Costochondritis is a painful inflammation in the front of the chest. It is in the cartilage that attaches the ribs to the breast bone.
Tietze’s syndrome is similar inflammation in upper ribs. Neither of these conditions is a serious issue. However, their symptoms are similar to dangerous conditions, like a heart attack. It is important to confirm what is causing your symptoms.
The cause is not often known. Sometimes there is a clear cause of irritation to the area such as:
- Injury, overuse, or trauma to the area
- Recent or current vigorous coughing
Other times it may be due to abnormally tight or loose joints in the area.
Factors that may increase your chances of costochondritis include:
Costochondritis may cause:
- Sharp, localized chest pain, which may be made worse by:
- Sneezing or coughing
- Deep breathing
- Twisting motions of the upper body
- Tenderness or swelling over a joint between the rib and breast bone
You will be asked about your symptoms and health history. A physical exam will be done.
Costochondritis will often go away on its own. It may take a few weeks to a few months to pass. Options to help manage the pain include:
- Hot or cold compresses over the area
- Over-the-counter medicine such as:
- Non-steroidal anti-inflammatory
- Cough suppressant medicine
- Avoid strenuous activity; Limit or avoid activity that is causing pain
Treatments that may help lingering or repeating pain include:
- Injection of corticosteroids into the area
- Stretching exercises
- Physical therapy to help muscle balance of the upper body
- Reviewer: EBSCO Medical Review Board Michael Woods, MD, FAAP
- Review Date: 12/2017 -
- Update Date: 04/24/2018 -