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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]
“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 ...
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.
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) Neurologic Brain Altered sensation, paresthesia (tingling or numbness), hyperesthesia (increased sensitivity) Confusion or memory loss
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 ]
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).
Sharp, pleuritic, retro-sternal (under the sternum) or left precordial (left chest) pain Crushing, pressure-like, heavy pain. Described as "elephant on the chest." Radiation Pain radiates to the trapezius ridge (to the lowest portion of the scapula on the back) or no radiation. Pain radiates to the jaw or left arm, or does not radiate. Exertion