<s>[INST] I just had a friend that fell off the roof of a camper (6-7 feet) and landed on a retaining wall. he was hurt. Took him to urgent Care and they said he probably has a rib that separated from the cartilage. The pain is left sided only (where he landed) and 3 fingers width from the Xyphoid process. What do we do? I am skeptical as he is in so much pain. He says he feels like marbles are inside his chest cavity [/INST] Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised along with an x-ray or CT scan. As the injury is on the ribs and three fingers away from the typhoid process a thorough understanding of the rib bone and muscles is required.Also, lungs had to be checked for any damage since there is discomfort in the chest. Taking a therapeutic ultrasound therapy will help reduce the inflammation and pain. Also, using the taping technique the rib movements can be restricted, and the pain can be lowered Followed by the healing, proper costal breathing exercise technique is applied to make sure the Strength in the muscle groups. Usually in my clinical practice patients respond to Therapeutic ultrasound therapy, taping and costal breathing exercises. RegardsJay In Chat Doctor.  </s>