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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]
Angina is chest pain that happens when an area of your heart muscle doesn’t get enough oxygen-rich blood, according to the National Heart, Lung, and Blood Institute (NHLBI). The pain can happen ...
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.
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 due to coronary ischemia commonly radiates to the arm or neck. [7] Certain individuals such as women, diabetics, and the elderly may present with more varied symptoms. [ 8 ] If blood flow through the coronary arteries is stopped completely, cardiac muscle cells may die, known as a myocardial infarction, or heart attack.
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 ...