Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/7/2025

Management of Painful Rib Syndrome

Diagnostic Imaging

  • Chest radiography may be considered as initial imaging for nontraumatic chest wall pain to exclude other pathology, according to the American College of Radiology 1, 2

Treatment Algorithm

  • The American College of Radiology recommends scheduled acetaminophen 1000mg every 6 hours for pain control, with NSAIDs as second-line if acetaminophen is insufficient 3, 4

REFERENCES

1

acr appropriateness criteria® nontraumatic chest wall pain. [LINK]

Journal of the American College of Radiology, 2021

2

acr appropriateness criteria® nontraumatic chest wall pain. [LINK]

Journal of the American College of Radiology, 2021

3

Management of Rib Fractures [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

4

Ketorolac Use in Rib Fractures [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025