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Home » IDEA Answers » I have a client who thinks he might be suffering from costochondritis... anyone familiar with this?
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Question asked by Beth Greenberg 267 days ago

I have a client who thinks he might be suffering from costochondritis... anyone familiar with this?

InflammationSpecial Populations

Basically it is inflammation of the cartilage around his sternum that gets aggravated by any pec workouts. Ibuprofen relieves the symptoms, but they return as soon as he does anything... even a pushup! (he's an elite athlete hoping to go pro)

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Answered by Joanne Duncan-Carnesciali 267 days ago
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Hi Beth,

Hi Beth ,I am familiar with costochondritis.

I'd like to say first off that if he "thinks" he has costochondritis he should go to the doctor and get a definitive diagnosis. It's prudent to be sure that his discomfort is not related to anything else considering the discomfort occurs in the thoracic region of the body. Should he go pro he will probably have to go through a physical examination anyway.

As you mention, costochondritis is an inflammatory disease. It is in the same family as Crohn's disease, fibromyalgia, ulcerative colitis, irritable bowel disease among others. It can be exacerbated by heavy inspiration or vigorous movements of the thoracic area.

You mention that he gets discomfort after "even a pushup!" The muscles involved with performing a pushup are in the thoracic region.

Sometime ago I wrote a blog on the topic. I'd be happy to include it on my IDEA blog for you.

There isn't much research on exercise programming for populations living with costochondritis, however, your client should know that vigorous exercise exacerbates the problem.

In some folks, costochondritis resolves itself with time; I wish this for your client especially with regards to his professional goals.

If he does it indeed have costcochondritis, he/she will likely have to continue to take NSAIDS as this is how the condition is medically managed.

I wish you both the best.
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Answered by Chris Gellert, PT, MMusc &Sports Physio, MPT, CSCS, CPT 59 days ago
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Beth,
I agree with Joanne. It is important to establish real sound symptoms and not a knee jerk "I think I have costochondritis"

Going deeper, costocondritis is an inflammatory condition affecting women more then men where the costochondrak joint becomes inflammed. Typically creating localized pain in the sternum region, localized ribs as well as may complain of "dull" ache diffuse pain. Etiology can be a result of a multitude of things including systemic involvement, lack of activity, diet, to name a few

Treatment consists of a thorough examination by a MD or physio. Conservative treatment begins with assessing mobility(thoracic excursion and breathing) measuring chest expansion and regression via a measuring tape, AROM of the thoracic region, soft tissue followed with joint assessment for mobility and muscle length of accessory muscles. With the goal of improving mobility then stabilizing via exercise. Manual therapy is key using myofascial release, soft tissue and joint mobilizations not only for pain relief, but to improve and restore full inhalation and exhilation. Then strengthening the core and postural muscles as appropriate.

Cheers
Chris
www.pinnacle-tcs.com


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