Costochondritis
| Costochondritis | |
|---|---|
| Specialty | Rheumatology  |
Costochondritis is a benign inflammation of the costal cartilage, which is a length of cartilage which connects each rib, except the eleventh and twelfth, to the sternum. It causes pain in the chest that can be reproduced by pressing on the affected area between the ribs. This pain can be quite exquisite, especially after rigorous exercise. While it can be extremely painful, it is considered to be a benign condition that generally resolves in 6-8 weeks. Treatment options are quite limited and usually only involve rest and analgesics but in a very small number of cases cortisone injections and even surgery are sometimes necessary. [1]
Costochondritis symptoms can be similar to the chest pain associated with a heart attack. Unexplained chest pain is considered a medical emergency until cardiac issues can be ruled out. [1]
Severe costochondritis is referred to as Tietze's syndrome. The two conditions were initially described separately, the sole difference being that in Tietze's Syndrome there is swelling of the costal cartilages. It is now recognised that the presence or absence of swelling is only an indicator of the severity of the condition. It was at one time thought to be associated with, or caused by, a viral infection acquired during surgery, but this is now known not to be the case. Most sufferers have not had recent surgery. Costochondritis often results from a physical strain or minor injury, but the true causes are not well understood. [1]
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