Peritonitis on the ribs is a rare condition in which the bones of one or more ribs are inflamed.
Inflammation of the periostitis can be based on a variety of causes, such as overburdening due to persistent coughing or bacterial colonization of the bones, often as part of osteomyelitis or osteitis (bone inflammation).
Inflammation of the periosteum of the ribs can be caused by a mechanical overstressing of the thorax. A strong cough over a long period of time and an overload in the context of an intensive training can be causes of a periostitis on the ribs.
At the same time, the periostitis can be caused by another inflammation, for example by osteomyelitis or, more rarely, osteitis (bone inflammation).
An inflammation can be transmitted from the respiratory tract. Bacteria and viruses are considered as triggers of bone inflammation on the ribs and should therefore be excluded in the diagnosis.
An accident can cause a variety of injuries in the body and cause enormous damage to the ribs. Strong irritation of the bones can cause peritonitis.
At the same time, an accident may favor the entry of pathogens into the body. Injuries to the thorax can cause both bacterial and traumatic periostitis on the ribs.
Coughing is a symptom that can cause severe discomfort and in some cases over a very long period of time. A prolonged, severe cough can cause pleurisy and muscle soreness in the ribs.
The affected then feel a strong pain in the ribs, especially when coughing or pressing. A pleurisy can be diverted and trigger bone inflammation on the ribs.
At the same time, the persistent cough can lead to a pronounced, mechanical strain on the rib muscles. This means that periostitis can also be caused by the pulling forces of the muscles and tendons on bone and periosteum.
Symptoms of periostitis on the ribs
The cardinal symptom of periostitis on the ribs is pain, which is often described as stinging and pulling. The pain occurs especially when straining the chest, that is, especially when coughing and pressing. In some cases, pain is always present at rest.
Depending on the body weight of the person concerned, it is occasionally possible to see and feel redness, swelling and warming around the affected ribcage. The tissue is very painful and those affected typically take a restraint.
Most of the ribs are affected by periostitis. The symptoms may be unilateral or bilateral, throughout the chest.