During the physical exam, a health care provider will feel along your breastbone for tenderness or swelling. The provider might also move your rib cage or your arms in certain ways to try to trigger symptoms. The pain of costochondritis can be similar to the pain associated with heart disease, lung disease, gastrointestinal problems and osteoarthritis. There is no laboratory or imaging test to confirm a diagnosis of costochondritis. But a health care provider might order certain tests, such as an electrocardiogram and chest X-ray, to rule out other conditions.
Treatment
Costochondritis usually goes away on its own, although it might last for several weeks or longer. Treatment focuses on pain relief.
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Medications
Your health care provider might recommend:
Nonsteroidal anti-inflammatory drugs: You can buy some types of these drugs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), over the counter. Stronger versions are available by prescription. Side effects can include damage to the stomach lining and kidneys.
Narcotics: If pain is severe, a provider might prescribe a narcotic medication such as tramadol (Ultram). Narcotics can be habit-forming.
Antidepressants: Tricyclic antidepressants, such as amitriptyline, are often used to control chronic pain — especially if the pain interferes with sleep.
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Therapies
Physical therapy treatments might include:
Stretching exercises: Gentle stretching exercises for the chest muscles might be helpful.
Stretching Tretments: Gentle stretching exercises for the chest muscles might be helpful.
Nerve stimulation: In a procedure called transcutaneous electrical nerve stimulation (TENS), a device sends a weak electrical current via adhesive patches on the skin near the area of pain. The current might interrupt or mask pain signals, preventing them from reaching the brain.