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Costochondritis

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Anterior chest wall pain and tenderness of the costochondral and costosternal regions, most often affecting the 2nd to the 5th costal cartilages

  • System(s) affected: musculoskeletal

  • Syn...

DIAGNOSIS

  • Pain is usually sharp, achy, or pressure-like, involving multiple (and mostly unilateral 2nd to 5th) costal cartilages.

  • Exacerbated by upper body movements and exertional activities

  • Reproduced...

TREATMENT

Reassurance of benign nature of condition and potential for long, slow recovery from pain 

GENERAL MEASURES

  • Rest and heat (or ice) massage

  • Stretching exercises

  • Minimize symptom-provoking activit...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Follow-up within 1 week if diagnosis is unclear or symptoms do not abate with conservative treatment 

PATIENT EDUCATION

  • Educate regarding the self-limited (although...

REFERENCES

1
Ayloo A, Cvengros T, Marella S. Evaluation and treatment of musculoskeletal chest pain. Prim Care.  2013;40(4):863–887, viii. [View Abstract on OvidMedline]
2
Proulx AM, Zryd TW. Costoc...

CODES

ICD10

M94.0 Chondrocostal junction syndrome [Tietze] 

ICD9

733.6 Tietze’s disease 

SNOMED

  • 64109004 Costalchondritis (disorder)

  • 30128009 Tietze’s disease

CLINICAL PEARLS

  • A common disorder, accounting for up to 30% of all cases of chest pain

  • Diagnosis is primarily clinical. Lab and other testing is done to exclude other conditions based on patient risk.

  • S...

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