Pain when taking a deep breath
Pain that gets worse when pressed on the injured area, or when bendingor twisting the body
Very tender spot in the rib area that occurs after trauma or is present withdeep breaths or hinders the breathing
An experience of pressure, fullness or a squeezing pain in thecentre of thechest that lasts for more than a few minutes
Pain that extends beyond the chest to the shoulder or arm, andincreasingepisodes of chest pain, get medical attention immediately. These symptomsmay indicate a heart attack.
The characteristic paradoxical motion of the flail segment occurs due to pressure changes associated with respiration that the rib cage normallyresists:
During normal inspiration, the diaphragm contracts and intercostalmuscles push the rib cage out. Pressure in the thorax decreases belowatmospheric pressure, and air rushes in through the trachea. However, aflail segment will not resist the decreased pressure and will appear to push in while the rest of the rib cage expands.
During normal expiration, the diaphragm and intercostal muscles relax,allowing the abdominal organs to push air upwards and out of the thorax.However, a flail segment will also be pushed out while the rest of the ribcage contracts.