Materiały źródłowe

• #1 Costochondritis: What It Is, Causes, FAQs & Treatment

  https://my.clevelandclinic.org/health/diseases/22167-costochondritis

  Costochondritis is painful inflammation in the cartilage that connects your ribs to your sternum (breastbone). Costochondritis causes chest pain. Its inflammation in the joints where your ribs connect to your sternum (breastbone). […] The most common costochondritis treatment is resting your chest and ribcage. Giving your irritated costochondral joints time to heal is the best thing to do for costochondritis. […] Over-the-counter (OTC) medications like NSAIDs (nonsteroidal anti-inflammatory drugs) or acetaminophen can relieve your pain. […] Its rare, but your provider might inject a corticosteroid into your affected joints to reduce the inflammation if your symptoms arent improving after a few weeks. […] Some people with costochondritis get better without treatment, but dont assume itll go away on its own. Visit your provider as soon as you notice any type of chest pain.

• #1 Costochondritis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/costochondritis/?srsltid=AfmBOorococWpAUI_MTJdech4HwdkXzqhyiWsQWGKvZhq0d3656OwYQK

  Costochondritis Nursing Care Plan […] Assess for: […] – Pain with movement […] – Pain with deep breathing […] – Any external signs of trauma […] – History of repetitive movements or recent respiratory illness […] – Rule out signs and symptoms of differential diagnoses such as: […] – Shortness of breath […] – Vital sign abnormalities […] – Nausea/vomiting […] Nursing Diagnosis/Risk For […] – Acute pain […] – Alteration in comfort […] – Alteration in breathing pattern (related to pain) […] Interventions […] – Apply warmth to the area with a heating pad or warm compress. […] – Provide ongoing assessment of symptoms and vital signs. […] – Administer prescribed medications for pain and inflammation. […] Expected Outcomes […] – The patient will understand the condition and what causes it.

• #1 Costochondritis | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia-TextOnly/1/000164

  Costochondritis most often goes away on its own in a few days or weeks. It can also take up to a few months. Treatment focuses on relieving the pain. […] Your health care provider will take your medical history and do a physical exam. The area where the ribs meet the breastbone is checked. If this area is tender and sore, costochondritis is the most likely cause of your chest pain. […] Pain medicines, such as ibuprofen (Advil, Motrin) or naproxen (Aleve), may help to ease pain and swelling. You can buy these without a prescription. […] If your pain is severe, your provider may prescribe stronger pain medicine. […] In some cases, your provider may recommend physical therapy. […] Call 911 or the local emergency number, or go to your local emergency room right away if you have chest pain. The pain of costochondritis can be similar to the pain of a heart attack. […] Contact your provider if you have any of the following symptoms: Trouble breathing, A high fever, Any signs of infection such as pus, redness, or swelling around your ribs, Pain that continues or gets worse after taking pain medicine, Sharp pain with every breath.

• #1 Costochondritis – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/costochondritis/diagnosis-treatment/drc-20371180

  Costochondritis usually goes away on its own, although it might last for several weeks or longer. Treatment focuses on pain relief. […] Your health care provider might recommend: […] Nonprescription pain relievers. Acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful. […] Self-care measures, such as the following, might help. […] Avoid or modify activities that might worsen pain. […] What self-care steps are likely to help?

• #1 Costochondritis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/costochondritis?content_id=CON-20371161

  Physical therapy treatments might include: […] Stretching exercises. Gentle stretching exercises for the chest muscles might be helpful. […] Nerve stimulation. In a procedure called transcutaneous electrical nerve stimulation (TENS), a device sends a weak electrical current via adhesive patches on the skin near the area of pain. The current might interrupt or mask pain signals, preventing them from reaching the brain. […] If conservative measures don’t work, another option is to inject numbing medication and a corticosteroid directly into the painful joint. […] It can be frustrating to know that there’s little to do to treat costochondritis. But self-care measures, such as the following, might help. […] Nonprescription pain relievers. Acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful.

• #1 Costochondritis: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html

  Local application of heat, oral or topical nonsteroidal anti-inflammatory drugs, capsaicin cream, and lidocaine patches are first-line therapies for patients with costochondritis. […] A targeted stretching program under the direction of a physical therapist demonstrated a small reduction in pain among a group of patients who had symptoms for more than one year. […] Local application of heat is often recommended but lacks evidence from clinical trials. […] Nonsteroidal anti-inflammatory drugs are the most commonly prescribed medications, although no clinical trials have evaluated their effectiveness. […] In one small prospective observational study, localized ultrasound-guided corticosteroid injection at the affected costochondral junction resulted in clinical and sonographic improvements among the convenience-sampled group of nine patients with Tietze syndrome, which had not improved with conservative treatment after at least three months. […] A large observational study found that 91% of patients with new-onset costochondritis had resolution of pain after three weeks of treatment with rest and nonsteroidal anti-inflammatory drugs.

• #1 Costochondritis | healthdirect

  https://www.healthdirect.gov.au/costochondritis

  Costochondritis is inflammation in the cartilage connecting your ribs to your breastbone. […] It causes pain and tenderness in your chest. […] You can ease your pain by avoiding strenuous activity, applying a heat pack, gentle stretching and taking anti-inflammatory medicines. […] Costochondritis usually goes away on its own without needing long-term treatment. […] Treatment for costochondritis aims to relieve your symptoms. Usually, your symptoms will get better by themselves within a few weeks. […] Here are tips how you can help manage your pain: Apply a heat pack where you feel pain. […] Avoid activities that trigger symptoms. […] If you have costochondritis, try to maintain good posture and avoid heavy lifting or actions that worsen the pain. […] It’s also important to follow your treatment plan and see your doctor if your symptoms get worse. […] To help prevent costochondritis, it’s important to avoid activities that strain your chest. […] Maintain good posture. […] Avoid activities such as lifting heavy objects or repetitive movements. […] Do gentle, low-impact exercises to strengthen your chest muscles.

• #1 Costochondritis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/costochondritis/?srsltid=AfmBOorococWpAUI_MTJdech4HwdkXzqhyiWsQWGKvZhq0d3656OwYQK

  – Pain will be decreased with prescribed medications and therapeutic interventions. […] Patient/Caregiver Education […] Educate the patient on: […] – The condition, emphasizing that this is a NON-life-threatening form of chest pain […] – Medication regimens and precautions with NSAIDs […] – Heat application and gentle stretching of surrounding muscles […] – Preventive measures such as proper body mechanics with exercise and work activities […] – Avoidance of strenuous exercise and activity until resolution of symptoms

• #1 Costochondritis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.costochondritis-care-instructions.te8250

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take medicines for pain and inflammation exactly as directed. […] It may help to use a warm compress or heating pad (set on low) on your chest. […] Avoid any activity that strains the chest area. As your pain gets better, you can slowly return to your normal activities. […] Watch closely for changes in your health, and be sure to contact your doctor if: Your chest pain continues even though you are taking anti-inflammatory medicine. […] Your chest wall pain has not improved after 5 to 7 days.

• #1 Costochondritis: What It Is, Causes, FAQs & Treatment

  https://my.clevelandclinic.org/health/diseases/22167-costochondritis

  You should expect to make a full recovery from costochondritis. Once the inflammation heals, you should be able to return to all your usual activities with no long-term effects. […] Most people start to gradually feel better as they rest and take over-the-counter pain medications. […] Visit your provider right away if you notice any new symptoms or changes in or around your chest, especially new pain. Costochondritis usually isnt dangerous, but its important to rule out other, more serious issues as soon as possible.

• #1 Costochondritis | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/20071

  Costochondritis is benign and self-limited. Treatment is primarily supportive, aiming to relieve symptoms. Topical modalities include heat and topical medications such as capsaicin, diclofenac gel, and lidocaine patches. Oral NSAIDs or acetaminophen may also be considered. […] A small study showed that physical therapy involving a stretching program benefits patients with pain refractory to other methods. Meanwhile, localized corticosteroid injections at the costochondral junction have insufficient evidence and thus should only be considered for people unresponsive to more conservative treatments. Acupuncture has not been rigorously evaluated, though a small case series showed it could improve chronic pain lasting 12 months. […] Primary preventive measures for costochondritis involve promoting habits that reduce chest wall strain. Educating individuals about maintaining proper posture and avoiding activities that exacerbate symptoms, such as heavy lifting or repetitive movements, can help prevent costochondral junction inflammation. Additionally, stress management and regular, low-impact exercises that strengthen the chest muscles while minimizing strain can contribute to overall symptom control and reduce the likelihood of recurrent episodes. Addressing underlying conditions like rheumatological disorders or respiratory infections may also prevent costochondritis.

• #1 Costochondritis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532931/

  Costochondritis can be managed with topical analgesics or oral anti-inflammatory medications. […] This activity for healthcare professionals is designed to enhance learners’ proficiency in evaluating and managing costochondritis. […] Develop an individualized management plan for a patient diagnosed with costochondritis. […] Apply effective strategies to enhance care coordination among interprofessional team members, facilitating positive outcomes for patients with costochondritis. […] Costochondritis arises from localized costochondral joint inflammation, leading to pain. […] Costochondritis is benign and self-limited. Treatment is primarily supportive, aiming to relieve symptoms. […] A small study showed that physical therapy involving a stretching program benefits patients with pain refractory to other methods. […] Costochondritis is a self-limited condition. The standard of care is treatment with topical medications and oral NSAIDs. […] Refractory cases may be referred for physical therapy, acupuncture, or rheumatology evaluation for possible corticosteroid injections.

• #1 Costochondritis | PM&R KnowledgeNow

  https://now.aapmr.org/costochondritis/

  Activity modification, complementary alternative treatment modalities are available for the acute and refractory phases. […] Multidisciplinary approach involving patient education of activity modification along with coordination of care between primary care, physiatry, physical, occupational, recreational, and vocational therapy is beneficial for the patient.

• #1 Costochondritis: Pain Locations, Causes, Treatment, Symptoms & Recovery Time

  https://www.emedicinehealth.com/costochondritis/article_em.htm

  Physical therapy is sometimes used in more severe cases of costochondritis. Infectious costochondritis requires close follow-up to prevent spread or recurrence of the infection. […] Physicians who treat costochondritis include general-medicine doctors, including primary care physicians, family practitioners, internists, as well as orthopedists, rheumatologists, and physiatrists. […] Because inflammatory costochondritis has no definite cause, there is no real way to prevent it. […] Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatments. Most people will recover fully.

• #1 Costochondritis: Symptoms, Causes, Tests, and Treatment

  https://www.healthline.com/health/costochondritis

  Your doctor may also recommend: rest, physical therapy, hot or cold therapy using a heating pad and ice. […] If you have chronic costochondritis, the pain may persist or return even with treatment when you exercise or engage in certain activities. In these cases, you may need to seek long-term care to make sure that costochondritis doesn’t affect your quality of life and ability to take part in daily activities. […] To lower your chances of developing persistent costochondritis, carry and lift heavy loads properly. Try doing fewer high-impact exercises or manual labor, when possible.

• #1 When It’s Costochondritis Causing Your Chest Pain | Banner

  https://www.bannerhealth.com/healthcareblog/better-me/that-pain-in-your-chest-could-be-costochondritis

  Costochondritis is inflammation of the cartilage that connects one of your ribs to your breastbone (sternum) gets inflamed. […] If you have symptoms of costochondritis, it is important to get medical care. […] There are steps you can take to reduce pain and symptoms: Avoid heavy lifting and repetitive movements that make your pain worse. […] If those steps arent giving you enough relief, your provider may recommend other options for treating costochondritis. […] With treatment, most people with costochondritis feel better within a few weeks, Dr. Vina said. […] You cant guarantee that costochondritis wont return, but along with the suggestions listed above for reducing the pain, you can take steps to make it less likely: Exercise in ways that dont cause symptoms. […] Most of the time, costochondritis clears up in a few weeks. But sometimes it can last and chronic pain can have an impact on your emotional life, leading to anxiety, depression, anger and frustration. […] Your provider or a Banner Health provider can diagnose costochondritis and help you develop a treatment plan. Most of the time, the condition clears up within a few weeks.

• #2 Costochondritis: Causes, Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/pain-management/costochondritis

  Costochondritis is one of the most common causes of chest pain. The pain can be severe, and some people will mistake it for a heart attack. But its typically harmless and usually goes away without any treatment. […] These home remedies may provide relief from costochondritis: Over-the-counter pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, using heat or ice to relieve pain, avoiding unnecessary exercise or activities that make your symptoms worse or avoiding contact sports until your symptoms improve, doing stretching exercises. […] Your doctor may suggest the following: Prescription-strength NSAIDs, narcotics like hydrocodone/acetaminophen (Norco, Vicodin) or oxycodone/acetaminophen (Percocet, Roxicet, Tylox) can help with extreme pain, but, as with any narcotics, theres danger of becoming addicted to them. […] You may need surgery to remove the sore cartilage if other treatments dont help. Your doctor can refer you to a surgeon. […] Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatment. Most people will recover fully.

• #2 Top 5 Exercises for Costochondritis – Surrey Physio

  https://www.surreyphysio.co.uk/top-5/top-5-exercises-for-costochondritis/

  Costochondritis is a condition that affects the chest wall and is pathologically not-serious, despite being reasonably common. It results from inflammation of the cartilage connecting the ribs to the breastbone (sternum). Typically, it causes a sharp, localised chest pain, typically at the costosternal joint (where the ribs attach to the breastbone). […] Costochondritis is typically diagnosed through a physical examination, without the need for additional testing. 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. In some cases, physiotherapy may also be beneficial to reduce pain, stretch the chest, and mobilise the ribs.

• #2 Costochondritis Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/costochondritis

  Costochondritis most often goes away on its own in a few days or weeks. It can also take up to a few months. Treatment focuses on relieving the pain. […] Pain medicines, such as ibuprofen (Advil, Motrin) or naproxen (Aleve), may help to ease pain and swelling. You can buy these without a prescription. […] If your pain is severe, your provider may prescribe stronger pain medicine. […] In some cases, your provider may recommend physical therapy.

• #2 Costochondritis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.costochondritis-care-instructions.te8250

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take medicines for pain and inflammation exactly as directed. […] It may help to use a warm compress or heating pad (set on low) on your chest. […] Avoid any activity that strains the chest area. As your pain gets better, you can slowly return to your normal activities. […] Watch closely for changes in your health, and be sure to contact your doctor if: Your chest pain continues even though you are taking anti-inflammatory medicine. […] Your chest wall pain has not improved after 5 to 7 days.

• #2 Costochondritis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/costochondritis?content_id=CON-20371161

  Costochondritis usually goes away on its own, although it might last for several weeks or longer. Treatment focuses on pain relief. […] Your health care 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. Side effects can include damage to the stomach lining and kidneys. […] Narcotics. If pain is severe, a provider might prescribe a narcotic medication such as tramadol (Ultram). Narcotics can be habit-forming. […] Antidepressants. Tricyclic antidepressants, such as amitriptyline, are often used to control chronic pain especially if the pain interferes with sleep. […] Anti-seizure drugs. The epilepsy medication gabapentin (Gralise, Neurontin) has also proved successful in controlling chronic pain.

• #2 Costochondritis Physical Therapy Exercises

  https://www.verywellhealth.com/costochondritis-physical-therapy-exercises-5199284

  Costochondritis, an inflammation of the cartilage that connects the breastbone to the ribs, can be treated with physical therapy (PT). PT exercises can help ease the pain and inflammation caused by this condition and help you return to normal activity and function. […] Costochondritis is a painful but self-limiting condition that can be made worse by poor posture and decreased trunk mobility. Working with a physical therapist to increase your strength and range of motion can improve your symptoms and prevent recurrence. […] Physical therapy for costochondritis involves helping you manage your pain, decreasing inflammation, and improving the way you move to relieve pressure off inflamed rib cartilage. Most people with costochondritis benefit from working with an orthopedic physical therapist, an expert in the treatment of musculoskeletal conditions.

• #2 IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5455195/

  Costochondritis is commonly encountered in primary care, but is not routinely referred to PT. Costochondritis can last from several weeks to several months, limiting the patient’s ability to perform tasks at work and home. […] Eight subjects were referred to physical therapy for costochondritis (mean duration of condition 6.31.3 months) and reported that their condition restricted their ability to participate in occupational and fitness activities. […] All subjects received treatment directed at the cervicothoracic spine and ribcage and consisting of manual therapy and exercise. […] The results of this case series suggests that PT utilizing an impairment based examination and treatment approach including manual therapy and therapeutic exercise may facilitate the resolution of costochondritis.

• #2 What Is Costochondritis?

  https://www.webmd.com/pain-management/what-is-costochondritis

  Costochondritis is when the cartilage (connective tissue) that joins your ribs to your breastbone is inflamed. […] Since costochondritis isn’t dangerous, treatment focuses on pain relief. Most of the time, chest pain from costochondritis will go away on its own. In the meantime, you can try one or more of the following on your own: Taking over-the-counter (OTC) pain relievers, such as aspirin or ibuprofen, two to three times a day (making sure to follow the directions on the label carefully) […] If your chest pain doesn’t go away or gets worse, see your doctor. They can give you a shot of a powerful anti-inflammatory medicine called a corticosteroid to ease pain and swelling. […] For costochondritis relief at home, try these tips: Place a heating pad set on low or a warm compress on your chest a few times a day. […] Costochondritis should eventually go away on its own. In the meantime, try managing rib pain, which starts with resting the area and avoiding any activities that make it worse. […] Take over-the-counter pain relievers to ease discomfort.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=te8250

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take medicines for pain and inflammation exactly as directed. […] It may help to use a warm compress or heating pad (set on low) on your chest. […] Avoid any activity that strains the chest area. As your pain gets better, you can slowly return to your normal activities. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fever or cough. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: Your chest pain continues even though you are taking anti-inflammatory medicine.

• #2 Costochondritis: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2009/0915/p617.html

  Costochondritis, an inflammation of costochondral junctions of ribs or chondrosternal joints of the anterior chest wall, is a common condition seen in patients presenting to the physician’s office and emergency department. […] Traditional practice is to treat with acetaminophen or anti-inflammatory medications where safe and appropriate, advise patients to avoid activities that produce chest muscle overuse, and provide reassurance. […] Treatment of costochondritis consists of analgesia, rest, and reassurance. Rarely is physical therapy or combined lidocaine (Xylocaine)/corticosteroid injections of the costochondral joints needed. […] Treatment is usually directed at pain relief with acetaminophen, nonsteroidal anti-inflammatory drugs when safe and appropriate, or other analgesics. […] Patients with costochondritis should be educated and reassured that this is a benign condition that will eventually resolve itself.

• #2 Costochondritis | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/chest-and-rib-problems-and-conditions/costochondritis/

  Costochondritis will normally improve on its own after a few weeks but sometimes takes longer. The condition doesn’t lead to any permanent problems, but can occasionally flare up. […] Modifying your activities while you recover may help reduce your symptoms. […] Costochondritis often gets better after a few weeks. It’s often referred to as a self-limiting condition. This means it can get better on its own over time. Self-help steps and painkillers can help manage your symptoms. […] Any movement that makes the pain in your chest area worse should be modified until the inflammation in your ribs and cartilage has improved. […] It’s important to try to keep moving as normally as possible during your recovery. It’s best to avoid long periods of rest where possible. […] If your symptoms worsen or haven’t improved within 8 weeks following this advice, it’s a good idea to talk to a healthcare professional.

• #2 Costochondritis: What It Is, Causes, FAQs & Treatment

  https://my.clevelandclinic.org/health/diseases/22167-costochondritis

  You should expect to make a full recovery from costochondritis. Once the inflammation heals, you should be able to return to all your usual activities with no long-term effects. […] Most people start to gradually feel better as they rest and take over-the-counter pain medications. […] Visit your provider right away if you notice any new symptoms or changes in or around your chest, especially new pain. Costochondritis usually isnt dangerous, but its important to rule out other, more serious issues as soon as possible.

• #2 Costochondritis: Rapid Evidence Review | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html

  Local application of heat, oral or topical nonsteroidal anti-inflammatory drugs, capsaicin cream, and lidocaine patches are first-line therapies for patients with costochondritis. […] A targeted stretching program under the direction of a physical therapist demonstrated a small reduction in pain among a group of patients who had symptoms for more than one year. […] Local application of heat is often recommended but lacks evidence from clinical trials. […] Nonsteroidal anti-inflammatory drugs are the most commonly prescribed medications, although no clinical trials have evaluated their effectiveness. […] In one small prospective observational study, localized ultrasound-guided corticosteroid injection at the affected costochondral junction resulted in clinical and sonographic improvements among the convenience-sampled group of nine patients with Tietze syndrome, which had not improved with conservative treatment after at least three months. […] A large observational study found that 91% of patients with new-onset costochondritis had resolution of pain after three weeks of treatment with rest and nonsteroidal anti-inflammatory drugs.

• #2 Costochondritis Treatment & Management: Emergency Department Care, Medical Care, Prevention

  https://emedicine.medscape.com/article/808554-treatment

  Reassuring the patient of the benign nature of the condition and adequate pain control are the important objectives. Nonsteroidal anti-inflammatory drugs (NSAIDs) typically suffice. Narcotic analgesics generally are not required. […] Treatment for costochondritis may include the following: Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain control, Local heat, Local infiltration of local anesthetic, steroid, or intercostal nerve block (reserved for refractory cases), Biofeedback, Acupuncture, Gentle stretching of the pectoralis muscles 2-3 times a day may be beneficial, Physical therapy, Primary care follow-up for patients with persistent symptoms. […] Measures to prevent costochondritis include the following: Avoid repetitive misuse of muscles, Modify improper posture or ergonomics of the home or work place.

• #2 Costochondritis: Symptoms, Causes, Tests, and Treatment

  https://www.healthline.com/health/costochondritis

  Your doctor may also recommend: rest, physical therapy, hot or cold therapy using a heating pad and ice. […] If you have chronic costochondritis, the pain may persist or return even with treatment when you exercise or engage in certain activities. In these cases, you may need to seek long-term care to make sure that costochondritis doesn’t affect your quality of life and ability to take part in daily activities. […] To lower your chances of developing persistent costochondritis, carry and lift heavy loads properly. Try doing fewer high-impact exercises or manual labor, when possible.

• #2 Costochondritis: Symptoms, Causes, Treatment and Prevention

  https://www.carehospitals.com/diseases-conditions/costochondritis

  It’s important to avoid activities that worsen pain and to visit a doctor if symptoms persist or worsen. […] While costochondritis often resolves on its own, seeking medical attention in certain situations is crucial, such as: If you experience persistent or severe pain in the chest […] If your pain worsens or doesn’t improve with medication […] If you have sharp pain with every breath. […] Taking steps to prevent costochondritis can go a long way in maintaining chest health. […] By staying informed and proactive, individuals can better manage this condition and enhance their overall quality of life.

• #2 Costochondritis | PM&R KnowledgeNow

  https://now.aapmr.org/costochondritis/

  Activity modification, complementary alternative treatment modalities are available for the acute and refractory phases. […] Multidisciplinary approach involving patient education of activity modification along with coordination of care between primary care, physiatry, physical, occupational, recreational, and vocational therapy is beneficial for the patient.

• #2 IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5455195/

  An impairment-based approach was effective with the subjects in this case series, but it remains to be seen if there is a more effective approach to treatment secondary to the limitations presented by a case series, including lack of comparison and control groups. […] The results of this case series suggest that an impairment based approach to examination and treatment of individuals with costochondritis was effective for pain reduction, and patient specific improvements in function.

• #2 Costochondritis

  https://fpnotebook.com/CV/Sx/Cstchndrts.htm

  Avoid provocative activities […] Local measures: NSAIDs, Local heat or ice to the area, Lidocaine 4% patch on for 12 of every 24 hours, Diclofenac Gel applied to affected area […] Other measures that may have benefit: Acupuncture, Physical Therapy: Small benefit with physical therapist directed targeted Stretching Program […] Conservative management (rest, NSAIDs): Resolution within 3 weeks in 91% of patients, and a 4% recurrence rate after 2 years.

• #2 Costochondritis | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/costochondritis

  Costochondritis is inflammation of a rib or the cartilage that connects a rib to your breastbone (sternum). It causes soreness and may cause chest pain that can be sharp or aching or feel like pressure. The pain may get worse with deep breathing, movement, or exercise. In some cases, the pain is mistaken for a heart attack. But the condition is not serious. […] Costochondritis often goes away on its own. The course of the condition varies from person to person. It usually lasts from weeks to months. In some cases, mild symptoms continue for months to years. To ease symptoms: […] Take medicine as directed. 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.

• #2 Costochondritis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532931/

  Costochondritis can be managed with topical analgesics or oral anti-inflammatory medications. […] This activity for healthcare professionals is designed to enhance learners’ proficiency in evaluating and managing costochondritis. […] Develop an individualized management plan for a patient diagnosed with costochondritis. […] Apply effective strategies to enhance care coordination among interprofessional team members, facilitating positive outcomes for patients with costochondritis. […] Costochondritis arises from localized costochondral joint inflammation, leading to pain. […] Costochondritis is benign and self-limited. Treatment is primarily supportive, aiming to relieve symptoms. […] A small study showed that physical therapy involving a stretching program benefits patients with pain refractory to other methods. […] Costochondritis is a self-limited condition. The standard of care is treatment with topical medications and oral NSAIDs. […] Refractory cases may be referred for physical therapy, acupuncture, or rheumatology evaluation for possible corticosteroid injections.

• #2 Costochondritis: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/808554-overview

  Costochondritis is inflammation of the costal cartilage at the articulation of the ribs and sternum. It is an important consideration in the differential diagnosis of chest pain, as in contrast to myocardial ischemia or infarction, it is a benign disorder. Pain control is a principal objective of emergency care; NSAIDs may be useful. Patients should be reassured of the benign nature of the problem and instructed regarding avoidance of provoking activities. However, they should be made aware that after 1 year, discomfort may still be present in about half of cases, and tenderness with palpation in about one third. […] Reassure patients of the benign nature of the problem, and instruct them regarding avoidance of provoking activities. Provide patients with a good understanding of the proper use and potential adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs).

• #3 Costochondritis: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2009/0915/p617.html

  Costochondritis, an inflammation of costochondral junctions of ribs or chondrosternal joints of the anterior chest wall, is a common condition seen in patients presenting to the physician’s office and emergency department. […] Traditional practice is to treat with acetaminophen or anti-inflammatory medications where safe and appropriate, advise patients to avoid activities that produce chest muscle overuse, and provide reassurance. […] Treatment of costochondritis consists of analgesia, rest, and reassurance. Rarely is physical therapy or combined lidocaine (Xylocaine)/corticosteroid injections of the costochondral joints needed. […] Treatment is usually directed at pain relief with acetaminophen, nonsteroidal anti-inflammatory drugs when safe and appropriate, or other analgesics. […] Patients with costochondritis should be educated and reassured that this is a benign condition that will eventually resolve itself.

• #3 Costochondritis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532931/

  Costochondritis can be managed with topical analgesics or oral anti-inflammatory medications. […] This activity for healthcare professionals is designed to enhance learners’ proficiency in evaluating and managing costochondritis. […] Develop an individualized management plan for a patient diagnosed with costochondritis. […] Apply effective strategies to enhance care coordination among interprofessional team members, facilitating positive outcomes for patients with costochondritis. […] Costochondritis arises from localized costochondral joint inflammation, leading to pain. […] Costochondritis is benign and self-limited. Treatment is primarily supportive, aiming to relieve symptoms. […] A small study showed that physical therapy involving a stretching program benefits patients with pain refractory to other methods. […] Costochondritis is a self-limited condition. The standard of care is treatment with topical medications and oral NSAIDs. […] Refractory cases may be referred for physical therapy, acupuncture, or rheumatology evaluation for possible corticosteroid injections.

• #3 Costochondritis: Causes, Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/pain-management/costochondritis

  Costochondritis is one of the most common causes of chest pain. The pain can be severe, and some people will mistake it for a heart attack. But its typically harmless and usually goes away without any treatment. […] These home remedies may provide relief from costochondritis: Over-the-counter pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, using heat or ice to relieve pain, avoiding unnecessary exercise or activities that make your symptoms worse or avoiding contact sports until your symptoms improve, doing stretching exercises. […] Your doctor may suggest the following: Prescription-strength NSAIDs, narcotics like hydrocodone/acetaminophen (Norco, Vicodin) or oxycodone/acetaminophen (Percocet, Roxicet, Tylox) can help with extreme pain, but, as with any narcotics, theres danger of becoming addicted to them. […] You may need surgery to remove the sore cartilage if other treatments dont help. Your doctor can refer you to a surgeon. […] Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatment. Most people will recover fully.

• #3 Costochondritis: What It Is, Causes, FAQs & Treatment

  https://my.clevelandclinic.org/health/diseases/22167-costochondritis

  You should expect to make a full recovery from costochondritis. Once the inflammation heals, you should be able to return to all your usual activities with no long-term effects. […] Most people start to gradually feel better as they rest and take over-the-counter pain medications. […] Visit your provider right away if you notice any new symptoms or changes in or around your chest, especially new pain. Costochondritis usually isnt dangerous, but its important to rule out other, more serious issues as soon as possible.

• #3 Costochondritis Physical Therapy Exercises

  https://www.verywellhealth.com/costochondritis-physical-therapy-exercises-5199284

  Active involvement in your therapy is key. Your therapist will likely prescribe exercises to help your ribs and thorax (chest) move better. […] Exercises for costochondritis are designed to improve overall chest wall and rib mobility. This can help decrease pain and improve the way your ribs and thorax move. Postural exercises can relieve the pressure of inflamed cartilage. […] One important component of any good physical therapy program is learning to prevent future problems with your condition. Prevention of costochondritis may include: Attaining and maintaining appropriate posture, Performing regular stretching a few times each week, Working on strengthening back and abdominal muscles, Engaging in regular physical exercise. […] Physical therapy, however, can be an effective management strategy to speed the process along and to ensure that you are moving correctly while your rib cartilage is healing. […] If you have chest pain from costochondritis, you may benefit from working with a physical therapist. Your therapist can educate you about your condition and prescribe exercises to improve your mobility and decrease your pain.

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