Tietze Syndrome Costochondritis / BackPod

Costochondritis may be confused with a separate condition called Tietze’s syndrome. Both conditions involve inflammation of the costochondral joint and can cause very similar symptoms. However, Tietze’s syndrome is much less common and often causes chest swelling, which may last after any pain and tenderness has gone.  

About costochondritis

Costochondritis is the medical term for inflammation of the cartilage that joins your ribs to your breastbone (sternum). This area is known as the costochondral joint. Cartilage is a tough but flexible connective tissue found throughout the body, including in the joints between bones. It acts as a shock absorber, cushioning the joints. Costochondritis may improve on its own after a few weeks, although it can last for several months or more. The condition doesn’t lead to any permanent problems, but may sometimes relapse.
What is the costochondral joint?
The costochondral joint is a connection between a rib and its costal cartilage. On the thoracic wall, it occurs where the bone ends and cartilage begins. The joint is formed by two articular surfaces; the roughened cup-shaped anterior end of the rib and the rounded lateral end of the costal cartilage.
Where is the costochondral joint?
The costochondral joints are the joints between the ribs and the costal cartilage in the front of the rib cage. They are hyaline cartilaginous joints (i.e. synchondrosis or primary cartilaginous joint). Each rib has a depression shaped like a cup that the costal cartilage articulates with.
What causes Chondrocostal junction syndrome?
It happens when the cartilage around the joints connecting your upper ribs to your breastbone swells up. Usually, the second or third ribs are most affected. No one knows exactly what causes Tietze syndrome. Some experts believe that it is caused by many tiny traumas to the chest wall.
Is costochondritis a serious condition?
No, costochondritis isn’t life-threatening. It’s common for chest pain to be misinterpreted as a heart attack. But costochondritis is not fatal. Treatments are available to help you heal from this condition.
How do you relieve costochondral joint pain?
Painkillers. Painkillers, such as paracetamol, can be used to ease mild to moderate pain. Taking a type of medication called a non-steroidal anti-inflammatory drug (NSAID) – such as ibuprofen and naproxen – two or three times a day can also help control the pain and swelling.
What is a costochondral injury?
Costochondral separation occurs when your rib tears away from the cartilage that connects it to your breastbone. This type of injury is usually caused by a sudden impact to your chest. Symptoms include sharp pain when you breathe, cough, or sneeze.
What causes costochondral pain?
Costochondritis usually has no clear cause. However, costochondritis might be associated with trauma, illness, or physical strain, such as severe coughing. 
Experts aren’t sure what causes Tietze syndrome. Some experts think activities that put small, repeated stress on your ribs over time (microtraumas) can lead to Tietze syndrome. Microtraumas can include Coughing.
What is the treatment for costochondral junction?
Treatment of costochondritis consists of analgesia, rest, and reassurance. Rarely is physical therapy or combined lidocaine (Xylocaine)/corticosteroid injections of the costochondral joints needed.
What is the best position to sleep in with costochondritis?
Costochondritis might feel worse when you lay down to sleep because your body weight causes further straining onto the already stretched rib joints around your back. Sleeping in an elevated position can help to reduce the degree of pain.
Why won’t my costochondritis go away?
Lifestyle changes. Your doctor may tell you to make permanent lifestyle changes if you have persistent or chronic costochondritis. Some types of exercise can aggravate this condition, including rowing and weightlifting. Manual labor may also have a negative.
Can stress trigger costochondritis?
However, chest pain caused by anxiety is most likely due to other underlying causes—not costochondritis. While costochondritis can be caused by activities that put stress or strain on your chest area, it isn’t known to be connected to emotional stress.
How I cured my costochondritis naturally?
  1. Practice costochondritis stretches. Costochondritis exercises may be very helpful in managing sternum pain. …
  2. Use heat or ice. …
  3. Consider anti-inflammatory foods, herbs, or supplements. …
  4. Minimize pain. …
  5. Try transcutaneous electrical nerve stimulation (TENS)

Home Remedies

  • Resting at home – avoid any activity that stresses your chest area causing pain such as strenuous activity, working out your chest muscles, or physical labor.
  • Using a massage device like the BackPod
  • Apply heat to the area using a heating pad
    • Caution: do not lay on a heating pad, you can trap the heat between the pad and your body and burn yourself
  • Apply cold to the area using ice packs
    • Though heat seems to be recommended more often, try both hot and cold to see which works best for you
  • Gently stretching the pectoral muscles to relieve tension and increase blood flow
  • Hot showers and baths may help relieve the pain
  • Following an Anti-Inflammatory Diet
  • Stress reduction techniques such as meditation and deep breathing
  • Over-the-counter topical, analgesic pain relief rubs, creams, or gels such as Tiger Balm, Penetrex, Icy Hot, Biofreeze, Sombra, or Voltaren that contain camphor or menthol
  • Lidocaine patches
How long does it take for a costochondral strain to heal?
Outlook and prevention. Mild intercostal muscle strain commonly heals within a few days. Moderate strains may take 3 to 7 weeks to heal, and severe strains that involve a complete tear of the muscles can take longer. In general, most intercostal muscle sprains should heal within a 6-week time span.
Does costochondral separation show up on an X-ray?
The clinical presentation of costal cartilage injuries, however, may be identical to that of rib fractures, but cartilage injuries are not detectable with radiographs unless considerable costal calcification is present.
Does costochondritis require surgery?
Costochondritis is a self-limiting disease process that does not usually require any interventions; however, it can take up to one year for the condition to resolve.
Is costochondritis a form of arthritis?

Costochondritis isn’t directly related to RA, but inflammation from RA can be a reason for damage to the rib cartilage.
Which doctor to consult for costochondritis?
For costochondritis, you can first consult a general physician or a general surgeon to seek the initial treatment. In certain cases, emergency room admission also becomes a common occurrence if the pain gets worse. You may also be referred to a doctor who specializes in joint pain like rheumatoid arthritis.
Does costochondritis hurt when pressed?

When your costochondral joint becomes inflamed, it results in chest pain and tenderness. Most people describe the pain as sharp, achy, and pressure-like. When you press on your chest, it feels tender and painful. The pain usually gets worse when you move around, breathe deeply, or sneeze.
How do you fix most costochondritis?
However, if the chest pain is severe or persistent, the doctor may order an X-ray to rule out other potential causes. Typically, costochondritis is treated with rest, anti-inflammatory drugs, and heat or cold therapy. It is essential to avoid painful activities and avoid lifting heavy objects.
Does applying heat help with costochondritis?
The pain usually comes on gradually. Costochondritis is caused by inflammation in the cartilage that joins your ribs to your breastbone. You can ease the pain by avoiding strenuous activity, applying a heat pack, gentle stretching, and taking anti-inflammatory medicines.
Can a chiropractor help with costochondritis?
If you are suffering from costochondritis, you may think that you need to take prescription medications. You might even think that you need to undergo a dangerous surgical procedure. Fortunately, a chiropractor may be able to help someone overcome costochondritis while also minimizing complications and side effects.
Can vitamin D help with costochondritis?
Some case reports have described costochondritis in vitamin D-deficient patients that resolved with vitamin D supplementation.
Do muscle relaxers work for costochondritis?
These relieve pain and swelling. Ibuprofen or other NSAIDs are often advised. In some cases, you may be given prescription medicine, such as muscle relaxants. Don’t do activities that put stress on your chest or spine.

Is massage good for costochondritis?

Costochondritis, a painful inflammation of the chest wall, can be treated through various chiropractic manipulations. A chiropractor will use techniques such as soft tissue massage and joint mobilizations to reduce the pain from Costochondritis. While it is not recommended to massage the chest area during the initial, painful phases of costochondritis, massage therapy on the muscles assisting in respiration as well as the neck, back, and abdomen can assist in recovery.
How do I get rid of inflammation in my chest?
Your healthcare provider might recommend: Nonsteroidal anti-inflammatory drugs. You can buy some types of these drugs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), over the counter. Stronger versions are available by prescription.

What are all the things that cause chronic inflammation of the chest muscles?


Chronic inflammation of the chest muscles can be caused by various factors. It’s important to note that specific medical conditions should be diagnosed and treated by a qualified healthcare professional. However, I can provide you with some common causes of chronic inflammation in the chest muscles:

  1. Muscle strain: Overuse or improper use of chest muscles during physical activities, sports, or weightlifting can lead to chronic inflammation.

  2. Costochondritis: This is an inflammation of the cartilage that connects the ribs to the breastbone (sternum), causing chest pain and discomfort.

  3. Fibromyalgia: A disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in specific areas, including the chest muscles.

  4. Arthritis: Inflammatory joint conditions like rheumatoid arthritis can affect the cartilage around the ribs, leading to chest pain and inflammation.

  5. Pleurisy: Inflammation of the lining surrounding the lungs and chest cavity, often caused by infections like pneumonia or other underlying medical conditions.

  6. Costosternal syndrome: A condition where the joints between the ribs and the sternum become inflamed, leading to chest pain.

  7. Myofascial pain syndrome: Chronic inflammation and pain in specific muscle groups, including the chest muscles, due to trigger points or knots in the muscles.

  8. Sternal fractures: Injuries to the breastbone can lead to inflammation and pain in the chest muscles.

  9. Autoimmune conditions: Certain autoimmune diseases like systemic lupus erythematosus (SLE) or ankylosing spondylitis can cause chronic inflammation, including in the chest muscles.

  10. Infections: Chronic viral or bacterial infections can cause persistent inflammation in the chest muscles.

  11. Repetitive stress: Long-term poor posture, improper body mechanics, or repetitive movements can lead to chronic inflammation of the chest muscles.

  12. Environmental factors: Exposure to certain irritants or pollutants can cause inflammation in the chest area.

It’s important to seek medical attention if you experience persistent chest pain, inflammation, or any concerning symptoms. A proper medical evaluation can help determine the underlying cause and guide appropriate treatment.















BEIBYE– Upper Back and Headache Pain Relief – treatment for Costochondritis and Tietze Syndrome – Help Back Stretcher, Posture Corrector


Tietze’s syndrome

Costochondritis may be confused with a separate condition called Tietze’s syndrome. Both conditions involve inflammation of the costochondral joint and can cause very similar symptoms. However, Tietze’s syndrome is much less common and often causes chest swelling, which may last after any pain and tenderness has gone. Costochondritis also tends to affect adults aged 40 or over, whereas Tietze’s syndrome usually affects young adults under 40. As the conditions are very similar, most of the information below also applies to Tietze’s syndrome.

Signs and symptoms

When the costochondral joint becomes inflamed it can result in sharp chest pain and tenderness, which may develop gradually or start suddenly. The pain may be made worse by:
  • a particular posture – such as lying down
  • pressure on your chest – such as wearing a seatbelt or hugging someone
  • deep breathing, coughing, and sneezing
  • physical activity

When to seek medical help

It can be difficult to tell the difference between the chest pain associated with costochondritis and pain caused by more serious conditions, such as a heart attack. However, a heart attack usually causes more widespread pain and additional symptoms, such as breathlessness, nausea, and sweating. If you, or someone you’re with, experiences sudden chest pain and you think there’s a possibility it could be a heart attack, dial 999 immediately and ask for an ambulance. If you’ve had chest pain for a while, don’t ignore it. Make an appointment to see your GP so they can investigate the cause.

Causes of costochondritis

Inflammation is the body’s natural response to infection, irritation, or injury. It’s not known exactly why the costochondral joint becomes inflamed, but in some cases, it’s been linked to:
  • severe coughing – which strains your chest area
  • an injury to your chest
  • physical strain from repeated exercise or sudden exertion that you’re not used to – such as moving furniture
  • an infection – including respiratory tract infections (RTIs) and wound infections
  • wear and tear – your chest moves in and out 20 to 30 times a minute, and over time this motion can lead to discomfort in these joints

Diagnosing costochondritis

If you have symptoms of costochondritis, your GP will examine and touch the upper chest area around your costochondral joint. They’ll ask you when and where your pain occurs and look at your recent medical history. Before a diagnosis can be confirmed, some tests may need to be carried out to rule out other possible causes of your chest pain. These may include:
  • an electrocardiogram (ECG) – which records the rhythms and electrical activity of your heart
  • blood test to check for signs of underlying inflammation
  • a chest X-ray
If no other condition is suspected or found, a diagnosis of costochondritis may be made.

Treating costochondritis

Costochondritis often gets better after a few weeks, but self-help measures and medication can manage the symptoms.



Costochondritis can be aggravated by any activity that places stress on your chest area, such as strenuous exercise or even simple movements like reaching up to a high cupboard. Any activity that makes the pain in your chest area worse should be avoided until the inflammation in your ribs and cartilage has improved. You may also find it soothing to regularly apply heat to the painful area – for example, using a cloth or flannel that’s been warmed with hot water.



Painkillers, such as paracetamol, can be used to ease mild to moderate pain. Taking a type of medication called a non-steroidal anti-inflammatory drug (NSAID) – such as ibuprofen and naproxen – two or three times a day can also help control the pain and swelling. Aspirin is also a suitable alternative, but shouldn’t be given to children under 16 years old. These medications are available from pharmacies without a prescription, but you should make sure you carefully read the instructions that come with them before use. NSAIDs aren’t suitable for people with certain health conditions, including:
  • asthma
  • stomach ulcers
  • high blood pressure
  • kidney or heart problems
Contact your GP if your symptoms get worse despite resting and taking painkillers, as you may benefit from treatment with corticosteroids.


Corticosteroid injections

Corticosteroids are powerful medicines that can help reduce pain and swelling. They can be injected into and around your costochondral joint to help relieve the symptoms of costochondritis. Corticosteroid injections may be recommended if your pain is severe, or if NSAIDs are unsuitable or ineffective. They may be given by your GP, or you may need to be referred to a specialist called a rheumatologist. Having too many corticosteroid injections can damage your costochondral joint, so you may only be able to have this type of treatment once every few months if you continue to experience pain.


Transcutaneous electrical nerve stimulation (TENS)

TENS is a method of pain relief where a mild electric current is delivered to the affected area using a small, battery-operated device. The electrical impulses can reduce the pain signals going to the spinal cord and brain, which may help relieve pain and relax muscles. They may also stimulate the production of endorphins, which are the body’s natural painkillers. Although TENS may be used to help relieve pain in a wide range of conditions, it doesn’t work for everyone. There isn’t enough good-quality scientific evidence to say for sure whether TENS is a reliable method of pain relief. Speak to your GP if you’re considering TENS. Read more about transcutaneous electrical nerve stimulation (TENS).
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Costochondritis Treatments




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