Chest pain is a common reason for parents to seek medical attention for their children. Annually, physicians evaluate approximately 650,000 cases of chest pain in patients aged 10-21 years, a number that may reflect overwhelming concern about chest pain as a manifestation of cardiac disease and cancer in older patients.
Costochondritis is a common cause of chest pain in children and adolescents. The condition is characterized as an inflammatory process of 1 or more of the costochondral cartilages that causes localized tenderness and pain of the anterior chest wall. Most cases of costochondritis are idiopathic. The remaining cases may result from costochondral irritation due to direct trauma, aggressive exercise that caused a strain, or a prior upper respiratory tract infection with cough that caused repeated stretching and strain at the costochondral junction.
Costochondritis is a relatively benign and usually self-limited condition. Patients are often evaluated initially in the ED or, with acute conditions, in their primary care physician's office.
The term Tietze syndrome implies swelling; costochondritis refers to pain alone.
Pathophysiology: The exact pathophysiology of cartilage and capsular involvement is unknown because costochondritis does not warrant surgical intervention or tissue biopsy. Theoretically, the cartilage involved in costochondritis is either inflamed or torn. Either condition presumably leads to inflammation with subsequent stimulation of pain receptors.
Frequency:
In the US: Several studies of chest pain in pediatric patients report costochondritis prevalences of 14-30%; a single study reported rates as high as 79%. The overall incidence rate is approximately 4% of children and adolescents.
Mortality/Morbidity: No reports have associated mortality with costochondritis, and no mortality is expected.
Race: A study indicates Hispanics may have an increased prevalence of costochondritis, but most studies do not mention race as a factor.
Sex: Studies of chest pain in children showed that females are diagnosed with costochondritis more often than males by a 2:1 ratio.
Age: No data support an association between age and costochondritis; the condition is well described in children of all ages, including infants.
2006-08-10 01:15:49
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answer #1
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answered by oph_chad 5
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Do you mean Costal Chondritis this is the way my chiropractor
spelled it. He found mine after I got hit in a rear end crash. They are like spurs that come from off the spine facing toward your chest if I remember right. They are also very painfull. I thought I was having a heart attack one time. This has happened several times .I can sometimes just bend over to pick up anything an the pain shoots through my chest . It does not help to know that I also have mitral valve prolapse to it causes pain to in my chest.
My doctor told me of some exercises to do facing a wall an with
a long towel.This requires a lot of pushing against the wall putting both feet about 2 ft away then put both arms wist facing
against a corner lean your body inwards for about 20 seconds for 5 times 3 times a day. Arms should be about 2-3 ft apart. Then take a long or beach towel put under one foot hold down lift the towel same side arm up hip high stretching for 10 seconds 5 times 3 times a day repeat with other leg. Hope this makes since. Other than the exercises he said there is not anything that could be done. He also said (If)they are not done on a routine bases it will just get worse an worse an more painfull.
2006-08-10 15:32:34
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answer #2
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answered by He is in control 4
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"there is something called costochronditis...which is an inflammation of the
cartilage that separates one rib from another..and where the ribs meet the
sternum...
it can often by detected by palpation(not listening with a
stethoscope)...WHERE you feel pain the sharpest..take your finger and follow
the cartilage line...BETWEEN each rib...often times you FIND that spot and
say "ouch" as you push on it...
unfortunately..it is the kind of pain that mimics angina(heart pain)..and
often times folks end up in the ER!! happened to me once!!
key is increased pain with coughing,,,breathing in..AND when moving toward
the affected area
it is very common after a bout of coughing...
hope that helps...if a doc says your lungs are clear..I wouldn't be too
concerned about pneumonia...
treatment?? if you can take a mild pain reliever..or something like Motrin
etc..(unless you have probs with your stomach!!)...Motrin can help decrease
the inflammatory process..unfortunately this can take weeks...so be
patient... "
2006-08-10 01:21:12
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answer #3
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answered by Anonymous
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What Is Costo
2017-01-11 19:22:33
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answer #4
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answered by ? 3
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It is the inflammation of the cartilate between your ribs. I had it once when I had a bad flu and did a lot of coughing! I was treated with anti inflammatory medications.
2006-08-10 01:57:11
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answer #5
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answered by bronnie_ruby 1
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