Costochondritis Or rib cartilage conditions This is an inflammation of the cartilage in the area that connects the ribs and sternum (sternum) .The patient may feel pain when touched or when the sternum is lifted, such as when coughing or taking a deep breath. But when symptoms worsen The patient may feel severe pain, spread to the arm, or chest pain that it interferes with their daily life.
Costochondritis Also known as Costosternal Syndrome or Costosternal Chondrodynia, the symptoms usually get better within a few weeks, but some cases may require medical attention. Most treatments focus on alleviating the patient’s pain. Based on symptoms and disease severity
Costochondritis May cause the patient to feel pain, tingling or a feeling of pressure on the sternum If the symptoms are severe, pain can spread to your back or stomach. Most are born on the left side of the body. In rare cases, pain may occur in more than one rib area. It usually occurs in the 4th to 6th ribs and it will feel more painful when you take a deep breath or cough, but it will improve with rest and breathing lightly. Costochondritis It often occurs after exercise The injuries were not very hard hit. Or upper respiratory tract infection
However, chest pain can be caused by some other life-threatening cause.Ischemic heart Patients should seek medical attention to investigate the cause. Especially if you have chest pain and the following symptoms.
- Difficulty breathing
- High fever and the fever does not subside after taking antipyretic medication. Such as acetaminophen (Acetaminophen)
- There are signs of infection, such as swelling, redness, or pus.
- Persistent chest pain and other symptoms may include nausea, sweating, pain in the left arm. Or have pain in any part of the chest, etc.
At present, the cause of Costochondritis is obvious, but it is expected that it can be caused by the following factors.
- Injury to the chest area, such as being caused by a car crash or falling from a height
- Excessive physical activity, such as heavy lifting, intense exercise Or a severe cough
- Results from arthritis such as osteoarthritis, rheumatoid arthritis Reiter’s Syndrome, ordiseaseAnkylosing spondylitis etc.
- Viral, bacterial, or fungal infections like tuberculosis, syphilis, and aspergillus (Aspergillus) in the joints can cause infections of the rib joints.
- Tumors in the intercostal joints and sternum (Costosternal Joint) both normal tumors and malignant tumors. Can cause Costochondritis too, with cancer cells able to spread to other parts of the body such as the chest, thyroid or lungs.
Costochondritis It is most common in women and people over 40 years of age, as well as those who have worked hard or exercised hard. People with allergies or sensitivities Including people with symptoms of arthritis Such as Ankylosing Spondylitis or Reiter Syndrome.
The doctor will ask for any unusual symptoms. Taking the patient’s medical and family history A preliminary physical examination will be performed to diagnose pain in the rib area. And may be tested for inflammation or infection that may occur.
The doctor may also perform further diagnostic tests to rule out any unrelated causes. Due to the painful symptoms of Costochondritis It can be similar to the pain associated with heart disease, lung disease, gastrointestinal problems, andOsteoarthritis As follows
- X-rays in cases where the patient may have symptomspneumonia
- A blood test to measure the amount of white blood cells that may be involved in infection
- Electrocardiogram (Electrocardiogram: ECG / EKG) or chest x-ray. To know that the patient does not have any symptoms of coronary artery disease or other heart-related conditions.
Costochondritis in general Often disappear by itself It may take several weeks or longer. But in case of receiving medical treatment Most of them will be focused to relieve the pain of the patient. Treatment methods may vary depending on the symptoms and severity of the disease.
Self-care at home
Patients can take care of themselves at home to relieve their initial pain symptoms such as
- Take an over-the-counter pain reliever according to your pharmacist’s advice. These include NSAIDs like ibuprofen or naproxen.
- Use a cold or hot compress to the affected area 2-3 times a day to help relieve the pain.
- Avoid exercising or strenuous activities. This can worsen symptoms such as lifting heavy objects, running or jumping.
- Stretching exercises may help relieve symptoms by gradually exercising your chest area.
If the patient has severe symptoms Your doctor may prescribe the following drugs.
- Other pain relievers like medicineCodeine (Codeine) to relieve pain
- Tricyclic antidepressants (Tricyclic Antidepressants) for patients suffering from chronic pain or discomfort while sleeping.
- Anticonvulsants like gabapentin can help treat chronic pain.
- Local anesthesia and injections of steroids to the affected area. It is used in cases where the patient is in severe pain and does not respond to treatment or other medications.
In addition to stretching exercises that the patient can do on their own. The doctor may use electrical nerve stimulation through the skin to reduce pain. (Transcutaneous Electrical Nerve Stimulation: TENS)
If using other treatments, the patient’s condition still does not improve or does not respond to any of the above treatments. The doctor may ask the patient to consult with a surgeon to determine the needs and risks that may arise after surgery.
Complications of Costochondritis
In general, treatmentOften makesPain and inflammation from Costochondritis gradually goes away on its own, but if left untreated, it can affect your overall health. For patients with Costochondritis Chronic pain may return again when exercising or strenuous activity. Even after treatment Therefore, a doctor should be consulted for long-term treatment so as not to affect their daily use.
In addition, chest pain is similar to that of other diseases. Such as ischemic heart disease, pneumonia, or diseaseFibromyalgia (Fibromyalgia) should seek medical attention to diagnose the exact disorders that occur.
Even though there is no way to prevent Costochondritis Entirely But engaging in everyday activities with caution may reduce your risk of developing the disease, for example, avoiding heavy lifting. Avoid excessive exercise or strenuous activity And if you feel chest pain while doing activities or exercising Stop doing the activity and seek immediate medical attention.