Information From Your Health Care Provider

COSTOCHONDRITIS

(Tietze's Syndrome)

Basic information

description

Costochondritis is an inflammation of the cartilage of one or more ribs, most commonly the second or third ribs. The pain that results is often increased by movements that change the position of the ribs, such as lying down, bending over, coughing, or sneezing. Pain may mimic that of heart disease or digestive disorders. It is more common in young adults and in females, but can occur in any age group. The term Tietze's syndrome is often used for costochondritis.

FREQUENT SIGNS & SYMPTOMS

Pain in the chest wall, usually sharp in nature.
Pain worsens with movement.
Pain may occur in more than one location and may radiate into the arm.
Tightness in the chest.
Affected area is sensitive to the touch.

causes

Inflammation (soreness and swelling) of the cartilage where the ribs attach to the sternum. The cause of the inflammation is often unknown.

risk increases with

Trauma, such as a severe blow to the chest.
Unusual physical activity.
Upper respiratory infection.

PREVENTIVE MEASURES

Avoid activities that may strain or cause trauma to the rib cage.

expected outcomes

Complete healing. The disorder is benign and the course is usually of a short duration.

possible complications

None likely.

diagnosis & treatment

general measures

Your health care provider will do a physical exam and ask questions about your symptoms. There is no specific test that can diagnose costochondritis. An x-ray or other tests may be done to rule out other disorders.
Use a heating pad or ice massage on the affected area. Use the one that feels better for you.
Avoid sudden movements that will intensify the pain.
Gently stretching the chest muscles several times a day may be helpful.

medications

Mild pain drugs, such as ibuprofen, may help relieve discomfort.

activity

Activities may need to be limited until symptoms improve. Get extra rest when you are able to.