Costochondritis is an inflammation of the cartilage that connects the ribs to the breastbone (sternum). This area is called the costosternal junction. It often causes localised chest pain that can mimic heart pain or a heart attack, although it is typically non-cardiac in origin. The pain from costochondritis is usually sharp and worsens with certain movements, deep breathing, or pressure on the affected area.
Symptoms of Costochondritis:
Sharp or aching chest pain, usually on the left side.
Pain that increases with movement, deep breathing, or coughing.
Tenderness when pressing on the area where the ribs meet the breastbone.
Causes of Costochondritis:
Overuse or strain from physical activity, heavy lifting, or exercise.
Chest injuries from trauma or accidents.
Respiratory infections or excessive coughing.
Inflammatory conditions like arthritis.
Stiffness of the thoracic spine and facet joints in the mid and upper back causing referred pain to the front of the chest
Physiotherapy for Costochondritis:
Physiotherapy can be very helpful in managing costochondritis by addressing the pain and inflammation while improving mobility and reducing strain on the chest area. Here are ways a physiotherapist can help:
Pain Management:
Manual Therapy: Gentle mobilisation techniques to improve rib movement and decrease stiffness. Myofascial release of the thoracic spine and musculature.
Heat or Cold Therapy: Application of heat to relax tight muscles or cold to reduce inflammation.
Stretching and Mobility Exercises:
Gentle stretching exercises that target the chest, shoulder, and upper back muscles can help reduce tension and improve flexibility.
Rib cage mobility exercises improve movement in the thoracic region and reduce pain during breathing or movement.
Posture Correction:
Poor posture can contribute to stress on the chest wall. Physiotherapists can work on correcting postural imbalances to relieve pressure on the rib joints.
Strengthening Exercises:
Strengthening the muscles of the upper back and shoulders can help reduce strain on the chest area.
Core strengthening can improve overall posture and reduce the likelihood of recurring costochondritis.
Breathing Exercises:
Techniques to encourage more efficient breathing patterns, minimising discomfort during deep breathing.
Education and Ergonomics:
Physiotherapists often provide guidance on how to modify activities or ergonomics to avoid movements that might aggravate the condition.
Recovery Time:
Costochondritis typically resolves on its own, but physiotherapy can speed up recovery and help prevent recurrence. Depending on the severity, recovery can take a few weeks to a few months.
Commentaires