What is a Costovertebral Joint Sprain?
A costovertebral joint sprain involves an injury to the joints where the ribs attach to the thoracic vertebrae in the spine. These joints are called the costovertebral joints. The thoracic spine consists of twelve vertebrae, each of which has two costovertebral joints connecting it to the ribs on either side.
Causes of costovertebral joint sprain can include:
Trauma or injury, such as a direct blow to the chest or back.
Repetitive or overuse injuries, often seen in athletes or individuals performing activities that involve repetitive twisting or bending of the spine.
Sudden or forceful movements of the spine, such as lifting heavy objects incorrectly.
Poor posture or muscle imbalances that put additional stress on the costovertebral joints.
Symptoms of a costovertebral joint sprain may include:
Sharp or dull pain in the upper or middle back, often near the affected joint.
Pain that worsens with movement, deep breathing, or coughing.
Tenderness or swelling around the injured area.
Limited or reduced range of motion in the spine.
Muscle spasms in the back.
Treatment for a costovertebral joint sprain usually involves conservative measures such as:
Rest and activity modification to reduce strain on the injured joint.
Ice to reduce inflammation and pain.
Physiotherapy exercises to strengthen the muscles around the affected joint, improve flexibility, and restore normal movement patterns.
Manual therapies to reduce muscle pain and spasm
In most cases, a costovertebral joint sprain will improve with conservative treatment within a few weeks. It's important to consult with a physiotherapist for an accurate diagnosis and appropriate treatment plan if you suspect you have a costovertebral joint sprain or are experiencing symptoms of upper or middle back pain.
