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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]
Tietze syndrome typically presents unilaterally at a single joint of the anterior chest wall, with 70% of patients having tenderness and swelling on only one side, usually at the 2nd or 3rd rib. [ 2 ] [ 3 ] Research has described the condition to be both sudden [ 4 ] and gradual, varying by the individual.
The costal margin may be used for tissue harvesting of cartilage for use elsewhere in the body, such as to treat microtia. [4] Different abdominal organs may be palpated just below the costal margin, such as the liver on the right side of the body. [5] Pain across the costal margin is most commonly caused by costochondritis. [6]
This is a common cause of chest pain. [5] Severe trauma may lead to fracture of the costal cartilage. [6] Such injuries often go unnoticed during x-ray scans, but can be diagnosed with CT scans. [6] Surgery is typically used to fix the costal cartilage back onto either the rib or sternum. [6]
Symptoms associated with xiphoidalgia may include abdominal pain, chest discomfort, nausea, and radiating pain extending to the back, neck, and shoulders. Activities such as lifting heavy objects or chest trauma may precipitate this musculoskeletal ailment, and symptoms may intensify with bending or twisting.
Laparoscopic costal cartilage removal is a minimally invasive, intra-abdominal approach to treating the condition. The affected cartilage is excised from the sternocostal junction to the costochondral junction. [17] It is to be noted that within studies that have performed these procedures, some individuals may experience recurrence of symptoms ...
The median time interval between the onset of symptoms and the diagnosis was 6 years, with a range of 26 days to 14 years. This suggests that the symptoms of MAGIC syndrome may manifest relatively long after the initial onset of symptoms. During the course of MAGIC syndrome, the signs and symptoms of BD may typically occur before those of RP. [4]
Overall chest pain is a symptom of up to 48% of sudden-onset panic attacks, and 10% of gradual-onset panic attacks. [12] Anxiety: Generalized anxiety disorder (GAD) is characterized by persistent and excessive worry, often accompanied by physical symptoms such as chest pain, restlessness, fatigue, and muscle tension [34]