Costochondritis, also known as chest wall pain, costosternal syndrome, or costosternal chondrodynia is an acute and often temporary inflammation of the costal. Costochondritis is the medical term for inflammation of the cartilage that joins your ribs to your breastbone (sternum). This area is known as the costochondral. Costochondritis is inflammation of the ribs’ junctions to the breastbone or sternum that causes chest pain. Read about costochondritis symptoms, treatment.

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Rest, physiotherapy, intercostal nerve blocks; or, if chronic and severe: The lowest two ribs do not articulate with any structure anteriorly. Ribs eight through 10 attach in front to the cartilaginous portion of the rib above them and often have synovial-lined interchondral articulations.

Skip to main content. Costochondritis can be aggravated by any activity that places stress on your chest area, such as strenuous exercise or even simple movements like reaching up to a high cupboard. In rare cases, Escherichia coli can confritis a cause of infectious costochondritis. The sternum is the hard bone that goes down the center of your chest, from the bottom of your neck to the top of condrihis abdomen. Daily stretching can help relieve some pain. Retrieved from ” https: Who is at risk for costochondritis?

Destruction of costal cartilage by intercotsal or neoplasm. Ribs consist of condritid and cartilage, with cartilage serving as an elastic bridge between the bony portion of the rib and the sternum. History and physical examination of the chest that document reproducible pain by palpation over the costal cartilages are usually all that is needed to make the diagnosis in children, adolescents, and young adults.

Further testing should be considered to rule out a cardiac cause if clinically indicated by age or cardiac risk status. Palpation of the affected chondrosternal joints of the chest wall elicits tenderness.


Normally, treatment of the inflammation and pain causes costochondritis to eventually go away on its own. Routine laboratory testing is not necessary in patients with suspected costochondritis unless the diagnosis is uncertain or if fever or signs of inflammation are present. Although the second to fifth costochondral joints are most often affected, especially ribs three and four, any of the ibtercostal costochondral junctions can be involved. If you have chest pain, you should seek emergency medical attention to rule out life-threatening causes such as a heart attack.

Costochondritis usually goes away on its own, although it might last for several weeks or longer.

Costochondritis: Diagnosis and Treatment

It acts as a shock absorber, cushioning the joints. National Library of Medicine Costochondritis, also known as chest wall paincostosternal syndromeor costosternal chondrodynia [1] is an acute [2] and often temporary inflammation of the costal cartilagethe structure that connects each rib to the sternum at the costosternal joint. The chest pain associated with costochondritis is a common symptom of fibromyalgia. The condition doesn’t lead to any permanent problems, but may sometimes relapse. It occurs in a single rib 70 percent of the time, usually within costal cartilages of ribs two through three, predominantly in rib two.

Any activity that makes the pain in your chest area worse should be avoided until the inflammation in your ribs and cartilage has improved. Patients older than 35 condritos, those with a history or risk of coronary artery disease, and any patient with cardiopulmonary symptoms should have an electrocardiograph and possibly cindritis chest radiograph.

Call your doctor immediately if you experience chest pain while performing any of fondritis activities.

Costochondritis: Causes, Complications, and Treatment

It’s often on the left side of the sternum although it is possible to have pain on both sides. The pathogenesis underlying the development of costochondritis remains unclear. Back to Intercostql A-Z. For information about the SORT evidence rating system, go to https: Tenderness to palpation of costochondral junctions; reproduces patient’s pain; usually multiple sites on same side of chest 2.


Costochondritis usually has no apparent cause.

Usually self-limited unless associated with congenital deformity of xiphoid; analgesics; rarely, corticosteroid injections Your doctor might order tests, such as X-rays and blood teststo rule out other conditions that may be causing your symptoms. Pain can be noted at more than one location, but most often is unilateral. Here’s what may be causing your pain and when to see your doctor. Causes, Complications, and Treatment. A single tender and swollen, but nonsupportive costochondral junction; usually in costochondral junction cndritis ribs two or three 12.

If your pain is mild to moderate, your doctor will probably recommend nonsteroidal anti-inflammatory drugs NSAIDs such as ibuprofen Advil or naproxen Aleve. Palpation of the cervical spine, clavicle, shoulders, and thoracic and lumbar spine must be included.

Costochondritis can affect children as well as adults. D ICD – Your doctor may use pain levels to evaluate your response to treatment.

Costochondritis – NHS

McConaghy JR, et al. These joints are where someone with costochondritis feels pain. To see the full article, log in or purchase access.

Rupal Christine Gupta, MD. Clusters of vesicles on red bases that follow one or two dermatomes and do not cross the midline; usually preceded by a prodrome of pain; postherpetic neuralgia is common Coronary artery disease is present in 3 to 6 percent of adult patients with chest pain and chest wall tenderness to palpation. Larry Jameson; Joseph Loscalzo Manual labor can also have intecrostal negative effect.