Easing the pain
- anti-inflammatory painkillers, such as ibuprofen tablets or gel, can help with pain and swelling
- paracetamol can be used if you cannot take ibuprofen
- a heat pad or a hot water bottle wrapped in a towel on your chest can ease pain
- some people find an ice pack wrapped in a towel helps more
A pharmacist can help you choose the right painkiller and check it is safe with your other medicines.
Rest and activity
- avoid activities that make the pain worse, such as heavy lifting, pushing, or sports that strain the chest, until it settles
- keep gently active, as staying completely still can make stiffness worse
- gentle stretches for the chest and shoulders may help once the worst pain has eased
If it does not get better
If the pain is still bad after about 8 weeks, see a GP. They may:
- prescribe stronger anti-inflammatory medicines
- refer you to physiotherapy, for stretches, posture advice and hands-on treatment
- offer an injection of a steroid or local anaesthetic into the painful area
- check again for other causes of chest pain
For long-lasting pain, your GP may suggest treatments used for chronic pain, such as certain medicines or a pain management programme.
Read our tips on living well with costochondritis.
Common questions
Can I take ibuprofen for costochondritis?
Ibuprofen is often recommended because it eases pain and inflammation. It is not safe for everyone, for example if you have had a stomach ulcer, have kidney problems or some types of asthma. Ask a pharmacist if you are not sure.
Sources we used
We check this page at least once a year, and sooner when the rules change. Read how we check our facts, or tell us if something looks wrong.