What Is Costochondritis?

Costochondritis is a painful condition that affects the joints where the ribs connect to the breastbone (sternum). The inflammation of this cartilage causes sharp chest pains, especially when the affected area is pressed or moved.

Causes

The exact cause of costochondritis is often unknown, but it may be linked to several factors, including:

- Physical strain or trauma to the chest, such as coughing vigorously or heavy lifting

- Infections caused by viruses or bacteria

- Certain autoimmune diseases, such as rheumatoid arthritis or lupus

- Degenerative conditions related to aging

- Repetitive movements that stress the chest, including sports like golf, tennis, rowing, or baseball

Symptoms

- Sharp, aching, or stabbing pain in the chest, usually on one side

- Pain that worsens with deep breathing, coughing, sneezing, or any activity that puts pressure on the chest

- Tenderness or swelling over the affected area

- Difficulty breathing or shortness of breath (in some severe cases)

Diagnosis

To diagnose costochondritis, doctors may:

- Conduct a physical examination, paying attention to tenderness and pain in the affected area

- Ask about your symptoms and any potential triggers

- Order imaging tests like X-rays or MRIs to rule out other potential causes, such as broken ribs or heart problems

Treatment

Costochondritis usually resolves on its own within a few weeks or months. Treatment options may include:

- Resting the affected area and avoiding activities that trigger pain

- Applying ice packs to the affected area to reduce inflammation and pain

- Taking over-the-counter pain relievers to manage pain, such as ibuprofen or acetaminophen

- Engaging in gentle stretching exercises to improve flexibility and reduce stiffness

Prevention

While not always preventable, there are certain steps you can take to reduce the risk of costochondritis:

- Practice proper posture to reduce strain on the chest

- Maintain good overall fitness and flexibility

- Warm up before physical activities and avoid sudden strenuous movements

- Avoid repetitive motions that can strain the chest

If chest pain persists or worsens despite home treatment, seek medical attention for proper diagnosis and management.

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