We are not accepting new patients from May 1st, 2023 until August 21, 2023.
Skip to main content

costochondritis

costochondritis in commen between adult 40-50 years of age.  It is an inflammation of the chest wall, that occurs on both sides of the chest wall, and worsen by deep breaths, coughing and stretching.  There is no readness, no swelling, or heat at the tender area on the chest.  

Other possible diagnoses can be herpes zoster before the rash eruption, fibromyalgia, slipping rib syndrome, painful xyphoid syndrome, tietze syndrom (this will cause swelling of a single tender costochondral junction), overuse or trauma of the muscle. 

no xray or other imaging test is necessary. The physical exam (crowing rooster manuver) is sufficient to diagnosis costochrondritis.  Treatment involves NSAID, and 91% patients are better after 3 weeks.  Acupunture and PT can be considered if not better after 3 weeks. 

 

Author
SHAWN HAMILTON, MD, MBA Internal medicine physician with 20 year of experience as PCP.

You Might Also Enjoy...

Breast Cancer screening and treatment after 80

The usual preventive care recommendation is to screen women for breast cancer before 75. Whether to screen for breast cancer after 80 is depend on how healthy the woman is. This article will share with you the tools I use.

Sculpsure : What to Know

Patients describe the treatment as feeling first cool and alternating to a deep warmth - it is generally a well tolerated treatment.

Annual Physicals

A physical examination is a routine test your primary care provider (PCP) performs to check your overall health.