Kostochondryt
Objawy

Kostochondryt to zapalenie chrząstki żebrowo-mostkowej, będące częstą przyczyną bólu klatki piersiowej, szczególnie u osób w wieku 40-50 lat, z przewagą kobiet. Objawia się bólem o charakterze ostrym, kłującym, piekącym lub uciskającym, najczęściej po lewej stronie mostka, obejmującym żebra od II do V, nasilającym się przy głębokim oddychaniu, kaszlu, kichaniu, ruchach tułowia oraz ucisku na klatkę piersiową. Ból może promieniować do ramion, pleców lub brzucha, a w cięższych przypadkach towarzyszy mu drętwienie i mrowienie barku. Kostochondryt zwykle nie powoduje duszności, co jest istotne w różnicowaniu z chorobami kardiologicznymi. Etiologia obejmuje drobne urazy, infekcje górnych dróg oddechowych, intensywny wysiłek fizyczny oraz infekcję COVID-19, która może wywołać zapalenie stawów żebrowo-mostkowych.

Kostochondryt – definicja

Kostochondryt jest łagodnym zapaleniem chrząstki żebrowo-mostkowej w miejscu połączenia żeber z mostkiem (połączenia kostochondralne lub sternocostalne). Choroba stanowi jedną z najczęstszych przyczyn bólu klatki piersiowej, co sprawia, że jest częstym powodem wizyt na oddziałach ratunkowych z uwagi na konieczność różnicowania z zawałem serca i innymi poważnymi schorzeniami kardiologicznymi12. Dotyka najczęściej osoby dorosłe w wieku 40-50 lat, z nieco większą częstością występowania u kobiet34.

Objawy Kostochondrytu

Głównym objawem kostochondrytu jest ból klatki piersiowej o zmiennym nasileniu, który może mieć charakter ostry, kłujący, piekący lub uciskający12. Ból występuje najczęściej po lewej stronie mostka, choć może dotyczyć obu stron12.

Charakterystyka bólu

Ból w kostochondrycie charakteryzuje się następującymi cechami:

  • Najczęściej umiejscowiony jest po lewej stronie mostka12
  • Może być ostry, kłujący, pulsujący lub przyjmować charakter ucisku12
  • Zazwyczaj dotyczy więcej niż jednego żebra12
  • Najczęściej obejmuje żebra od drugiego do piątego12
  • Może promieniować do ramion, rąk, pleców lub brzucha12

Czynniki nasilające ból

Ból w kostochondrycie nasila się w następujących sytuacjach:

  • Podczas głębokiego oddychania12
  • Przy kaszlu i kichaniu12
  • Podczas ruchu klatki piersiowej (skręcanie tułowia, rozciąganie)12
  • Przy ucisku na klatkę piersiową (np. noszenie pasów bezpieczeństwa, przytulanie)12
  • Podczas aktywności fizycznej12
  • W pozycji leżącej, szczególnie na zajętej stronie12

Inne objawy

Oprócz bólu, kostochondryt może powodować:

  • Tkliwość miejscową przy ucisku na zajęte obszary żebrowo-mostkowe12
  • W ciężkich przypadkach – uczucie drętwienia i mrowienia w barku oraz promieniowanie bólu wzdłuż ramienia (ból odniesiony)1
  • Trudności z wykonywaniem codziennych czynności z powodu bólu1
  • Trudności ze snem12

Warto podkreślić, że kostochondryt typowo nie powoduje duszności, choć głębokie oddychanie może być bolesne12. Pojawienie się duszności może sugerować inne, poważniejsze przyczyny bólu w klatce piersiowej.

Przebieg Kostochondrytu

Początek i progresja choroby

Początek kostochondrytu może być nagły lub rozwijać się stopniowo12. Choroba często pojawia się po powtarzających się drobnych urazach, nieprzyzwyczajonych aktywnościach (np. malowanie, przenoszenie mebli), po infekcjach górnych dróg oddechowych z kaszlem lub po intensywnym wysiłku fizycznym12.

Przebieg kostochondrytu można podzielić na kilka etapów:

  • Wczesne stadium – ból może być łagodny i występować sporadycznie, nasilając się przy ruchu klatki piersiowej1
  • Stadium progresji – ból staje się częstszy i bardziej intensywny1
  • Późne stadium – w niektórych przypadkach ból może być stały i upośledzający codzienne funkcjonowanie1

Czas trwania dolegliwości

Kostochondryt jest zazwyczaj schorzeniem samoograniczającym się, które mija samoistnie, jednak czas trwania dolegliwości jest zmienny:

  • U większości pacjentów objawy ustępują w ciągu kilku dni do kilku tygodni12
  • Według jednego z badań, 91% pacjentów z nowo rozpoznanym kostochondrytem doświadcza ustąpienia bólu po trzech tygodniach odpoczynku i leczenia niesteroidowymi lekami przeciwzapalnymi12
  • W części przypadków dolegliwości mogą utrzymywać się przez kilka miesięcy12
  • Rzadko, objawy mogą utrzymywać się do roku12
  • U nastolatków z kostochondrytem objawy mogą czasami utrzymywać się dłużej1

Nawroty

Nawroty kostochondrytu są możliwe, choć stosunkowo rzadkie. Według dostępnych danych, częstość nawrotów po dwóch latach od pierwszego epizodu wynosi około 4%12. Ryzyko nawrotu jest wyższe, jeśli kostochondryt jest spowodowany wysiłkiem fizycznym lub przeciążeniem1.

W niektórych przypadkach kostochondryt może stać się przewlekły lub nawracający, co uzasadnia skierowanie do reumatologa w celu poszukiwania ogólnoustrojowych przyczyn bólu klatki piersiowej i rozważenia minimalnie inwazyjnych interwencji, takich jak iniekcje kortykosteroidów12.

Kostochondryt nietypowy (atypowy)

Kostochondryt, który nie ustępuje samoistnie, jest określany jako atypowy kostochondryt. Charakteryzuje się on przedłużonym utrzymywaniem się objawów i jest związany z wysokimi kosztami medycznymi oraz obciążeniem psychologicznym pacjenta1.

Czynniki, które mogą wpływać na przewlekły przebieg kostochondrytu:

  • Przewlekłe zapalenie1
  • Choroby autoimmunologiczne1
  • Stres mechaniczny1
  • Długość trwania objawów – im dłużej trwają objawy, tym mniejsze prawdopodobieństwo ich ustąpienia1

Atypowy kostochondryt może wymagać bardziej intensywnego podejścia terapeutycznego, w tym terapii manualnej, technik mobilizacji tkanek miękkich oraz specjalistycznych interwencji medycznych1.

Czynniki ryzyka i wyzwalające

Kostochondryt może się rozwinąć lub zaostrzyć w wyniku różnych czynników, takich jak:

  • Powtarzające się drobne urazy klatki piersiowej1
  • Nieprzyzwyczajone aktywności (np. malowanie, przenoszenie mebli)1
  • Intensywny lub nadmierny wysiłek fizyczny1
  • Urazy sportowe (np. zamach kijem bejsbolowym, serwis tenisowy, rzut baseballowy)1
  • Ciężkie napady kaszlu12
  • Upadek na klatkę piersiową1
  • Infekcje górnych dróg oddechowych12
  • Zużycie i uszkodzenia stawów ściany klatki piersiowej1

Dodatkowo, kostochondryt jest częściej obserwowany u kobiet1 oraz u osób z chorobami reumatologicznymi1.

Kostochondryt związany z COVID-19

Istnieje również powiązanie między kostochondrytem a infekcją COVID-19. Utrzymujący się kaszel i stan zapalny związany z koronawirusem mogą prowadzić do zapalenia stawów między chrząstką żebrową a mostkiem1.

Charakterystyka kostochondrytu związanego z COVID-19:

  • Może wystąpić zarówno u dorosłych, jak i u dzieci z COVID-191
  • Objawy są podobne do klasycznego kostochondrytu – ból i tkliwość klatki piersiowej, które nasilają się przy głębokim oddychaniu, ruchu górnej części ciała i dotyku środkowej części klatki piersiowej1
  • Prawdopodobną przyczyną jest zapalenie wywołane przez wirusa oraz długotrwały kaszel1
  • Zwykle ustępuje po kilku tygodniach do kilku miesięcy po ustąpieniu kaszlu1

Rokowanie

Rokowanie w kostochondrycie jest zazwyczaj bardzo dobre12. Choroba ma charakter łagodny i samoograniczający się, nawet bez leczenia12.

Kluczowe informacje dotyczące rokowania:

  • Około 90% pacjentów nie odczuwa bólu po trzech tygodniach1
  • W niemal wszystkich przypadkach choroba ustępuje całkowicie w ciągu roku12
  • Według jednego z badań obserwacyjnych, po roku około połowa pacjentów może nadal odczuwać pewien dyskomfort, a około jedna trzecia wykazuje tkliwość przy palpacji1
  • Nawroty są możliwe, ale stosunkowo rzadkie1

Najważniejsze w podejściu do kostochondrytu jest wykluczenie poważniejszych przyczyn bólu w klatce piersiowej oraz edukacja pacjenta o łagodnym charakterze schorzenia12. Pacjenci powinni zostać poinformowani, że kostochondryt to łagodny stan, który ostatecznie ustąpi samoistnie, nawet jeśli może to zająć pewien czas1.

Podsumowanie objawów i przebiegu kostochondrytu

Kostochondryt (Kostochondritis) jest zapaleniem chrząstki w miejscu połączenia żeber z mostkiem (połączenia żebrowo-mostkowe). Głównym objawem jest ból klatki piersiowej, najczęściej po lewej stronie mostka, który może być ostry, kłujący, tępy lub uciskający. Ból typowo nasila się podczas głębokiego oddychania, kaszlu, kichania oraz ruchów górnej części ciała12.

Przebieg choroby jest zazwyczaj łagodny i samoograniczający się. U większości pacjentów objawy ustępują w ciągu kilku tygodni do kilku miesięcy, choć w rzadkich przypadkach mogą utrzymywać się do roku. Badania pokazują, że około 91% pacjentów doświadcza ustąpienia bólu po trzech tygodniach odpoczynku i stosowania niesteroidowych leków przeciwzapalnych12.

Kostochondryt może nawracać, szczególnie jeśli jest związany z aktywnością fizyczną lub przeciążeniem, jednak częstość nawrotów jest stosunkowo niska. Rokowanie jest bardzo dobre, a choroba nie prowadzi do trwałych powikłań12.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Costochondritis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532931/
    Costochondritis is a benign cause of chest wall pain from costal cartilage inflammation at the rib-to-sternum articulation. Patients present with upper chest wall pain provoked by movement without associated symptoms, such as shortness of breath, coughing, fever, or rash. […] Costochondritis can mimic myocardial infarction, pneumonia, Herpes zoster, and systemic disorders associated with chest wall or back pain. […] Costochondritis most commonly affects adults aged 40 to 50 years. Thus, the condition can mask cardiac pathology. […] Costochondritis is a self-limited condition. Over 90% of patients experience symptomatic improvement within 3-4 weeks. […] A small percentage of patients may present with refractory or recurrent costochondritis, warranting a rheumatology referral to search for systemic chest pain causes and possibly explore minimally invasive interventions like corticosteroid injections.
  • #1 Causes, symptoms, and treatment of Costochondritis
    https://www.medicalnewstoday.com/articles/318797
    Costochondritis is inflammation of the cartilage connecting the ribs and breastbone. It can cause a stabbing, burning, or aching pain in the chest wall. […] Chest discomfort and pain may be stabbing, burning, or aching in nature. The ribs most affected are the second to fifth ones. […] Upper body movement and deep breathing usually worsen the pain associated with costochondritis. […] The pain associated with costochondritis usually occurs on the left side of the body but can affect both sides. […] Costochondritis can last from a few weeks to months. It may also recur if it is caused by physical exercise or strain. […] The condition does not usually last longer than one year. However, adolescents with costochondritis can sometimes experience a longer period of symptoms. […] Costochondritis, inflammation of the cartilage connecting the ribs and breastbone, leads to chest pain, which is often stabbing or burning in nature. […] It usually has no known cause but can result from chest injuries, repetitive movements, or underlying conditions like fibromyalgia. […] While mostly temporary, the pain can mimic a heart attack, necessitating medical evaluation to rule out other serious conditions.
  • #1 Costochondritis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/costochondritis/symptoms-causes/syc-20371175
    Costochondritis most commonly affects the upper ribs on the left-hand side of your body. Pain is often worst where the rib cartilage attaches to the breastbone (sternum), but it can also occur where the cartilage attaches to the rib. […] The pain associated with costochondritis usually: […] Occurs on the left side of your breastbone […] Is sharp, aching or pressure-like […] Affects more than one rib […] Can radiate to arms and shoulders […] Worsens when taking a deep breath, coughing, sneezing or with any chest wall movement. […] Treatment focuses on easing the pain while waiting for the condition to improve on its own, which can take several weeks or more.
  • #1 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. […] You will usually have pain in your chest. The pain may: Be concentrated on the left side of your breastbone, Be sharp, aching, or feel like pressure, Affect more than one of your ribs, Radiate to your arms and shoulders, Get worse when you take a deep breath, cough, sneeze, vomit, twist, or stretch your trunk muscles, Get worse when you hug someone, exercise, or lie down on your affected side. […] In most cases, your symptoms will last from a few days to a few weeks. In rare cases, they may last for several months. […] Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatment. Most people will recover fully.
  • #1 Costochondritis: What It Is, Causes, FAQs & Treatment
    https://my.clevelandclinic.org/health/diseases/22167-costochondritis
    Costochondritis causes chest pain. Its inflammation in the joints where your ribs connect to your sternum (breastbone). […] Chest pain is the most common costochondritis symptom. […] Costochondritis usually feels like a low ache in your chest near your affected ribs. The pain might feel suddenly sharp or stabbing when you move your chest or torso. […] The worst part of costochondritis is usually the chest pain that makes people think theyre having issues with their hearts. […] Costochondritis is usually a short-term issue. Most people experience symptoms anywhere from a few days to a few weeks. Its rare, but costochondritis can last for several months. […] Most people start to gradually feel better as they rest and take over-the-counter pain medications.
  • #1 Costochondritis: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html
    Costochondritis is a common cause of chest pain. It most commonly occurs in adults between 40 and 50 years of age, with a slight predominance in women. […] Costochondritis is a commonly encountered condition in primary care that is characterized by chest wall pain from inflammation in the costochondral joints. It most commonly occurs in adults 40 to 50 years of age. […] The typical presentation of costochondritis is bilateral parasternal chest wall pain exacerbated by deep breaths, coughing, and stretching. […] The upper (predominantly second through fifth) costochondral and/or costosternal junctions are most commonly involved. […] The areas of tenderness are not generally accompanied by heat, erythema, or localized swelling. […] 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. After two years, the recurrence rate was approximately 4%.
  • #1 Costochondritis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/chest-and-rib-problems-and-conditions/costochondritis/
    When the costochondral joint becomes inflamed it can result in sharp chest pain and tenderness. These symptoms may develop gradually or start suddenly. […] The main symptom of costochondritis is chest pain that appears centrally. The pain doesn’t usually spread across the chest or into the arms. […] The pain may be made worse by certain positions or activities, like wearing a seatbelt or hugging someone, deep breathing, coughing and sneezing. […] 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.
  • #1 Costochondritis – UF Health
    https://ufhealth.org/conditions-and-treatments/costochondritis
    The most common symptoms of costochondritis are pain and tenderness in the chest. You may feel: […] Sharp pain at the front of your chest wall, which may move to your back or stomach […] Increased pain when you take a deep breath or cough […] Tenderness when you press the area where the rib joins the breastbone […] Less pain when you stop moving and breathe quietly. Costochondritis pain often goes away in a few days or weeks.
  • #1 Costochondritis Symptoms, Causes, and Treatment
    https://www.verywellhealth.com/costochondritis-tietzes-syndrome-2548833
    Costochondritis, also known as chest wall pain syndrome, is the inflammation of the cartilage of the rib cage. Chest pain near the sternum (breastbone) is the primary symptom. It is sometimes severe enough for people to seek emergency care because it can mimic a heart attack. […] Most people with costochondritis experience pain over the front of the upper chest, around the area of the sternum. The pain is characterized by the following features: It mainly occurs on the left side of the breastbone. The pain is often described as sharp, aching, or pressing. Then pain is mainly felt between the second rib (nearer the collarbone) and the fifth rib. More than one rib is typically affected. The pain worsens with a deep breath, coughing, or exercise. […] In severe cases, the inflammation spurred by costochondritis can affect nerves in the chest wall, causing shooting pains and numbness in the shoulder radiating down the arm (known as referred pain).
  • #1 Costochondritis – What You Need to Know
    https://www.drugs.com/cg/costochondritis.html
    Costochondritis is a condition that causes pain in the cartilage that connect your ribs to your sternum (breastbone). […] What are the signs and symptoms of costochondritis? […] Sharp, dull, or aching pain that may come and go […] Worsening pain over time or when you move, breathe deeply, or push or lift an object […] Pain that spreads to your back, abdomen, or down your arm […] Pain when you touch your chest […] Trouble sleeping or doing your usual activities because of pain. […] Costochondritis pain may go away without treatment, usually within a year.
  • #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 usually feels like an aching or sharp pain in the front of your chest. It might feel worse when you take a deep breath, cough or move your upper body, Dr. Vina said. […] You might also notice: Tenderness, swelling or chest wall pain. A pop or click when you move your chest. Shortness of breath. Trouble sleeping. […] If you have symptoms of costochondritis, it is important to get medical care. It is especially vital to seek care if you have: Chest pain that is severe or does not go away with rest. Chest pain along with shortness of breath, sweating or lightheadedness. Chest pain that spreads to your arms, back, neck or jaw. Fever. Weight loss. Night sweats. Swollen lymph nodes. Difficulty breathing. […] With treatment, most people with costochondritis feel better within a few weeks, Dr. Vina said.
  • #1 What are the symptoms of costochondritis?
    https://patient.info/news-and-features/costochondritis-symptoms
    Costochondritis is a common condition. It is a condition where the cartilage (connective tissue) joining the ribs to the breastbone (sternum) becomes inflamed and painful. This usually causes sharp chest pain. The symptoms of costochondritis can be similar to other serious conditions, such as a heart attack. Costochondritis, though, isn’t serious and gets better with time. Pain medicines, including anti-inflammatory medicines, can help to treat the symptoms. […] Costochondritis causes chest pain, felt next to the breastbone (sternum). It often affects both sides (left and right) but can occur on one side only. […] The chest pain is usually sharp and worse on taking a deep breath, coughing, or stretching. […] Pain associated with costochondritis is usually sharp. Coughing, sneezing, taking a deep breath in, and twisting or moving the chest all put physical strain on the cartilage, and tend to make the pain worse. Pressing on the affected areas of the chest tends to cause the pain. […] Costochondritis shouldn’t cause shortness of breath – although it can make deep breaths painful. Feeling short of breath can suggest a more serious cause of chest pain. […] Costochondritis can affect any age, but most commonly affects people aged 40 to 60.
  • #1 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. […] The onset of costochondritis is often insidious. Chest wall pain with a history of repeated minor trauma or unaccustomed activity (eg, painting, moving furniture) is common. […] 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. […] The prognosis for patients with costochondritis is excellent, as the condition’s course generally is self-limited. However, symptoms often recur or persist: after 1 year, about half of patients still may have discomfort, and approximately one third report tenderness with palpation.
  • #1 The Stages of Costochondritis
    https://carespace.health/post/the-stages-of-costochondritis/
    Costochondritis is a relatively common condition that causes inflammation in the cartilage that connects the ribs and the sternum. It causes chest pain that can be severe and can mimic the symptoms of a heart attack. […] In the early stages of costochondritis the pain can be mild and intermittent. The pain often worsens when you move your chest such as when you take a deep breath or twist your torso. […] As costochondritis progresses, the pain can become more frequent and intense. You may also experience swelling in the affected area. […] In the later stages of costochondritis, the pain can be constant and debilitating. You may find it difficult to perform everyday activities and may experience pain even while resting. […] Costochondritis can be a painful and debilitating condition, but with the right treatment, you can manage the symptoms and improve your overall quality of life.
  • #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. […] If you have costochondritis, you may feel constant sharp or dull pain and tenderness in your chest. The pain you may feel: usually develops slowly, is usually felt on one side of your breastbone but it can be felt on both sides, affects more than one rib, is not accompanied by swelling. […] Your pain may get worse when you: cough, sneeze, breathe deeply, stretch or move in certain ways, put pressure on your chest. […] Costochondritis usually gets better on its own without needing long-term treatment.
  • #1 Costochondritis – Wikipedia
    https://en.wikipedia.org/wiki/Costochondritis
    Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. Chest pain, the primary symptom of costochondritis, is considered a symptom of a medical emergency, making costochondritis a common presentation in the emergency department. […] The most commonly reported symptom of costochondritis is chest pain that is often exacerbated by movement and deep breathing. Pain is typically widespread and reproducible with palpation of the anterior (front) chest at the affected joints. […] The condition usually onsets gradually following repetitive coughing, strenuous physical activity, or trauma to the chest. Symptoms of costochondritis may be recurrent and last weeks to months; however, refractory cases of the condition can persist to over a year. […] Costochondritis is usually self-limited, meaning that it will typically resolve on its own without treatment. It may last for several weeks or longer.
  • #1 Atypical Costochondritis: Complete Resolution of Symptoms After Rib Manipulation and Soft Tissue Mobilization
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8106472/
    Costochondritis is a self-limiting, poorly described, and benign condition that usually manifests as non-cardiac chest pain. The symptoms usually tend to resolve in a couple of weeks. […] Costochondritis that does not self-resolve is referred to as atypical costochondritis and is associated with high medical expenses and psychological burden on the patient. […] The pain was described as sharp and burning in nature and worsened with palpation along the costochondral cartilage between the eighth through 10th ribs and sternum. The pain resolved over time but returned while running or performing cardiovascular exercises. […] The prognosis for complete pain resolution was poor to moderate based on the chronicity of symptoms and poor response to previous conservative measures. The prognosis would be adjusted based on the treatment response in each session.
  • #1 MOVABILITY — Understanding Costochondritis: Symptoms, Causes, and Home Remedies
    https://www.movability.ca/blog/2024/2/4/understanding-costochondritis-symptoms-causes-and-home-remedies
    The primary concern for many patients presenting with chest pain is ruling out more severe conditions like angina or myocardial infarction. Fortunately, costochondritis can often be distinguished based on its location, with tenderness localized to the costosternal junctions. While the pain of costochondritis is often sharp and worsens with breathing or movement, heart-related pain tends to be more diffuse and is accompanied by other symptoms like shortness of breath, nausea, or dizziness. […] Costochondritis can affect individuals across all age groups, though it is more common in adults over 40. Emerging evidence suggests that costochondritis is slightly more prevalent in females, likely due to differences in ribcage anatomy and hormonal factors that influence tissue elasticity. […] Recent research has highlighted the role of systemic inflammation and mechanical stress in these patients, further supporting a multifactorial cause of costochondritis.
  • #1 Atypical Costochondritis: Complete Resolution of Symptoms After Rib Manipulation and Soft Tissue Mobilization
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8106472/
    Costochondritis is a self-limiting disease process that does not usually require any interventions; however, it can take up to one year for the condition to resolve. […] The presentation of consistent chest pain every morning that abates after 15 minutes is atypical for costochondritis. […] The patients prognosis is based on the chronicity of symptoms. The time duration and resolution of symptoms are inversely related; therefore, the greater the duration of symptoms, the lower the likelihood of their resolution. […] This case report demonstrates the benefits of applying a sequenced musculoskeletal assessment and treatment approach on a patient with atypical costochondritis. The patient reported complete resolution of pain after three visits of treatment including OMT, directional cupping over the costochondral cartilage, and stretching after a two-year period of symptoms.
  • #1 Costochondritis Treatment Tipsarrow-dropdownarrow-scrollsearchfacebookinstagramlinkedinyoutube
    https://foxrehab.org/costochondritis-treatment/
    Costochondritis is a condition that occurs when some form of trauma is experienced in the front and or side of the rib cage where the cartilage from the sternum meets the ribs. Common examples of the mechanism of injury are swinging a baseball bat, strenuous lifting, a hard tennis serve, severe bouts of coughing, falling on one’s rib cage, and pitching a baseball. Sometimes the pain can be felt right away, but often it shows up several days later. It can show up circumferentially around the whole rib cage and at other times it can manifest as pinpoint pain. The pain can be alarming because it can feel like a panic attack, a heart attack, and or show up as paradoxical breathing. The pain can present in one spot in the ribs, usually in the front, and laterally. It can be in many spots and can periodically improve, then flare up. It can circle around the whole rib cage in a narrow or wide length or width. […] Pain locally and around whole rib cage usually manifesting itself several days after the initial injury. […] Can last for many years with little relief and exacerbation episodes.
  • #1 Chest Pain in Children | Causes & FAQs for Parents
    https://www.cincinnatichildrens.org/health/c/chest-pain
    Costochondritis occurs secondary to inflammation of the „joint” between the breastbone and the ribs. It is common in adolescent and pre-adolescent females, but can occur in anyone at any age. […] Frequently caused by viral illness or by frequent coughing, upper respiratory symptoms often accompany this illness. It may last for several weeks. […] There may be pain when inhaling or exhaling deeply, but true difficulty in breathing is rare and should cause concern for other illnesses. […] The sign of costochondritis is tenderness when pressure is applied over the costochondral joint, which corresponds to the depression on the sides of the breastbone.
  • #1
    https://www.sgh.com.sg/patient-care/conditions-treatments/costochondritis
    Costochondritis is a chest wall condition caused by inflammation of the joints between the bony ribs and the cartilages. As these joints help in chest wall expansion during breathing an inflammation can cause aching chest pain during exercise and can be sometimes mistaken as a heart attack. […] The symptoms of costochondritis include: A sharp, aching or pressure like pain at the chest area, Pain on touching the affected ribs, Worsening of pain with certain movements such as taking a deep breath, coughing, sneezing or when moving the affected area. […] The cause of costochondritis can be related to wear and tear of the chest wall joints. It can also worsen after injury or physical strain to the chest area.
  • #1 Costochondritis: Symptoms, Causes, Diagnosis, Treatment
    https://www.health.com/costochondritis-7562886
    Costochondritis is a condition characterized by pain in the chest wall due to inflammation of the costal cartilage, which connects the rib to the breastbone. It most often affects people who are over 40 years of age and is more common among people assigned female at birth. […] Pain and tenderness in the region where the ribs join the breastbone are the most common symptoms. Costochondritis will likely go away on its own over time and with rest, so treatments are usually only used for pain management. However, severe cases may require more intensive treatment. […] Chest pain is the most common symptom of costochondritis. The onset of pain can be gradual or sudden. […] Symptoms of costochondritis include: Sharp or dull pain in the chest wall that might spread to the stomach or back, Worsening of pain with deep breaths and certain upper body movements, Tenderness in the region where the ribs join the breastbone.
  • #1 Costochondritis & Tietze Syndrome: Symptoms, Treatment, Causes, COVID-19
    https://www.medicinenet.com/costochondritis_and_tietze_syndrome/article.htm
    Costochondritis causes chest pain, especially upon palpation of the area. […] The main symptom of costochondritis is chest pain that varies in intensity. The pain may be perceived as pressure, sharp, or aching. […] While both costochondritis and Tietze syndrome feature symptoms such as localized chest pain and tenderness, Tietze syndrome also causes swelling over the ribs and cartilage near the breastbone (sternum). […] The chest pain is variable, often sharp, can be confused with heart pain or heart attack, and can last from hours to weeks. It can cause difficulty with sleeping and even rolling over in bed is sometimes painful. […] Blood testing (sedimentation rate or C-reactive protein test) can show signs of inflammation in patients with Tietze syndrome, whereas patients with costochondritis alone typically have normal tests for inflammation. […] The outlook for costochondritis and Tietze syndrome is generally very good. Most patients respond well to conservative treatments. Recurrences are more likely in those who also have underlying rheumatologic diseases as described above.
  • #1 Costochondritis COVID: Symptoms, Treatment & FAQ | Ada Health
    https://ada.com/covid/covid-19-costochondritis/
    Costochondritis is a benign condition that typically goes away on its own after some time, although the pain can also come back after feeling better for some time. […] Costochondritis may be caused by COVID-19 in some cases, as persistent coughing and inflammation caused by the virus may inflame the joints between the rib cartilage and the breastbone. […] In some cases, COVID-19 may cause costochondritis as the persistent coughing and inflammation associated with the virus can lead to inflammation of the joints between the rib cartilage and breastbone. […] Breastbone pain is a common symptom of costochondritis, which can be caused by COVID-19. […] Costochondritis from COVID-19 can improve within a few weeks, but it can also persist for several months or longer.
  • #1
  • #1 Costochondritis COVID: Symptoms, Treatment & FAQ | Ada Health
    https://ada.com/covid/covid-19-costochondritis/
    Costochondritis is an inflammation of the cartilage that connects the ribs to the breastbone. […] Chest pain and tenderness can be symptoms of costochondritis related to COVID-19. […] Costochondritis related to COVID-19 can cause chest tenderness and discomfort, which has been reported in both adults and children with COVID. […] Costochondritis related to COVID-19 is a benign consequence of an infection with the coronavirus that some people experience. […] This inflammation can cause sharp chest pain, which gets worse by: Breathing deeply, Moving your upper body, Touching the middle of your chest. […] The cause of costochondritis related to COVID-19 isnt well established. Some studies suggest that it’s related to the inflammation caused by the disease. […] As costochondritis with COVID is strongly related to coughing and viral infection, most cases of the inflammation go away a few weeks to months after the coughing has stopped.
  • #1 Costochondritis: Symptoms, Causes, and Treatment
    https://patient.info/signs-symptoms/chest-pain-leaflet/costochondritis
    Costochondritis is a painful chest wall condition, caused by localised inflammation in the joints of the rib cage. […] The pain of costochondritis comes from the protective ribcage, and not from the heart or lungs or blood vessels inside your chest. More specifically, it comes from one or more of the joints between your ribs and your breastbone (sternum). These joints become inflamed if you have costochondritis. […] The pain tends to wax and wane. It can settle with a change of position and quiet, shallow breathing. […] The most common sites of pain are close to the breastbone (sternum), at the level of the 4th, 5th and 6th ribs. […] The outlook (prognosis) for costochondritis is generally very good. Most cases of costochondritis are mild and settle reasonably quickly. This happens with or without simple medications. […] 9 out of 10 people with costochondritis are pain-free after three weeks. In nearly all cases, the condition has completely gone within a year. Occasionally, if you are unlucky, it lasts longer. Costochondritis may return; however, this is unlikely.
  • #1 COSTOCHONDRITIS VS. HEART ATTACK: KNOWING THE DIFFERENCE | Mya Care
    https://myacare.com/blog/costochondritis-vs-heart-attack-knowing-the-difference
    The prognosis for costochondritis is generally favorable. Most cases are mild and tend to resolve within a few weeks, with 90% of individuals experiencing no pain after three weeks. In almost all cases, the condition disappears within a year. Reocurrence is possible but rare. If chest pain persists beyond this time, another medical condition may be the cause and should be investigated promptly.
  • #1 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. Palpation of the affected chondrosternal joints of the chest wall elicits tenderness. […] The primary symptom of costochondritis is chest wall pain of varying intensity, typically described as sharp, aching, or pressure-like. The pain is often exacerbated by upper body movement, deep breathing, and exertional activities. […] The course of the condition is variable, lasting from weeks to months, but usually abating by one year. One prospective study found that one third of patients had persistent chest wall tenderness at one year. […] Patients with costochondritis should be educated and reassured that this is a benign condition that will eventually resolve itself.
  • #2 Costochondritis Symptoms, Causes, and Treatment
    https://www.verywellhealth.com/costochondritis-tietzes-syndrome-2548833
    Costochondritis, also known as chest wall pain syndrome, is the inflammation of the cartilage of the rib cage. Chest pain near the sternum (breastbone) is the primary symptom. It is sometimes severe enough for people to seek emergency care because it can mimic a heart attack. […] Most people with costochondritis experience pain over the front of the upper chest, around the area of the sternum. The pain is characterized by the following features: It mainly occurs on the left side of the breastbone. The pain is often described as sharp, aching, or pressing. Then pain is mainly felt between the second rib (nearer the collarbone) and the fifth rib. More than one rib is typically affected. The pain worsens with a deep breath, coughing, or exercise. […] In severe cases, the inflammation spurred by costochondritis can affect nerves in the chest wall, causing shooting pains and numbness in the shoulder radiating down the arm (known as referred pain).
  • #2 Causes, symptoms, and treatment of Costochondritis
    https://www.medicalnewstoday.com/articles/318797
    Costochondritis is inflammation of the cartilage connecting the ribs and breastbone. It can cause a stabbing, burning, or aching pain in the chest wall. […] Chest discomfort and pain may be stabbing, burning, or aching in nature. The ribs most affected are the second to fifth ones. […] Upper body movement and deep breathing usually worsen the pain associated with costochondritis. […] The pain associated with costochondritis usually occurs on the left side of the body but can affect both sides. […] Costochondritis can last from a few weeks to months. It may also recur if it is caused by physical exercise or strain. […] The condition does not usually last longer than one year. However, adolescents with costochondritis can sometimes experience a longer period of symptoms. […] Costochondritis, inflammation of the cartilage connecting the ribs and breastbone, leads to chest pain, which is often stabbing or burning in nature. […] It usually has no known cause but can result from chest injuries, repetitive movements, or underlying conditions like fibromyalgia. […] While mostly temporary, the pain can mimic a heart attack, necessitating medical evaluation to rule out other serious conditions.
  • #2 Costochondritis & Chest Wall Pain | Rib Injury Clinic
    https://www.ribinjuryclinic.com/conditions/costochondritis-other-inflammatory-problems/
    The most common chest wall symptom is pain. The type of pain and its location depends on the underlying cause of the pain. The pain may be an ache, constant or occasional, sharp, stabbing or burning. The pain may be mild to severe. The pain may worse on certain movements such as deep breathing, coughing or twisting. It may be associated with numbness, tingling or a radiating pain, from front to back for example. […] Costochondritis refers to inflammation of the cartilage junctions of the sternum and ribs typically felt at the costosternal and costochondral joints. It is a relatively common condition seen in adult and patients who develop pain and tenderness at the front of the chest. Its felt over the affected cartilage segments in multiple areas, usually on one, or occasionally both sides of the sternum. The most common sites of pain are the anterior cartilage segments of the 2th to 5th ribs at the front of the chest near where the ribs join the breastbone. This pain increases with activity, moving or twisting or when taking deep breaths. Conversely, it decreases as movement stops or with quiet breathing. The reproducible tenderness but without swelling you feel when you press on the sternal and rib joints (costosternal and costochondral junctions respectively) is a constant feature of costochondritis. Without this tenderness, a diagnosis of costochondritis is unlikely.
  • #2 Costochondritis: Symptoms, Causes, Diagnosis, Treatment
    https://www.health.com/costochondritis-7562886
    Costochondritis is a condition characterized by pain in the chest wall due to inflammation of the costal cartilage, which connects the rib to the breastbone. It most often affects people who are over 40 years of age and is more common among people assigned female at birth. […] Pain and tenderness in the region where the ribs join the breastbone are the most common symptoms. Costochondritis will likely go away on its own over time and with rest, so treatments are usually only used for pain management. However, severe cases may require more intensive treatment. […] Chest pain is the most common symptom of costochondritis. The onset of pain can be gradual or sudden. […] Symptoms of costochondritis include: Sharp or dull pain in the chest wall that might spread to the stomach or back, Worsening of pain with deep breaths and certain upper body movements, Tenderness in the region where the ribs join the breastbone.
  • #2 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. […] If you have costochondritis, you may feel constant sharp or dull pain and tenderness in your chest. The pain you may feel: usually develops slowly, is usually felt on one side of your breastbone but it can be felt on both sides, affects more than one rib, is not accompanied by swelling. […] Your pain may get worse when you: cough, sneeze, breathe deeply, stretch or move in certain ways, put pressure on your chest. […] Costochondritis usually gets better on its own without needing long-term treatment.
  • #2 Costochondritis – UF Health
    https://ufhealth.org/conditions-and-treatments/costochondritis
    The most common symptoms of costochondritis are pain and tenderness in the chest. You may feel: […] Sharp pain at the front of your chest wall, which may move to your back or stomach […] Increased pain when you take a deep breath or cough […] Tenderness when you press the area where the rib joins the breastbone […] Less pain when you stop moving and breathe quietly. Costochondritis pain often goes away in a few days or weeks.
  • #2 Costochondritis (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/costochondritis.html
    Costochondritis (kos-tuh-kon-DRY-tis) is a painful swelling of the cartilage that attaches the ribs to the breastbone (sternum). It’s one of the most common causes of chest pain in kids and teens, and happens more often in girls than boys. […] Costochondritis also called chest wall pain or costosternal syndrome can cause a sharp, stabbing pain. Usually, it’s harmless and goes away on its own after 2 or 3 days. […] The main symptoms of costochondritis are pain and soreness in the chest. A sharp pain is usually felt on the left side of the breastbone, but can be on both sides. […] The pain can get worse when a child: takes deep breaths, coughs, moves the upper body, presses on the affected area. […] Pain may ease a little when the child stops moving or takes shallower breaths. […] 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.
  • #2 Costochondritis: Symptoms, Causes, and Treatment
    https://patient.info/signs-symptoms/chest-pain-leaflet/costochondritis
    Costochondritis is a painful chest wall condition, caused by localised inflammation in the joints of the rib cage. […] The pain of costochondritis comes from the protective ribcage, and not from the heart or lungs or blood vessels inside your chest. More specifically, it comes from one or more of the joints between your ribs and your breastbone (sternum). These joints become inflamed if you have costochondritis. […] The pain tends to wax and wane. It can settle with a change of position and quiet, shallow breathing. […] The most common sites of pain are close to the breastbone (sternum), at the level of the 4th, 5th and 6th ribs. […] The outlook (prognosis) for costochondritis is generally very good. Most cases of costochondritis are mild and settle reasonably quickly. This happens with or without simple medications. […] 9 out of 10 people with costochondritis are pain-free after three weeks. In nearly all cases, the condition has completely gone within a year. Occasionally, if you are unlucky, it lasts longer. Costochondritis may return; however, this is unlikely.
  • #2 Costochondritis: Symptoms, Causes, Tests, and Treatment
    https://www.healthline.com/health/costochondritis
    Chest pain caused by costochondritis can range from mild to severe. Mild cases may only cause your chest to feel slightly tender or some pain when you push on the area. […] More severe cases may get worse with certain movements as well as with deep breaths. The condition often goes away within a few weeks or months, but some cases may require treatment. […] People with costochondritis often experience chest pain in the upper and middle rib area on either side of the breastbone. This pain can gradually increase over time, or come on suddenly. […] Additional symptoms can include pain that becomes worse when lying down, pain that becomes worse when there’s pressure on your chest, like when you wear a seatbelt, pain that intensifies with coughing or deep breaths, and pain that increases with physical activity.
  • #2 Osteo for Costochondritis | Rib Pain
    — Osteopath Hawthorn
    https://www.doctorsofosteo.com.au/osteopathy-blog/costochondritis
    Costochondritis occurs where there is inflammation of the cartilage that connects the rib bones with the breastbone (sternum). This inflammation results in chest pain and tenderness, often at the fourth, fifth and sixth ribs. Pain is usually sharp and located on the front chest wall. However, in some instances, it may radiate to the back or abdomen to cause back pain or belly pain. […] Chest or rib pain may worsen with: A particular posture, such as lying down, Pressure on your chest, such as wearing a seatbelt or hugging someone, Deep breathing, coughing and sneezing, Physical activity. […] Costochondritis does not cause shortness of breath. If you are having trouble breathing and are experiencing sudden chest pain, dial 000 immediately and ask for an ambulance assistance. […] Costochondritis often gets better after a few weeks, but self-help measures and medication can manage the symptoms of the rib pain.
  • #2 Costochondritis – Wikipedia
    https://en.wikipedia.org/wiki/Costochondritis
    Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. Chest pain, the primary symptom of costochondritis, is considered a symptom of a medical emergency, making costochondritis a common presentation in the emergency department. […] The most commonly reported symptom of costochondritis is chest pain that is often exacerbated by movement and deep breathing. Pain is typically widespread and reproducible with palpation of the anterior (front) chest at the affected joints. […] The condition usually onsets gradually following repetitive coughing, strenuous physical activity, or trauma to the chest. Symptoms of costochondritis may be recurrent and last weeks to months; however, refractory cases of the condition can persist to over a year. […] Costochondritis is usually self-limited, meaning that it will typically resolve on its own without treatment. It may last for several weeks or longer.
  • #2 Costochondritis – What You Need to Know
    https://www.drugs.com/cg/costochondritis.html
    Costochondritis is a condition that causes pain in the cartilage that connect your ribs to your sternum (breastbone). […] What are the signs and symptoms of costochondritis? […] Sharp, dull, or aching pain that may come and go […] Worsening pain over time or when you move, breathe deeply, or push or lift an object […] Pain that spreads to your back, abdomen, or down your arm […] Pain when you touch your chest […] Trouble sleeping or doing your usual activities because of pain. […] Costochondritis pain may go away without treatment, usually within a year.
  • #2 Pediatric Costochondritis: Practice Essentials, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/1006486-overview
    Costochondritis is a common cause of chest pain in children and adolescents. The condition is characterized as an inflammatory process of one or more of the costochondral cartilages that causes localized tenderness and pain of the anterior chest wall. […] Most cases of costochondritis are idiopathic. The remaining cases may result from costochondral irritation due to direct trauma to the area, aggressive exercise resulting in a strain of the costochondral cartilage, or a prior upper respiratory tract infection with cough which can cause repeated stretching and strain at the costochondral junction resulting in local irritation and pain. […] Costochondritis is a relatively benign and usually self-limited condition, although symptoms can persist for up to 3 months. […] The overall prognosis of a patient with costochondritis is excellent and full recovery can be expected. […] Driscoll described the average length of symptoms for costochondritis as 96 days in duration, so while prognosis is excellent, recovery can be somewhat prolonged. […] Resolution rarely lasts longer than 4-6 months. Relapse may occur if the patient returns to activity while still symptomatic.
  • #2 Costochondritis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000164.htm
    The most common symptoms of costochondritis are pain and tenderness in the chest. You may feel: […] Costochondritis pain often goes away in a few days or weeks.
  • #2 COSTOCHONDRITIS VS. HEART ATTACK: KNOWING THE DIFFERENCE | Mya Care
    https://myacare.com/blog/costochondritis-vs-heart-attack-knowing-the-difference
    The prognosis for costochondritis is generally favorable. Most cases are mild and tend to resolve within a few weeks, with 90% of individuals experiencing no pain after three weeks. In almost all cases, the condition disappears within a year. Reocurrence is possible but rare. If chest pain persists beyond this time, another medical condition may be the cause and should be investigated promptly.
  • #2 Costochondritis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532931/
    Costochondritis is a benign cause of chest wall pain from costal cartilage inflammation at the rib-to-sternum articulation. Patients present with upper chest wall pain provoked by movement without associated symptoms, such as shortness of breath, coughing, fever, or rash. […] Costochondritis can mimic myocardial infarction, pneumonia, Herpes zoster, and systemic disorders associated with chest wall or back pain. […] Costochondritis most commonly affects adults aged 40 to 50 years. Thus, the condition can mask cardiac pathology. […] Costochondritis is a self-limited condition. Over 90% of patients experience symptomatic improvement within 3-4 weeks. […] A small percentage of patients may present with refractory or recurrent costochondritis, warranting a rheumatology referral to search for systemic chest pain causes and possibly explore minimally invasive interventions like corticosteroid injections.
  • #2 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. […] Mild cases of costochondritis may disappear after a few days. Chronic cases can last for weeks or more, but most cases don’t last any longer than a year. […] 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 Chest Pain in Children | Causes & FAQs for Parents
    https://www.cincinnatichildrens.org/health/c/chest-pain
    Costochondritis occurs secondary to inflammation of the „joint” between the breastbone and the ribs. It is common in adolescent and pre-adolescent females, but can occur in anyone at any age. […] Frequently caused by viral illness or by frequent coughing, upper respiratory symptoms often accompany this illness. It may last for several weeks. […] There may be pain when inhaling or exhaling deeply, but true difficulty in breathing is rare and should cause concern for other illnesses. […] The sign of costochondritis is tenderness when pressure is applied over the costochondral joint, which corresponds to the depression on the sides of the breastbone.
  • #2 Costochondritis: Symptoms, Causes, Treatment & Prevention
    https://www.nanavatimaxhospital.org/blogs/costochondritis-management
    Costochondritis is typically not a serious or life-threatening condition. It is a common cause of chest pain and, while the pain can be quite uncomfortable, it does not usually indicate a more serious underlying condition. Costochondritis is generally self-limiting and tends to resolve on its own with time and appropriate management. […] The duration of costochondritis can vary from person to person. In most cases, the condition is self-limiting and improves over time. The pain and inflammation associated with costochondritis can last anywhere from a few weeks to several months.
  • #2 Costochondritis: Pain Locations, Causes, Treatment, Symptoms & Recovery Time
    https://www.emedicinehealth.com/costochondritis/article_em.htm
    Costochondritis is inflammation of the junctions where the upper ribs join the costal cartilage that attaches them to the breastbone (sternum). Costochondritis causes localized chest wall pain and tenderness that can be reproduced by pushing on the involved cartilage in the front of the rib cage. […] Costochondritis is a relatively harmless musculoskeletal chest pain and usually resolves without treatment. […] Costochondritis pain usually will be sharp and located on the front chest wall. It may radiate from the chest area to the back or abdomen to cause back pain or belly pain. […] The most common sites of pain are the fourth, fifth, and sixth ribs. This pain increases when moving the trunk or when deep breathing and, therefore, may cause breathing problems. Conversely, it decreases as any movement stops or with quiet breathing.
  • #2 Rheumatoid Arthritis, Chest and Rib Pain: What Is Costochondritis?
    https://www.everydayhealth.com/rheumatoid-arthritis/complications/costochronditis-ra-chest-pain/
    But theres a good chance that the cause behind the pain isn’t serious. […] Theres also no real way of knowing how long the pain will last. […] The American Family Physician report says that it can last from weeks to months, but for some it may last for a year. […] Patients with costochondritis should be educated and reassured that this is a benign condition that will eventually resolve itself, the journal states, sometimes without any treatment at all.
  • #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. […] You will usually have pain in your chest. The pain may: Be concentrated on the left side of your breastbone, Be sharp, aching, or feel like pressure, Affect more than one of your ribs, Radiate to your arms and shoulders, Get worse when you take a deep breath, cough, sneeze, vomit, twist, or stretch your trunk muscles, Get worse when you hug someone, exercise, or lie down on your affected side. […] In most cases, your symptoms will last from a few days to a few weeks. In rare cases, they may last for several months. […] Noninfectious costochondritis will go away on its own, with or without anti-inflammatory treatment. Most people will recover fully.
  • #2 Costochondritis: Chest Pain That Feels Like a Heart Attack
    https://www.arnoldpalmerhospital.com/content-hub/costochondritis-chest-pain-that-feels-like-a-heart-attack/
    The most frequent symptom of costochondritis is intermittent sharp, stabbing chest pain that usually gets worse when your child breathes deeply, coughs or moves the chest wall in other ways. […] These painful episodes vary in duration, frequency and intensity, and they generally come on randomly throughout the day. […] Teens also often report feeling short of breath. However, when they are asked about breathing difficulties, most say they feel that they cant take a deep breath because of the discomfort that occurs when they do. […] The other good news is that even though costochondritis can be stubborn to treat, there are no long-term effects of having this condition.
  • #3 Costochondritis: Rapid Evidence Review | AAFP
    https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html
    Costochondritis is a common cause of chest pain. It most commonly occurs in adults between 40 and 50 years of age, with a slight predominance in women. […] Costochondritis is a commonly encountered condition in primary care that is characterized by chest wall pain from inflammation in the costochondral joints. It most commonly occurs in adults 40 to 50 years of age. […] The typical presentation of costochondritis is bilateral parasternal chest wall pain exacerbated by deep breaths, coughing, and stretching. […] The upper (predominantly second through fifth) costochondral and/or costosternal junctions are most commonly involved. […] The areas of tenderness are not generally accompanied by heat, erythema, or localized swelling. […] 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. After two years, the recurrence rate was approximately 4%.
  • #4 Costochondritis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532931/
    Costochondritis is a benign cause of chest wall pain from costal cartilage inflammation at the rib-to-sternum articulation. Patients present with upper chest wall pain provoked by movement without associated symptoms, such as shortness of breath, coughing, fever, or rash. […] Costochondritis can mimic myocardial infarction, pneumonia, Herpes zoster, and systemic disorders associated with chest wall or back pain. […] Costochondritis most commonly affects adults aged 40 to 50 years. Thus, the condition can mask cardiac pathology. […] Costochondritis is a self-limited condition. Over 90% of patients experience symptomatic improvement within 3-4 weeks. […] A small percentage of patients may present with refractory or recurrent costochondritis, warranting a rheumatology referral to search for systemic chest pain causes and possibly explore minimally invasive interventions like corticosteroid injections.