Julie Pitois LMT, CAMTC
Hey guys, welcome to tissue talk today. We are talking about ribs, ribs, and why we need them. Why they hurt, why they give us back pain. 

So, so listen. When most people think of back pain, yes. They don’t usually think of ribs. 

Why Your Ribs Could Be Causing Your Back Pain

Ribs are usually not high on the list of what could be causing me back pain. However, rib dysfunction is a really, really big cause of retain. 

Mike Julian LMT, CAMTC
Costochondritis hits about 200,000 Americans every year. 

It’s just this pain you need to get right in the middle of your sternum and your chest right here. Right here. Right here. Right here, right here. 

Julie Pitois LMT, CAMTC
So, so listen, I think about the time when you’re like coughing or sneezing, or you’re sitting like this all the time, and then you move your arm a certain way and then pain all going up your neck, down your shoulder blade, right into the middle of your shoulder blade right there. 

And then it hurts debris. Every time you take a deep breath, you’re like, oh God, that really hurts. It’s your rib. 

Most people are like, I got knots. I got pain in my back. I’ve got pain in my neck. 

Julie Pitois LMT, CAMTC
Yeah. Coming from experience as someone who has had repaying, I, it is one of the most debilitated injuries out there. 

It will kick your rear end, not even kidding from taking an unexpected knee from, to surfing and falling off your surfboard and getting hit with your surfboard, to having your four year old nephew unexpectedly jump you while you’re sitting down. 

As he jumps on you try to turn and move him over the couch. The Ottoman comes in and just takes you out right here. 

Mike Julian LMT, CAMTC
It seems like a very specific does that happen? A lot of people. 

Julie Pitois LMT, CAMTC
It’s actually not going to happen to me. The thing is like, you could take me while I’m doing jujitsu. 

You could take, you could go surfing. You could, you could do all of a sudden you could be sitting on your computer and then all of a sudden sneeze, oh, there we go. 

So, it’s really super painful. If there’s pain with movement, if there’s pain with breathing rotating, it takes forever to get better. Like half the time. 

I know when I had red pain made me want to throw up just to do anything. It was like, oh God, this is so painful. So let’s go over ribs. Why they’re so important. 

Mike Julian LMT, CAMTC
We’re not even talking about like a bruise rib or a broken rail. We’re talking about just a simple straight. 

Julie Pitois LMT, CAMTC
Oh yeah. Yeah. We’re not even there yet. We’re we’re working on that. We’re we’ll get there, but let’s go over why what’s really causing this pain. 

Okay. Just for the anatomy sake, cause like my anatomy, I do, so there are 12 pairs of ribs. So you’ve got 24 ribs total. Where’s my Scully. Oh, sorry. 

We’ve worked out just going. Stalling is a great example of ribs cause he’s got some. We have 12 pairs, two sets of 12 rips, 24 ribs on either side. Okay. 

The number is same in males and females. So this whole Adam’s. 

Mike Julian LMT, CAMTC
Ran from the front. 

Julie Pitois LMT, CAMTC
All the way to the back. Listen, each pair of ribs, each pair articulate with a different thoracic vertebrae on the posterior side of the body. 

If you notice, if it comes into the front, it’s going to go all the way back and it’s going to articulate means it’s going to join. So articulation means it’s a joint. It’s where two bones joined together. 

They’re going to join with every transverse process in your thoracic vertebrae. You have 12 thoracic, vertebrae and 12 ribs. Think about that one. 

Every rib hits into a thoracic vertebrae, the thoracic vertebrae again is the middle of your back. This is why we have so much mid back pain, upper back pain. There’s a correlation. 

Mike Julian LMT, CAMTC
And we’re talking about that one. I was pointing out that way up here. 

That’s at first rib sitting way up there. That’s that? Get that stay one of the first and second, maybe even third rip that. Yeah. 

Julie Pitois LMT, CAMTC
Yeah. And he’s right. Just superior rib right here. It’s designated rib one. 

What it does is it articulate with the first thoracic vertebrae? Your first rib goes into your first thoracic and then down the line, right? 

There’s 10 of 12 ribs, 10 of these guys, these two don’t count, but they connect a strips of Highline cartilage on the anterior side of the body skull. 

He’s getting a lot of rotational work today. Okay. These carte cartilage strips are called costal cartilage. If you noticed they connect to their other end on the sternum. 

What they do is they connect to the bone, the costal cartilage, which moves more and they connect into the sternum here. 

Mike Julian LMT, CAMTC

Julie Pitois LMT, CAMTC
I know, right, sorry. Phone calls live TV. On an individual rib, let’s take one individual rib, right? It has various processes for sets and bumps. 

One end is really blunt and the other is really smooth. So we’ve got one end. That’s really blunt. And the other is smooth. This is the end connects to the costal cartilage right here. 

You’ve got the blunt side going into the vertebrae and the smooth side going into the costal cartilage right up into the front. Okay. Unless it’s a floating rip, which we’ll get to in a second, which are down here. 

Okay. You have true ribs and you have false ribs. So you have ribs. One through seven are called your true ribs. 

Each rib connects to its own line of costal cartilage, but ribs eight through 12 are called false ribs. 

They’re near, they’re not fake. They’re full ribs. 

Julie Pitois LMT, CAMTC
They connect a costal cartilage and put the costal cartilage to each of these ribs connects to the costal cartilage of the rib above it. 

So they’re not really true ribs. If you notice and you come down in here, these guys are all connecting back up to the one above it, where these guys are connecting right into the sternum. 

True And False Ribs: What Are They?

So there’s true ribs and false ribs. They give you a false sense of security down here. This is also where the big diaphragm is sitting. 

We need a lot of movement in there, right? What the hell does this have to do with anything? Well, you have to know your ribs. You have to understand what is what’s going on so that how ribs can really get, be affected. 

The bottom two ribs right here. These are called your floating ribs. Because if you notice they are not connected to anything, they come out of the back and then they just hang out on the side. 

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Julie Pitois LMT, CAMTC
The other thing too is these costs, all of this cost of cartilage has movement attached to it, right? 

Because as we breathe, we actually open the ribs and we closed down the ribs and we opened the ribs and we closed down the ribs because these ribs rotate and move. 

That’s allowing for the big lungs to inflate the big diaphragm, to do its job and to drop down so we can suck some areas. 

Mike Julian LMT, CAMTC
We’ll see a poor posture. We see that root flare that flaring coming up. 

Those ribs, instead of sitting nice and tight in there, all true through flaring us chill surfers a lot because surfers are up in that extended extension on their surfboard. 

They’ll get a lot of a flare, more rim flare. It’s true. Yeah. Look it up. 

Julie Pitois LMT, CAMTC
Again. He likes to jump ahead because weren’t even going to get there just yet, but it’s okay. 

We’ll get there. It’s okay. All right. Let’s talk about some of the muscles that come in here. Okay. So we’ve got these big old ribs. The ribs. The funny thing is when we get clients in here, they think their ribs are like here, just right here. 

Like the four ribs that everybody draws on the skeleton for Halloween, they forget that their ribs come all the way up underneath their collab, pickle or collarbone. 

They forget that they go all the way down close to their pelvis. Like there’s a lot of space in here. The ribs are there to protect the lungs and to protect the heart and to give you guys space to move. 

Also when the ribs move it’s because of this big kyphotic curve back here. 

Julie Pitois LMT, CAMTC
As it raises up and raises down, it gives expansion and a depression when it goes. We need it for movement, for protection, but also to work with all of the other vertebrae that we have in here. 

Mike Julian LMT, CAMTC
For some of us that gives us that nice hourglass kind of shaped to our figure, got to have structure. 

Julie Pitois LMT, CAMTC
Yes. It’s always fun with some of. 

Mike Julian LMT, CAMTC
Us have removed that lower rim. So we’d get that tight waistline. Yeah. 

Julie Pitois LMT, CAMTC
Okay. Listen, I know it’s some, it’s always somebody mark it’s usually you sure. Listen, we have muscles that attach to these guys, right? 

The muscles that are inside each of these ribs. Now it’s going to get a little gross, but if you’ve ever had some ribs and those ribs, what you’re actually chewing on are the muscles in between them. 

These guys in here they’re called your intercostal muscles and they’re your internal and external. They’re actually perpendicular from one another and they move this way. As we breathe in, they close our out open. 

As we breathe out, they close as we breathe in, breathe out, breathe in and breathe out. They actually crisscross each other on each of these movements. What that allows for expansion and contraction, contract expansion and contraction. 

Your ribs are doing this and this, when you’re breathing, there are also this big diaphragm that sits right up underneath and then attaches down to your lower back or your lower lumbar. 

Julie Pitois LMT, CAMTC
When it contracts, it pulls down and that sucks some air into your lungs and then your lungs expand. So we need that for expansion, right? 

This comes down, these open up and then we’re able to get more movement in there. We also have scalings that actually help with inspiration. 

When we pull everything up, we have other muscles that are attaching all over the place to allow the ribs to move and stabilize as we work. 

You’ve got these big abdominal muscles that attach right into here and come down to help stabilize these. 

The reason why we’re talking about this now is because it’s going to come back into a conversation and about 35 seconds, when we get down into the rib flip the rib Blair and how we get to go about doing okay. 

So, what happens then when you get that like app that pain, or it becomes like a strain most of the time, the rib injury that we have is a strain of the muscle. 

Julie Pitois LMT, CAMTC
A strain, remember when a muscle pulls or is partially torn, that means it’s when we’re contracting and it is being pulled faster than it needs to. 

You’re actually con potentially tearing some of the muscle fibers in it. A strain of any of the layers of intercostal muscles can cause pain and difficulty breathing. 

This is like coughing, sneezing, something getting hit, moving too fast on certain, a kid like hit you in the side, watch those kids. They’re messy. 

Muscle strains are a common cause of chest pain 

One of the most common causes that we have are actually strains in the muscle 21 to 49% of all musculoskeletal chest pain comes from the intercostal muscles. You guys, this is really important to understand because we don’t put enough emphasis on these guys. 

We just think that they’re ribs, but these muscles in here are super important. 

Julie Pitois LMT, CAMTC
You can strain or pull these intercostal muscles in many different ways. You can do it hitting, twisting motion. You can do it from a sudden injury. 

You can do it from gradually or repetitive motions. So it doesn’t. 

Mike Julian LMT, CAMTC
Let me just say, though, if you are having chest pain, go get checked out. Don’t just say, well, it’s a strained muscle. 

You might want to get checked out first buddy, more than likely it’s going to come down to a muscle that’s causing the strain, but go get checked out. Yeah, 

Julie Pitois LMT, CAMTC
Yeah. Like seriously, like, and think about this when it’s happening. Am I painting the ceiling all day long and then I’ll send them all. 

Oh, am I lifting while twisting? I’m like, and my coughing and sneezing, cause I’m got allergies. I’m like, oh, he, cause you make these sounds. 

I do. I don’t know I’m old, but I make these sounds. If you fall, if you get hit in the rib cage, rugby will do it too. Unless you’re putting like touch road, Vietnam. 

Mike Julian LMT, CAMTC
All that like that, 

Julie Pitois LMT, CAMTC
Whatever. Some of the symptoms that you are going to feel if you have this strain, is it. 

Mike Julian LMT, CAMTC
Those flag rugby people are amazing just to be okay, go on. I don’t need them coming up to me. 

Julie Pitois LMT, CAMTC
They have pain. They won’t move very fast. You guys, some of the symptoms of a muscle strain intercostals pain, sharp pain at the time of injury, it may come on more gradually the pain gets worse. 

When you twist stretch, breathing deeply, cost’s knees look super tender. The strain between your ribs will be really sore touch. You’re touching it and you’re like, geez, difficulty breathing. 

Every time you take a breath and it’s super painful, you may find yourself breathing really, really shallow or taking really small breasts. This will actually leave you short of breath. 

Be careful when you’re doing that, sometimes you may have some swelling if you’re out a tear and it may be in and around the affected ribs. Right. 

Mike Julian LMT, CAMTC
And then, 

Julie Pitois LMT, CAMTC
From there we have secondary tightness. So you have guardian. Your body will guard and splint and guard and splint. 

This is where we come to that cool term where people come in and they got a rib that’s out. Can you put the rib back in? First of all, just let me tell you. Yes, you can have sharp pain with inhalation. 

That’s a symptom. Absolutely. Especially if it’s point tender and when you’re breathing, you’re like, oh, it hurts. 

Every time I breathe right here or it hurts every time I breathe right here, if there’s point tenderness and it’s acute and every time you breathe, it’s in the same spot and it’s not really diffused. 

It can be, it’s most likely a symptom of a strain, rib out. 

Mike Julian LMT, CAMTC
Where to go. 

Julie Pitois LMT, CAMTC
Exactly. First of all, people, we’re not Legos. We don’t pop out. 

If we D the body is amazing and it’s really made so that it doesn’t just kind of hold it just kind of pop out all over the place. 

Like you can’t pop a hip out. You can’t pop away about easily. You can. I’m not going to say that you can’t, but it doesn’t happen unless there’s something really. 

Mike Julian LMT, CAMTC
Yep. Put your legs up on the dashboard and you’d get into in a car accident. You see how much your hip can go out. 

Julie Pitois LMT, CAMTC
Yes. Where’d that you just flip it right now. So we’re still talking ribs. 

Okay. Listen, what a rib out means when people say they think they have a rib out is it’s ribbed or disfunction. 

What that is an acute rib joint dysfunction can cause an incredibly sharp stabbing pain. Most of the time it’s felt right below, underneath the shoulder blade, right? 

Or between the shoulder blade right in here, Sculley gets them a lot. 

That pain can be really, it can be severe enough that it’ll cause really a lot of difficulty when breathing pain, when sleeping, not being able to find the right place to sleep or in moving your neck or arm and your, and it’s to the effective side. 

And you’re like, this is killing me. Right? Acute pain rib pain can be caused by coughing, overreaching of arms sleeping with the arm, extended over your head. 

Julie Pitois LMT, CAMTC
You don’t have to necessarily do anything like that. Like I know we have a client who comes in and he’s a computer guy. 

He sits on his computer all the time. He goes, and he works out and he sits on his computer. All of a sudden he moves and he’s like, oh, there goes. And his rib, he’s got a rib. 

Mike Julian LMT, CAMTC
I personally had it where I’m sitting in my truck driving and I was fine. I had no problems. 

All of a sudden I could feel it coming on and immediately I try to reset and it’s too late. It’s already gonna come on. 

And it goes into a flare. I can usually reset it pretty quickly on my own, but not always, but I can just be, and I don’t know what I did, 

Julie Pitois LMT, CAMTC
But what does resetting it mean? 

And why, how do you reset it? Because most people think that this is a solid mass back here, right? Like bone it’s bone on bone. 

We’re not supposed to move. So how does the reset thing work? 

Mike Julian LMT, CAMTC
Well, personally, what I do is get is my posture that drove me into that, having one of the ribs, fixate in the first place. 

Posture Matters

I quickly try to realize that I’m out of my posture. I have some for shoulder. My head’s maybe forward too long for too much. 

Now I just reset by putting it all back and down to get the head back and start to correct my posture. If I get it soon enough, I can actually stop it. 

Julie Pitois LMT, CAMTC
Right. And, and that’s a big point right there, because really you guys, most people think that this is very, it’s supposed to be a very rigid structure. 

It’s not, it’s actually supposed to move. All of these rooms, these are our thoracic vertebrae, right? Our vertebrae come from the bout of our head all the way into the top of our pelvis, lower with the sacrum. 

In the middle of your thoracic vertebrae, you’ve got your spinus processes, which everybody sees. It’s like your little dinosaur bumps in the back. You have these transverse processes, which come out to the side. 

So they sit almost like this. So your spine is processes. It’s kind of like a triangle. Your transverse processes that shoot out the side like this, the ribs come in and attach like this to the vertebrae. 

It’s actually, every time we breathe and every time we move, it’s supposed to actually move . 

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Julie Pitois LMT, CAMTC
We become immobile, we don’t give the body enough space to actually do its job. That’s when a lot of this dysfunction actually happens. 

We really need to keep the thoracic vertebrae mobilized and the ribs mobilized through a bigger breath as well. The truth is that our rigs we’re constantly moving every breath as well as when we bend our torso. 

When we twist, when rib pain happens, we have this intercostal nerve that ends up getting really irritated. And so that actually flares everything up. It’s a nerve that runs across every rib. 

You can have repin that comes down and it’s actually an intercostal nerve. That’s been flared up. One of our ribs is out of alignment, this nerve sends a signal to the brain. 

That’s like pain and it, and then the rest of it flares up and all the muscles around it. This is also why we get this nerve or a pain that runs from the back to the front or the front to the back. 

Julie Pitois LMT, CAMTC
Yeah. You can actually have pain where somebody touches you and you can feel it kind of moving along your rib cage. 

It’s what happens when one thing is out of alignment. When, I mean a lot, when they talking about your ribs being out, it’s like that tiny little movement. 

It’s not this, if it is, you’ll know that it’s out and you have a bigger issue to. 

Mike Julian LMT, CAMTC
Go to every x-rays done. Yeah. 

Julie Pitois LMT, CAMTC
Once it’s out, you can help it by realigning the joint. You reduce all the tightness of all of the muscles that are guarding it. 

Because remember the Gar the muscles are like holding on tight because they’re doing the job that the Dow, the joint doesn’t know how to do. It’s, it’s, they’re a big teamwork, right? 

The muscles are reacting to the Ridge dysfunction. Some of these, they can be resolved like that super quick. Sometimes the rib will come out of alignment again, because this is all of the muscles you haven’t worked on. 

They’re used to now pulling certain ways, like some of them have pulling, some of them are not loose or weak. Sorry. 

If you get this funky pattern going on, because you’ve been sitting like this or like this, or whatever you’re doing for a long period of time, you’re not balancing out those muscles and activating ones that aren’t working and calming. 

Julie Pitois LMT, CAMTC
The other ones down that are overworking. Right. 

Mike Julian LMT, CAMTC
It all goes back down to posture and stabilization and activate the proper muscles. 

Julie Pitois LMT, CAMTC
Yeah. Yeah. The biggest key here is in order to keep the ribs moving, you got to keep them mobile and stable. 

A lot of times we move one side and we forget the other side. We’re either trying to mobilize these guys like crazy. They become too loose and they move all over the place or we’re not stabilizing them enough or they’re too stable and they don’t move at all. 

They have no mobilization. So we need that balance. It’s like, Goldilocks, we want this to porridge. That’s just right. Right. How do we do this posture moving those shoulder blades down, moving them back. 

Remember of my shoulder blades. I’m telling you guys, these are so important. These are the most important part of the backside besides this guy, the butt. 

This is super important for us, for stabilization and mobilization. It keeps everything in alignment back here it’s really, really important. 

Julie Pitois LMT, CAMTC
There’s another thing that happens, which you were talking about earlier. Yes. 

We’re now we’re going to bounce back into Mike, jumping into the, to the fray with early on with the ribs sticking out. 

Why what happens when your ribs sticks out? Cause we get a lot. We get a lot of that. 

Mike Julian LMT, CAMTC
Well, what we see is these, this bottom rib margin right through here, right? 

Where it starts to drop in right through here, this, it starts to flare out and you can have an extended can be extended. 

You can be what four hip is not a different reason. I’ve just a surfer from being up in that extension, extended position for a long period of years of surfing, it can have the ribs flare out. 

Julie Pitois LMT, CAMTC
Jujitsu gets it a lot. But why is that? 

Mike Julian LMT, CAMTC
Why don’t you tell me, 

Julie Pitois LMT, CAMTC
Here’s why? See this, see this clear stuff right here. It’s called your cost of cartilage. It’s meant to move, right? It does have mobility with it and what’s attached to it down here, 

Mike Julian LMT, CAMTC

Julie Pitois LMT, CAMTC
Good mic. Stuff is attached to it right at the bottom. This stuff is actually called your rest rectus abdominis. 

You’ve got your abdominal muscles that are attached to the base of your rib cage. What happens when your rib cage is slightly uneven or even protruding, it may be due to muscle weakness. 

What we found is that your abdominal muscles play a large role in holding your rib cage in place. If your muscles one side of your body are weaker, it may be causing one side of your rib cage to stick out or sit on even, 

Mike Julian LMT, CAMTC
Or you’re saying the core might have something to do with this. 

Julie Pitois LMT, CAMTC
I’m saying that it might, I know it’s crazy, huh? Craziness. The other thing too is a dislocated rib. If you have a dislocated rib, you will know it 

Because there will be swelling and bruising. There will usually be a lump over the effected rib, extreme pain and difficulty when breathing painful, sneezing, painful coughing. If you have like slipping rims, ribbons syndrome, Say that one fast. 

If that occurs, the movement can irritate the nerves and put a strain on specific muscles in the effected area. You can easily get into all of this. 

The most common symptoms of slipping rib syndrome are back pain. People come to us with back pain, but it’s really rib. 

Mike Julian LMT, CAMTC
Pain. Would it be more chronic? 

Julie Pitois LMT, CAMTC

Mike Julian LMT, CAMTC
Yeah. Yeah. 

Julie Pitois LMT, CAMTC
Here’s the other thing too, that a lot of people don’t talk about because posture sits forward and everything gets collapsed in the ribs. 

Remember they attached to the sternum right here. When they go out right here, it affects us back here, guys. 

You may have a rig that’s out by your sternum. If you’re feeling that breastbone back here and you feel these big bumps and it’s painful and tender, follow the rib. 

This is usually where you’re going to have the pain. Remember that the pain is always in the place where it’s not necessarily caused by it. It’s not the catalyst. Usually it’s the victim. It’s the reason it’s crying is because it’s been hurting. 

Mike Julian LMT, CAMTC
It’s the symptom of an over bearing or overarching problem. 100% versus a stomach problem, discover and figure it out. 

Julie Pitois LMT, CAMTC
Exactly. Why don’t we tell you all this, because there’s a lot of misdiagnosis of back pain that ends up being rib and its rib head or thoracic vertebrae, or it’s in the sternum. 

And, it’s more from immobility of the thoracic vertebrae or the ribs. If you can work on mobilizing the thoracic vertebrae, you’ll end up breathing better, which is huge. 

You guys, we have to breathe better. We don’t take big enough breasts as it is. We’re shallow rivers. If you can breathe, then you open everything up, give more oxygen in, which is great. 

Remember: Muscles Move Joints. Joints Can’t Move Themselves.

You’ll end up breathing better. You’ll end up being more efficient and you’ll knock down the rate of recurrence. Remember muscles, move joints, muscles, move joints. I’m about to move him. 

I know once the joint moves the muscles and the nerves then react and then we’ll be limited by the range of motion. 

Julie Pitois LMT, CAMTC
They send pinups, send pain signals to the brain. If there’s limited range of motion, the muscles don’t know what to do. 

They’re not going to be able to do what they do. They’re going to be here instead of here. Posture correction is a huge way to eliminate this and also correct muscle function, 

Mike Julian LMT, CAMTC
Right? It’s not just about mobilizing that joint that’s causing the pain. It’s about now, what do you do from there? What do you, how do you keep it from reoccurring again and going through another phase of. 

Julie Pitois LMT, CAMTC
Right. Now that where it could be coming from, what do we do? We stretch out the front and correct the back and start activating these guys. 

What that’ll do is it’ll give us more play into the back and you will knock down the rate of the pain of the knots, the knots in the back of your body. 

Because remember the front controls of the back, it is a big tug of war. 

The more we know about what’s happening in here, everybody collapses forward. The more that we can actually fix all the stuff that’s crying in the back of us. Remember you get to fix you. 

The more that about what’s going on, the more empowered you get to be When the rib goes back in where it’s supposed to be, will it continue to be sore? 

Or it depends. It really depends. Sometimes it’ll be instant relief from that sharpness of pain, but the muscles around it could be sore for a while because they’re doing a lot of like guardians. 

Julie Pitois LMT, CAMTC
So you have to calm them down. 

Mike Julian LMT, CAMTC
I’ve found his doll depends on how long it’s been stuck like this. 

And then, everybody’s different. Now, if you’d had to drink a lot of water, if you stayed very hydrated, a lot of times, it won’t be so inflamed. 

It won’t stay in flavor. It won’t only be an instant. 

Julie Pitois LMT, CAMTC
And pain tolerance. Pain tolerance is about that too. If you have a high pain tolerance, it might not hurt as much. If you have a really low pain tolerance. 

Mike Julian LMT, CAMTC
Right away, the pink quality will change it. Go from sharp. 

Julie Pitois LMT, CAMTC
Yeah, 100%. Hopefully you guys got out of this. I love the ribs. 

I think ribs are important. Not only are they tasty, but they’re really important for us to know. Don’t eat human ribs. It’s nasty. 

Now you just threw me completely off my game. Oh man. Listen, you guys, I hope you guys got a lot out of the rib conversation, understand that we need them to breathe. 

We need them to protect, but we need them to move. It’s really important. That will cut down on all of our pain. 

If you have any questions and you feel like there is immense pain, if you have pain, especially if it’s traveling down your left arm or pain in your jaw, call a doctor because you could have a bigger symptom that’s going on. 

That’s replicating itself as rib pain. If the pain is trust your gut, if it’s really, really painful go to the doctor anyway, because the worst case scenario is I can get you that. 

Mike Julian LMT, CAMTC
Well, the bad stuff, the muscles musculoskeletal, stuff’s easier. 

Julie Pitois LMT, CAMTC
Yeah. Always, always, but pay attention to your body and know what you’re doing and really start to move and get your posture better. 

I hope you guys have a fantastic Wednesday. I know me too. I can’t wait to see you guys again next week. Same time. Same place. Have a great one. Bye.