21. Costochondritis The presence of costochondritis does not exclude the possibility of Disla E,Rhim HR, Reddy A et al costochondritis a prospective analysis in an ED http://www.ncemi.org/cse/cse0503.htm

More Emergency Medicine Resources Back to table of contents 5.03 Costochondritis Presentation The patient's age is usually in the mid-teens through the thirties, and he complains of a day or more of steady aching with intermittant stabbing chest pain, perhaps following a period of frequent coughing or unusual physical stress, localized to the left or right of the sternum, without radiation, but worse with taking a breath, changing position or moving the arm overhead. He may be concerned about the possibility of a heart attack (though he may not voice his fear) but there is no associated nausea, vomiting, diaphoresis, or dyspnea. The mid anterior costal cartilages (connecting ribs to sternum) are diffusely tender to palpation, without swelling or erythema, exactly matching the patient's complaint. The rest of the physical examination is normal, along with normal vital signs and pulse oximetry. What to do: Perform a thorough history and physical examination. Give special attention to the character of the pain (onset, severity, quality, radiation, duration, relationship to movement), associated symptoms (shortness of breath, nausea, vomiting, diaphoresis, cough), and past history of pre-existing cardiac risk factors (family history of coronary artery disease, smoking, hypertension, diabetes mellitus, elevated cholesterol, cocaine use, age >33 for men and >40 for women). Read the nurse's note for critical details the patient has not repeated to you. Look for pleural or pericardial rubs and arrythmias and obtain a cardiogram and chest x ray when there is any suspicion of a cardiac or pulmonary disorder. The presence of costochondritis does not exclude the possibility of myocardial infarction, pericarditis, pulmonary embolus pneumothorax, pneumonia, or pleural effusion.

22. Costochondritis And Tietze Syndrome - Arthritis Health And Medical costochondritis Tietze Syndrome. Medical Author William C. Shiel Jr., MD, FACP, FACR. What is costochondritis? What is the Tietze syndrome? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

23. Costochondritis (Tietze's Syndrome) costochondritis is an inflammation of the cartilage that connects the inner endof each rib with the breastbone (sternum). It can occur in any age group and http://www.netdoctor.co.uk/diseases/facts/costochondritis.htm

Search: All NetDoctor Diseases Medicines NetDoctor.co.uk Home News and features News News archive Newsletter Features Encyclopaedia Diseases Examinations Medicines Premium services SMS services StayQuit thediet Health centres ADHD Allergy and asthma Children's health Depression ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital Search Medline Test yourself Information About NetDoctor Commercial opportunities NetDoctor.com Costochondritis (Tietze's syndrome) Written by Dr John ET Pillinger What is costochondritis? Costochondritis is an inflammation of the cartilage that connects the inner end of each rib with the breastbone (sternum). It can occur in any age group and is most common in young adults. Exactly how common it is in the UK is not known but in the US costochondritis has been shown to account for 10 per cent of chest pain episodes in the community and 30 per cent of people with chest pain presenting as an emergency to hospital. Why or how does a person get costochondritis?

24. What Is Costochondritis? My mother, who is 40, was diagnosed with costochondritis two months ago aftersuffering from pain. She is also clinically depressed after her sister p http://www.netdoctor.co.uk/ate/musclesjoints/202826.html

Search: All NetDoctor Diseases Medicines NetDoctor.co.uk Home News and features News News archive Newsletter Features Encyclopaedia Diseases Examinations Medicines Premium services SMS services StayQuit thediet Health centres ADHD Allergy and asthma Children's health Depression ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital Search Medline Test yourself Information About NetDoctor Commercial opportunities NetDoctor.com What is costochondritis? Question My mother, who is 40, was diagnosed with costochondritis two months ago after suffering from pain. She is also clinically depressed after her sister passed away suddenly six months ago, and is on medication for this. I have tried to find information about this disease everywhere but have failed. Please can you explain what this is and where I can find out more about it so that I may understand what is happening? I am really worried about her. Answer In making the diagnosis it is important to consider other causes of chest pain. The most obvious is a heart attack (myocardial infarction). Costochondritis may also be confused with infection (sepsis) or rheumatoid arthritis. The onset may be rapid or gradual. The condition makes coughing and deep breathing painful. I hope your mother's discomfort rapidly disappears.

25. Ask Dr Stoll - Costochondritis Post Archive Summary explanation for costochondritis costochondritis is simply inflammationof the rib joints, and attachments of intercostal muscles to the ribs, http://askwaltstollmd.com/archives/costochon.html

Dr Stoll Home Dr Stoll BB Costochondritis Posts to Ask Dr Stoll BB regarding Costochondritis There have been a number of posts to the Ask Dr Stoll Bulletin Board (BB) regarding costochondritis. Many of them have been archived here. The archive is roughly chronological. I hope you find it useful. Summary explanation for costochondritis: Costochondritis is simply inflammation of the rib joints, and attachments of intercostal muscles to the ribs, due to persistant "bracing" of the intercostal muscles. So far, the only known cause of this persistant tension of the intercostal muscles is chronic stress-effect storage in the hypothalamus. The well known fight or flight mechanism is the only known way the hypothalamus has to respond to ANY form of stressor. See the glossary and search engine for stress. The stressors, for which physically running or fighting are NOT appropriate, result in that readiness being stored in the hypothalamus. Nearly all stressors in our present day culture cannot be resolved by running or fighting.

26. Costochondritis In Reply to costochondritis posted by Jackie on February 03, 2000 at 153153 In Reply to Re costochondritis posted by Terry on February 04, http://askwaltstollmd.com/archives/costochon/31882.html

Costochondritis Archives Costochondritis Costochondritis Archive Main Archives Page Glossary/Index FAQ ... Search this site! Match ANY Match ALL Costochondritis Posted by Jackie on February 03, 2000 at 15:31:53: Thanks Jaclyn Follow Ups Re: Costochondritis (ARCHIVE under costochondritis.) Walt Stoll Re: Costochondritis (ARCHIVE under costochondritis.) Jackie Re: Costochondritis (ARCHIVE under costochondritis.) Walt Stoll Re: Costochondritis Terry Re: Costochondritis Jackie Re: Costochondritis Terry Re: Costochondritis Posted by Terry on February 04, 2000 at 04:01:48: In Reply to: Costochondritis posted by Jackie on February 03, 2000 at 15:31:53: Hi Jackie, I have had costo for over a year now, and I have found the best thing to relieve the paimn within minutes. Its called Ahhhloe Ice. Click the link below, then go to Special Products and I believe its # 580. It works and I keep jar on hand constantly. Terry Cooks and Johnson Naturopathic Follow Ups Re: Costochondritis Jackie Re: Costochondritis Terry Re: Costochondritis Posted by Jackie on February 04, 2000 at 12:40:10:

27. Costochondritis And Tietze Syndrome - Arthritis And Arthritic Conditions, Medica Explains arthritis conditions includes symptoms, causes, medications, and treatment.Written and reviewed by a Rheumatologist. http://www.medicinenet.com/costochondritis_and_tietze_syndrome/article.htm

document.writeln(''); MedicineNet Home Arthritis Home Page > Costochondritis and Tietze Syndrome Search Tips Printer-Friendly Format FREE Newsletters Email to a Friend ... Next Medical Author: William C. Shiel Jr., MD, FACP, FACR What is costochondritis? What is the Tietze syndrome? What is the treatment for costochondritis and Tietze syndrome? What is costochondritis? Costochondritis is a common form of inflammation of the cartilage where ribs attach to the breast bone, the sternum. The inflammation can involve multiple cartilage areas on both sides of the sternum but usually is on one side only. The cause(s) of costochondritis is(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 be a feature of a more widespread disorder. Examples of illnesses that can feature costochondritis include fibromyalgia psoriatic arthritis ankylosing spondylitis reactive arthritis , and inflammatory bowel disease (such as ulcerative colitis and Crohn's disease What is the Tietze syndrome?

28. Costochondritis With Neck Back Symptoms - Health And Medical Information Produce Doctorproduced health and medical information written for you to make informeddecisions about your health concerns. http://www.medicinenet.com/script/main/art.asp?articlekey=7445

29. Costochondritis & Homeopathy Quick introduction to homeopathy all about what it is and how to use homeopathyfor best effect. About like cures like, treating the whole person and http://www.abchomeopathy.com/c.php/45

Homeopathy Conditions - C CF ... Cystitis Homeopathy - Costochondritis (User entered condition) Homeopathic remedies are prescribed by symptoms rather than conditions, as each case of a particular illness can manifest differently in different people. However, to make it quicker to find the symptoms related to Costochondritis, the symptoms experienced by a previous vistor to our homeopathic remedy finder have been grouped, by them, under the name of Costochondritis. There may be symptoms not related to Costochondritis, and this may not be an exhaustive list of symptoms. Costochondritis For suggestions of homeopathic remedies for Costochondritis, tick the boxes below and press the Find Remedies button at the bottom of the screen. On the next screen, you should enter any other symptoms in the search box. chest; complaints in cartilage of chest; chest; pain; chest; pain; middle of chest; ; chest; pain; pulling; chest; pain; pulling; rib cartilage; ; chest; pain; pressing;

30. Costochondritis costochondritis is an inflammatory process of the costochondral joints that causeslocalized pain and tenderness. Costocondritis is frequently found in http://www.polychondritis.com/Costochondritis/Costochondritis.html

@import url(http://www.homestead.com/~media/elements/Text/font_styles.css); Costochondritis The second through the fifth costochondral junctions typically are involved. More than one junction is involved in more than 90% of patients. Patients may not be aware of the chest wall tenderness until examination. Costochondritis has no palpable edema. Lessens with decreased movement, quiet breathing, or change position. Sharp, nagging, aching, or pressure like. Usually quite localized but may extend or radiate extensively. May be severe. May wax and wane. Although the affects of NSAIDs in the treatment of pain and inflammation tend to be patient specific. NSAIDs for pain control. Avoid repetitive misuse of muscles. Modify improper posture or ergonomics of the home or work place. Local heat. Local infiltration of local anesthetic, steroid, or intercostal nerve block Gentle stretching of the pectoralis muscles 2-3 times a day may be beneficial. Primary care follow-up with persistent symptoms. Imaging studies: No specific studies exist for costochondritis. The clinical scenario and the most likely differently diagnosis should guide lab orders. Obtain a chest radiograph in the workup of the differential diagnoses. Bone (gallium) scans have been used in the United States, although these are not ED studies.

31. ► Costochondritis A medical encycopedia article on the topic costochondritis. http://www.umm.edu/ency/article/000164.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Encyclopedia (English) Toggle English Spanish Costochondritis Overview Symptoms Treatment Prevention Definition: An inflammation of a rib or the cartilage connecting a rib. This is a common cause of chest-wall pain. Inflammation or injury involving the chest muscles is another common cause of chest-wall pain. See chest pain Ribs and lung anatomy Review Date: 10/3/2001 Reviewed By: Victoria Kennedy, RN, A.D.A.M. editorial.

32. Costochondritis costochondritis is an inflammation and associated tenderness of the cartilage (ie,the costochondral joints) that attaches the front of the ribs to the http://www.healthatoz.com/healthatoz/Atoz/ency/costochondritis.jsp

33. Pain Management Department Therapy By Diagnosis: Costochondritis costochondritis Home. costochondritis. costochondritis is a frequent cause ofanterior chest pain. It is important to rule out cardiac disease as a source http://www.hmcnet.harvard.edu/brighampain/therapy/costochondritis.html

Costochondritis Costochondritis is a frequent cause of anterior chest pain. It is important to rule out cardiac disease as a source of the pain. The pathogenesis of costochondritis is unknown. The 2 nd to 5 th costal cartilages are most frequently affected. Palpation of the affected areas cause localized pain as well as widely referred pain. The condition occurs most frequently in women. Treatment involves the use of NSAIDS and application of heat. If pain is resistant to these therapies injection of the costochondral joint with local anesthetic and steroid might be of benefit.

34. Adult Health Advisor 2004.2: Costochondritis costochondritis is inflammation of the joint between a rib and the The mainsymptom of costochondritis is pain or tenderness in the front of the chest http://www.med.umich.edu/1libr/aha/aha_costocho_crs.htm

Adult Health Topics All Health Topics Find a UMHS Doctor Search Adult Topics Search All Topics This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Illustration Costochondritis What is costochondritis? Costochondritis is inflammation of the joint between a rib and the breastbone (sternum) or between the bony part of the rib and the rib cartilage. (Cartilage is a tough rubbery tissue that lines and cushions the surfaces of joints.) It is more common in women than men and tends to occur more often in people over 40 years old. How does it occur? Sometimes costochondritis is caused by: an injury to the chest; for example, from falling or getting hit by something in the chest an infection, such as a cold or flu. Many times the cause cannot be found. What are the symptoms?

35. Costochondritis 733.6 Tietze s disease (costochondritis) REFERENCES; A report from ASPN Anexploratory report of chest pain in primary care. J Am Board Fam Prac 1990, http://www.5mcc.com/Assets/SUMMARY/TP0233.html

Costochondritis DESCRIPTION: Anterior chest wall pain associated with pain and tenderness of the costochondral and costosternal regions. System(s) affected: Musculoskeletal Genetics: Unknown Incidence/Prevalence in USA: 10% of chest pain complaints. 15-20% of teenagers with chest pain. Predominant age: Predominant sex: Female CAUSES: Not fully understood Trauma Overuse Synonyms: Costosternal syndrome Parasternal chondrodynia Anterior chest wall syndrome Tietze's disease Tietze's syndrome Chondrocostal junction syndrome ICD-9-CM: 733.6 Tietze's disease (costochondritis) REFERENCES: A report from ASPN: An exploratory report of chest pain in primary care. J Am Board Fam Prac 1990, 3:143-150 Klinkman MS, Stevens D, Gorenflow DW: Episodes of care for chest pain: A preliminary report. From MIRNET, J Fam Practice 1994;38(4):345-52 Disla E, Rhim HR, Reddy A, Karten I, Taranta A: Costochondritis. a prospective analysis in an emergency department setting. Archives Int Med 1994:154(21):2466-2469 Mukamel M, Kornreich L, Horev G, Zaharia A, Mimoun M: Tietze's syndrome in children. J Ped 1997;131(5):774-775 Klinkman MS, Stevens D, Gorenflow DU: Episodes of cure for chest pain: a preliminary report from MIRNET. Michigan Research Network. J Fam Prac 1994;38(4):345-352

36. AllRefer Health - Costochondritis costochondritis information center. costochondritis is an inflammation of arib or the cartilage connecting a rib. This is a common cause of chestwall http://health.allrefer.com/health/costochondritis-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Costochondritis Definition Costochondritis is an inflammation of a rib or the cartilage connecting a rib. This is a common cause of chest-wall pain. Inflammation or injury involving the chest muscles is another common cause of chest-wall pain. See chest pain Ribs and Lung Anatomy Review Date : 4/26/2003 Reviewed By : David Webner, M.D., Department of Family Medicine, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. From Our Sponsors: A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's

37. Costochondritis costochondritis is inflammation of the joint between a rib and the breastbone orbetween the bony part of the rib and the rib cartilage. http://bone-muscle.health-cares.net/costochondritis.php

38. Treatment For Costochondritis The goals of treatment for costochondritis are to reduce inflammation and tocontrol pain. It usually responds well to painkilling, anti-inflammatory http://bone-muscle.health-cares.net/costochondritis-treatment.php

39. Costochondritis costochondritis. The rib cage flexes during respiration to allow more air toenter than would be the case if it were rigid. Costochrondritis is a condition http://www.drhull.com/EncyMaster/C/costochondritis.html

Help for sleepless parents Encyclopedia Index C costochondritis Search costochondritis The rib cage flexes during respiration to allow more air to enter than would be the case if it were rigid. Costochrondritis is a condition in which there is pain which is localized in the flexible joints (costochondral junctions) of the rib cage, where the ribs attach somewhat flexibly to the breast bone (sternum). For reasons unknown, adolescents going through puberty seem to be prone to developing inflammation of these joints, often after exercise or a blow to the chest. The pain may be sharp and sticking at first, but it usually becomes a dull aching pain. The most common sites of this pain are where the left fourth and fifth ribs attach to the sternum. This is right in the area of the heart, and therefore can create a good bit of anxiety in both the child and the parents. The key to diagnosis is that the pain can be reproduced by pressing on the involved area of the chest wall. This pain is not as sharp and intense as that of a rib fracture (which might be considered if there is a history of a blow to the chest). The treatment of costochondritis is anti-inflammatory medicine such as ibuprofen or naprosyn.

40. BBC - Health - Ask The Doctor - Costochondritis costochondritis Dr Trisha Macnair discusses its cause and treatment. http://www.bbc.co.uk/health/ask_the_doctor/costochondritis.shtml

@import url('/includes/tbenh.css') ; Home TV Radio Talk ... A-Z Index FRIDAY 9th September 2005 Text only BBC Homepage Lifestyle Health ... Help Like this page? Send it to a friend! Costochondritis I was recently diagnosed with costochondritis. What is it exactly and how should I treat it? My doctor has said that I can continue with vigorous exercise as normal. Is this really sensible with a fractured sternum? Rebecca Dr Trisha Macnair responds The prefix costo- simply means something which is to do with the ribs, the prefix 'chondr-' means related to the cartilage and '-itis' means inflammation. So if you put all of these together you get 'costochondritis', which means inflammation of the cartilage of the ribs. In particular, costochondritis affects the cartilage which joins the ribs to the breastbone. Mechanical problems or trauma usually cause it There are a variety of possible causes. Most common is trauma such as damage to the sternum. You mention a fractured sternum so I guess that in your case whatever broke your sternum also led to inflammation in the tissues which surround it. Other causes include: mechanical pressure or stress on the sternum viral infections which cause inflammation of cartilage Symptoms may be mistaken for heart disease Costochondritis causes tenderness over the breastplate and pain if you put pressure on the ribs in this area. The pain is made worse by anything which moves the ribs and pulls on the cartilage which connects them to the sternum.

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