Costochondritis And Tietze's syndrome
Costochondritis is a common form of inflammation of the cartilage where
ribs attached to the breastbone, the sternum. The inflammation can involve
multiple cartilage areas on both sides of the sternum but usually is on
one side only.
The causes of costochondritis are not known and may involve several factors. Possible causes include heredity (genetic predisposition),viruses, and trauma(injury).
Costochondritis can be an independent condition by itself or sometimes can be a feature of a more widespread disorder. Some of the illnesses that can feature costochondritis include fibromyalgia, psoriatic arthritis, rheumatoid arthritis, lupus, and inflammatory bowel disorders.
Costochondritis is distinguished from Tietze's syndrome, a condition also involving the same area of the front of the chest, by the presence of swelling. Costochondritis is not associated with swelling, as opposed to Tietze's syndrome, where swelling is characteristic. Tietze's syndrome is an inflammation of the costochondral cartilages of the upper front of the chest that involves swelling of the joint.
While both costochondritis and Tietze's syndrome feature localized pain and tenderness in the front of the chest, Tietze's syndrome also causes swelling over the ribs and cartilage near the breastbone (sternum). Redness, tenderness, and warmth can also be present, but a localized swelling is the distinguishing finding. The pain is variable, often sharp, can be confused with heart pain, and can last from hours to weeks. It can cause difficulty with sleeping and even rolling over in bed is sometimes painful.
Diagnosis
Costochondritis and Tietze's syndrome are diagnosed based on the typical history of pain localized to the cartilage close to the breastbone as well as the examination findings of tenderness. Swelling is also noted in patients with Tietze's syndrome.
Treatment
Costochondritis can be aggravated by any activity that involves stressing the structures of the front of the chest cage. It is generally best to minimize these activities until the inflammation of the rib and cartilage areas has subsided.
Rest, anti-inflammatory medicines, physical therapy, and cortisone injections have been used as therapy for the inflamed, painful cartilage of both costochondritis and Tietze's syndrome. Ice packs applied to local swelling can sometimes help to reduce pain and inflammation. Local analgesic patch can reduce pain.
I've been suffering from this problem since years, it gets worse when the weather changes cold or due to asthma, I do get bouts of severe cough, making it worse for me. The pain almost mimics heart attack pain ( of course, I've enlarged heart, hiatus hernia and so on to add to the problem). But life has to go on, right ? Earlier, I was given the cortisone shot right into my ribs twice, of course , the pain takes a long time to subside, like this time, it has been going on for more than a month, but worse since a week ! So, like what my daughter, who is a Dr., told me, resting, as she knows my body much better than anyone. Really, happy to have her around, as her diagnosis has been very good from the time she was studying her M.B.B.S. itself.
this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.
https://gscrochetdesigns.
https://gseasyrecipes.
https://kneereplacement-
The causes of costochondritis are not known and may involve several factors. Possible causes include heredity (genetic predisposition),viruses, and trauma(injury).
Costochondritis can be an independent condition by itself or sometimes can be a feature of a more widespread disorder. Some of the illnesses that can feature costochondritis include fibromyalgia, psoriatic arthritis, rheumatoid arthritis, lupus, and inflammatory bowel disorders.
Costochondritis is distinguished from Tietze's syndrome, a condition also involving the same area of the front of the chest, by the presence of swelling. Costochondritis is not associated with swelling, as opposed to Tietze's syndrome, where swelling is characteristic. Tietze's syndrome is an inflammation of the costochondral cartilages of the upper front of the chest that involves swelling of the joint.
While both costochondritis and Tietze's syndrome feature localized pain and tenderness in the front of the chest, Tietze's syndrome also causes swelling over the ribs and cartilage near the breastbone (sternum). Redness, tenderness, and warmth can also be present, but a localized swelling is the distinguishing finding. The pain is variable, often sharp, can be confused with heart pain, and can last from hours to weeks. It can cause difficulty with sleeping and even rolling over in bed is sometimes painful.
Diagnosis
Costochondritis and Tietze's syndrome are diagnosed based on the typical history of pain localized to the cartilage close to the breastbone as well as the examination findings of tenderness. Swelling is also noted in patients with Tietze's syndrome.
Treatment
Costochondritis can be aggravated by any activity that involves stressing the structures of the front of the chest cage. It is generally best to minimize these activities until the inflammation of the rib and cartilage areas has subsided.
Rest, anti-inflammatory medicines, physical therapy, and cortisone injections have been used as therapy for the inflamed, painful cartilage of both costochondritis and Tietze's syndrome. Ice packs applied to local swelling can sometimes help to reduce pain and inflammation. Local analgesic patch can reduce pain.
I've been suffering from this problem since years, it gets worse when the weather changes cold or due to asthma, I do get bouts of severe cough, making it worse for me. The pain almost mimics heart attack pain ( of course, I've enlarged heart, hiatus hernia and so on to add to the problem). But life has to go on, right ? Earlier, I was given the cortisone shot right into my ribs twice, of course , the pain takes a long time to subside, like this time, it has been going on for more than a month, but worse since a week ! So, like what my daughter, who is a Dr., told me, resting, as she knows my body much better than anyone. Really, happy to have her around, as her diagnosis has been very good from the time she was studying her M.B.B.S. itself.
this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.
https://gscrochetdesigns.
https://gseasyrecipes.
https://kneereplacement-
Labels: cartilage, costochondritis, inflammation, joints, ribs, Tietze's syndrome
posted by G S Iyer at 8:26 AM
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