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(Tietze’s Syndrome)

Pronounced: COST-o-kon-DRY-tis


Costochondritis is pain in the front of the chest wall. In particular, it is irritation of the cartilage where the breast bone and ribs meet.

Sometimes there is also chest swelling and inflammation. This is a condition referred to as Tietze’s syndrome. Neither costochondritis nor Tietze’s syndrome is a serious disease. However, their symptoms are similar to those of several dangerous conditions, like a heart attack.

The Rib Cage

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Causes    TOP

The cause of costochondritis is often not known. At other times, the condition can occur due to injury or overuse.

Risk Factors    TOP

Factors that may increase your chances of costochondritis:

Symptoms    TOP

Costochondritis may cause:

  • Sharp, localized chest pain, which may be made worse by sneezing, coughing, deep breathing, or twisting motions of the chest
  • Tenderness or swelling over a joint between:
    • Rib cartilage and breast bone
    • Rib cartilage and rib bone swelling

Diagnosis    TOP

You will be asked about your symptoms and medical history. A physical exam will be done. Your doctor may do further tests if the diagnosis is not clear to may sure it is not a serious condition such as a heart attack. Tests to examine the ribs more closely may include a chest x-ray.

Treatment    TOP

Talk with your doctor about the best treatment plan for you. Most costochondritis will eventually go away on its own. Treatment is optional, but choices include the following:

Hot or Cold Compresses

Compresses may help provide relief until the condition resolves itself. Try hot and cold compresses to see which is more helpful.


Your doctor may recommend over-the-counter medications to relieve pain and swelling.

Cortisone Injections    TOP

A local anesthetic and medication (cortisone) may be injected directly into the area. This may be done if the discomfort does not respond to other treatments.

Prevention    TOP

There are no current guidelines to prevent costochondritis.


Family Doctor—The American Academy of Family Physicians
Kids Health—Nemours Foundation


The College of Family Physicians of Canada


Costochondritis. EBSCO Dynamed Plus website. Available at: Updated November 28, 2016. Accessed December 18, 2017.
Costochondritis. Kids Health—Nemours Foundation website. Available at:
...(Click grey area to select URL)
Updated January 2015. Accessed December 18, 2017.
Proulx AM, Zryd TW. Costochondritis: Diagnosis and treatment. Am Fam Physician. 2009;80(6):617-620.
Last reviewed December 2017 by EBSCO Medical Review Board Michael Woods, MD, FAAP
Last Updated: 11/24/2015

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