Costochondritis involves inflammation in the cartilage that attaches the ribs to the breastbone. The condition causes piercing chest pain and tenderness that is similar to a heart or GI tract issue. Even though it typically subsides after a few weeks, it can oftentimes persist.
What are the causes of costochondritis?
It is important to note that there is no evident cause for the condition. In some cases, it can be triggered by the following:
- Chest injuries
- Persistent coughing
- Arthritis
- Tumor
- Infection
- Physical strain from exercising or lifting heavy objects
What are the indications?
Costochondritis causes chest pain and tenderness. In most instances, the discomfort often worsens during:
- Coughing
- Sneezing
- Breathing deeply
- Movement
- Placing pressure on the chest such as while hugging or using a tight seatbelt
These symptoms might develop in a gradual manner or abruptly. It can cause a feeling of having a heart attack. If in doubt, a doctor should be consulted as soon as possible. In case there is chest pain and difficulty breathing, feeling sick or sweaty, call for emergency assistance right away.
This condition is oftentimes confused with Tietze’s syndrome which has comparable symptoms but causes swelling of the chest.
How is it diagnosed
The doctor will diagnose the condition by taking a history and performing physical assessment. Tests such as an X-ray, blood test or electrocardiogram are performed to rule out other possible causes of the pain.
Management
Costochondritis eventually gets better on its own. While the individual has the condition, it is vital to avoid activities that can worsen it such as engaging in strenuous exercise or reaching up to high shelfs or cupboards.
Measures to reduce the pain include the following:
- Apply a warm compress or heating pad
- Instruct the individual to avoid engaging in strenuous activity
- Gentle stretching
- Provide over-the-counter pain medications or anti-inflammatory medications
The doctor might also recommend corticosteroid injections into the affected joint or prescribe other medications if the symptoms could not be effectively controlled.