Costochondritis: A Painful Condition

Costochondritis is an inflammation of the cartilage where ribs attach to the sternum. The inflammation typically involves only one side of the cartilage area by the sternum, but can involve both sides.

The cause or causes of costochondritis are unknown but may involve several factors. It's possible that heredity, viruses and trauma could all be factors in the cause of costochondritis. Most experts seem to agree that it is most likely caused by overuse of or trauma to the area. Many athletes, such as competitive rowers, and those aged 20-40 are at risk for developing costochondritis. Those in car accidents who hit the steering wheel are also at risk for developing it.

At times, costochondritis can be a condition in and of itself or it could be part of a larger problem. Problems that have costochondritis as a symptom include: fibromyalgia, psoriatic arthritis, ankylosing spondylitis, reactive arthritis, and inflammatory bowel disease- such as ulcerative colitis and Crohn's disease.

Costochondritis is frequently aggravated by any activity that irritates the structures around the rib cage. Until the inflammation of the rib and cartilage areas around the rib cage have subsided, it's best to avoid any activities that will aggravate the area.

The best treatment for costochondritis is to rest, heat, anti-inflammatory drugs such as naproxen or ibuprofen, physical therapy and even cortisone injections for severe cases. In some cases, ice packs applied to the area can also help reduce pain and inflammation, but for the most part, this can be quite uncomfortable.

Avoid activities that cause pain and exacerbation of the costochondritis. Exercise, deep breathing, and strain on the muscles of the chest may worsen the symptoms of pain and slow the healing process. In general, if something aggravates the symptoms, it's a good idea to avoid it.

The paid associated with costochondritis can last weeks to months and should completely resolve within six months.

Similar to costochondritis is Tietze's syndrome in which the symptoms are similar, however with Tietze's syndrome, there is swelling and an obvious pain in the sternum and surrounding areas. The pain worsens when touched or even rolling over in bed and can often be mistaken for a heart attack.

Costochondritis

Costochondritis - iVillage