<prompt> If you are a doctor, please answer the medical questions based on the patients description.I broke right side ribs all and 6 on the left side, flail chest. I had rib fixation surgery after on of my broken ribs punctured my lung. I had 3 right ribs fixated by plates. Now the skin is painful to the touch. I also have a good size knot near where rib 2 meets the sternum and have felt it pop with extreme pain, what can I do to get rid of the constant pain?  <response>: HAI.rib fractures are really very much painful. Due to multiple nervous innervation too added with lung injury flail chest is really very sensitive had to follow slow deep breathing exercises not vigorousPain control with opioids will be helpfulEarlier to this u can start with tramadol or tapendetol twice daily, added painkiller like diclofenacpain muscle relaxants like chloroxazoneLocal application of pain relief gel will be of some help prevent gastritis please add up with antacids irregular physiotherapy saline nebulization will be of God helpmate care 