Costochondritis

What is Costochondritis?

Costochondritis occurs at the joints between the ribs and the sternum (breast bone). The condition is sometimes also known as Tietze's syndrome.

It is an inflammatory condition, thought to be caused by overuse, resulting in repetitive micro-trauma. The two bones themselves are cushioned by cartilage inside the joint. It is this cartilage which is damaged and results in inflammation.

This condition is most common in younger people. It has also been linked to rowers and following car accidents when the drivers chest hits the steering wheel. It may also result from viral and bacterial infections. The 4th, 5th and 6th ribs are the most common joints for costochondritis to occur.

Symptoms of costochondritis

• Activity related chest pain.
• Pain is at the front of the upper chest.
• Pain may be worse on deep breathing.
• Pain may be present on applying pressure to the joint.

Treatment

Dianosis of costochondritis is usually based on the patients history and a physical examination. Further tests such as blood tests and x-rays may be undertaken to rule out other conditions.

Treatment may consist of the following:

• Rest from aggravating movements/activities.
• Cold therapy may be beneficial.
• Anti-inflammatory medication such as ibuprofen may be prescribed.
• Joint mobilisations may help.