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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]
Spells of pain usually last less than a few minutes. Typically it begins at rest and other symptoms are absent. Concerns about the condition may result in anxiety. [1] 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]
Coughing and sneezing puts pressure on the intercostal muscles between the ribs and causes them to work harder, Vasudevan explains. Over time, this can result in a painful strain.
[2] [6] The pain has been described as aching, gripping, neuralgic, sharp, dull, and even described as "gas pains". [3] The symptoms of Tietze syndrome have been reported to be exacerbated by sneezing, coughing, deep inhalation, and overall physical exertion.
Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall. [1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
Costochondritis is a common cause of chest pain, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper costochondral or sternocostal junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage.
Chronic cough is commonly mistaken as a symptom of ... This then triggers a cascade of events that involve the intercostal ... coughing of blood, chest pain ...
Sub-acute cough: Lasts three to eight weeks. Can lead patients to seek medical care because it disrupts sleep, work, and social life. Chronic cough: Lasts more than eight weeks. Requires medical ...