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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. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
Itching, usually around the ears, face, neck, arms, and upper torso; Sensation of tiny insects crawling over the skin (formication) Mottled or marbled skin or subcutaneous crepitation, usually around the shoulders, upper chest and abdomen, with itching; Swelling of the skin, accompanied by tiny scar-like skin depressions (pitting edema ...
“Chest pain can come from the muscles and bones, such as from a pulled muscle,” she says. This type of pain usually feels more dull and the area may even feel tender if you touch it, Dr. Ni ...
The underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve. [1] [2] Risk factors include psychological stress. [2] The pain is not due to the heart. Diagnosis is based on the symptoms. Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest ...
Chest pain may present as a stabbing, burning, aching, sharp, or pressure-like sensation in the chest. [ 8 ] [ 1 ] Chest pain may also radiate, or move, to several other areas of the body. This may include the neck, left or right arms, cervical spine , back, and upper abdomen . [ 9 ]
Physical examination consists of gentle pressure to the chest wall with a single finger to identify the location of the discomfort. [2] Swelling and tenderness upon palpation at one or more of the costochondral , sternocostal , or sternoclavicular joints, is a distinctive trait of Tietze syndrome and is considered a positive diagnosis when found.
One of the commonly reported symptoms of this condition is the sensation of "popping" or "clicking" of the lower ribs as a result of subluxation of the cartilaginous joints. [1] [3] Individuals with SRS report an intense, sharp pain that can radiate from the chest to the back, and may be reproducible by pressing on the affected rib(s).
True visceral pain is characterized as a vague, diffuse, and poorly defined sensation. [9] [10] Regardless of specific organ of origin, the pain is usually perceived in the midline spanning anywhere from the lower abdomen up to the chest. In the early phases the pain is perceived in the same general area and it has a temporal evolution, making ...