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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]
It takes several forms, osteochondritis, costochondritis, and relapsing polychondritis among them. Costochondritis is notable for feeling like a heart attack. Costochondritis is notable for feeling like a heart attack.
Pain can often be severe, especially if teeth and/or a branch of the trigeminal nerve is involved, but many patients do not experience pain, at least in the earlier stages. When severe facial pain is purported to be caused by osteonecrosis, the term NICO, for neuralgia-inducing cavitational osteonecrosis , is sometimes used, but this is ...
Chronic clenching can also lead to receding gums—which increases tooth sensitivity—as well as cracked roots that require extraction, and, in some cases, limited ability to open the jaw.
While the exposed, dead bone does not cause symptoms these areas often have mild pain from the inflammation of the surrounding tissues. [15] Clinical signs and symptoms associated with, but not limited to MRONJ, include: Jaw pain and neuropathy [16] Loose teeth [17] Mucosal swelling [17] Erythema; Suppuration [17]
Costochondritis is a common cause of chest pain, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper costochondral or sternocostal junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage.
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:
Researchers from The Institute of Cancer Research in London have developed a new test that can predict colorectal cancer risk in people with IBD with more than 90% accuracy.