes caused by the Intercostal nerves, the small nerve cords that run between the ribs. these can trapped and be painful to light touch or movement.

At Injuries, Stab wounds or broken ribs, the underlying lung membrane can be damaged. The outer shell of the lungs is very sensitive to pain, especially if it is damaged by sharp bones, for example. These causes all have in common that the Pain exacerbated by breathing becomes.

If there is pain on the left front rib cage, the pain may be due to a Heart disease indicate. In the case of an acute heart attack or exercise-related chest pain called "angina pectoris", the pain occurs independently of breathing. The pain in the costal arch is rarely the only symptom. Often this is followed by shortness of breath, unconsciousness and pain in the left arm.

Read more on this topic at:Broken ribs or bruised ribsandPain in a broken rib

Pain in the left rear costal arch

Pain on the costal arch, which occurs on the left rear, is also caused in the vast majority of cases in the Postural and musculoskeletal system (musculoskeletal area).

If the pain can be triggered by external pressure with the finger or increased breathing, most organs can almost be ruled out as the cause. Only the lungs can cause respiratory-dependent pain, for example in the event of an injury to the lung membrane (pleura).

Pain that appears at the back of the costal arch is very typical of Muscle tension, strains and Entrapment. In this area, the shoulder blade lies over the back of the chest. Many muscles that are involved in straightening the spine, moving the shoulders and the function of the arm in the shoulder joint run here. The complaints arise often from excessive or inadequate strength training. With care and warmth, but also with massages, the muscles can be relaxed and relieved. In very rare cases, the heart can also cause the pain in the back of the costal arch. If there are also shortness of breath and symptoms of exhaustion, an acute heart attack must always be considered and a doctor should be consulted.

Read more on this topic at:Injuries in bodybuilding

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Pain in the costal arch in the upper left corner

The costal arch in the upper left extends into the armpit. Pain in this area is also great here often one muscular origin. In particular, can Parts of the shoulder muscles or the Chest muscles, the so-called "pectoralis muscles". These muscles do not lie directly on the costal arch, but due to the spatial proximity they can act like a pain in the costal arch at the top left.

In the case of sharp, breath-dependent pain, the costal arch in the upper left is also a typical location for Injuries to the lung membrane. In some cases, piercing the pleura can even collapse the lungs and cause painful shortness of breath (pneumothorax). More rarely, the pain also has its origin in the Armpit and are incorrectly projected onto the upper costal arch. Here, in the context of Viral diseases painful enlarged lymph nodes that are particularly noticeable due to their pain when touched and pressed.

Read more on this topic at:Lymph node swelling in the armpit - dangerous?

Pain in the lower left costal arch

Pain that is more likely to be found below the costal arch is related to Diseases of the upper abdominal organs stand. In the left upper abdomen there are mainly parts of the stomach, a small part of the liver, the spleen, the left kidney, parts of the intestine and the pancreas. In the context of injuries and falls, the spleen Take damage and even tear. The injury can often go unnoticed for a long time. A rupture of the spleen is even sAlready possible with light bumps and hardly remembered falls and blows. However, a tear in the spleen can lead to typical pain in the lower left costal arch.

Pain can also be projected into the lower costal arch in diseases of the stomach. Heartburn and stomach ulcer (stomach ulcer) are particularly common diseases that cause such pain. The pancreas and parts of the intestine can also cause pain in the lateral lower costal arch. A typical one Pressure and pounding pain of the lower costal arch results at Inflammation of the kidney and renal pelvis. These are often accompanied by a high fever and a feeling of illness.

Read more on this topic at:Pelvic inflammation

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Pain on the left and right costal arch

Costal arch pain that occurs on both sides at the same time is relatively rare. Most diseases of the bones and muscles, but also of the internal organs, are increasingly one-sided and cause one-sided pain. Muscle tension can be increased for symmetrical strength exercises occur on both sides, especially in the case of an unfamiliar or excessive activity. Broken ribs can also develop on both sides in unfavorable cases. Frontal pressure on the rib cage can break the ribs on both sides of the costal arch, sometimes even several at the same time. After prolonged bronchitis with a strong cough, a kind of sore muscles on both sides of the chest is not uncommon. This is especially painful when inhaled.

Also Inflammation of the kidneys can possibly occur on both sides at the same time. A common cause for this is an existing one Cystitiswhich is not treated and which can travel up the urinary tract to the renal pelvis.

Read more on this topic at: Kidney pain after a bladder infection

Pain in left costal arch on inhalation

If the pain in the costal arch occurs during inhalation, this speaks against an organic cause. In the case of heart attacks, liver problems or stomach problems, the pain is in most cases independent of the breath. So in diagnostics primarily complaints of the supporting and holding apparatus (musculoskeletal complaints), but also those lung.

To Bruised or broken bones there is often small inflammation locally on the affected area, which leads to an increased perception of pain. Even small stimuli, such as light pressure or light rubbing, as in normal breathing, are sufficient to trigger the pain. If you have difficulty breathing in addition to the pain, you must also have one Injury to the lungs and pleura be thought.

Read more on this topic at:Pleurisy, broken rib

Left costal arch pain with back pain

In some cases, actual back pain can be projected into the costal arch and mistakenly mistaken for a rib problem. Everyone Vertebral bodies the thoracic spine forms a joint on each side with the adjacent ribs.

Incorrect movements and dislocations can cause these joints to develop Blockages or dislocations of the joint come. This can be accompanied by muscle tension, nerve entrapment and even shortness of breath. Sometimes there is severe paralyzing pain in the back that extends into the costal arch. A visit to an orthopedic surgeon, possibly an osteopath, is essential.

Read more on this topic at:Vertebral joint pain, vertebral blockage

Pain in the left costal arch - evidence of biliary or liver disease?

Various diseases of the liver and biliary tract can cause pain in the costal arch. The liver is a very large organ that is directly adjacent to the lower costal arch and the diaphragm. At Enlargements of the liver, which can occur in the context of various diseases, there is sometimes severe breathing-dependent pain in the costal arch, sometimes even shortness of breath. The gallbladder can also cause pain in this area. In the case of inflammation of the gallbladder, the costal arch severe, colicky tenderness arise, which often appear after eating.

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Pain in left costal arch when lying down

When lying down, many organs shift due to the change in the pull caused by gravity. Particularly during pregnancy, the increased weight shift can cause pain when lying on your back or on your side. At minor bruises or injuries to the muscles or ribs, lying on the left side can be very painful, especially during pregnancy. If the rib is known to be broken, the position on it is often associated with severe pressure pain, so that nighttime sleep is accompanied by excruciating pain.

Pain in the left costal arch from sore muscles

Muscle soreness is caused by overuse of a certain muscle group.

Since different muscle groups work together in the area of ​​the costal arch, these can cause pain when the muscles are sore. In addition to the Respiratory musclesthat works directly on the ribs, the chest, back, neck and shoulder muscles can also be affected by painful sore muscles. Not only too much weight training can cause sore muscles in the costal arch but also strong cough. A strong cough puts a particular strain on the not particularly well-developed auxiliary respiratory muscles.

Read more on this topic at:Injuries in bodybuilding

Pain in the left costal arch when coughing

If there is pain in the costal arch, in most cases it will be through to cough reinforced.
But he can also cough trigger be for this pain. Although coughing is a natural stimulus, the force exerted on the chest is so massive that in rare cases it is caused by very strong coughing Broken ribs can come.
This manifests itself in even stronger pain, which is made worse by coughing.

Coughing is a reflex of the body in which forced exhalation takes place in a very short time with strong muscle tension. To do this, the muscles that move the chest in the sense of exhalation are also tensed. Many of these muscles are located between the ribs and sags when coughing up the rib cage. After a period of intense coughing, for example during bronchitis or pneumonia, a kind of sore muscles and tension may develop in these muscles. This is accompanied by unusual pain in the costal arch on exhalation.

Read more on the subject at:Pain in the costal arch from coughing, broken rib from coughing - is that possible?

More symptoms

Depending on the cause, the pain in the costal arch manifests itself in different ways.

At a Bruised ribs or one Broken ribthe pain is mainly caused by to cough and at deep breathingwhich is why patients often breathe very shallowly

Is there a Magnification of thespleen it is often palpable. For serious spleen diseases, such as a Splenic infarction or one Rupture of the spleen, there is often a general feeling of weakness and weakness, as well as radiating pain in the shoulder and neck area.

While the pain in the case of gastric or intestinal inflammation is mostly limited to the area of ​​the costal arch, the pain that occurs due to inflammation of the pancreas often extends to the back.

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diagnosis

If there is pain in the area of ​​the left costal arch, it should first throughX-rays be checked whether a Broken rib is present.

In the case of diseases of the spleen, in addition to palpation, an examination of the blood values ​​can provide information about the type and severity of the disease. Ultrasound (sonography) is often a helpful method for diagnosing organic diseases.

therapy

Appropriate therapy must be initiated depending on the underlying cause. At Bruised ribs or Broken ribs Therapy is usually not necessary except for sparing, as the ribs are kept very stable by the intercostal muscles.

At a Herpes zoster infection the focus is on relieving pain. Antiviral drugs may need to be administered.

In the case of underlying organic diseases, these must be treated in each case in order to achieve relief from the pain in the costal arch.

Pain in the left costal arch during pregnancy

Many pregnant women especially have in the second Half of pregnancy pain in the costal arch.

As a rule, these pains are harmless and due to the fact increasing growth attributed to the baby. The Abdominal muscles the expectant mother are very stressed and since these have their origin at the costal arch, there is an increased pull here, which can be painful.
Even the one that is constantly expanding uterus can put painful pressure on the costal arch towards the end of pregnancy. Likewise the outstretched body parts of the baby and its movements. This pain can radiate to the side of the spine.

In rare cases, pain in the costal arch area during pregnancy is due to organic causes.
If this is the case, they usually occur on the right-hand side, since this is where the liver and the Gallbladder can come.
Left-sided pain is extremely rarely due to organic causes, but can be associated with a disease of the spleen, of Intestines, of Stomach or des Heart to be brought.

Read more on this topic at: Pain in the costal arch during pregnancy

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additional Information

Further information on the subject can be found at:

More information about pain:

You can find an overview of all orthopedic topics at Orthopedics A-Z

Quality assurance by: Dr. Nicolas Gumpert | Last change: 03.04.2021