How to Tell the Difference Between Pulled Muscles and Bruised Ribs

Chest injuries — no matter the cause — typically hurt a lot. If you're wondering whether you have pulled muscles or bruised ribs, you may be able to tell based on how the injury occurred and the symptoms you are experiencing.

Both bruised ribs and pulled chest muscles can be very painful.
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However, pulled muscles and bruised ribs may also occur together. What's more, trauma to the chest can cause rib fractures or damage your internal organs, so it's wise to seek medical attention if you have sustained a chest injury. Diagnostic imaging may be required to determine the exact cause of your pain.

A Pulled Muscle in the Chest

The way your injury occurred may help determine whether you have pulled muscles or bruised ribs. Several muscles attach to your ribs, allowing you to twist and bend forward and sideways. These muscles are particularly vulnerable to injury with sports that require throwing or other forceful arm movements along with trunk movement; such sports include bowling and ice hockey.

In rare cases, pulled muscles may occur with particularly forceful sneezing and coughing or strenuous exercise. Pulled muscles typically cause instant pain over the affected area of your rib cage. You may also experience bruising in the same area.

Read more: Treatment for a Strained Chest Muscle

Bruised Ribs Cause Tenderness

Bruised ribs are caused by damage to the cartilage that holds your ribs together. This injury typically occurs with blunt trauma, such as seat belt resistance during a motor vehicle accident. However, bruised ribs may also occur with the same activities that cause pulled muscles, including exercise or coughing.

As the name bruised ribs implies, blood vessels rupture and bruising occurs soon after this injury is sustained. Bruised ribs cause tenderness over the injured area and pain that increases with breathing and trunk movements.

Read more: How to Relieve the Pain of Bruised Ribs

Is This an Emergency?

To reduce the risk of spreading COVID-19 infections, it is best to call your doctor before leaving the house if you are experiencing a high fever, shortness of breath or another, more serious symptom.
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