EmpowerHeal Physical Therapy
Pelvic Floor Therapy and EDS physical therapy serving Bethesda and Washington DC surrounding metropolitan areas
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Pelvic Floor Therapy and EDS physical therapy serving Bethesda and Washington DC surrounding metropolitan areas
Slipping Rib Syndrome (SRS) occurs when the lower ribs—usually ribs 8, 9, and 10—move abnormally or “slip” at the cartilage attachment to the sternum or the spine. It is more common in people with hypermobility or Ehlers-Danlos Syndrome (EDS), but it can occur in anyone.
Loose ligaments or cartilage: The ligaments connecting the ribs can be overly flexible, allowing the ribs to move more than they should.
Trauma or repetitive motion: Sudden twists, falls, or repetitive bending can trigger rib instability.
Muscle imbalance: Weak core or shoulder muscles fail to stabilize the ribs.
Hypermobile conditions (like EDS): People with EDS have naturally stretchy connective tissue, making slipping ribs more likely.
Sharp, stabbing pain under the ribs
A popping, clicking, or catching sensation
Pain when twisting, bending, coughing, or sneezing
Ribs that flare outward or feel “out of place”
Rib stabilization exercises to reduce slipping
Diaphragmatic and lateral breathing to control rib flare
Core and shoulder blade strengthening to support the rib cage
Gentle mobility and posture work to prevent future flares
Other supportive strategies include kinesiology taping, rib belts, and gentle stretching.
We specialize in treatment and management of people with hypermobility spectrum disorders (EDS/hEDS).