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Costochondritis (Chest Wall Inflammation)

Description

Description

An inflammatory condition that affects the cartilaginous portions of the ribs and causes chest pain. It affects one or more ribs, most commonly the second or third ribs. The pain that is produced is often intensified by change of position of the ribs, such as lying down, bending over, coughing or sneezing. Symptoms may be confused with that of coronary artery disease or a heart attack.

Symptoms

Symptoms

Chest pain, shortness of breath, chest pain that increases with use of chest wall muscles, chest wall tenderness.

Tests

Tests

A history and physical exam will be performed. Tests are generally done to rule out other more serious causes of chest pain such as: heart attack, blood clot, aortic dissection, or lung collapse.

Standard Workup
  • Troponin
  • D-Dimer
  • X-Ray
  • EKG
  • CT Scan
Treatment

Treatment

Treatment includes nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) and pain medications, acetaminophen (Tylenol).





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