Case 37 – Long-Standing Breathing Restriction Associated With Rib Dysfunction

A female client in her forties initially presented with non-specific lower back discomfort. During history taking, her speech pattern and pacing suggested possible breathing restriction. On further discussion, she reported difficulty achieving smooth, unrestricted breathing for over three decades, beginning in childhood. This had never been formally identified or addressed and had significantly limited her ability to participate in higher-intensity physical activity, leading her to rely primarily on low-demand or static exercise.

Functional assessment of thoracic movement and breathing mechanics during upright posture, following identification of long-standing breathing restriction associated with rib dysfunction.

Assessment identified a localised rib dysfunction consistent with previous injury, affecting thoracic movement and respiratory mechanics during upright activity. Following a targeted intervention focused on rib mobility and thoracic mechanics, the client reported sustained improvement in breathing comfort over subsequent months. She later resumed running and higher-intensity exercise without the previously reported respiratory limitation.

This case highlights how a seemingly minor mechanical restriction can persist unnoticed for many years and significantly influence movement behaviour, activity tolerance, and lifestyle choices.

Clinical Practice: Heal Young Massage

Evidence-based remedial massage and movement rehabilitation services.