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Since iliocostal friction syndrome can present in pain in many areas surrounding the back, flank, and abdomen, the differential diagnosis for the condition can be extensive. Some of the diagnosis include but not limited to neuropathic pain of the intercostal nerves , conditions of the hip , pinched nerves within the spine, myofascial pain , and ...
There is one CVA on each side of the spine. [2] The lateral part of the CVA is formed by the lower border of the 12th rib, and the medial part of the CVA is formed by the transverse processes of the lumbar vertebrae. [1] The CVA is distinct from the costovertebral joints. [2] The lower poles of the kidneys are within the CVAs. [1]
Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
SRS can cause abdominal and back pain, which costochondritis does not. [27] Tietze syndrome and SRS can both present with radiating pain to the shoulder and arm, and both conditions can be diagnosed with ultrasound, though SRS requires a more complex dynamic ultrasound. [28] The vast differential diagnosis also includes:
Pain across the costal margin is most commonly caused by costochondritis. [ 6 ] The costal paradox , also known as Hoover's sign and the costal margin paradox , is a sign where the costal angle decreases upon inspiration rather than increasing, indicating chronic obstructive pulmonary disease .
The costovertebral angle (Latin: arcus costovertebralis) is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column. [1] The kidney lies directly below this area, so is the place where, with percussion (Latin: sucussio renalis), pain is elicited when the person has kidney inflammation.
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