Costochondritis (you say it "kos-toe-kon-dry-tis") is inflammation of the cartilage that joins your ribs to your breastbone (sternum). It causes pain in the front of the chest.
The pain can feel frightening because it is in the chest, but costochondritis is not dangerous and does not affect your heart. It usually gets better on its own.
Symptoms
- sharp, aching or pressure-like pain at the front of the chest, often on the left side
- pain that gets worse when you move your upper body, take a deep breath, cough, sneeze or lie down
- tenderness when you press on the joints where your ribs meet your breastbone
- pain in more than one rib, often the 2nd to 5th ribs
The pain can range from mild to severe. Some people find everyday tasks, such as lifting, reaching or sleeping on one side, hard while it lasts.
What causes it?
Often there is no clear cause. It can follow:
- a lot of coughing, for example after a chest infection
- strain from heavy lifting, exercise or repeated movements
- an injury to the chest
- an infection
It is more common in women and in people aged over 40, but it can affect anyone. Costochondritis is also more common in people with fibromyalgia.
Getting diagnosed
There is no specific test. A GP will:
- ask about your symptoms
- press gently on your chest to see if the rib joints are tender
- make sure the pain is not coming from your heart or lungs, which may mean tests such as an ECG, blood tests or a chest X-ray
Read about costochondritis treatment.
Medicines used for costochondritis
These are some of the medicines that may be used. Your doctor will talk to you about what is right for you. Never stop or change a medicine without talking to your GP first.
Common questions
Is costochondritis serious?
No. It can be very painful and worrying, but it does not damage your heart or lungs. Because chest pain can have serious causes, always get new chest pain checked first.
How long does costochondritis last?
It often settles within a few weeks, and most people are better within 1 to 2 months. For some people it lasts several months or comes back.
What is the difference between costochondritis and Tietze syndrome?
They are very similar. Tietze syndrome causes a visible, tender swelling where the rib meets the breastbone. Costochondritis does not usually cause swelling.
Sources we used
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