Treatment of Iliac-Costal Syndrome with Rib Removal

Q: Dr. Eppley, I am very interested and serious about the procedure.  Although I am not seeking rib modification for cosmetic reasons only. I am an avid walker and cycler. During exercising and movement, my lower ribs touch my hip bones (or something in there!)   It is extremely bothersome and impedes my workout significantly. I realize there can be some risk and residual rib pain. Staying fit and working out is critical to my health. I realize you may not resolve the issue completely, but any relief would be acceptable. I am financially prepared for this and interested in pursuing rib modification.  Thank you Dr Eppley, I know you are highly experienced in this procedure and I greatly appreciate your assistance.

A: What you are describing technically is known as iliac-costal syndrome. Getting rid of the outer half of ribs #s 11 and 12 on the affected side has proven to be vey helpful in symptom relief in this rib-associated syndrome. I have had some patients who have requested removal of rib #10 also but that rib should have no contribution to impingement on the iliac crest given its more horizontal orientation.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry L. Eppley
Connect with me
Board Certified Plastic Surgeon