How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Das, MD Your Own Question

Dr. Das, MD
Dr. Das, MD, Doctor
Category: Medical
Satisfied Customers: 2215
Experience:  MBBS, MD, with wide experience in all aspects of medical treatment, including cancer therapy.
3452947
Type Your Medical Question Here...
Dr. Das, MD is online now
A new question is answered every 9 seconds

About ten days ago, I was leaning over the arm of a couch -

Resolved Question:

About ten days ago, I was leaning over the arm of a couch - stretching, trying to plug something into an outlet - when I felt a very sharp pain on my right side/upper rib cage area - and I think I may have felt a bit of a 'pop' sensation at the time.
The pain persisted for several days, so I contacted my doctor's office. His nurse advised me that I probably pulled something - or might have cracked a rib. Either way, they advised that best approach is to give it time (since generally, they no longer wrap/bind broken/cracked ribs).
However, since the pain has increased over the past 3-4 days, an X-ray was done of upper right, which was negative. I have an appointment to see my doctor in a few days, but in the meantime, I'm concerned because (assuming this is a bruised or pulled muscle), I would have expected it to improve somewhat by now (or to at least be heading in that direction).
I'm taking Ibuprofen Q 4-6 hours -and applying heat. I'm trying to limit activity, but have probably done more bending and lifting than I should.
I'm wondering if this is a 'normal' recovery from a badly pulled muscle in that area - or if it's more likely that there's some other underlying problem that the 'pulling' has revealed or exacerbated. I have a history of kidney stones (X2), but neither felt like this - or persisted for more than a day before the stone passed. A CT scan (done about fifteen years ago) incidentally revealed gallstones, although I was told that they're common - and I've never had symptoms of any kind (unless what I'm describing is consistent with gallstones).
What is this likely to be? Would the X-Ray of the upper right show kidney stones (I believe at least some of the right kidney was visible)?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Das, MD replied 1 year ago.
Hello,

Welcome and thank you for your question.

Since the xray did not show anything, you probably do have a muscle strain.

How long a strain lasts depends on the location and severity of the injury. In rib muscles, it usually improve within one to two weeks and are gone within four to six weeks. A severe strain can take 6-8 for a complete recovery.

It is unlikely that this has anything to do with kidney stones or gallbladder stones.

The Xray would not show kidney stones since only the upper part of the kidney will be visible.

I hope this helps.

If there’s more I can do, please use the reply tab and let me know how I can be of further assistance. It’s my goal to provide you with excellent service. Please rate me highly and provide me with feedback. Leaving a Bonus will be highly appreciated.
Customer: replied 1 year ago.


Is it usual that the pain (from a strained/pulled muscle) would continue to get worse over a ten day period, rather than begin to subside?


 


Why would you rule out a kidney stone or gallstones/cholecystitis?


Aren't the symptoms I'v described consistent with one or both?Trust me - I prefer your 'suspicion' that it's a just an injured muscle, but I don't want assume that my 'harmless' gallstones haven't grown/moved over fifteen years - or that a moving/passing kidney stone might manifest differently than what I've experienced in the past. I have a history of frequent urination - and sometimes have difficulty emptying my bladder, so I might be slower in recognizing the signs of a kidney stone than the average person...

Expert:  Dr. Das, MD replied 1 year ago.
Pain from a strained muscle should decrease over time,not get worse, unless you have been doing activities which have caused that muscle to remain active and prolong the inflammation.

You have described your pain as being in the right side/upper rib cage area and that you felt a 'pop' when it first started. this is not consistent with either kidney or gallbladder stones. pain from these conditions would not occur suddenly. They also do not occur in the upper chest area.

Kidney pain will occur in the middle of teh back or side of the upper abdomen and radiate down. Gallbladder pain will occur in the upper abdomen and radiate to the back or to the shoulder.

I hope this helps.

If there’s more I can do, please use the reply tab and let me know how I can be of further assistance. It’s my goal to provide you with excellent service. Please rate me highly and provide me with feedback. Leaving a Bonus will be highly appreciated.

Customer: replied 1 year ago.


I'm not sure about the 'pop.' It may have just been the shooting pain.


 


The pain I'm experiencing is on the upper right, under the rib (below my breast) but also wraps around the side and radiates slower, and it sometimes refers to my mid-upper back. I have also had pain in my right outer thigh, which can radiate down my leg. I don't know that the leg/thigh pain is in anyway connected with the muscle strain, since I have occasional lower back issues (a few weeks ago (prior to the supposed muscle strain), I rotated my pelvis forward and had to go in for an adjustment).


Not that I'm pulling for a gallblader diagnosis, the symptoms listed do seem to fit somewhat - and gallstone attacks are often described as 'sudden' onset. Even my kidney stone pain came on quickly (both times) - although it got progressivley worse over a period of few hours before they actually passed.

Expert:  Dr. Das, MD replied 1 year ago.
Please ask your doctor for a checkup and an ultrasound - this should help clear up any doubts about the source of the pain.
Customer: replied 1 year ago.

 


I suspect my doctor will order a CT scan to rule this out - but if what I'm describing is still consistent with a pulled muscle, please let me know. Also, other than heat/Ibuprofen, can you suggest anything else I can do that might be beneficial in promoting healing and better pain control? Flexeril?

Expert:  Dr. Das, MD replied 1 year ago.
Yes, what you are describing is consistent with a pulled muscle.

Besides heat/ibuprofen, it would be best to avoid doing anything that may cause you to use the muscles on that side of the chest - lifting heavy objects etc.

Yes, Flexeril is a better option than ibuprofen.

Customer: replied 1 year ago.


Just curious: could pulling this muscle cause all of the symptoms I've described, including the thigh/leg pain?

Expert:  Dr. Das, MD replied 1 year ago.
No, the thigh leg pain is not due to the pulled p]muscle at the chest. radiating pain down the thigh or leg is invariably due to a herniated disc or Sciatica - pressure over the sciatic nerve at the hips or lower back.

Dr. Das, MD, Doctor
Category: Medical
Satisfied Customers: 2215
Experience: MBBS, MD, with wide experience in all aspects of medical treatment, including cancer therapy.
Dr. Das, MD and 7 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.