Costochondritis and Tietze's Syndrome
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- เผยแพร่เมื่อ 16 ต.ค. 2024
- Dr Ozello's Sports Medicine Report: Costochondritis and Tietze's Syndrome
***Disclaimer: Viewing this video does not take the place of seeing a medical professional or working with a certified fitness professional. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments.
Serious pathology must be ruled out first in all chest and ribcage pain.
Costochondritis and Tietze’s Syndrome
Localized pain in costochondral or costosternal joints is typically associated with Costochondritis or Tietze’s syndrome.
Higher prevalence in females in general and athletic populations.
Costochondritis and Tietze’s Syndrome are similar except Costochondritis exists without swelling, heat or redness.
Tietze’s Syndrome usually associated with the second or third costal cartilages unilaterally. Ultrasound has proven to be effective to assist in the diagnosis of Tietze syndrome as it can quickly demonstrate soft tissue swelling at the site of inflammation.
Costochondritis is associated with multiple ribs, typically ranging from two to five and is not associated with localized swelling over the affected joints.
In both conditions, pain can be provoked with upper extremity movements, especially shoulder adduction.
Pain will also typically be worse when the patient takes a deep breath. Aggravated by coughing, sneezing and vomiting.
Pain is usually described as sharp or dull.
Recurrent and persistent conditions.
Costochondritis: No known etiology. Insidious onset.
Proposed mechanisms of injury include: Pull of surrounding musculature, Repetitive arm adduction and hypomobility of posterior spinal structures.
Costochondritis is thought of as a self-limiting condition allowing individuals to continue activity as symptoms allow.
Altered thoracic spine and rib mobility may be a factor associated with development of Costochondritis and Tietze's Syndrome.
Possibility of a thoracic spine disc herniation or bulge.
Recent clinical suggestions and case reports have included use of manual therapy interventions directed at thoracic spine in management of ribcage conditions.
Rib and associated thoracic vertebral segment can be described as a fixed ring. Movement and stress applied at one part can be transmitted through entire ring.
Receive Chiropractic Care
Chiropractic care is a catalyst for improving a person’s health, fitness, function and recuperation. Chiropractic care is drug-free, surgery-free functional medicine. The primary objectives of chiropractic treatment are the optimization of nerve flow and the re-establishment of correct skeletal biomechanics. Chiropractic treatment works for preventive and maintenance care. Chiropractic care is effective for a large number of sports-related injuries. Chiropractic care restores correct skeletal joint motion, optimizes nerve flow, decreases muscle tension, increases range of motion and decreases symptoms.
Normal breathing exercises. Chest Stretching, Strengthen scapular retractor muscles.
Normal Breathing: Practice normal breathing until it’s second nature.
Supine: Relax abdominal muscles to allow greater diaphragm motion.
Place one hand or both hands on stomach.
Inhale slowly through nose.
Focus on diaphragm movement.
Feel the abdominal cavity rise.
Exhalation should be twice as long as inhalation.
Start in the supine position, advance to kneeling, seated, standing and quadruped.
References
Treatment of a female collegiate rower with costochondritis: a case report
Discussion: Based on the findings associated with this case report, as well as our clinic experience with the management of both costochondritis and rib stress fractures, that hypomobility of the thoracic spine and costovertebral joints may contribute to anterior thoracic cage pathology.
www.ncbi.nlm.n...
Costochondritis www.ncbi.nlm.n...
Tietze Syndrome www.ncbi.nlm.n...
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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Thanks a lot for this video I have four lumps in multiple ribs at the costochondral joints. My last primary care physician thought it was cancer. X-rays came back normal, he was like well it's not cancer I don't know what else he said but made me really upset he didn't even want to figure out what it was. I have PTSD and I just freeze up in the office so nothing ever happened I switch primary care physicians the guy really doesn't care had his student check me out said they were just muscles that were tight. I go back for another visit he's like they're just fatty tumors. So I start googling haha... I called the insurance provider they said I don't even need a referral to see a thorasic surgeon about these lumps. Used play video games constantly with poor posture as a child, I bilateral winged scapula. I also used to play drums since I was 6 till I was 21. Then I got into heavy weight lifting for about a year focusing on my chest and arms in the front... And then I work at a restaurant where I was holding to-go boxes at chest level basically spooning chili on the hot dogs sometimes over a thousand. I'm currently a medical cannabis user coughing definitely hurts so I stay away from product that make me cough. I don't know what else I have that makes my chest compressed in the front. But this is been going on for a long time just really depressed about how nobody has ever figured out what it is yet.I know I have to have tietze or something... Thanks so much for this video I will have to do some of those exercises, I already kind of do some things like that but that looks like even better!!!! Much love✌️
Thanks for watching and for commenting. If I were you, I would schedule to see a Doctor of Chiropractic for evaluation, diagnosis and treatment. I would also consider massage therapy. Here is a link to one of my videos that may provide you useful information of Posture Correction. Upper Crossed Syndrome th-cam.com/video/nepvyzxpxtk/w-d-xo.html
@@drdozellodc Thanks man!
@@mik_88 You're welcome
I have tietze syndrome, this helped a lot. Thanks ❤
You're welcome. Please let me know if you have any questions.
I had costochondritis for about 6 weeks after being particularly ill with the flu and a respiratory infection. Its awful, especially when you need to cough and sneeze. Even laying in bed on my side was painful.
Thanks for watching my video and for commenting. If I were you, I would begin performing Normal Breathing Exercises. Here is a link to a video I made on the proper execution of Normal Breathing Exercises th-cam.com/video/V2V_m0MjBZ4/w-d-xo.html
I had tietzen lasting around 1month, very sharp pain left chest when taking deep breaths etc. Eventually it will pass in time which is helpful for you who have it now
Thanks for watching and for commenting. Please let me know if you have any questions.
This syndrome hurts so much. I've been having it for about 4 years and it happened when I opened my car door onto my chest accidentally. It's the worst enemy to me and I wouldn't wish it upon my worst enemies
I've had this going on 3 years from overuse at work. One thing I have found really help is seeing a chiropractor once a month. The release of tension really relaxed my chest and the pain is gone for a while
Thank you for sharing about the positive benefits Chiropractic treatment has on your Costochondritis.
If I were you I would schedule to see a Doctor of Chiropractic for evaluation, diagnosis and treatment. Here are two videos that may provide you useful information on your condition and on chest stretching to help rehabilitate.
Rib Subluxation AKA "Rib Out" th-cam.com/video/s3HykHCRERY/w-d-xo.html
Chest Muscle Stretching: Supine th-cam.com/video/iS_m0wnd5f4/w-d-xo.html
Please let me know if you have any questions.
Not sure if I have it. Heard a loud pop in my chest when performing a heavy bench press. i continued my workout that day and didn't notice sharp pain til after. It bothered me that whole day/night and today it seems much better. Everyone else experience with it seems terrible so maybe I have a different problem.
If I were you, and the symptoms persist or return I would schedule to see a Doctor of Chiropractic for evaluation, diagnosis and treatment. I would attempt mild stretching exercises for the pecs and serratus anterior muscles. Here is a link to a playlist of my videos where I explain and demonstrate proper stretching technique for the chest and anterior ribcage muscles. th-cam.com/play/PLqvttwjy17Bm_pWjwFZLhXfLB4Zqz7RA6.html Please let me know if you have any questions.
Hi doc can prp injection help with tietzen i have this pain 1 and half yeras right now
If I were you, I would see a Doctor of Chiropractic for evaluation, diagnosis and treatment.
@@drdozellodc i have seen doctor but they say just rest i have been resting 1 and half years i have seen something about bpc 157 and tb 500 what you think? And something about prp injection
@@feisal1838 If I were you, I would see a Doctor of Chiropractic for evaluation, diagnosis and treatment. I would also see a Massage Therapist for muscle work.