Conversation: The conversation between human and AI assistant.
[|Human|] I have been treated for 2 years by my chiropractor for  issues with my thoracic back pain. I had a major car accident 2 yrs ago and now I continue to have a rib move out causing pain and  spasms .  I am seeing a physio and rehab trainer to try to get some strength in this area but as soon as I do anything to strengthin it pulls  the rib out again.  I am extremely frustrated and not sure what else I can do. Any help or direction would be greatly appreciated. I have had an MRI and it showed no major problems in this area
[|AI|]  Rib fracture and thoracic trauma are frustrating injuries and take time to resolve. Are you a smoker or having cough? Because coughing continuously makes chest muscles fatigue and causes pain. If it is not so I would recommend you to continue physiotherapy. Also, I would suggest you to take tablet methylcobal 1000 microgram, and calcium 1000 mg daily. If pain is unbearable diclofenac gel will also help.