Costochondritis is the inflammation of the cartilage that joins your ribs to your breastbone aka the sternum.
It is always imperative to get chest pain checked out because pain caused by costochondritis might mimic that of a heart attack or other heart conditions. You don’t want to self misdiagnose yourself with costochondritis when you could actually be having serious heart issues.
Cause:
The cause of costochondritis is unknown but is found in adults, especially women, over 40 and is common for those with fibromyalgia.
Symptoms:
- The pain associated with costochondritis usually occurs on the left side of your breastbone
- The pain is sharp, aching or pressure-like
- The pain affects more than one rib
- The pain can radiate to arms and shoulders similar to a heart attack.
- The pain worsens when taking a deep breath, coughing, sneezing or with any chest wall movement
Treatment:
Home Remedies
- Over-the-counter pain relievers such as nonsteroidal anti-inflammatory medications (NSAIDs) like ibuprofen or naproxen as needed
- Using local heat or ice to relieve pain
- Avoiding unnecessary exercise or activities that make the symptoms worse; avoiding contact sports until there is improvement in symptoms, and then returning to normal activities only as tolerated
- Doing stretching exercises
Medications:
- Prescription-strength NSAIDs.
- A local anesthetic and steroid injection in the area that is tender if normal activities become very painful and the pain doesn’t get better with medicine.
- Narcotics like hydrocodone/ acetaminophen (Norco, Vicodin) or oxycodone/ acetaminophen (Percocet, Roxicet, Tylox) can help with extreme pain, but, as with any narcotics, there’s danger of becoming addicted to them.
- Steroids. Your doctor can give you a corticosteroid shot directly into a painful joint, but that’s considered something of a last resort.
- Tricyclic antidepressants or cyclic antidepressants like amitriptyline can help ease pain, but they also can have side effects, like weight gain and drowsiness.
- Antiseizure drugs, usually gabapentin (Neurontin), are typically used to treat epilepsy, but they also may help with costochondritis.
- Infectious (bacterial or fungal) costochondritis should be treated with IV antibiotics.
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