Costochondritis is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone, or sternum. It is also known as Chest wall pain, costosternal syndrome, Costosternal chondrodynia. It is a common cause of chest pain. Costochondritis is a relatively harmless condition and usually goes away without treatment. The cause is usually unknown, but may happen from increased activity involving the arms.
Causes
In most cases of costochondritis, no cause is identified. The some causes are :
1. Trauma
2. Infection of the costosternal joint
3. Rheumatoid arthritis
4. Osteoarthritis
5. Tumor (benign or cancerous)
6. Respiratory Tract infection
Signs & Symptoms
1. Pain : dull, usually will be sharp and located on your front chest wall.
2. Pain with a deep breath or cough.
3. The most common sites of pain are your fourth, fifth, and sixth ribs.
4. Pain from costochondritis typically resolves within one year.
5. The reproducible tenderness you feel when you press on the rib joints (costochondral junctions) is a constant feature of costochondritis.
6. Trouble breathing
7. Fever
8. Sweating
9. Nausea
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There is no specific test for diagnosing costochondritis. Personal history and a physical exam are the mainstays of diagnosis. The pain of costochondritis can be very similar to the pain associated with heart disease, lung disease, gastrointestinal problems and osteoarthritis. While there is no laboratory or imaging test to confirm a diagnosis of costochondritis, your doctor might order certain tests to rule out the condition, such as :
1. Electrocardiograph
2. X-ray
3. CT Scan
4. MRI
Treatment
A. Home Remedies :
1. Using local heat or ice to relieve pain
2. Avoiding unnecessary exercise or activities
3. Doing stretching exercises
B. Medications :
1. Nonsteroidal anti-inflammatory (NSAIDs) medications such as Ibuprofen, Naproxen.
2. If infected give IV antibiotics.
C. Surgery :
Surgical removal of the sore cartilage may be required if there is no response to medical therapy for costochondritis. Your doctor will refer you to a surgeon for consultation should this option be considered necessary.
Reference
1. WebMD : http://www.webmd.com/pain-management/costochondritis?print=true
2. MAYO CLINIC : http://www.mayoclinic.org/diseases-conditions/costochondritis/basics/tests-diagnosis/con-20024454
3. WIKIPEDIA : https://en.wikipedia.org/wiki/Costochondritis
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