Last Reviewed by: Dr. Steve Knighton | March 22, 2026

Rib Subluxation Treatment Oakville

What is a Rib Subluxation?

Dr. Steve and his Oakville chiropractic team treat new cases of rib pain, commonly referred to as “rib subluxations,” or “slipped rib” every day. This condition typically presents as sharp or aching pain on one side of the spine, approximately 2-3 cm from the midline of the spine, a subluxated rib in the back. While rib misalignments most often occur around or behind the shoulder blade, rib head subluxations can happen anywhere along the spine and caused slipping rib syndrome.

Rib pain may also be related to conditions such as slipping rib syndrome, which involves excessive movement of the lower ribs and can cause sharp, intermittent pain.

With nearly two decades of experience, our rib pain specialists use evidence-based techniques to restore proper rib alignment and alleviate discomfort effectively. If you’re experiencing rib pain or the feeling of a rib out of place in the back, trust our expert team to provide targeted, results-driven care to get you feeling better, faster!

If your rib pain symptoms are related to a workplace injury, learn how to start a WSIB claim and access approved treatment in Oakville. Rib and thoracic spine injuries commonly occur during motor vehicle accidents due to seatbelt pressure or sudden impact. Our car accident treatment Oakville program focuses on restoring movement and reducing pain following these injuries including thoracic spine, rib pain and whiplash.

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Anatomy of Rib Subluxation and Slipped Rib(Video)

Slipping Rib Syndrome vs Rib Subluxation

Rib subluxation and slipping rib syndrome are closely related conditions involving abnormal movement of the ribs, but they present slightly differently. Rib subluxation typically refers to a restriction or minor displacement of a rib at the spine or costovertebral joints, often causing localized pain and stiffness.

Slipping rib syndrome, on the other hand, usually involves the lower ribs (commonly ribs 8–10) where the cartilage becomes more mobile and can move excessively. This can lead to a sharp, intermittent pain, sometimes accompanied by a clicking or popping sensation as the rib shifts and irritates nearby nerves.

While both conditions involve abnormal rib mechanics, slipping rib syndrome is more commonly associated with hypermobility and nerve irritation, whereas rib subluxation is often related to joint restriction and muscular imbalance.

Key Differences Between Rib Subluxation and Slipping Rib Syndrome

Rib subluxation is typically a joint restriction or minor displacement near the spine
Slipping rib syndrome involves excessive movement of the lower ribs due to cartilage instability
Slipping rib syndrome often produces a clicking or popping sensation
Pain from slipping rib syndrome may be more sharp, intermittent, and harder to localize
Rib subluxation pain is often more localized and reproducible with movement or palpation

rib subluxation pain is usually under the shoulder blade, slipping rib syndrome is lower in the mid back

Subluxated Rib Pain Treatment Video:

What is the best treatment for a rib subluxation and slipping rib syndrome?

At our Oakville chiropractic clinic, Dr. Steve Knighton has successfully treated thousands of patients suffering from rib subluxations or slipping rib syndrome. Many of these patients have endured chronic discomfort for years, often misdiagnosed by multiple healthcare providers.

Our treatment approach focuses on realigning the rib to its proper position while addressing the surrounding soft tissue for lasting relief. Before the rib adjustment, our specialists use evidence-based therapies such as Interferential Current (IFC) therapy, heat therapy, and shockwave therapy. These treatments help relax the muscles and loosen the tissue around the rib, ensuring a smoother, more effective adjustment.

If you’ve been struggling with persistent rib pain, book an appointment today and experience expert care that delivers real results! Get the right diagnosis first! There is a slight difference between a slipped rib and a rib subluxation.

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What is a Rib Subluxation?

Rib subluxation can be misdiagnosed by the medical doctors in Oakville. Too many times we get patients complaining of chronic mid back, under the shoulder pain that wraps around to the front of their chest or stomach. Some of these patients have been suffering for months or even years. X-rays, MRI, blood work, days of work for the cardiologist just to come back with negative results. All this pain to have been caused by a misdiagnosed subluxated rib.

If you are suffering from pain, about an inch or so off one side of your spine that you can’t seem to press, pull, or stretch is most likely a problem with your rib head. Welding, vacuuming, sneezing, and yard duties are the major causes. However, in this computer driven society the biggest problem we find at our clinic is a tight and restricted thoracic spine. This causes the rib heads to over compensate in ways they are not meant to work due to the tightness of the mid back. Check out this video by Dr. Steve Knighton, our Oakville Chiropractor, to learn more about Rib Subluxation and how our Oakville Chiropractor treats them!

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A picture showing marks on back, depicting cause of rib pain

What Is Slipping Rib Syndrome

Slipping rib syndrome is a mechanical condition affecting the lower ribs, typically involving ribs 8–12, where the rib becomes hypermobile and irritates nearby nerves. Unlike fractures or inflammatory conditions, this is a biomechanical issue often caused by ligament laxity, repetitive strain, or trauma. Patients commonly report sharp, intermittent pain in the lower chest or upper abdomen, sometimes radiating around the rib cage or into the back. A clicking or popping sensation may also be present.

The condition is frequently misdiagnosed as gastrointestinal or thoracic pathology due to overlapping symptoms. Clinical diagnosis is usually based on history and physical examination, including the “hooking maneuver,” which reproduces symptoms.

Evidence-based management focuses on restoring stability and reducing irritation through manual therapy, targeted rehabilitation, activity modification, and in some cases, supportive taping or bracing. Accurate diagnosis and personalized treatment are key to effective, long-term resolution.

Why slipping rib syndrome is often misdiagnosed

Short, sharp bullets:
Confused with abdominal issues
Missed on imaging
Symptoms come and go
Requires hands-on diagnosis

what is slipping rib syndrome, pain on the side or back of ribs lower in the rib cage, floating ribs

4 Steps to Treating Slipped Rib and Rib Subluxations

1. Interferential Current Therapy:

At our Oakville chiropractic clinic, Dr. Steve utilizes Interferential Current (IFC) therapy with advanced vacuum electrodes rather than traditional sticky pads used in most clinics. This method provides a deeper, more effective treatment, helping to control pain and relax the muscles surrounding the subluxated rib and thoracic spine.

Patients often describe IFC as feeling like a deep, soothing massage that not only relieves discomfort but also helps loosen tight tissues causing the slipped rib, making subsequent adjustments more effective. To further enhance blood flow and accelerate the healing process, we combine IFC therapy with targeted heat application, ensuring optimal recovery and long-lasting relief of rib pain.

A female patient receiving IFC treatment for rib pain

2. Shockwave Therapy For Rib Pain

the patient is face down with the shockwave gun pressed against the left side of her spine, where the rib head connects

Shockwave therapy for slipped ribs and rib subluxations is a cutting-edge, scientifically backed treatment that accelerates healing and relieves rib pain. Using a pneumatic applicator, the device delivers high-energy pulses at a rate of 15 times per second. Our rib pain specialists typically apply between 800 and 1,200 pulses to the affected area, always adjusting the intensity to match the patient’s comfort level. Treatment will vary slightly between a diagnosis of slipped ribbed and a rib subluxation.

This powerful shockwave therapy helps break down adhesions and scar tissue around a misaligned rib while stimulating the formation of new blood vessels. ESWT Shockwave Therapy enhances circulation, promotes long-term healing, and reduces pain, making it an essential part of our comprehensive rib pain treatment protocol.

3. Chiropractic Rib Subluxation Adjustment

Every step of our rib pain treatment is carefully designed to maximize the effectiveness of the adjustment. Rather than rushing through the process, Dr. Steve and his team take the time to prepare the injured area with Interferential Current Therapy (IFC), heat, and shockwave therapy. This preparation reduces muscle tension, promotes circulation, and enhances mobility, allowing for a more effective and comfortable rib adjustment.

For the adjustment itself, Dr. Steve will likely have you lie on your back while positioning his hand behind the affected rib. With a controlled and precise movement, he applies a gentle but firm push—often resulting in instant relief for the patient. Most rib subluxation cases require 4 to 8 visits for pain relief and 8 to 16 visits to fully restore mid-back and rib function.

To further support the healing process, our chiropractors may also adjust the cervical spine and thoracic spine if necessary. This comprehensive, evidence-based approach ensures optimal recovery and long-term relief.

A chiropractor doing the adjustments for rib subluxation

4. Thoracic Spine Treatment For Rib Pain

Thoracic Spine Treatment Video:

Know Your Rib Pain

Some patients enter our clinic with what we think is a Rib Subluxation or a slipping rib syndrome, but it turns out they have your “basic” mid back pain or thoracic spine pain. This is usually a circumstance of working on the computer too much or the more common Text Neck.

Although similar to rib subluxation treatment, thoracic spine treatment is more focused on the spine and correcting posture. Treatment for Thoracic Spine pain can be seen in the video below.

Many diseases and medical conditions can mask themselves as pain in the arms, shoulders, or legs such as heart attacks, stroke, or arthritis. Consult with your medical professional to ensure the pain you are experiencing isn’t something more dangerous or life threatening.

How long does it take a rib subluxation to heal

Unfortunately,  in most cases, if the rib does not get put back into place, The subluxated rib will have a hard time to heal if its not put back into place. We have had many patients suffering for decades of slipping rib syndrome or rib subluxations. The healing couldn’t happen because the rib was never put back into place!

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What Our Patients Are saying

  • I’ve been going to Steve and his team for chiropractic care for several years, and they have helped me tremendously. Despite living in downtown Toronto, I make the trip out to Oakville because the quality of care is truly worth it. Steve takes a holistic approach, looking at the... read more

    Aman Bahl Avatar Aman Bahl
    November 7, 2024

    Dr. Steve is the coolest guy ever. He was so kind and communicative to me. My first experience ever going to a chiropractor and I was very nervous because physical contact makes me anxious. He talked me through everything, asked permission before every position and checked in on my comfort... read more

    Katie Chris Avatar Katie Chris
    February 6, 2025

    Dr.Jenn is a very caring and skilled chiropractor. She has a gentle yet highly effective touch. I have been to her for two separate issues and both have resolved nicely. I would highly recommend her to anyone. The clinic staff are very friendly and helpful as well.

    Sandra Chiang Avatar Sandra Chiang
    June 7, 2024
  • very well organized!!! Dr.very professional highly reccomended!!!

    yaroslav dvorskyy Avatar yaroslav dvorskyy
    October 7, 2024

    Hi, my experience with Nottinghill wellness centre was absolutely great. I went for my mom who has sciatic pain and the chiro doctor Dr.Jenn did an amazing job, she has magical hands which helped my mom get better with pain just during the first sitting. Her level of pain went... read more

    roshini ravunny Avatar roshini ravunny
    September 7, 2024

    Great staff , very welcoming and knowledgeable

    Heidi Bedard Avatar Heidi Bedard
    July 7, 2024
  • The docter and his team have been awesome. I had strong pain severe and I went to alot of other docters who chraged money heavily but did not offer single solution however this place and the team they understood first day and helped me in a great way . Initially... read more

    Preet Sangha Avatar Preet Sangha
    February 6, 2025

    Dr. Steve is professional and friendly. He explained the cause of knee pain and answered all my concerns about the injury. His assistant and all staff at the clinic are really nice and patient. As a tourist, it is very frustrating to have an injury during the trip. However, they... read more

    Bo Zhang Avatar Bo Zhang
    August 7, 2024

    Dr. Steve is one of the humble person. He always treats you like a friend and pay attention to your problem. Moreover, he politely explains each and every problem and solutions. The staff of this clinic is also very good. All the staff greets you. When you are waiting at... read more

    Sanyam Jain Avatar Sanyam Jain
    August 7, 2024

Rib Pain Red Flags: When to Seek Medical Attention

Red flags associated with rib pain or suspected slipping rib syndrome should always be carefully screened to rule out more serious underlying conditions. While most rib-related pain is mechanical and musculoskeletal in nature, certain symptoms require prompt medical evaluation. Seek urgent care if pain is severe, constant, or worsening without a clear mechanical trigger, especially if it is accompanied by shortness of breath, chest pressure, or pain radiating into the arm, jaw, or upper back, as these may indicate cardiac involvement.

Additional red flags include fever, chills, unexplained weight loss, or a history of cancer, which may suggest infection or more serious systemic disease. Significant trauma, such as a fall or motor vehicle accident, raises concern for rib fracture or internal injury. Neurological symptoms such as numbness, tingling, or weakness extending into the torso or lower extremities should also be assessed further.

Pain that does not change with movement, breathing, or position, or that wakes you at night, may indicate a non-mechanical source. If symptoms persist despite appropriate conservative care, worsen over time, or present atypically, further medical investigation including imaging or specialist referral is recommended to ensure safe and accurate diagnosis.

Rib Subluxation FAQs