What is Costochondritis?
Costochondritis is a condition characterized by inflammation of the cartilage that connects a rib to the breastbone (sternum), known as the costochondral junction. It often presents as chest pain and tenderness, particularly around the sternum where the ribs attach.
Causes:
The exact cause of costochondritis is often unknown, but it can result from physical strain, trauma to the chest, repetitive movements, or viral infections.
It may also occur as a complication of certain medical conditions such as arthritis, fibromyalgia, or ankylosing spondylitis.
Signs and symptoms:
Sharp or dull pain in the chest, typically on one side, but it can occur on both sides.
Tenderness or discomfort when pressure is applied to the affected area, such as when touching or pressing on the ribs.
Pain that worsens with movement, deep breathing, or coughing.
Swelling or inflammation around the sternum.
Physiotherapy management:
Pain management: Physiotherapists may use modalities such as ice or heat therapy to help reduce pain and inflammation in the affected area.
Gentle stretching: Stretching exercises can help improve flexibility and reduce muscle tension around the chest and ribcage.
Posture correction: Correcting poor posture habits can alleviate strain on the chest muscles and ribcage, thereby reducing pain.
Strengthening exercises: Gradual strengthening of the chest, back, and shoulder muscles can improve overall stability and support for the affected area.
Manual therapy: Techniques such as massage or mobilization may be used to relieve muscle tension and improve range of motion.
Education and advice: Providing guidance on proper body mechanics, breathing techniques, and activity modification can help prevent exacerbation of symptoms.
Activity modification: Advising patients to avoid activities that worsen symptoms, such as heavy lifting or repetitive movements involving the chest.
It's important for individuals with costochondritis to work closely with a healthcare professional, such as a physiotherapist, to develop an appropriate treatment plan tailored to their specific needs and circumstances. In some cases, additional medical interventions such as pain medications or corticosteroid injections may be necessary.
