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Sports Medicine/Costal cartilage injury

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Question
4 weeks ago while performing dips I felt my sternum "move" the left side flexing outward, while the right side flexed inward, and immediately stopped the activity. There was no pain, but when muscles cooled the pain set in.  My doctor told me I "unhinged" by rib joints. The joints injured are ribs #3&4 on the right side of sternum and 5&6 on the left. i

I am healing but need to understand what I could have done to cause this injury and how to prevent it from happening again.  Dips are a routine part of my workout, rotating the activity in every couple weeks;  I like variety. I was not straining and was not tired.  My doctor said 3weeks healing time, but at 4 weeks I can say I am only about 75% and I have read healing can take as long as 3-4 months. Should I seek PT when I am ready to return to "upper body" activities? Also at 52, I am wondering if age is a factor.

Answer
Dear Leila,

This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Elmhurst 60126 & Bartlett 60103 says...
For your rib pain.
There may be some arthritis around the joint connecting to the sternum. This would cause an irritation in that area. If it seems like a minor strain, then give it time to heal. Stop the dips and replace with pressing with weights or pushups. When you were dipping the outward pull at the sternum caused the irritation. There is no such thing as unhinging a rib joint-it would be dislocated & need treatment-more probably a strain of the joint. If it continues to hurt-or gets worse-then go see an orthopedist. Age is not necessarily a factor-with the exception of possible arthritis. Modify your routine & continue to exercise! Perhaps speak to a knowledgeable PT who works with athletes and can give you exercises. Unless you are really injured-get the exercises from the PT & do on your own.
Hope this helps.
Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in orthopedics and sports medicine.
We are located in Chicago & Elmhurst

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions & injuries relating to the lower extremities. Runner's injuries, skier's foot problems,skaters' foot problems, etc All questions related to surgery, orthopedics and medicine of the foot and ankle-Adults and Children. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating. to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems

Experience

PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Organizations
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Awards and Honors
Very much into Sports Medicine Over 30 years experience with sports & martial arts Black Belt in Tae Kwon Do Red Belt in Shidokan Karate Expert Skier-37 years experience

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