Understanding Costochondritis

A Comprehensive Guide to Chest Wall Inflammation

Family Medicine

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Last updated: Mar 24, 2025

What is Costochondritis?

Costochondritis is an inflammation of the cartilage that connects your ribs to your breastbone (sternum). This condition causes localized chest pain that can be sharp, aching, or pressure-like.

Key Symptoms

  • Sharp, localized pain in the chest wall
  • Pain that worsens with deep breathing or coughing
  • Tenderness when pressing on the affected area
  • Pain that may radiate to the back or abdomen
  • Discomfort that increases with physical activity

Common Causes

  • Physical strain or overuse
  • Chest injuries
  • Heavy lifting or strenuous exercise
  • Severe coughing
  • Viral or bacterial infections

Diagnosis

Physical Examination

Your doctor will typically:

  • Press on the affected joints
  • Ask about pain patterns
  • Rule out other serious conditions

Additional Testing

May include:

  • ECG to rule out heart problems
  • Chest X-ray
  • Blood tests if infection is suspected

Treatment Options

Conservative Management

  1. Over-the-counter pain relievers
  2. Rest and activity modification
  3. Ice/heat therapy
  4. Gentle stretching exercises

Medical Interventions

  • Anti-inflammatory medications
  • Local injections in severe cases
  • Physical therapy when appropriate

Recovery and Prevention

  • Most cases resolve within weeks to months
  • Avoid activities that worsen symptoms
  • Practice good posture
  • Use proper lifting techniques

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Fever
  • Symptoms that worsen or don't improve

Long-term Outlook

Costochondritis is generally benign and self-limiting. Most patients recover completely with appropriate care and management strategies.

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