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Costovertebral Sprain

Presentation

  • Often manifests as an acute point of sudden onset in the back.
  • Can sometimes refer along the coast and manifest to the sternum.
  • Frequently, patients report their worsened pain to breathing, coughing or sneezing.

Causes

  • Movement abruptly in rotation or lateral bending of the trunk.
  • Repeated micro-trauma.
  • Excessive coughing or sneezing.

Treatment

  • The manipulation of the vertebra and the rib is very effective in this type of condition.
  • The soft tissue techniques (Active Release Techniques and Graston) are effective in relaxing spasmic musculature due to injury.
  • The rest and the ice are as long as the symptomatology is present.
  • Stretching exercises can be prescribed to maximize muscle flexibility.
  • Strengthening exercises may be necessary in cases where the sprain has occurred due to a muscle deficit.

Prognosis

  • Immediate results can be expected following the first treatment, but the condition usually takes 2 to 3 weeks to stop being symptomatic.
  • It is nevertheless necessary to remain cautious for a period of 4 to 6 weeks in order to respect the healing time of the ligaments, returning gradually to the activities for example.