Materiały źródłowe

• #1 Costochondritis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/costochondritis

  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 – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/costochondritis/symptoms-causes/syc-20371175

  What causes costochondritis is unclear. Treatment focuses on easing the pain while waiting for the condition to improve on its own, which can take several weeks or more. […] Costochondritis usually has no clear cause. However, costochondritis might be associated with trauma, illness or physical strain, such as severe coughing.

• #3 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.

• #4 Costochondritis: Rapid Evidence Review | AAFP

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

  Costochondritis is a common cause of chest pain. […] Although high-quality evidence is lacking, treatment options include local application of heat, oral or topical nonsteroidal anti-inflammatory drugs, lidocaine patches, capsaicin cream, physical therapy, and acupuncture. Most patients will have complete resolution of symptoms in a few weeks’ time with conservative therapy. Recalcitrant cases may respond to corticosteroid injections. […] Acupuncture, physical therapy, and corticosteroid injections may be considered for the treatment of costochondritis in patient with recalcitrant symptoms. […] Local application of heat, oral or topical nonsteroidal anti-inflammatory drugs, capsaicin cream, and lidocaine patches are first-line therapies for patients with costochondritis. […] No high-quality studies have examined the effectiveness of any treatment options for costochondritis. Most treatment recommendations are conservative in nature and have been traditionally accepted, perhaps because of the self-limited nature of the condition.

• #5 What is the treatment for costochondritis?

  https://patient.info/news-and-features/costochondritis-treatment

  Costochondritis usually gets better with time. […] Treatments that can help with the symptoms of costochondritis include: Pain relief tablets, such as paracetamol or ibuprofen. […] Treatments to help with the pain of costochondritis include: Over the counter pain relievers are good options for controlling the symptoms of costochondritis. […] Prescription medications usually aren’t needed for costochondritis, but options when other treatments haven’t worked include: Capsaicin gel or cream. […] Other treatments for costochondritis include: Using heat packs or warm compresses over painful areas of the chest wall. […] Rarely, for people with long-lasting costochondritis that hasn’t got better with other treatments, steroid injections can be given to affected areas.

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

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

  Home Remedies for Costochondritis […] 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 […] Costochondritis medications […] 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. […] Steroids. Your doctor can give you a corticosteroid shot directly into a painful joint, but thats considered something of a last resort.

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

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

  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), may help with costochondritis. […] Infectious (bacterial or fungal) costochondritis should be treated with IV antibiotics. Afterward, antibiotics by mouth or by IV should be continued for another 2 to 3 weeks. You should see a doctor during recovery, and then once a year. […] Surgery for Costochondritis […] You may need surgery to remove the sore cartilage if other treatments dont help. Your doctor can refer you to a surgeon. […] Costochondritis stretches […] Stretching may help reduce your pain and stretch your chest. A few stretches that may help include:

• #8 Costochondritis: Diagnosis and Treatment | AAFP

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

  Costochondritis is a common condition seen in patients presenting to the physician’s office and emergency department. […] 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. Applying heat with compresses or heating pads can help, particularly in the case of muscle overuse. Minimizing activities that provoke the symptoms (e.g., reducing the frequency or intensity of exercise or work activities) or using cough suppressants may also help relieve symptoms. […] Refractory cases of costochondritis can be treated with local injections of combined lidocaine (Xylocaine)/corticosteroid into costochondral areas if severe; however, this is rarely necessary. […] Patients with costochondritis should be educated and reassured that this is a benign condition that will eventually resolve itself.

• #9 Causes, symptoms, and treatment of Costochondritis

  https://www.medicalnewstoday.com/articles/318797

  Doctors usually treat costochondritis conservatively. Resting and avoiding strenuous exercise that affects the chest wall can help. So can over-the-counter pain relievers, such as acetaminophen or ibuprofen. […] In rare instances, a doctor may recommend injections of lidocaine or corticosteroids to reduce pain and inflammation. Other treatments that may help to relieve chest pain include: Applying moist heat by way of warm compresses. Taking cough suppressants to ease coughing and reduce pressure on the cartilage. Physical therapy to ease tension in the chest wall. […] If these treatments do not reduce a persons incidence of costochondritis, they should seek a follow-up with their doctor. […] Generally speaking, costochondritis will get better on its own over time. However, over-the-counter medication like acetaminophen or ibuprofen can help with pain and inflammation. […] Treatments range from rest and pain relievers to injections or physical therapy. […] Its crucial to seek medical attention if symptoms worsen or if chest pain is accompanied by certain symptoms, such as lightheadedness or an irregular heartbeat.

• #10 Costochondritis – StatPearls – NCBI Bookshelf

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

  Costochondritis can be managed with topical analgesics or oral anti-inflammatory medications. […] 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. […] 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.

• #11 Costochondritis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/costochondritis

  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.

• #12 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. Talk to your provider before taking pain medication for more than 10 days in a row. […] 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.

• #13 Costochondritis: Rapid Evidence Review | AAFP

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

  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. A period of rest from activities that exacerbate pain is often recommended. […] Nonsteroidal anti-inflammatory drugs are the most commonly prescribed medications, although no clinical trials have evaluated their effectiveness. Additionally, higher dosages and frequency of oral nonsteroidal anti-inflammatory drugs may exacerbate gastritis or reflux, further complicating the clinical diagnosis. […] Acupuncture has been used for treatment, but no randomized, controlled studies for effectiveness are available. […] 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. There is inadequate evidence supporting corticosteroid injection specifically for costochondritis, so it should be considered only for patients whose symptoms do not improve with traditional therapies. […] 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.

• #14 Costochondritis: Symptoms, Causes, and Treatment

  https://patient.info/signs-symptoms/chest-pain-leaflet/costochondritis

  Costochondritis treatment options include: […] Simple painkillers such as paracetamol or ibuprofen. […] Injections of steroids or local anaesthetic medicines if pain is severe and other treatments have not worked. […] Non-medicinal measures can be tried for relief of pain in costochondritis. Examples of such techniques include: […] Physiotherapy or chiropractic therapy to help loosen up the rib cage. […] With or without treatment, most people with costochondritis get better gradually over time. […] In extreme cases, an intercostal nerve block can be performed (usually by a doctor specialising in pain and/or anaesthetics). This involves injection of a local anaesthetic medicine around the painful ribs. […] Nerve blocks can last several weeks or months. In repeated, severe cases of costochondritis, a series of these injections can be given to permanently calm the nerve causing the pain.

• #15 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. […] Identify common impairments and examine the effects of treatment in subjects with costochondritis. […] 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. […] Current recommendations for medical treatment are analgesics and nonsteroidal anti-inflammatory drugs, heat/ice, and possibly anesthetic/steroid injections.

• #16 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. […] 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. […] Different modalities and maneuvers may be used to improve the way you move. These may include: Rib mobilizations to help improve the way your ribs move up and down during normal respiration, spinal joint mobilizations to improve the way your thoracic spinal joints glide and slide together, range of motion and stretching exercises that can take pressure off inflamed rib cartilage and allow for improved freedom of movement, postural strengthening exercises to help maintain appropriate positions that keep pressure off your rib cartilage, and breathing exercises to improve the way your ribs move while you are taking deep breaths.

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

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

  Doorway stretch. Stand facing an open doorway and raise your arms to the sides. Bend your elbows at a 90 degree angle. Rest your forearms against the wall with your elbows at shoulder height. Lean forward through the open doorway to stretch your chest muscles. Hold for 30-60 seconds. Repeat 10 times. […] Rolled towel or foam roller stretch. Lie down on your back with a rolled towel or foam roller under your midback (around the level of your shoulder blades). Bend your knees and keep your arms out to your sides with your elbows bent at about a 20 degree angle. Hold for 20 seconds. Repeat 10 times. […] Sphinx pose. Lie on your stomach and support yourself on your elbows. Open your chest, arch your back, and stretch upwards and backwards. Hold for 10 seconds. Relax all the way down with your face to the floor for 20 seconds. Repeat 10 times.

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

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

  The remaining case reports used an impairment-based approach, which included manual therapy and exercise directed at the upper thoracic vertebrae, rib cage, and surrounding soft tissues, with significant improvement noted in two or more of the following patient outcomes, the Numeric Pain Rating Scale (NPRS), Visual Analog Scale, Dallas Pain Questionnaire, Functional Rating Scale, Patient-Specific Functional Scale (PSFS), and return to previous performance/activity level. […] 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.

• #19 Costochondritis Treatment – Ward Chiropractic & Rehab

  https://www.wardchiroandrehab.com/chiropractic-treatments/costochondritis-treatment/

  At Ward Chiropractic, we provide natural, non-invasive treatment for costochondritis to help relieve your discomfort. […] Treatment will vary depending on the cause of your condition. We provide many non-invasive treatment options at Ward Chiropractic that can help facilitate healing and reduce your pain. Treatments for costochondritis that we provide include: […] At Ward Chiropractic, we can help you implement the most effective treatment options to get you feeling better again as soon as possible.

• #20 How to Treat Costochondritis With Acupuncture and TCM » Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM) | Acupuncture in Los Angeles, CA; Acupuncture in West Los Angeles, CA; Acupuncture in Santa Monica, CA

  https://myartofwellness.com/how-to-treat-costochondritis-with-acupuncture-and-tcm/

  Chest pain? Rib pain, sternum pain? These can be costochondritis symptoms, caused by inflammation of the cartilage that connects the ribs to the sternum. Acupuncture and TCM can provide costochondritis treatment to relieve pain and inflammation. […] Acupuncture has been shown to help alleviate costochondritis pain, often in a matter of weeks. […] Treatment will consist of recommendations for ways to alleviate pain. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) can help reduce inflammation and pain. […] Acupuncture treatment is a great way to relieve pain and reduce inflammation, without the side effects that can result from using pain medications or steroids for several weeks or months. […] Acupuncture has been used for many centuries to treat pain and inflammation.

• #21 How to Treat Costochondritis With Acupuncture and TCM » Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM) | Acupuncture in Los Angeles, CA; Acupuncture in West Los Angeles, CA; Acupuncture in Santa Monica, CA

  https://myartofwellness.com/how-to-treat-costochondritis-with-acupuncture-and-tcm/

  One case study of six women who were treated for costochondritis pain with acupuncture found that all patients reported improvement and were able to discontinue taking OTC pain medications. […] Not only is acupuncture treatment effective for relief of costochondritis pain; it can work quickly. In many cases, patients feel better after one or two treatments.

• #22 Understanding Costochondritis • Harmony Chiropractic

  https://harmonychiro.com/costochondritis/

  Chiropractic care plays a pivotal role in addressing costochondritis by focusing on realigning the rib cage, alleviating pain, and promoting healing. Chiropractors utilize specific techniques to enhance joint mobility and reduce inflammation, offering a non-invasive path to relief. […] The chiropractic approach to managing costochondritis and anterior rib dysfunction offers a holistic and non-invasive way to alleviate symptoms and restore function. […] Chiropractors use a variety of manual adjustment techniques to address costochondritis and anterior rib dysfunction. These may include: Thoracic Manipulation: Gentle chiropractic adjustments aimed at improving the mobility and alignment of the thoracic spine and posterior rib joints, reducing tension and inflammation in the affected areas. Rib Cage Adjustments: Adjustments can be delivered using specialized tools or by hand to apply precise force to specific areas, enhancing joint mobility and reducing discomfort.

• #23 The Benefits of Chiropractic Care for Costochondritis

  https://gonsteadchiropracticcenter.com/blog/b/the-benefits-of-chiropractic-care-for-costochondritis

  If you have been diagnosed with costochondritis, you should reach out to a chiropractor who can help you. A chiropractor can take a look at your chest and back, figuring out exactly which ribs are responsible for the pain. […] Then, the chiropractor may use manual therapy known as a chiropractic adjustment to help make sure that your ribs and vertebrae are properly aligned. Sometimes, inflammation develops because your ribs or vertebrae may have been slightly misaligned, damaging one or more of the nerves that run through your chest wall. By using manual therapy to make sure your alignment is appropriate, it is possible to alleviate pressure on nerves, treating the condition effectively. […] Ultimately, there are plenty of reasons why you should visit a chiropractor if you are looking for help with costochondritis. By working with a chiropractor, you can reduce your chances of dealing with complications and side effects.

• #24 Symptoms, Causes, Tests, and Treatment for Costochondritis

  https://www.removemypain.com/blog/symptoms-causes-tests-and-treatment-for-costochondritis/

  Although high-quality evidence is lacking, treatment options include local application of heat, oral or topical nonsteroidal anti-inflammatory drugs, local application of numbing patches or creams, physical therapy, and injections. […] The disease course is generally self-limiting with most patients getting better in a few weeks time. In one study 91% of patients with new-onset costochondritis had resolution of pain after three weeks of treatment with rest and nonsteroidal anti-inflammatory drugs. […] Local anaesthetic and steroid injections are considered in cases of persisting pain or suboptimal response to non-invasive treatments. […] Addition of steroids aid in reducing inflammation thus prolonging the effect of the injection. […] Other interventions such as intercostal nerve blocks, Dry Needling and Acupuncture have also been used to manage the symptoms in costochondritis.

• #25 Understanding Costochondritis • Harmony Chiropractic

  https://harmonychiro.com/costochondritis/

  Photobiomodulation or Cold Laser Therapy employs laser light to penetrate the skin and promote cellular regeneration. This non-invasive treatment is beneficial for costochondritis as it reduces inflammation and accelerates healing, leading to pain relief without the need for medication. […] Physical therapy is a cornerstone of treatment for both costochondritis and anterior rib dysfunction. Corrective exercises often include stretching and strengthening routines that target the thoracic region, helping to alleviate pain and improve rib mobility. […] Maintaining good posture is essential in managing costochondritis and anterior rib dysfunction. Poor posture can exacerbate symptoms by placing additional strain on the ribs and surrounding muscles. […] Medications play a crucial role in managing costochondritis and anterior rib dysfunction. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can effectively reduce inflammation and pain. In some cases, doctors may prescribe stronger pain relief options, oral steroids or corticosteroid injections to manage severe symptoms.

• #26 Understanding Costochondritis: Symptoms, Diagnosis, and Treatment

  https://synergywellnessny.com/understanding-costochondritis/

  Costochondritis is a condition that causes chest pain and discomfort in the area where the ribs meet the breastbone (sternum). […] Treatment for costochondritis typically involves chiropractic, cold laser therapy, physical therapy or pain management. Over-the-counter pain relievers such as ibuprofen or acetaminophen can be used to reduce pain and inflammation. Your doctor may also recommend physical therapy or exercises to help relieve symptoms. […] In severe cases, corticosteroid injections, low-level laser therapy (LLLT) also called cold laser therapy may be necessary. […] It is essential to take steps to prevent costochondritis from recurring. This may include avoiding activities that put excessive stress on the chest, maintaining good posture, and avoiding repetitive motions that may aggravate the affected area. Your doctor may also recommend physical therapy and or chiropractic to help strengthen the muscles around the chest and thoracic spine and improve posture and thoracic mobility.

• #27 Costochondritis Treatment – Spinal Health Clinics

  https://spinalhealthclinics.co.uk/costochondritis-treatment/

  Shockwave Therapy for Costochondritis […] In cases where traditional physiotherapy and osteopathy have not provided sufficient relief, shockwave therapy may be recommended. This non-invasive therapy uses acoustic waves to stimulate healing in soft tissues, helping to: […] Reduce inflammation and pain in the affected area. […] Promote healing of the cartilage and surrounding tissues. […] Increase blood circulation to the chest area, aiding recovery. […] Start Your Recovery from Costochondritis Today […] If you are experiencing chest pain or discomfort due to costochondritis, Spinal Health Clinics can help. Our team of expert osteopaths and physiotherapists will create a personalized treatment plan to reduce pain, improve mobility, and prevent further flare-ups. From manual therapy and postural corrections to shockwave therapy, we provide the most effective treatments for your recovery.

• #28 Costochondritis of the Thoracic Spine – All You Need to Know

  https://centenoschultz.com/condition/costochondritis-of-the-thoracic-spine/

  Costochondritis is a self-limiting medical condition characterized by inflammation of the costochondral cartilage and its joints. Treatment varies depending on the patient, the pain level, and dysfunction. […] Once the diagnosis is confirmed, proper treatment can help alleviate symptoms more quickly. Ice, rest, and NSAIDs such as Motrin can help reduce inflammation and discomfort. […] Costochondritis is a medical condition characterized by the inflammation of the costochondral cartilage and its joints. Traditional treatment involves the use of supportive therapy, which decreases the symptoms. Common examples include NSAIDs, ice, and rest. […] PRP is a new treatment option for costochondritis. PRP stands for platelet-rich plasma and is currently used in the treatment of many musculoskeletal injuries. PRP treatment involves the use of a patients own blood to promote healing and reduce pain.

• #29 Costochondritis of the Thoracic Spine – All You Need to Know

  https://centenoschultz.com/condition/costochondritis-of-the-thoracic-spine/

  PRP is rich in growth factors that can accelerate healing. One of the main growth factors is VEGF, which can increase blood flow and promote healing. […] PRP can be effective in the treatment of costochondritis. It is an advanced procedure, given the proximity of the lungs and the potential complication of lung puncture.

• #30 Costochondritis – London Pain Clinic

  https://www.londonpainclinic.com/conditions/costochondritis/

  The condition of costochondritis is normally self-curing and the pain usually resolves after a week or two. […] Medications are normally prescribed for pain relief during the course of the disorder. The main amongst these include: […] Surgical removal of sore cartilage may also be sought if medical therapy does not get the desired response. In some cases, alternative therapies such as massage and acupuncture have also known to bring relief from the symptoms of costochondritis. […] Certain self-care measures can prove quite helpful in this condition. Here we briefly list the few amongst them: […] Heat therapy, such as heating pads can be put on the area for 20 minutes, 4-8 times a day.

• #31 Pediatric Costochondritis Treatment & Management: Medical Care, Consultations, Activity

  https://emedicine.medscape.com/article/1006486-treatment

  Reassure patients diagnosed with costochondritis that the cause of their chest pain is neither cardiac nor malignant in origin. Treatment involves conservative local care with judicious use of nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics, as necessary. Cough suppressants may be beneficial if cough is an aggravating factor. Stretching exercises have also been suggested and demonstrated to be of some benefit for the resolution of costochondritis. […] Physical therapy and acupuncture have been used to treat costochondritis. […] Liberal use of ice is recommended for 20-minute intervals. Advise relative rest for the patient’s upper extremities and avoidance of possible precipitating or exacerbating activities. […] Activity restrictions include relative rest. Instruct the patient to avoid activities that exacerbate symptoms. Collision or contact sports may be limited until the patient can perform activity-specific movements without pain. Applying ice after activity usually helps alleviate a significant amount of pain or discomfort. Resumption of aggravating activities prior to resolution may cause relapse.

• #32 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. […] If the doctor gave you a prescription medicine, take it as prescribed. […] If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. […] It may help to use a warm compress or heating pad (set on low) on your chest. […] You can also try alternating heat and ice. […] Avoid any activity that strains the chest area. […] As your pain gets better, you can slowly return to your normal activities. […] Do not use tape, an elastic bandage, a „rib belt,” or anything else that restricts your chest wall motion. […] 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.

• #33 Reddit – The heart of the internet

  https://www.reddit.com/r/costochondritis/comments/dln944/the_3_cornerstones_of_curing_costochondritis/

  You cannot be slouched over when you’re sitting this was one of my main problems that I never realized. […] If you exercise regularly, you need to give yourself some time off the gym […] You can still hit legs, but only isolation exercises, no squatting, dead-lifting, etc anything that uses your back is a no-go the seated leg press is the farthest Id go with compound movements for your leg workouts. […] It is important that you stretch your back and chest out properly and also foam roll / lacrosse ball your back properly. […] After workouts (and you can do this any day if you’d like) I would lie down for 20 minutes to an hour and place a bag of ice over my chest/sternum area. […] When I began to reintroduce my exercise program I noticed that my back and chest would get more sore than normal

• #34 How to Treat Costochondritis: 14 Steps (with Pictures) – wikiHow

  https://www.wikihow.com/Treat-Costochondritis

  Rest to give your body time to heal. This may mean refraining from strenuous sports for several weeks. Costochondritis is usually due to activities that stretch the cartilage and muscles around the chest wall, so the number one doctor-prescribed treatment is avoiding the activity that is causing the discomfort. […] Apply heat to the area that is sore. This may help increase the blood flow and relax muscles that may be tight. […] Put an ice pack on the affected joint. The ice will help reduce the swelling and soothe the inflammation. […] Stretch tightened chest muscles around the joint. Be careful to do so slowly, gently, and only with a doctor’s approval. […] Improve your posture to reduce the strain on your chest. Sitting or standing with a hunched posture is likely to aggravate your costochondritis and increase your discomfort.

• #35 Costochondritis | healthdirect

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

  To help prevent costochondritis, it’s important to avoid activities that strain your chest. […] Here are tips to help prevent costochondritis: Maintain good posture. Avoid activities such as lifting heavy objects or repetitive movements. Do gentle, low-impact exercises to strengthen your chest muscles. Manage stress. Address underlying conditions such as chest infections or joint issues.

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

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

  Normally, treatment of the inflammation and pain causes costochondritis to eventually go away on its own. […] 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.

• #37 Costochondritis: Symptoms, Causes, Treatment & Prevention

  https://www.nanavatimaxhospital.org/blogs/costochondritis-management

  Therapies for costochondritis encompass a range of approaches aimed at alleviating pain and promoting healing. Physical therapy is often recommended, involving exercises that target improving posture, strengthening muscles and reducing pain in the affected area. Heat or cold therapy may be employed as well, with the application of warm compresses or cold packs providing pain relief and reducing inflammation. In addition, stress reduction techniques, such as relaxation exercises and mindfulness, can be beneficial in managing symptoms and facilitating the healing process. […] Surgery is rarely necessary for costochondritis. However, in severe cases that do not respond to conservative treatments, surgical interventions such as intercostal nerve blocks or cartilage resection may be considered. These procedures aim to provide pain relief and address persistent inflammation in specific cases. […] Lifestyle and home remedies for costochondritis include resting the affected area, avoiding activities that worsen pain, applying heat or cold packs, practising good posture, gentle stretching exercises, stress reduction techniques and over-the-counter pain relievers like NSAIDs.

• #38 Spotlight on Costochondritis – Blackberry Clinic

  https://www.blackberryclinic.co.uk/articles/spotlight-on-costochondritis/

  At Blackberry Clinic our expert Musculoskeletal and Sport and Exercise Medicine doctors can help identify if you have costochondritis and provide an appropriate treatment plan for you. […] If conventional manual therapy does not have a satisfactory outcome our doctors may suggest a steroid injection to treat the inflammation, which combined with other treatments and exercises can often be beneficial in this condition. […] Sometimes it helps just to be reassured there is no serious cause for the chest pain. […] Relaxation techniques. Anxiety is a common cause of chest pain. […] Simple painkillers such as paracetamol or ibruprofen […] Steroid injections or local anaesthetic medicines if pain is severe and other treatments have not worked. […] Non-medicinal measures can be tried for relief of pain in costochondritis. Examples of such techniques include:

• #39 Top 5 Exercises for Costochondritis – Surrey Physio

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

  Top 5 Exercises for Costochondritis […] Treatment for Costochondritis […] 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. At Surrey Physio, we perform manual therapy and electrotherapy to help reduce the pain, and it does seem to work well. A 2009 study compared a group of patients who were treated with stretching exercises with a control group and noted a significant reduction in pain in the group treated with stretching exercises (Rovetta et al., 2009). […] If the pain persists or is severe, the doctor may prescribe stronger painkillers, but again it must be mentioned that if symptoms become more severe with symptoms of strong chest pains, palpitations, sweating or fever, or severe shortness of breath, you should go to AE and seek investigation. […] In the majority of cases, costochondritis is a temporary condition, and the pain subsides within a few days or weeks. However, if the pain is severe or persists, it is crucial to see a doctor immediately.

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

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

  Repeat these stretches daily for 6 weeks, then three times a week for 6 more weeks. […] Costochondritis Outlook […] Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatment. Most people will recover fully. […] Infectious costochondritis responds well to IV antibiotics and surgery, but recovery may take a long time. […] Takeaways […] Costochondritis is inflammation of the cartilage that connects your ribs to your breastbone. It’s one of the most common causes of chest pain. The pain can be severe, and some people will mistake it for a heart attack. Its typically harmless and usually goes away without any treatment. You can ease your pain and help yourself heal by taking ibuprofen or naproxen, using a heating pad or cold pack, avoiding activities that make your symptoms worse, and doing stretching exercises. […] What is the best treatment for costochondritis? […] Costochondritis usually gets better on its own. Your doctor will likely recommend you rest, stretch, and take NSAIDs for pain.

• #41

  https://mskdoctors.com/doctors/thula-chelvan/articles/costochondritis-symptoms-causes-treatment-exercises

  Exercises, particularly ones that stretch and strengthen, can be a good way to manage costochondritis. They can help to relieve tightness and make the muscles in the chest wall stronger, which can help to lessen symptoms. […] Performing gentle stretches that expand the chest can help to reduce pain. […] Using foam rollers is another helpful exercise. When you lie on a foam roller along your spine, it can help to open your chest and lessen tension in the area. […] Deep breathing exercises are beneficial as they promote the full expansion of the ribcage and relaxation of the chest muscles. […] When the pain from costochondritis starts to lessen, strengthening exercises can help avoid recurrence. These exercises should concentrate on the muscles around the chest and upper back to offer better support to the ribcage.

• #42 Costochondritis Treatment – Ask Doctor Jo

  https://www.askdoctorjo.com/costochondritis-treatment/

  Costochondritis is the inflammation of the cartilage where the ribs meet the breastbone or where the cartilage attaches to the ribs. […] These treatments may help relieve the pain from costochondritis, but since the symptoms can mimic a heart attack, always seek immediate medical attention for the sudden onset of this type of pain. […] Deep breathing exercises often help with opening up the ribcage which can gently stretch the area and help reduce the inflammation. […] Lying down and doing a trunk rotation with your arms stretched out can also get a great stretch in the whole ribcage to relieve costochondritis pain. […] So strengthening the upper back with Ts and Ys will help as well. […] Pec or chest stretches are also a great way to open up the chest area. […] Scapular or shoulder squeezes and rows with a resistive band will also help strengthen the upper back area to help relieve pressure from the chest area.

• #43 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. Talk to your provider if your rib pain isnt getting better in a few weeks after you start treating costochondritis.

• #44 Costochondritis

  https://www.nhs.uk/conditions/costochondritis/

  Costochondritis usually gets better on its own, over time. It can last for a few weeks to several months. […] Painkillers that help with inflammation, like ibuprofen, may be recommended to help with the pain. […] If you have very bad pain that does not get better over time, you may be offered a steroid injection to help reduce inflammation or local anaesthetic to ease the pain.

• #45 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. […] 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. […] The following can help to reduce the pain: pain medication this can help you move more comfortably, which can help your recovery; heat packs. […] 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.

• #46 Costochondritis (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/costochondritis.html

  Costochondritis usually goes away on its own without any treatment within a few days. […] Sometimes, it lasts longer from several weeks to months. If you’re concerned about pain that’s not going away, talk to your doctor. […] In the meantime, the doctor will probably recommend giving your child over-the-counter pain medicines like ibuprofen or naproxen to help ease symptoms. Applying a warm compress or a heating pad (set on low) to the sore area also may give some relief. […] Until feeling better, your child should get plenty of rest and avoid activities that make the pain worse.

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

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

  Treatment for costochondritis focuses on pain relief, as the condition usually resolves on its own. […] Rest is crucial, allowing the irritated costochondral joints to heal. […] Applying heat or ice compress to the affected area may also provide relief. […] Over-the-counter pain relievers can help manage discomfort. […] In some cases, doctors might prescribe stronger medications such as prescription-strength NSAIDs or, rarely, corticosteroid injections for persistent symptoms. […] Gentle stretching exercises for the chest muscles can be beneficial. These may include doorway stretches or using a foam roller. […] It’s important to avoid activities that worsen pain and to visit a doctor if symptoms persist or worsen. […] Costochondritis often resolves on its own, but seeking medical attention in certain situations is crucial, such as: If you experience persistent or severe pain in the chest.

• #48 How to Treat Costochondritis: 14 Steps (with Pictures) – wikiHow

  https://www.wikihow.com/Treat-Costochondritis

  Costochondritis, also called chest wall pain, costosternal syndrome, or costosternal chondrodynia, occurs when the cartilage between a rib and the breastbone (sternum) becomes inflamed and swollen. The doctor will also be able to advise you on how to best combat the pain while you wait for it to heal. […] Go immediately to the doctor or call emergency responders if you experience chest pain. A medical professional will be able to determine whether it is a heart attack or something less serious, like costochondritis. […] Take prescription antibiotics if recommended by your doctor. If your case of costochondritis is caused by an infection in the joint, your doctor will likely prescribe antibiotics to be taken orally or through an IV. It’s important to note, however, that infections are rarely the cause of costochondritis, so antibiotics usually aren’t necessary.

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

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

  If you have trouble breathing, a high fever, or signs of infection such as pus, redness, or swelling around your ribs, contact your doctor immediately. […] If your pain worsens or doesn’t improve with medication. […] If you have sharp pain with every breath. […] Costochondritis often resolves on its own over time. While there’s no specific „cure,” treatment focuses on managing symptoms and promoting healing: Rest and avoid activities that exacerbate pain. […] Over-the-counter pain relievers and anti-inflammatory medications. […] Heat or cold therapy. […] Gentle stretching exercises. […] In some cases, corticosteroid injections for severe pain. […] Most people experience significant improvement with conservative treatment.

• #50 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. […] 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.

Zobacz więcej