Costochondritis is an inflammation of the costal cartilages, which connect the ribs to the sternum (breastbone). These cartilages provide flexibility and support to the rib cage, allowing for the expansion and contraction necessary for breathing. The condition typically affects the costochondral junctions, particularly between the second and fifth ribs, and it is more common at the front of your body.
Costochondritis presents with several characteristic symptoms like sharp or aching pain in the front of the chest, often on the left side, and pain that worsens with deep breaths, coughing, or physical activity. Upon assessment, there is likely tenderness when pressing on the affected costal cartilages and pain that may radiate to the back or abdomen
Diagnosing costochondritis involves ruling out other potential causes of chest pain. Differential diagnoses include:
- Myocardial infarction (heart attack), which requires immediate medical attention
- Pulmonary conditions such as pneumonia or pleuritis
- Rib fractures, which can present with similar pain and tenderness
- Tietze syndrome, a similar condition that also involves swelling of the costal cartilages
Physiotherapy is very effective in both initially assessment, differentially and managing costochondritis for sufferers. Treatment options include:
- Pain Management: Techniques such as ice or heat application can be advantageous, as well as options like bracing and/or taping to reduce the movement over that injured costochondral joint.
- Manual Therapy: Gentle mobilization and manipulation of the thoracic spine and rib cage to improve mobility and reduce stiffness, which makes it easier to breathe with less pain!
- Exercise Therapy: Stretching and strengthening exercises to improve posture, enhance muscle strength, and increase flexibility, which all promotes good healing and helps your ability to function whilst this condition is settling.
- Breathing Exercises: Techniques to improve rib cage mobility and respiratory function are not to be missed as well.
If you have been suffering with a pain in your chest, please considering seeking a Physiotherapy opinion as well as seeking care from your doctor, as this condition is less common but very treatable once diagnosed. You can book with an OHL Physiotherapist via 9431 5955 or you can book online via our Client Portal on the website.
