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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 is pain or discomfort in the chest, typically the front of the chest. [1] It may be described as sharp, dull, pressure, heaviness or squeezing. [ 3 ] Associated symptoms may include pain in the shoulder, arm, upper abdomen , or jaw, along with nausea , sweating, or shortness of breath .
The pain is agitated by expansion and contraction of the chest. Taking a deep breath and allowing the rib cage to fully expand can relieve the pain, however it will feel unpleasant initially. At the point of full expansion, it can feel like a rubber band snap in the chest, after which the initial pain subsides.
“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 says.
Beyond our joints and muscles simply getting older, here is a closer look at the most common reasons for your body aches, why your body responds with pain in the first place, and how to find ...
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.
Symptoms reported developed during physical activity and usually include dyspnoea/shortness of breath and a cough, often haemoptysis, occasionally chest tightness, chest pain or confusion. Auscultation shows crackles or wheezing. Oxygen saturation usually shows hypoxemia.
Xiphodynia or Xiphoidalgia is thought to be a rare musculoskeletal syndrome that involves referred pain referred from the xiphisternal joint or the structures attached to the xiphoid process. Digital examination of the xiphoid process reproduces symptoms.