What causes pain in the sternum. How to recognize symptoms of costochondritis. When should you be concerned about chest discomfort. What are the signs of a sternoclavicular joint injury. How to differentiate between heartburn and more serious conditions.

Understanding Sternum Pain: Common Causes and Symptoms

Sternum pain, also known as breastbone pain, can be caused by various factors ranging from minor issues to more serious conditions. The sternum, a flat bone located in the center of the chest, plays a crucial role in protecting vital organs and connecting the rib cage. While chest pain may trigger concerns about heart-related problems, sternum pain often stems from musculoskeletal or digestive issues.

Can sternum pain be a sign of a heart attack? In most cases, especially for individuals under 40 without pre-existing health conditions, sternum pain is unlikely to indicate a heart attack. However, chest pain in people over 40 or those with heart disease should be taken seriously and evaluated promptly.

Key Causes of Sternum Pain

• Costochondritis
• Joint or collarbone injuries
• Muscle strains
• Acid reflux
• Hernias
• Fractures

Costochondritis: A Leading Cause of Sternum Discomfort

Costochondritis, the inflammation of the cartilage connecting the ribs to the sternum, is the most common cause of sternum pain. This condition can result from various factors, including chest injuries, physical strain, or underlying joint conditions like osteoarthritis.

How can you identify costochondritis? Look for these symptoms:

• Sharp pains or aches on the side of your sternum area
• Pain or discomfort in one or more ribs
• Increased pain when coughing or breathing deeply

Is costochondritis a serious condition? Generally, costochondritis is not a cause for major concern. However, persistent pain or additional symptoms warrant a medical evaluation to rule out more serious underlying conditions.

Musculoskeletal Conditions Affecting the Sternum

Various musculoskeletal issues can lead to sternum pain, ranging from injuries to the surrounding joints and bones to strains from physical activity. Understanding these conditions can help in identifying the source of discomfort and seeking appropriate treatment.

Sternoclavicular Joint Injury

The sternoclavicular (SC) joint connects the top of the sternum to the collarbone. Injuries to this joint can cause pain and discomfort in the upper chest area.

How do you recognize an SC joint injury? Look for these symptoms:

• Mild pain or aching around the upper chest and collarbone area
• Popping or clicking sounds in the joint
• Stiffness or limited shoulder movement

Collarbone Trauma

Given the direct connection between the collarbone and sternum, any trauma to the collarbone can affect the sternum area. Collarbone injuries may result from falls, sports accidents, or other physical impacts.

What are the signs of collarbone trauma?

• Bruises or bumps around the collarbone area
• Intense pain when raising the arm
• Swelling or tenderness
• Abnormal sagging of the shoulder

Sternum Fracture

A fractured sternum can cause significant pain due to its involvement in many upper body movements. This type of injury often results from blunt force trauma to the chest, such as during a car accident or high-impact sports.

How can you identify a sternum fracture? Look for these symptoms:

• Pain when breathing or coughing
• Difficulty breathing
• Grinding noises when moving the arms
• Swelling and tenderness over the sternum

Muscle Strains and Hernias: Lesser-Known Causes of Sternum Pain

Muscle strains in the chest area can lead to pain around the sternum. These strains often result from overexertion or sudden movements. Similarly, hernias, particularly hiatal hernias, can cause discomfort in the chest area.

What are the symptoms of a muscle strain in the chest?

• Localized pain around the affected muscle
• Discomfort when using the muscle
• Bruising or tenderness

How does a hiatal hernia manifest?

• Frequent burping
• Heartburn
• Difficulty swallowing
• Feeling of fullness
• In severe cases, vomiting blood or black stools

Digestive Issues and Their Impact on Sternum Pain

The sternum’s proximity to major digestive organs means that gastrointestinal conditions can often manifest as sternum pain. Heartburn and acid reflux are common culprits, especially after meals.

How does heartburn contribute to sternum pain? When stomach acid leaks into the esophagus, it can cause a burning sensation in the chest, often mistaken for sternum pain. This discomfort typically worsens when lying down or bending over.

Distinguishing Heartburn from More Serious Conditions

While heartburn is usually harmless, it’s essential to differentiate it from more serious conditions. Persistent or severe chest pain, especially when accompanied by other symptoms, should be evaluated by a healthcare professional.

What are the key differences between heartburn and a heart attack?

• Heartburn typically causes a burning sensation that may worsen after eating
• Heart attack pain is often described as pressure or squeezing in the chest
• Heartburn can be relieved by antacids, while heart attack symptoms persist
• Heart attacks may be accompanied by shortness of breath, nausea, or cold sweats

When to Seek Medical Attention for Sternum Pain

While many causes of sternum pain are benign, certain situations warrant immediate medical attention. Understanding when to seek help can be crucial for your health and well-being.

When should you be concerned about sternum pain?

• Sudden, severe chest pain
• Pain accompanied by shortness of breath, nausea, or sweating
• Persistent pain that doesn’t improve with rest or over-the-counter medications
• Pain following a chest injury or accident
• Sternum pain in individuals with a history of heart disease or other risk factors

Diagnosing and Treating Sternum Pain

Proper diagnosis is key to effectively treating sternum pain. Healthcare providers may use various methods to determine the underlying cause of the discomfort.

Diagnostic Approaches

How do doctors diagnose the cause of sternum pain?

• Physical examination
• Medical history review
• Imaging tests (X-rays, CT scans, or MRIs)
• Blood tests to check for signs of inflammation or heart issues
• Electrocardiogram (ECG) to evaluate heart function

Treatment Options

Treatment for sternum pain varies depending on the underlying cause. Common approaches include:

• Rest and ice for minor injuries or strains
• Anti-inflammatory medications for conditions like costochondritis
• Physical therapy for musculoskeletal issues
• Antacids or proton pump inhibitors for acid reflux
• Surgery in cases of severe injuries or hernias

Can sternum pain be prevented? While not all causes of sternum pain are preventable, certain measures can reduce the risk:

• Practicing proper form during exercise and physical activities
• Wearing protective gear during contact sports
• Maintaining good posture
• Managing acid reflux through diet and lifestyle changes
• Regular check-ups, especially for those with heart disease risk factors

Living with Chronic Sternum Pain: Management Strategies

For some individuals, sternum pain may become a chronic condition. Managing long-term discomfort requires a comprehensive approach that addresses both physical and emotional aspects of pain.

Lifestyle Modifications

How can you manage chronic sternum pain through lifestyle changes?

• Adopting an anti-inflammatory diet
• Engaging in low-impact exercises like swimming or yoga
• Using heat or cold therapy as recommended by a healthcare provider
• Practicing stress-reduction techniques such as meditation or deep breathing exercises
• Ensuring proper sleep posture and mattress support

Alternative Therapies

Some individuals find relief from chronic sternum pain through alternative therapies. While scientific evidence varies, some people report benefits from:

• Acupuncture
• Massage therapy
• Chiropractic care
• Herbal supplements (always consult with a healthcare provider before use)

Is it safe to exercise with chronic sternum pain? In many cases, gentle exercise can be beneficial for managing chronic pain. However, it’s crucial to work with a healthcare provider or physical therapist to develop a safe and effective exercise plan tailored to your specific condition.

The Psychological Impact of Chronic Sternum Pain

Chronic pain, including persistent sternum discomfort, can have significant psychological effects. Understanding and addressing these mental health aspects is crucial for overall well-being.

Common Psychological Challenges

What are the potential psychological effects of chronic sternum pain?

• Anxiety, especially about potential underlying health conditions
• Depression related to ongoing discomfort and limitations
• Sleep disturbances
• Reduced quality of life
• Social isolation due to pain or fear of exacerbating symptoms

Coping Strategies

How can individuals cope with the psychological impact of chronic sternum pain?

• Seeking support from mental health professionals
• Joining support groups for chronic pain sufferers
• Practicing mindfulness and relaxation techniques
• Setting realistic goals and celebrating small victories
• Maintaining social connections and hobbies as much as possible

Can psychological interventions help manage physical pain? Research suggests that cognitive-behavioral therapy and other psychological approaches can be effective in managing chronic pain, including sternum discomfort. These techniques can help individuals develop coping strategies, change pain perceptions, and improve overall quality of life.

Understanding sternum pain, its various causes, and management strategies is crucial for maintaining chest health and overall well-being. While many instances of sternum pain are benign, it’s important to be aware of warning signs that may indicate more serious conditions. By staying informed and seeking appropriate medical care when necessary, individuals can effectively manage sternum pain and maintain their quality of life.

Sternum Pain: What Is It?

Pain in your sternum, or breastbone, may be caused by a number of things, including inflammation, a joint or collarbone injury, and acid reflux. Pain in your sternum may also happen with a heart attack, but this is more likely if you’re over the age of 40 and have heart disease.

Your sternum, or breastbone, connects the two sides of your rib cage together. It sits in front of many major organs located in your chest and gut, including your heart, lungs, and stomach. As a result, many conditions that don’t necessarily have anything to do with your sternum may cause pain in your sternum and the surrounding area.

Your first reaction to chest pain, especially severe or consistent chest pain, may be to think it’s a heart attack. But in many cases, chest pain has nothing to do with your heart. This is especially true if you’re under age 40 and don’t have any serious health issues or existing conditions.

Sternum pain is actually more likely caused by conditions that have to do with your muscles, your bones, or your digestive tract than with your heart or the sternum itself.

Keep reading to learn the most common reasons for sternum pain and when you should see your doctor.

The most common cause of sternum pain is a condition called costochondritis. This occurs when the cartilage that connects your ribs to your sternum becomes inflamed.

Symptoms of costochondritis include:

• sharp pains or aches on the side of your sternum area
• pain or discomfort in one or more ribs
• pain or discomfort that gets worse when you cough or breathe in deeply

Costochondritis doesn’t always have a specific cause, but it’s most often a result of a chest injury, strain from physical activity, or joint conditions like osteoarthritis. Costochondritis isn’t a serious condition and shouldn’t cause you to be concerned.

See your doctor if the pain persists or if you have other symptoms that might indicate a more serious underlying condition.

Conditions or injuries to the muscles and bones around your sternum can also cause sternum pain.

This includes:

• joint injury
• collarbone (clavicle) injury
• fractures
• hernias
• surgery on the sternum (such as open heart surgery)

These aren’t the only musculoskeletal conditions that may make your sternum hurt, but they’re among the most common.

Sternoclavicular joint injury

The sternoclavicular joint (SC joint) connects the top of your sternum with your collarbone (clavicle). Injury to this joint can cause pain and discomfort in your sternum and in the area in your upper chest where this joint exists.

Common symptoms of injury to this joint include:

• feeling mild pain or having aching and swelling around your upper chest and collarbone area
• hearing pops or clicks in the joint area
• feeling stiff around the joint or not being able to fully move your shoulder

Collarbone trauma

The collarbone is directly connected to your sternum, so injuries, dislocation, fractures, or other trauma to the collarbone can affect the sternum.

Common symptoms of collarbone trauma include:

• bruises or bumps around area of collarbone injury
• intense pain when you try to move your arm upwards
• swelling or tenderness around collarbone area
• pops, clicks, or grinding noises when you lift your arm
• abnormal frontward sagging of your shoulder

Sternum fracture

Fracturing your sternum can cause a lot of pain, because your sternum is involved in many of your upper body movements. This type of injury is often caused by blunt force injuries to your chest. Examples of this include your seat belt tightening in a car accident or your chest getting hit while you’re playing sports or doing other high-impact physical activity.

Common symptoms include:

• pain when you breathe in or cough
• difficulty breathing
• pops, clicks, or grinding noises when you move your arms
• swelling and tenderness over the sternum

Muscle strain or hernia

Pulling or straining a muscle in your chest can cause pain around your sternum.

Common symptoms of a pulled muscle include:

• pain around the pulled muscle
• discomfort when using the affected muscle
• bruising or tenderness around the affected muscle

A hernia can also cause sternum pain. A hernia happens when an organ is pushed or pulled from the area where it normally sits into a nearby part of the body.

The most common kind is a hiatal hernia. This happens when your stomach moves up past your diaphragm into your chest cavity.

Common symptoms of a hiatal hernia include:

• frequent burping
• heartburn
• having trouble swallowing
• feeling like you ate too much
• throwing up blood
• having black-colored stool

Check out: Muscle strain treatment »

Your sternum sits right in front of several major digestive organs. Conditions that affect your esophagus, stomach, and intestines can all cause sternum pain. Having heartburn or acid reflux after a meal are the most common gastrointestinal causes for sternum pain.

Heartburn

Heartburn happens when acid from your stomach leaks into your esophagus and causes chest pain. It’s common to get right after you eat. Pain usually gets worse when you lie down or bend forward.

Heartburn usually goes away without treatment after a short time.

Check out: Post-meal tips to ease heartburn »

Acid reflux

Acid reflux is similar to heartburn, but happens when stomach acid or even what’s in your stomach starts to bother or wear away the lining of your esophagus. It can be part of a chronic condition called gastroesophageal reflux disease.

Symptoms of acid reflux include:

• burning in your chest
• abnormal bitter taste in your mouth
• difficulty swallowing
• coughing
• throat soreness or hoarseness
• feeling like you have a lump in your throat

Learn more: How to prevent acid reflux and heartburn »

Conditions that affect your lungs, windpipe (trachea), and other parts of your body that help you breathe can cause sternum pain.

Pleurisy

Pleurisy happens when your pleura gets inflamed. The pleura is made up of tissue within your chest cavity and around your lungs. In some cases, fluid can build up around this tissue. This is called pleural effusion.

Common symptoms include:

• sharp pain when you breathe in, sneeze, or cough
• feeling like you can’t get enough air
• an abnormal cough
• fever (in rare cases)

Bronchitis

Bronchitis happens when the bronchial tubes that bring air into your lungs become inflamed. It often happens when you get the flu or a cold.

Bronchitis pain can also make your sternum hurt as you breathe in and out. It can last only briefly (acute bronchitis) or become a long-term condition (chronic bronchitis) due to smoking or infections.

Common bronchitis symptoms include:

• persistent wet cough that causes you to spit up mucus
• wheezing
• difficulty breathing
• pain or discomfort in your chest

Flu or cold symptoms that can go along with bronchitis include:

• high fever
• exhaustion
• runny nose
• diarrhea
• vomiting

Check out: 7 home remedies for bronchitis »

Pneumonia

Pneumonia happens when your lungs get infected by a virus or bacteria.

Common symptoms of pneumonia include:

• difficulty breathing
• high fever
• persistent cough

Other conditions that affect your gastrointestinal tract or your chest muscles can cause sternum pain.

Stomach ulcer

A stomach ulcer (peptic ulcer) happens when you get a sore on the lining of your stomach or at the bottom of your esophagus.

Symptoms of a stomach ulcer include:

• stomach pain, especially on an empty stomach, that responds to antacids
• feeling bloated
• nausea
• lack of appetite

Panic attack

A panic attack happens when you suddenly feel fear, as if something dangerous or threatening is happening, with no actual reason to be afraid. It’s often a result of stress or a symptom of mental health conditions, such as generalized anxiety disorder or depression.

Symptoms of a panic attack include:

• feeling like something bad is about to happen
• feeling dizzy or lightheaded
• having trouble breathing or swallowing
• sweating
• feeling alternately hot and cold
• stomach cramps
• chest pain

Check out: 11 ways to stop a panic attack »

Sternum pain can sometimes be the result of a heart attack. This is much less likely if you’re under age 40 or are in overall good health. They’re more likely to happen if you’re over 40 and have an existing condition, such as heart disease.

A heart attack is life-threatening. You should go to the emergency room right away if you have any symptoms besides sternum pain that may indicate a heart attack, especially if they appear without any obvious cause or if you’ve had a heart attack before.

Symptoms of a heart attack include:

• chest pain in the middle or left side of your chest
• pain or discomfort in your upper body, including your arms, shoulder, and jaw
• feeling dizzy or lightheaded
• having trouble breathing
• sweating
• nausea

The more of these symptoms you have, the more likely that you’re having a heart attack.

See your doctor right away if you have heart attack symptoms or symptoms that cause you sharp, consistent pain that gets in the way of your daily life.

You should also see your doctor if you have any of the following symptoms:

• sternum and general chest pain that has no obvious cause
• sweating, dizziness, or nausea with no specific cause
• trouble breathing
• pain that spreads from your chest throughout your upper body
• chest tightness

If you’re experiencing other symptoms and they last for more than a few days, talk to your doctor.

You can find a primary care doctor near you through the Healthline FindCare tool.

Your next steps depend on what condition might be causing your sternum pain and how severe the condition is.

You may just need to take over-the-counter pain medication or change your diet. But you may need long-term treatment if the underlying condition is more serious. In some cases, you may need surgery to treat a heart or gastrointestinal condition.

Once your doctor diagnoses the cause, they can develop a treatment plan that can help relieve the symptoms and causes of your sternum pain.

Causes and when to see a doctor

Many conditions can cause pain in the sternum, including injuries, pneumonia, bronchitis, and costochondritis. Gastrointestinal problems, such as acid reflux, can cause pain behind the sternum.

People may believe that their sternum pain is a heart attack symptom. However, it is possible to differentiate the two.

In this article, learn about the causes of sternum pain and the differences between sternum pain and heart problems.

The sternum is a flat T-shaped bone that sits at the front of the chest and connects to the ribs with cartilage. It forms part of the rib cage, a series of bones that protects the heart and lungs from injuries.

People often refer to the sternum as the breastbone.

Sternum pain can result from problems with muscles and bones near the sternum, as well as the sternum itself.

Substernal pain is discomfort occurring behind or below the sternum. It often results from gastrointestinal conditions.

Some of the most common causes of sternum and substernal pain are:

• costochondritis
• sternum fracture
• sternoclavicular joint injury
• collarbone injuries
• muscular strain or bruise
• hernia
• acid reflux
• pleurisy
• bronchitis
• pneumonia

Costochondritis is inflammation of the cartilage between the sternum and ribs. The medical term for this area is the costochondral joint.

The symptoms of costochondritis include:

• sharp pain on the side of the sternum area
• pain that worsens with a deep breath or a cough
• discomfort in the ribs

Inflammation in the costochondral joint may occur due to injury, infection, or irritation. A person may experience costochondritis due to:

• impact trauma
• respiratory tract infections
• severe coughing
• physical strains

Learn more about costochondritis here.

Like fractures in other parts of the body, sternum fractures can cause a lot of pain. Sternum fractures usually occur as a direct result of trauma, such as a car accident or sports injury.

People who believe they may have a sternum fracture should seek immediate medical attention in case of additional damage to the heart and lungs.

Symptoms of a sternum fracture include:

• pain during inhaling or coughing
• swelling over the sternum
• difficulty breathing

Learn more about fractures here.

The sternoclavicular joint connects the top of the sternum to the collarbone. Injuries to this joint generally cause pain and discomfort at the top of the sternum in the upper chest area.

People experiencing sternum pain due to a sternoclavicular joint injury will often experience the following:

• mild pain or swelling in the upper chest area
• difficulty or pain when moving the shoulder
• popping or clicking around the joint

The collarbone connects to the top corners of the sternum by cartilage. Due to the direct connection between the two structures, injuries to the collarbone may cause pain in the sternum area.

Collarbone trauma

Impact and stress trauma can damage, or even fracture, a person’s collarbone. Collarbone trauma may affect its connection to the sternum and the surrounding musculature. This may mean a person feels pain either in or around their sternum.

Depending on the location of collarbone trauma, other symptoms may include:

• severe pain when raising the arm
• bruising or swelling in the upper chest area
• abnormal positioning or sagging of the shoulder
• clicking and grinding in the shoulder joint

A great many muscles connect to the sternum and ribs. Injuries or trauma can result in bruising these muscles, which may cause them to ache. Strenuous or repetitive movements can also cause strains in these muscles.

Learn more about muscle strains here.

Most hernias occur in the abdomen. However, a hiatal hernia can affect the chest area and cause substernal pain.

A hiatal hernia occurs when the stomach moves past the diaphragm and into the chest. Symptoms of a hiatal hernia include:

• frequent burping
• heartburn
• vomiting blood
• a feeling of fullness
• trouble swallowing

People with substernal pain and symptoms of a hiatal hernia should see a doctor for prompt treatment.

Learn more about hernias here.

Acid reflux happens when stomach acid wears away the lining of the windpipe (esophagus). This happens primarily in people with gastroesophageal reflux disease (GERD).

Acid reflux may cause substernal pain and discomfort in the chest.

Pain in this region can also result from inflammation or a spasm of the windpipe. People with GERD should talk with their doctor about preventing further damage to this area.

Learn the difference between heartburn, acid reflux, and GERD here.

Pleura are sheets of tissue between the lungs and ribcage. Inflammation to these tissues is pleurisy.

Pleurisy can cause a sharp, stabbing pain at the site of irritation, which may worsen if a person breathes deeply, coughs, or wheezes.

If inflammation occurs toward the upper middle chest, pleurisy may cause substernal pain.

Learn more about pleurisy here.

Bronchitis is the inflammation of the primary airways of the lungs. The condition can cause:

• chest pain
• severe coughing spells
• shortness of breath
• wheezing

Inflammation of the primary airways may cause substernal pain.

Learn more about bronchitis here.

Pneumonia is a common lung infection that causes air sacs in the lungs to inflame and fill with fluid. The medical term for these air sacs is alveoli.

Pneumonia can cause sharp chest pains, which a person may feel behind their sternum.

Other symptoms of pneumonia include.

• severe coughing
• shortness of breath
• fever
• sweating
• nausea and vomiting
• loss of appetite
• confusion

Infectious bacteria, viruses and fungi can cause pneumonia.

Learn more about pneumonia here.

Symptoms of sternum pain vary depending on the cause. The most common symptom is discomfort and pain in the center of the chest, which is the location of the sternum.

Other associated symptoms may include:

• pain or discomfort in the ribs
• pain that worsens during deep breathing or coughing
• mild, aching pain in the upper chest
• swelling in the upper chest
• stiffness in the shoulder joints
• severe pain when raising the arms
• signs of collarbone trauma, such as bruising or swelling
• difficulty breathing
• grinding or popping sensation in joints near the sternum
• frequent belching
• heartburn
• feeling too full
• throwing up blood

People experiencing chest pain may worry they are having a heart attack. However, sternum pain differs from heart attack pain.

People who are having a heart attack experience specific signs before the heart attack itself, whereas most sternum pain starts suddenly.

A heart attack often occurs with the following symptoms:

• pressure, squeezing, or fullness in the center of the chest
• sweating
• nausea
• shortness of breath
• lightheadedness

However, anyone who thinks they are having a heart attack should seek immediate medical attention.

While sternum pain is not usually serious, there are some causes of sternum pain that require immediate medical attention.

A person should seek emergency medical attention if the pain:

• started as a result of direct trauma
• is accompanied by heart attack symptoms
• is persistent and does not improve over time
• is accompanied by intense vomiting or vomiting blood

A person should also speak to a doctor if the pain in their sternum gets worse or does not improve over time.

Physical trauma, costochondritis, and muscle strains are common causes of sternum pain.

Conditions such as pneumonia, pleurisy and GERD can also cause pain in nearby tissue that people may mistake for sternum pain.

Read the article in Spanish.

Tietze’s syndrome: symptoms and treatment, causes of the disease costal chondritis

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cartilage. Most often, the pathology occurs in people aged 20-40 years, with the same frequency in men and women. The causes and clinical manifestations are diverse, so in patients with Tietze syndrome, symptoms and treatment can be drastically different. The main manifestation of the disease is chest pain, which also occurs in many pathologies of the internal organs and the musculoskeletal system. Due to the blurring of the clinical picture, it is difficult to make a differential diagnosis.

This article is a recommendation. Treatment is prescribed by a specialist after consultation.

Causes

The first ten pairs of ribs are connected to the sternum through cartilage, forming the costosternal joints, which can be damaged due to overload of the shoulder girdle. Microtraumatization of the perichondrium, the shell of the cartilage, leads to the development of non-infectious inflammation in it. Over time, the cartilage deforms, grows, compresses the surrounding nerve endings, causing pain. According to histological studies, after two to three months from the onset of the development of Tietze’s syndrome, the cartilage tissue is actually transformed into bone.

Fig. 1 Costosternal joints

Tietze’s syndrome is a rare pathology. The reasons for its development can be any diseases that disrupt the metabolism in the connective tissue and reduce immunity, as well as mechanical damage.

Risk factors for the development of Tietze’s syndrome:

• The same monotonous physical activity on the arms and chest

• Chest injuries

• O chest surgery

• Metabolic defects in the connective tissue

• Costal chondritis – inflammation of the costal cartilages

• COPD), bronchial asthma, etc.

Symptoms

The clinical picture of the disease is similar to pneumonia, exacerbation of COPD, bronchial asthma, coronary heart disease, myocardial infarction, intercostal neuralgia and osteochondrosis.

Possible symptoms of cartilaginous rib joint syndrome:

• 1

  Sharp shooting pain in the anterior chest wall. It can hurt on one side, rarely on both. Sometimes it radiates to the neck, back or arms

• 2

  Over time, the pain becomes undulating, aggravated by movement, deep breathing and pressure on the attachment points of the ribs to the sternum

• 3

  900 02 Possible spasm of the sternocleidomastoid muscles located on the anterior-lateral surfaces of the neck, right or left pectoralis major muscle – depending on which side of the chest the ribs are affected

• 4

  Limited range of motion in the neck, right or left shoulder joint, limitation of the depth of inhalation and exhalation

• ber with sternum. Education gradually hardens, becoming “bone”. When pressing on it, the pain intensifies, “shoots through”

• 6

  Increase in body temperature up to 38-39 degrees, general weakness, sweating

• 7

  Possible shortness of breath, loss of appetite, insomnia and tachycardia

Symptoms may develop acutely or gradually. Most often, Tietze’s disease of the chest affects the II-IV ribs.

Diagnosis

The symptoms of Tietze’s syndrome are similar to those of other diseases of systems and organs. In addition, some patients do not have local signs of inflammation, further complicating the diagnosis. An important role is assigned to a thorough clarification of complaints, anamnesis, visual examination and palpation. To clarify the diagnosis, an instrumental examination is often prescribed.

Additional diagnostic options:

• Chest x-ray to rule out lung disease and cancer
• Chest spiral computed tomography (SCT) for better visualization of pathological changes
• MRI chest for soft tissue assessment
• ECG
• Echocardiography, or ultrasound of the heart to rule out cardiac pathology

Which doctor to contact

In case of chest pain, they often turn to cardiologists and neurologists, and in case of induration in the anterior chest wall, to an oncologist. However, Tietze’s syndrome is dealt with by surgeons and orthopedic traumatologists.

The doctor conducts a survey and examination of the patient, prescribes additional examinations to clarify the diagnosis. How to treat costal chondritis, the specialist decides, taking into account the cause and severity of the condition.

Make an appointment with a neurologist

Appointment lasts 60 minutes, includes diagnostics, analysis of your MRI and preparation of a treatment plan, takes place both in person and online.

Treatment

At the Temed Clinic, patients with Tietze’s syndrome are treated in a complex manner by several narrow specialists: a neurologist, an orthopedic traumatologist, a masseur, a physiotherapist. Treatment of the disease is conservative. Surgical intervention – removal of the affected part of the rib – is resorted to extremely rarely, with an advanced stage of the disease. The emphasis in the treatment of costal chondritis is on taking medications, physiotherapy.

Medical treatment includes non-steroidal anti-inflammatory drugs (NSAIDs) and, in some cases, glucocorticosteroids to relieve inflammation, localized swelling, and pain.

Tietze’s syndrome often occurs in a chronic form, requiring constant pain relief. But due to long-term use of medications, there are side effects. Therefore, drugs are prescribed only during the period of exacerbation in order to relieve inflammation. The basis of treatment is physiotherapy.

Temed Clinic focuses on modern and effective techniques:

• Acupuncture . The doctor introduces special thin needles into biologically active points, stimulating the nerve fibers leading to the pathological focus. Pain intensity decreases and tissue recovery accelerates

• Pharmacopuncture . Subcutaneous injections of drugs into the pathological focus relieve inflammation, swelling, stimulate tissue healing and eliminate pain. The procedure quickly relieves the patient’s condition. The choice of drugs and their combination depends on the severity of symptoms

• Taping . By fixing the elastic bands along the course of the muscles in a certain direction, the doctor redistributes the load on the joints of the shoulder girdle and chest. Kinesio taping for post-traumatic costal chondritis accelerates recovery, makes you feel better and allows you to reduce the dosage of drugs taken

• Magnetotherapy . The modern BTL Super Inductive System technology relieves chest pain, increases the mobility of the costosternal joints and triggers regeneration processes

• Laser therapy . MLS 6, a robotic multi-wavelength system, emits various tunable waves. With its help, the doctor achieves analgesic, anti-inflammatory and anti-edematous effects. The laser acts pointwise, the procedure is as safe as possible

• exercise therapy . Therapeutic exercise for Tietze’s syndrome includes individually selected exercises aimed at improving the mobility of the chest, developing the rib-sternal joints. Exercise therapy is often combined with taping: tapes increase the effectiveness of gymnastics

• Massage . The specialist kneads the muscles of the chest, which improves the nutrition of soft tissues. The procedure is carried out only after the exacerbation is removed

The treatment lasts from two to three weeks to several months until the symptoms are completely resolved. To improve and consolidate the result of therapy, patients perform exercises for Tietze’s syndrome at home for at least 2 weeks. Costosternal joints can crackle, during their development recovery occurs, nutrition and mobility of the chest as a whole improves.

In case of slow dynamics or its absence during therapy, it is recommended to consult an oncologist and repeat an in-depth examination of the patient with a mandatory puncture biopsy of the chest mass.

Prophylaxis

No specific prophylaxis. Overloading of the shoulder girdle, chest injuries and diseases of the respiratory system should be avoided. To prevent exacerbations, it is enough to follow the simple recommendations of a traumatologist, regularly perform gymnastics, eat a balanced diet and lead an active lifestyle.

Consequences

With timely diagnosis and treatment, the prognosis is favorable. Without therapy, the disease becomes chronic: exacerbations alternate with remissions. The pain may disappear spontaneously after 2-4 weeks, and reappear after a couple of months.

Theses

• 1

  Tietze’s syndrome is a rare disease characterized by non-infectious inflammation of one or more upper costal cartilages where the ribs meet the sternum

• 2

  The main symptom of Tietze’s syndrome is chest pain and an elastic mass on the anterior chest wall

• 3

• 4

  Treatment of Tietze’s syndrome is based on drugs, physiotherapy and therapeutic exercises

List of sources:

1. Shesternya P. A., Vasilyeva A.O., Shkil L.M., Onishchenko S.B., Mikhailova K.O., Nikitina M.A., Siberian Medical Review magazine, article “Tietze syndrome – an interdisciplinary clinical case”, 2017, Krasnoyarsk.
2. Vodoevich V.P., Breido A.A., Varnakova G.M., Lemeshevskaya P., Masilevich A.M. Grodno, Belarus.
3. Zhukovskaya A.O., Moskalenko I.S., journal “Symbol of Science”, article “Titze’s disease (costal chondritis)”, 2017,

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Inflammation of the lymph nodes and pain in the chest: causes, symptoms, treatment

Content

• 1 Inflamed lymph nodes, chest pain
• 1.2 Infections and viruses
• 1.3 Allergic reactions
• 1.4 Cancer of the lymphatic system
• 1. 5 Side effects from vaccinations or drugs
• 1.6 Autoimmune diseases
• 1.7 Injuries and injuries
• 1.8 Symptoms of inflammation of the lymph nodes

900 30 1.9 Pain when feeling the lymph node

• 1.10 Redness and swelling around the lymph node
• 1.11 High body temperature
• 1.12 Deterioration of general condition
• 1.13 Methods for treating inflammation of the lymph nodes
• 1.14 Antibiotics
• 1.15 Anti-inflammatory drugs
• 1.16 Painkillers
• 1.17 Physical therapy
• 1.18 Surgery
• 1.19 Related videos:
• 1.20 Question-answer:
  • • 1.20.0.1 What causes inflammation of the lymph nodes and pain in chest?
    • 1.20.0.2 What symptoms accompany swollen lymph nodes and chest pain?
    • 1.20.0.3 How can swollen lymph nodes and chest pain be treated?
    • 1.20.0.4 Which infections can cause swollen lymph nodes and chest pain?
    • 1. 20.0.5 What should I do if I have chest pain and swollen lymph nodes?

The article discusses the possible causes of inflammation of the lymph nodes and pain in the chest, such as infections, tumors, injuries and diseases of the respiratory and cardiovascular system. Find out what symptoms indicate these problems and how to properly diagnose and treat them by talking to your doctor.

Swollen lymph nodes and chest pain are common symptoms of various diseases. Lymph nodes are part of the immune system and play an important role in protecting the body from infections and other harmful substances. However, with the development of inflammation, they can increase in size and cause discomfort and pain.

Symptoms of swollen lymph nodes and chest pain may vary depending on the cause. Possible causes of swollen lymph nodes include infections, cancers, autoimmune diseases, and other conditions. Chest pain can be related to diseases of the chest, heart, lungs, or spine. Regular visits to the doctor and conducting the necessary research will help determine the cause of these symptoms and find an effective treatment.

Treatment for swollen lymph nodes and chest pain depends on the cause. In most cases, treatment includes antibiotics for infections, anti-inflammatory drugs, surgery for cancers, or autoimmune diseases. You may need emergency medical attention if you develop severe chest pain, difficulty breathing, or other serious symptoms.

Causes of inflammation of the lymph nodes

Inflammation of the lymph nodes can be caused by various reasons. One of the most common causes is infection. Lymph nodes are part of the body’s immune system, and they can signal the presence of an infection in the body. Bacterial infections such as tonsillitis, salmonellosis, tuberculosis, and syphilis can cause swollen lymph nodes.

Inflammation of the lymph nodes can also be caused by cancers such as lymphoma or cancer of the lymphatic system. In some cases, swollen lymph nodes can be associated with autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus.

Other possible causes of swollen lymph nodes may include trauma, irritation from an allergic reaction, insect bites, or gout. In some people, inflammation of the lymph nodes can be hereditary, as well as be observed as a result of operations or procedures related to the lymphatic system.

Infections and viruses

Inflammation of the lymph nodes and chest pain can be caused by various infections and viruses. Viruses such as the flu, the common cold, and the Epstein-Barr virus can cause swollen lymph nodes in the chest area. These viruses are airborne and are characterized by symptoms such as fever, cough, sore throat and general weakness.

Bacterial infections can also cause swollen lymph nodes in the breast. For example, a urinary tract infection or pneumonia can cause swollen and tender lymph nodes. Bacterial infections are usually characterized by other symptoms such as yellowish sputum, chest pain when breathing, and fever.

If you suspect an infection or virus, you should see a doctor. The doctor will examine you, ask questions about your symptoms, and may order additional tests, such as a blood test or a chest x-ray. Depending on the cause of swollen lymph nodes and chest pain, your doctor may recommend antibiotics, antivirals, or other treatments.

Allergic reactions

Allergic reactions are the body’s response to substances called allergens that do not normally cause any problems in most people. However, in individuals prone to allergic reactions, the immune system reacts to allergens by producing antibodies and causing various symptoms and conditions.

The symptoms of an allergic reaction can range from mild and temporary to severe and even life-threatening. Common symptoms of an allergic reaction include itching, redness, swelling, skin rashes, runny nose, nasal congestion, coughing, difficulty breathing, red eyes, and watery eyes.

Treatment of allergic reactions may include antihistamines, topical symptomatic relief, anti-inflammatory drugs, and immunotherapy. In some cases, avoidance of contact with the allergen or lifestyle changes may be required.

Cancer of the lymphatic system

Cancer of the lymphatic system , also known as lymphoma, is a malignant neoplasm that can occur in the body’s lymphatic system. The lymphatic system plays an important role in the body’s immune defenses, so cancer of the lymphatic system can seriously affect a person’s health.

Symptoms of cancer of the lymphatic system may vary depending on the type and stage of the tumor. One of the most common symptoms is swollen lymph nodes, which may or may not be painful. In addition, patients may experience fatigue, weight loss, fever, frequent colds, and general disturbances.

The causes of cancer of the lymphatic system are not fully understood, but most often this pathology is associated with disorders in the immune system. Some risk factors may include hereditary predisposition, infections, immune deficiencies, exposure to radiation, and certain chemicals.

Treatment for cancer of the lymphatic system depends on the type and stage of the tumor, as well as the general condition of the patient. The main methods of treatment are chemotherapy, radiation therapy and immunotherapy. Surgery may be used in selected cases. It is important to start treatment at an early stage of the disease, so regular medical examinations and self-monitoring play an important role in the diagnosis and prevention of cancer of the lymphatic system.

Side effects of vaccinations or medications

Vaccines and medications are important tools in the fight against infectious and other diseases. However, like any medical intervention, they can cause side effects.

Medications can also cause side effects. For example, antibiotics can cause stomach upset, diarrhea, or an allergic reaction. Medicines used for pain can cause drowsiness or dizziness.

In general, side effects should not be deterred from vaccinations and drug treatments, as their benefits usually outweigh the potential risks. In case of unpleasant symptoms, it is important to seek medical help and consult a doctor about further treatment.

Autoimmune diseases

Autoimmune diseases are a group of pathologies in which the body’s immune system begins to attack its own tissues and organs. In this case, immune cells mistakenly recognize certain cells in the body as hostile and attack them.

There are over 80 different types of autoimmune diseases, such as systemic lupus erythematosus, rheumatoid arthritis, Skogen’s syndrome, systemic scleroderma, and others. Each of these diseases is characterized by a unique set of symptoms and proceeds differently.

Autoimmune diseases can be hereditary, but in most cases, their development is associated with exposure to various environmental factors such as infections, stress, exposure to toxins and certain drugs.

Treatment of autoimmune diseases is aimed at controlling symptoms, suppressing the activity of the immune system, and preventing organ damage. In severe cases, immunosuppressive drugs or hormones may be required, as well as physical therapy and rehabilitation measures.

Injuries and injuries

Injuries and injuries can be one of the causes of inflammation of the lymph nodes and pain in the chest. External influences, such as bumps, falls, or surgery, can cause damage to the lymphatic vessels and tissues, which can lead to inflammation of the lymph nodes.

Injuries to the chest, such as broken ribs or bruising, can also cause soreness and inflammation of the lymph nodes. With such injuries, symptoms may occur, such as pain when breathing, swelling, or discharge from the wound.

In the event of damage or injury, a physician should be consulted for diagnosis and an optimal treatment plan. An examination, such as an X-ray, CT scan, or ultrasound, may be needed to determine the extent of damage and inflammation in the body.

Symptoms of inflammation of the lymph nodes

Inflammation of the lymph nodes (lymphadenitis) can have various symptoms, which may vary depending on the cause of the inflammation and its location. The main symptoms of swollen lymph nodes are:

• Soreness: swollen lymph nodes usually become painful when touched or even at rest;
• Increase in size: inflamed lymph nodes may increase significantly in size, become palpable to the touch;
• Edema: sometimes swollen lymph nodes cause swelling around them;
• Redness and flushing: the skin over inflamed lymph nodes may become reddened and hot to the touch;
• Fever: sometimes inflammation of the lymph nodes is accompanied by fever;
• Weakening or deterioration in general well-being: with severe inflammation of the lymph nodes, weakness, fatigue, malaise and other general symptoms may occur;
• Additional symptoms: depending on the cause of inflammation of the lymph nodes, there may be additional symptoms such as cough, nasal congestion, sore throat, discharge from the ear and others.

If you have symptoms of swollen lymph nodes, it is important to see a doctor for a correct diagnosis and appropriate treatment.

Pain when feeling a lymph node

Pain when feeling a lymph node is one of the main symptoms of inflammation of the lymph nodes. It can be caused by various causes such as infections, tumors, or trauma. Pain usually occurs due to inflammation or swelling of the lymph node, which can occur due to pathological processes in the body.

Pain when feeling a lymph node can be acute or chronic, depending on the cause of its occurrence. Acute pain is most often indicative of inflammation, while chronic pain may be a sign of more serious conditions such as cancer.

When feeling a lymph node, the pain can be felt both locally and concentrated in the area of ​​the node itself, or radiate to neighboring areas. The pain may be accompanied by the following symptoms: swelling, redness of the skin, fever in the area of ​​the node, general weakness and increased fatigue.

Redness and swelling around the lymph node

Redness and swelling around the lymph node may be a sign of inflammation or infection, which can cause chest pain. Puffiness occurs due to the accumulation of fluid in the tissues, which leads to their swelling. Redness is due to vasodilation and impaired blood circulation in this area. These symptoms may be accompanied by fever and general weakness.

Redness and swelling around the lymph node can be caused by infections, including viruses and bacteria. Viruses, such as colds or the flu, can cause the lymph nodes in your chest to become inflamed and swollen. Bacterial infections, such as staph or streptococcus, can also cause inflammation and swelling around the lymph node.

Treatment for redness and swelling around the lymph node depends on the cause of the symptoms. If the cause of inflammation is an infectious process, then treatment includes taking antibiotics or antiviral drugs. In addition, your doctor may prescribe anti-inflammatory drugs to reduce swelling and relieve pain. It is important to follow all the recommendations of the doctor and not skip medications.

High body temperature

High body temperature, also known as fever, is one of the most common symptoms of swollen lymph nodes and chest pain. In most cases, fever occurs in response to an infectious inflammation of the respiratory system, such as pneumonia or bronchitis. It may also be associated with other inflammatory processes in the body.

High body temperature is the immune system’s response to infection or inflammation. It also helps the body fight infection by speeding up the formation of antibodies and the activation of white blood cells. Although fever is usually a protective reaction, a prolonged increase in body temperature can lead to undesirable consequences.

When the body temperature is high, it is recommended to drink more fluids to prevent dehydration. It is also helpful to wear light, loose clothing and to ventilate the room. If the body temperature does not decrease for a long time or is accompanied by other dangerous symptoms, it is necessary to consult a doctor for further evaluation and treatment.

Deterioration of the general condition

Deterioration of the general condition is one of the most characteristic symptoms in case of inflammation of the lymph nodes and pain in the chest. When an inflammatory process occurs in the body, the general condition of a person can deteriorate significantly.

One of the signs of deterioration in the general condition is an increase in body temperature. Inflammation of the lymph nodes and chest pain are often accompanied by fever, which can be expressed in varying degrees. An increase in temperature indicates that the body is fighting an infection.

In addition, the deterioration of the general condition may be manifested by weakness and fatigue. Inflammation of the lymph nodes and chest pain can cause increased tension in the body, which leads to general weakness and fatigue. The person may feel exhausted and unable to perform normal tasks.

Of course, each organism is individual, and the deterioration of the general condition may manifest itself in different ways. However, if there is inflammation of the lymph nodes and pain in the chest, it is necessary to pay attention to the state of the body and, at the first signs of a deterioration in the general condition, consult a doctor for diagnosis and treatment.

Treatments for swollen lymph nodes

Treatment for swollen lymph nodes depends on the cause of the disease and may include both medication and surgery.

In most cases, inflammation of the lymph nodes is caused by an infectious process, so the main treatment is the use of antibiotics. The doctor may prescribe a wide range of antibiotics or drugs tailored to the specific pathogen. The course of treatment must be completed to the end, even if the symptoms of inflammation have disappeared, in order to avoid relapse.

Anti-inflammatory drugs, such as non-medicinal drugs such as paracetamol or ibuprofen, may be prescribed to reduce pain and swelling of the swollen lymph node. They can help relieve pain and reduce inflammation. With high temperature and fever, antipyretic drugs can be used, but only after consulting a doctor.

In some cases where conservative treatments have failed or malignancy is suspected, surgery may be required. Lymphadenectomy, that is, the removal of the affected lymph node, may be necessary to conduct a histological examination or get rid of a dangerous tumor. However, the decision on surgical intervention is made by the doctor on the basis of an individual consideration of each case.

In addition, the sick person is most positively influenced by general recommendations: keeping calm, eating food rich in vitamins and minerals, strengthening immunity, avoiding hypothermia or overheating, avoiding contact with the sick and maintaining personal hygiene.

Antibiotics

Antibiotics are medicines used to fight bacterial infections. They work by killing bacteria or preventing them from multiplying, thereby helping the body fight infection.

Antibiotics can be divided into several classes based on their mechanism of action. Some antibiotics kill bacteria, while others prevent them from multiplying.

The determination of the antibiotic in a particular patient and the dose of the drug should be prescribed only by a doctor. Self-medication with antibiotics can lead to the development of bacterial resistance to the drug, making it difficult to treat in the future.

Before starting antibiotics, it is important to clarify the allergy to these drugs. Some patients may have an allergic reaction to antibiotics, so the doctor should be aware of this before prescribing treatment.

In some cases, it may be necessary for the patient to be hospitalized for intravenous administration of antibiotics. This may be necessary if the infection is severe or does not respond to drugs taken by mouth.

Anti-inflammatory drugs

Anti-inflammatory drugs are drugs that help reduce inflammation in the body. They are used to relieve symptoms and treat various conditions, including swollen lymph nodes and chest pain.

Anti-inflammatory drugs can be divided into two main categories: non-steroidal anti-inflammatory drugs (NSAIDs) and steroidal anti-inflammatory drugs (GCS).

Non-steroidal anti-inflammatory drugs (NSAIDs) include drugs such as aspirin, ibuprofen and diclofenac. They work by decreasing the production of substances in the body that cause inflammation. These drugs may be useful for the treatment of pain and inflammation associated with swollen lymph nodes and chest pain.

Steroidal anti-inflammatory drugs (GCS) include drugs such as prednisolone and dexamethasone. They work by reducing inflammation by suppressing the body’s immune system. Corticosteroids are used in more severe cases of inflammation, when non-steroidal anti-inflammatory drugs do not work effectively enough.

It is important to remember that anti-inflammatory drugs should only be used as prescribed by a doctor and in compliance with the indicated dosages. Before starting medication, you should consult with your doctor and report all existing diseases and medications taken in order to avoid side effects and interactions.

Painkillers

Inflammation of the lymph nodes and chest pain can cause significant discomfort and lead to a deterioration in the general condition of the patient. Various pain relievers can be used to relieve pain and reduce inflammation.

Non-narcotic analgesics such as paracetamol and ibuprofen are among the most commonly used pain relievers. They help to cope with pain and reduce inflammation, have an analgesic and antipyretic effect.

If non-narcotic analgesics fail to relieve severe pain or signs of inflammation persist, your doctor may prescribe anti-inflammatory drugs such as diclofenac or meloxicam. They reduce inflammation and eliminate pain, providing a stronger effect than non-narcotic analgesics.

In some cases where pain cannot be controlled with non-narcotic analgesics and anti-inflammatory drugs, narcotic analgesics such as morphine or oxycodone may be required. They are considered the most powerful pain relievers and are used only in case of severe pain.

Physiotherapy treatments

Physiotherapy treatments are an important part of the comprehensive treatment of swollen lymph nodes and chest pain. They are aimed at improving blood circulation, strengthening the immune system, reducing inflammation and reducing pain.

One of the most popular methods of physiotherapy is laser therapy. This method is based on the use of laser radiation of a certain wavelength, which penetrates into deep tissues and stimulates their healing. Laser therapy helps reduce inflammation of the lymph nodes and increase their functionality, as well as relieve pain.

Another effective method of physiotherapy is magnetotherapy. It is based on the use of a constant or alternating magnetic field, which has a positive effect on the body. Magnetotherapy improves circulation and lymphatic drainage, stimulates the immune system and reduces inflammation.

Electrotherapy can also be used for swollen lymph nodes and chest pain. This method is based on the use of electric current of various frequencies and strengths. Electrotherapy helps to reduce swelling and inflammation, improve blood circulation and reduce pain.

Some patients also receive physiotherapy based on the use of ultrasound. Ultrasound therapy helps improve blood circulation, reduce swelling and inflammation, and speed up the healing process of tissues.

It is always necessary to consult a doctor before undertaking physiotherapy procedures in order to determine the most suitable method and dosage. In addition, it is important to follow all the recommendations of a specialist and not exceed the recommended duration and frequency of procedures.

Surgery

Surgery may be required for swollen lymph nodes and severe chest pain if other treatments have not been effective or there is a risk of infection. A surgical procedure may be needed to remove an inflamed lymph node or drain purulent contents.

Most often, surgical intervention is performed with purulent inflammation of the lymph node. In such cases, surgeons perform an abscessotomy, or opening of the abscess, to remove the purulent contents from the surrounding tissues and prevent its spread.

Surgical removal of an inflamed lymph node may be necessary for certain types of cancer. For example, breast cancer may require the removal of lymph nodes in the armpit to prevent the spread of cancer cells.

Surgery is performed under local or general anesthesia in the operating room. After surgery, rehabilitation and supervision by a physician may be required to monitor wound healing and prevent complications.

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Q&A:

What causes swollen lymph nodes and chest pain?

Inflammation of the lymph nodes and pain in the chest can be caused by infections, autoimmune diseases, malignant tumors, trauma and previous surgery.

What symptoms accompany swollen lymph nodes and chest pain?

Symptoms of swollen lymph nodes and chest pain may include swelling and redness of the skin, increased chest temperature, trouble breathing, increased sweating, and general weakness.