Problem Solving for Severe Rib Pain

In this 10+ min video I go over a case where a patient had severe rib pain after a sledding accident. His daughter fell on top of him as they were sledding together. Over the course of 2-3 weeks, his right unilateral rib pain progressively worsened.


  • functional mobilization rotating away from the pain - to mobilize ribs up and forward
  • IASTM to intercostals to decrease sensitivity
  • functional mobilization rotating to the pain with hands on sensitized ribs
  • slacking the R latissimus dorsi then having patient rotate into the pain (rotating R)
  • teaching patient a self mobilization for HEP