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Costochondritis (Tietze Syndrome)

Costochondritis (kos-toe-kon-DRY-tis) is inflammation of the sternocostal joints that connect a rib to the sternum or breastbone. Pain caused by Costochondritis might mimic a heart attack or other heart conditions, panic attacks, and difficulty breathing due to pain. Many people also suffer from back pain, chest pain, and anxiety. The sternocostal joints also are known as costosternal articulations or sternochondral joints. The same ribs that connect to the breastbone wrap around the body and connect to the spine.



What Causes Costochondritis?
We know that inflammation causes Costochondritis, but why?Why do the sternocostal joints get inflamed? You can look to your back for the answer. Remember, the other side of those same ribs connects to your spine directly. If you also suffer from pain and stiffness between your shoulder blades and middle back, you have discovered what’s causing your case of Costochondritis, Congratulations! Some other less common causes are a blunt blow to the chest, tumors, arthritis, and chronic bronchitis or a heavy cough.  Tietze syndrome and Costochondritis pain are very similar; If swelling occurs, Tietze syndrome is often diagnosed. Tietze syndrome although rare, typically comes on suddenly. The most affected area is usually between the second and third ribs. Although swelling is the distinguishing symptom of Tietze syndrome, tenderness, redness, and warmth to the area is also present. Costochondritis and Tietze Syndrome are both treated the same.


What are the treatment options for Costochondritis?
*The Medical Approach for (Tietze Syndrome) Costochondritis:


  • NSAIDs: non-steroidal anti-inflammatories
  • Muscle Relaxers
  • Anti-Depressants
  • Anxiety Medications

 ***Medications not only have side effects, but they do nothing to fix the cause of the condition. Typically, providing temporary relief.
*The Chiropractic Approach for (Tietze Syndrome) Costochondritis: Chiropractors improve the thoracic spine’s integrity, where your ribs connect by restoring proper motion in the thoracic region that might otherwise be fixated. Soft tissue work is done to alleviate tension and stiffness across the chest, shoulders, and mid back. A Physical therapist can provide the soft tissue services needed but will not be well-versed in spinal and rib manipulation as a chiropractor.
*Cold Laser Therapy (Low-Level Laser Therapy) for Costochondritis: Cold Laser is a secret weapon when treating Costochondritis pain and inflammation. Cold Laser (not LED) is very effective for reducing the pain and swelling. At Synergy Wellness Chiropractic & Physical Therapy, we incorporate soft tissue work, spine and rib adjusting, and cold laser therapy for fast results, even with the most severe cases. Take a look at some of our satisfied patients. *Physical Therapy approach for Costochondritis: We recommend starting with the video below. Dr. Kulla personally picked out these 22 stretches and exercises for Costochondritis.




The Next few videos below show a few cases of Costochondritis And Tietze Syndrome and how Synergy Wellness Chiropractic & Physical Therapy treats these cases effectively and quickly.

Have a look at 2 patient experiences below: