Conversation: The conversation between human and AI assistant.
[|Human|] I broke right side ribs all and 6 on the left side, flail chest. I had rib fixation surgery after on of my broken ribs punctured my lung. I had 3 right ribs fixated by plates. Now the skin is painful to the touch. I also have a good size knot near where rib #2 meets the sternum and have felt it pop with extreme pain, what can I do to get rid of the constant pain?
[|AI|]  HAI.rib fractures are really very much painful. Due to multiple nervous innervation too added with lung injury & flail chest is really very sensitive had to follow slow deep breathing exercises (not vigorous)Pain control with opioids will be helpfulEarlier to this u can start with tramadol or tapendetol twice daily, added painkiller like diclofenac+pain muscle relaxants like chloroxazoneLocal application of pain relief gel will be of some help prevent gastritis please add up with antacids & irregular physiotherapy saline nebulization will be of God helpmate care