Rib Head Syndrome (Subluxation / Disarticulation at the Costotransverse / Costovertebral Joint)
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- Опубліковано 12 вер 2024
- Matt talks about 12th and 11th rib head disatriculation, also known as rib head syndrome, dislocation/subluxation at the costovertebral / costotransverse joint focusing on presentation, diagnosis, and treatment.
Its crazy. I had several scans and the only one that shows the disarticulation of my 11th rib at the spine is a Standing Xray done by my Chiropractor a few years ago.
That makes sense - as I said in the video, when we're lying down gravity isn't affecting us in the same way, and we're not using the muscles we would be using to stand, so it doesn't necessarily give a clear picture of what's going on. I think standing scans for MSK issues should be made more widely available for this reason.
How is this supposed to affect the kidney. Is it the 11th rib that protects our kidney, or are you just saying the ribs may poke on the kidney when removed.
I have a thoracic MRI but I am not sure if this would show the ribs clearly
Yes the 11th ribs protect the kidneys - if they removed the 11th rib, there would be a sharp "stump" right next to it, which can puncture the kidney - this is why 11th ribs tend to be resected (just a bit taken off at the tip to keep the new rib tip well away from the kidneys, as opposed to being excised (removed). worth noting too, that this condition can feel like kidney pain (I've had kidney stones and the pain feels very similar - when I first had symptoms of this, the dr and I thought it must be stones again). X ray can show it but 3D CT would show it more clearly.
Is it possible that the disarticulation causes shortness of breath, dizziness, dry eyes etc. especially when i lay flat on the bed where the pain is? I am thinking there might be a tension created that is affecting the spinal cord or it’s fluid
I'm not sure about this - breathing (especially deeply) if the rib is in a bad position can certainly cause pain as the movement from breathing also causes the disarticulated rib to move in a different way to how it would if it were attached. I've not experienced shortness of breath or dry eyes myself, I do get dizziness but I think this is unrelated to my ribs and more to do with hEDS and chronic migraines. You could be right, I don't know enough about this, but as the spinal cord is surrounded by bone i'd guess not - any neuropathic (nerve related) symptoms are usually caused by irritation of the intercostal nerves, which run between the ribs.
Interesting. What medical background do you have?
Hi Suzanne, I don't have a medical background, i'm just a patient who has read lots of studies in order to advocate for myself, increase awareness and educate medical professionals.