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         Costochondritis:     more detail
  1. Cartilage Disorders and Costochondritis Toolkit - Comprehensive Medical Encyclopedia with Treatment Options, Clinical Data, and Practical Information (Two CD-ROM Set) by U.S. Government, 2009-03-28
  2. 2009 Conquering Cartilage Disorders, Costochondritis - The Empowered Patient's Complete Reference - Diagnosis, Treatment Options, Prognosis (Two CD-ROM Set) by PM Medical Health News, 2009-03-28
  3. Gale Encyclopedia of Medicine: Costochondritis by Judith Sims, 2002-01-01
  4. Costochondritis: An entry from Gale's <i>Gale Encyclopedia of Medicine, 3rd ed.</i> by Judith Sims, 2006
  5. 21st Century Ultimate Medical Guide to Cartilage Disorders, Costochondritis - Authoritative Clinical Information for Physicians and Patients (Two CD-ROM Set) by PM Medical Health News, 2009-03-28
  6. 21st Century Complete Medical Guide to Cartilage Disorders, Polychondritis, Costochondritis, Authoritative Government Documents, Clinical References, and ... for Patients and Physicians (CD-ROM) by PM Medical Health News, 2004-03
  7. Tietze's Syndrome: Causes, Tests, and Treatments by Stephanie Kenrose, 2009-08-01

1. Costochondritis Hub
A brief definition of costochondritis, followed by links to overviews, researcharticles and directories. costochondritis hub. costochondritis
http://www.healthubs.com/costochondritis/
Costochondritis hub
Costochondritis is anterior chest wall pain caused by an irritated joint between the rib and the sternum (breastbone). It is a relatively harmless condition and usually goes away without treatment. The cause is usually unknown.
Acne
Allergy Antibiotics Antioxidants ... Wedding Overviews - Research articles - FAQ Costochondritis by MEDLINEplus Costochondritis / Bone, Joint, And Muscle - by Jagvir Singh, MD, Acting Director, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Lutheran General Hospital of Park Ridge. Costochondritis-The Heart Attack That Wasn't - by Reginald B. Cherry Ministries. Costochondritis (Tietze's syndrome) - by Dr John ET Pillinger, GP. Costochondritis from Emergency Medicine / Rheumatology - by Lynn K Flowers, MD, Assistant Professor, Department of Emergency Medicine, Eastern Virginia Medical School, Portsmouth Naval Medical Center. Costochondritis by Harvard Medical School, Brigham and Women's Hospital Costochondritis by Southern Cross Healthcare Costochondritis by McLeod Health Costochondritis by MAJ Niel A. Johnson, MD., Patient Information Sheet Editor c/o Directorate of Primary Care Services, DDEAMC ... Costochondritis and PBC - by PBCers Organization. Costochondritis: Tietze's Syndrome - by Jonathan Cluett, M.D.

2. EMedicine - Costochondritis : Article By Lynn K Flowers, MD
costochondritis In contrast to myocardial ischemia or infarction, costochondritisis a benign cause of chest pain and is an important consideration in the
http://www.emedicine.com/emerg/topic116.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Rheumatology
Costochondritis
Last Updated: May 21, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: costal chondritis, costochondral joints, costosternal joints, costal cartilage AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Lynn K Flowers, MD , Assistant Professor, Department of Emergency Medicine, Eastern Virginia Medical School, Portsmouth Naval Medical Center Coauthor(s): Brian D Wippermann, MD , Staff Physician, Department of Emergency Medicine, Naval Medical Center at Portsmouth Editor(s): William Chiang, MD , Assistant Director, Assistant Professor of Clinical Surgery/Emergency Medicine, Department of Emergency Medicine, Bellevue Hospital Center; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Gino A Farina, MD

3. Costochondritis From AAEM Emergency Medical And Family Health Guide / Bone, Join
costochondritis costochondritis is an inflammation of the junctions where theupper ribs join with the cartilage that holds them to the breastbone or
http://www.emedicine.com/aaem/topic136.htm
(advertisement) Costochondritis
Synonyms, Key Words, and Related Terms: Tietze syndrome, chest pain, sore ribs, costal chondritis Home Search Contents A-Z Index ... Bibliography
AUTHOR INFORMATION Section 1 of 13 Authored by Jagvir Singh, MD , Acting Director, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Lutheran General Hospital of Park Ridge Jagvir Singh, MD, is a member of the following medical societies: American Academy of Pediatrics , and American Medical Association Edited by Steven C Gabaeff, MD , Consulting Staff, Department of Emergency Medicine, Tustin Hospital and Medical Center; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, eMedicine; David Cheng, MD , Assistant Professor, Department of Surgery, Division of Emergency Medicine, New York Presbyterian Hospital, Cornell University; Jonathan Adler, MD , Instructor, Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School; and Steven L Bernstein, MD , Vice-Chair, Academic Affairs, Department of Emergency Medicine, Newark Beth Israel Medical Center; Assistant Professor, Department of Emergency Medicine, Mt Sinai School of Medicine Author's Email: Jagvir Singh, MD

4. Costochondritis: From HealthSquare.com
A complete explanation of costochondritis including risks, what to expect and when to call the doctor.
http://www.healthsquare.com/mc/fgmc2182.htm
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WHAT YOU SHOULD KNOW
Costochondritis (COS-to-kon-DRY-tis) is an irritation and swelling of the joints that connect the ribs to the breastbone. It is most common in young adults. It may take 3 to 6 weeks to disappear.
Causes
Often, no cause can be found.
Signs/Symptoms
The problem is marked by chest tightness and sharp pain that worsens when you move or breathe deeply. The pain may spread to the arm and may occur in more than one place.
Care
No special care is needed.
WHAT YOU SHOULD DO
  • Avoid exhausting physical activity and try not to bump your ribs as you move around.
  • Applying heat to the injury may help relieve pain. Use a warm heating pad, whirlpool bath, or warm, moist towels for 10 to 20 minutes every hour for 48 hours.
  • Nonprescription medications such as aspirin, acetaminophen, and ibuprofen may ease the pain.

5. MEDLINEplus Medical Encyclopedia: Costochondritis
O PPl Pm-Pz Q R S-Sh Si-Sp Sq-Sz T-Tn To-Tz U V W X Y Z 0-9. costochondritis. Contents of this page
http://www.nlm.nih.gov/medlineplus/ency/article/000164.htm
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Medical Encyclopedia
Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z
Costochondritis
Contents of this page:
Illustrations
Ribs and lung anatomy Definition Return to top An inflammation of a rib or the cartilage connecting a rib. This is a common cause of chest-wall pain. Inflammation or injury involving the chest muscles is another common cause of chest-wall pain. See chest pain Update Date: 10/3/2001 Updated by: Victoria Kennedy, RN, A.D.A.M. editorial.
Health Topics
Drug Information Encyclopedia Dictionary ... National Institutes of Health
Page last updated: 10 January 2003

6. Costochondritis
costochondritis or Tietze's Syndrome is probably a variant of chest wall pain, but for purposes of diagnostic classification has been give a separate category in this program.
http://www.mathemedics.com/demos/diagnoses/cos.html
Costochondritis Costochondritis or Tietze's Syndrome is probably a variant of chest wall pain, but for purposes of diagnostic classification has been give a separate category in this program. Costochondritis is one of the most frequent-and frequently missed-causes of chronic, recurring, or subacute non-anginal chest pain. Pain is typically localized to the anterior thorax, in particular the sternal and parasternal region, and sometimes exacerbated by deep inspiration. The diagnosis is made by eliciting tenderness along one or more costochondral/sternal junctions. If this finding is present, NO IMAGING OR OTHER STUDIES ARE INDICATED.

7. Costochondritis
costochondritis. costochondritis is an inflammation of the ribs, usually where they attach to the breastbone or sternum.
http://www.springfieldclinic.com/Topics/Health/BONE3420.htm
Costochondritis
Costochondritis is an inflammation of the ribs, usually where they attach to the breastbone or sternum. A person with costochondritis may have pain in the front of the rib cage that is dull and aching. Sometimes there is redness and swelling of the skin around the sternum. The pain gets worse if pressure is put on the sore ribs. It is very important to have all pain in and around the chest evaluated by your healthcare provider. Costochondritis is not life-threatening, but a heart attack is. Sometimes an injury to the chest wall will cause costochondritis. However, many times it is not known why the pain occurs. TREATMENT FOR COSTOCHONDRITIS INCLUDES:
  • anti-inflammatory medication like aspirin or ibuprofen ice packs over the sore areas avoidance of movements and activities that increase the pain rest until movement becomes comfortable and exercise, using slow stretching to avoid re-injury
MEDICATION CAUTIONS:
  • Do NOT give aspirin (acetylsalicylic acid) or aspirin-containing products to anyone age 18 years or younger because of the risk of a serious illness called Reye’s syndrome. Acetaminophen should not be taken by anyone with known liver or kidney disease. Do not drink alcohol when taking more than 1 dose of acetaminophen.
  • 8. MayoClinic
    A question and answer about costochondritis. Explains what it is and some treatment options.
    http://www.mayoclinic.com/home?id=HQ00489

    9. PBCers Organization
    A description of costochondritis, its possible causes, diagnosis and treatments.
    http://hometown.aol.com/pbcers/livdis8.htm

    10. Costochondritis (Tietze's Syndrome)
    costochondritis is an inflammation of the cartilage that connects the inner end ofeach rib with the breastbone (sternum). costochondritis (Tietze's syndrome).
    http://www.netdoctor.co.uk/diseases/facts/costochondritis.htm
    The UK's leading independent health website Search NetDoctor NetDoctor.co.uk Home News and features News Newsletter Features Encyclopaedia Diseases Medicines Examinations Health centres Cancer Children's health Depression Erectile dysfunction ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital NetDoctor on call Search Medline ... Text message services Information About NetDoctor Commercial opportunities NetDoctor.com Costochondritis (Tietze's syndrome) Written by Dr John ET Pillinger
    What is costochondritis?
    Costochondritis is an inflammation of the cartilage that connects the inner end of each rib with the breastbone (sternum). It can occur in any age group and is most common in young adults. Exactly how common it is in the UK is not known but in the US costochondritis has been shown to account for 10 per cent of chest pain episodes in the community and 30 per cent of people with chest pain presenting as an emergency to hospital.
    Why or how does a person get costochondritis?
    The risk of developing costochondritis increases with any physical activity that causes trauma or strain to the ribcage. It is a benign condition usually of short duration that resolves completely. Sometimes though it can recur or become persistent.

    11. Costochondritis Web Site
    Welcome to the costochondritis web site Index. Rx meds The following is a listof prescription medications that have been prescribed for costochondritis
    http://www.cfs.inform.dk/Variouspain/costomm.htm
    Welcome to the Costochondritis web site
      Index
    • Frequently Asked Questions What hurts? What helps? What else helps? ... Articles of interest

      • Frequently Asked Questions
        What is costochondritis?
        cost= rib, chond = cartilage, itis = inflammation
        Costochondritis is an inflammation of the cartilage that attaches the ribs to the breastbone How do you get costochnodritis?
        Costochondritis may be caused by trauma, such as bumping the rib cage; as a result of a viral infection; or as part of an inflammatory disease process. Usually the cause is unknown Does it go away?
        For most people, it goes away in six months to a year; however, for some people it remains a chronic condition. Note the costochondritis is most painful in the early stages; the pain does lessen after awhile! What does costochondritis feel like?
        Costo is an inflammation of the rib cartilage, and is sometimes diagnosed by pushing on the sternum, (area at the top where your ribs join) or by pushing on any sore spot on your ribs. Either should cause intense pain. *However*, not everyone with CC will respond like that. In the beginning, costo is usually worse,it feels like there is an elephant sitting on your chest, it hurts to breathe, ribs hurt all over with intermittent sharp, stabbing pains, and usually a few "sore spots" on your ribs, that you would faint if someone poked you there. You might also feel like you are having a heart attack. Eventually, it might go down to a dull, but constant ache, or simply the feeling of sore ribs. It hurts to wear a bra, and different motions, like picking a child up from the floor, can cause a flare up, with intense pain. When it is a chronic condition, it tends to wax and wane, come and go. It might be better for a while, then you will reach for something in the wrong position and bam!, it is right back again.

    12. Costochondritis
    5.03 costochondritis. Presentation. References Disla E, Rhim HR, ReddyA et al costochondritis a prospective analysis in an ED setting.
    http://www.ncemi.org/cse/cse0503.htm
    More Emergency Medicine Resources
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    5.03 Costochondritis
    Presentation
    The patient's age is usually in the mid-teens through the thirties, and he complains of a day or more of steady aching with intermittant stabbing chest pain, perhaps following a period of frequent coughing or unusual physical stress, localized to the left or right of the sternum, without radiation, but worse with taking a breath, changing position or moving the arm overhead. He may be concerned about the possibility of a heart attack (though he may not voice his fear) but there is no associated nausea, vomiting, diaphoresis, or dyspnea. The mid anterior costal cartilages (connecting ribs to sternum) are diffusely tender to palpation, without swelling or erythema, exactly matching the patient's complaint. The rest of the physical examination is normal, along with normal vital signs and pulse oximetry.
    What to do:
    • Perform a thorough history and physical examination. Give special attention to the character of the pain (onset, severity, quality, radiation, duration, relationship to movement), associated symptoms (shortness of breath, nausea, vomiting, diaphoresis, cough), and past history of pre-existing cardiac risk factors (family history of coronary artery disease, smoking, hypertension, diabetes mellitus, elevated cholesterol, cocaine use, age >33 for men and >40 for women). Read the nurse's note for critical details the patient has not repeated to you. Look for pleural or pericardial rubs and arrythmias and obtain a cardiogram and chest x ray when there is any suspicion of a cardiac or pulmonary disorder. The presence of costochondritis does not exclude the possibility of myocardial infarction, pericarditis, pulmonary embolus pneumothorax, pneumonia, or pleural effusion.

    13. Ask Dr Stoll - Costochondritis Post Archive
    costochondritis. Posts to Ask Dr Stoll BB regarding costochondritis. October20, 2002 wanted,testimonials on sr and costochondritis.
    http://askwaltstollmd.com/archives/costochon.html
    Dr Stoll Home Dr Stoll BB
    Costochondritis
    Posts to Ask Dr Stoll BB regarding Costochondritis
    There have been a number of posts to the Ask Dr Stoll
    Bulletin Board (BB) regarding costochondritis. Many of
    them have been archived here. The archive is roughly
    chronological. I hope you find it useful.
    Summary explanation for costochondritis:
    Costochondritis is simply inflammation of the rib joints,
    and attachments of intercostal muscles to the ribs, due to
    persistant "bracing" of the intercostal muscles. So far,
    the only known cause of this persistant tension of the
    intercostal muscles is chronic stress-effect storage in
    the hypothalamus. The well known fight or flight mechanism is the only known way the hypothalamus has to respond to ANY form of stressor. See the glossary and search engine for stress. The stressors, for which physically running or fighting are NOT appropriate, result in that readiness being stored in the hypothalamus. Nearly all stressors in our present day culture cannot be resolved by running or fighting.

    14. Costochondritis
    costochondritis Archives. costochondritis. costochondritis. Postedby Margaret on February 16, 2000 at 032729 Hi, I am new to the
    http://askwaltstollmd.com/archives/costochon/33049.html
    Costochondritis Archives
    Costochondritis
    Costochondritis Archive
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    Costochondritis
    Posted by Margaret on February 16, 2000 at 03:27:29: Hi, I am new to the board, was referred by a few friends who often post here. I was diagnosed with costochondritis about a tear ago, In the beginning the pain was SO bd, I thought I was dying. I believe this was started by a piece of exercise equipment I used with no warm up. I had various ests done ( was extremely anxious and nervous when I had these done) here are the results, can you tell me if they look ok to you, and what each one means. I would greatly appreciate it.
    Here is the 1st thing I dont quite understand: Margaret is a well appearing, middle aged woman in no apparent distress. BP today was 148/86. Pulse is 118. Neck is supple without JVD or bruits. (what is that?) Cardiac exam shows a regular rate and rhythm without murmur, rub or gallop. Abdomen is soft, non tender, non distended, with no masses or organomegaly. ( whats that mean?) She does have significant tenderness at the right sternal border at the 2nd intercostal space, and some tenderness down the right trapezius muscle band and the pectoris muscle.
    1. Tachycardia

    15. Costochondritis
    costochondritis. costochondritis, also known as Tietze Syndrome, is the inflammationof the cartilage where the ribs attach to the breast bone.
    http://www.allsands.com/costochondritis_tv_gn.htm
    Costochondritis
    Costochondritis, also known as Tietze Syndrome, is the inflammation of the cartilage where the ribs attach to the breast bone. Initially the symptoms are like those of a heart attack with pain moving from side to side of the chest and to the arms and neck. In fact many sufferers rush to the emergency room fearing an attack. In the beginning the pain is usually worse and it hurts to breathe, wear a bra or move suddenly. Eventually the pain subsides to a dull, constant ache or tenderness in the ribs. The cause of this condition is usually unknown but it can be the result of trauma to the rib cage, a viral infection or part of an inflammatory disease. The symptoms usually disappear spontaneously within eight weeks but sometimes it takes up to a year and in some individuals it remains a chronic condition. When it is a chronic condition the pain seems to wax and wane and any sudden movement or lifting of heavy objects could make the condition worse. Some sufferers start thinking that there is something wrong with their lungs when they start finding difficulty in breathing. However there is no reason for alarm. This happens because due to the swelling around the ribs, the lungs cannot expand fully. Stress contributes to the pain because it makes the muscles tense. Other things which hurt are lifting, pushing, pulling, sneezing, coughing, long hours of driving or using the computer, repetitive motions and caffeine. Cold, rainy and humid weather also make a lot of sufferers feel worse. Ideally these situations should be avoided but where it is not possible it is important that they be carried out with care.

    16. THE MERCK MANUAL, Sec. 5, Ch. 59, Costochondritis
    costochondritis. The cause of this benign condition is unknown, although costochondritissometimes occurs after vigorous coughing or muscular exertion.
    http://www.merck.com/pubs/mmanual/section5/chapter59/59g.htm
    This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 5. Musculoskeletal And Connective Tissue Disorders Chapter 59. Nonarticular Rheumatism Topics Spasmodic Torticollis Low Back Pain Bursitis Tendinitis And Tenosynovitis ... Costochondritis
    Costochondritis
    Pain and tenderness of one or more costochondral or costosternal cartilages; the pain may mimic angina pectoris. The cause of this benign condition is unknown, although costochondritis sometimes occurs after vigorous coughing or muscular exertion. A direct blow is not usually a preceding event. About two thirds of patients are females, and juveniles are sometimes affected. Costochondritis results in sharp anterior chest pain of varying intensity that typically worsens with straining or motion of the rib cage. The most common locations are the 2nd and 4th ribs, either at the costochondral or costosternal junction. The pain is usually highly localized, and the area is exquisitely tender. A few people have diffuse tenderness and may have fibromyalgia syndrome. Tietze's syndrome is a presentation of costochondritis in which objective signs of inflammationswelling and occasionally erythemaare present over the affected area.

    17. Costochondritis: Tietze's Syndrome
    costochondritis Information about Tietze's Syndrome (costochondritis); understandingthis common problem and how to find chest pain relief. costochondritis.
    http://orthopedics.about.com/blcostochondritis.htm
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    From Other Guides Senior Health Heart Disease Elsewhere on the Web Sports Medicine Pain Treatments By: Jonathan Cluett, M.D. Last Updated: 04/2002 What is costochondritis (Tietze’s Syndrome)? Costochondritis is a syndrome of chest wall pain that is due to inflammation of the cartilage and bones in the chest wall. Also called Tietze’s Syndrome, costochondritis means that the area of the junction of the rib bones, breastbone, and the associated cartilage has become inflamed. Depending on the extent of the inflammation, this condition can be quite painful. What causes costochondritis?

    18. Costochondritis: Chest And Rib Pain
    Tietze's Syndrome Information about Tietze's Syndrome (costochondritis); understandingthis common problem and how to find rib pain relief. costochondritis.
    http://orthopedics.about.com/blcostochondritis1.htm
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    with Jonathan Cluett
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    From Other Guides Senior Health Heart Disease Elsewhere on the Web Sports Medicine Pain Treatments What is the treatment for costochondritis? There is no definitive treatment that will cure costochondritis, however there are several helpful things to do in order to help manage the symptoms of this problem:
    • Rest In order to decrease the inflammation, you will have to avoid activities that cause pain and exacerbation of the inflammation. Exercise, deep breathing, and strain on the muscles of the chest may worsen the symptoms of pain and slow the healing process. As a general rule of thumb, avoid or limit activities that worsen your pain.
    • Ice Packs or Heating Pads Whichever of these techniques help to decrease your pain may help you better manage your symptoms. These are just two suggestions that may help you with your symptoms. For other suggestions read through the

    19. Costochondritis And PBC
    costochondritis and PBC. costochondritis is one of many disorders associatedwith autoimmune diseases. Normally this disorder will go away on its own.
    http://pbcers.org/livdis8.htm
    About Us Join The PBCers Index Site Map
    Costochondritis and PBC
    Costochondritis is one of many disorders associated with autoimmune diseases. Normally this disorder will go away on its own. When associated with an autoimmune diseases such as PBC, it may linger for years or a lifetime. Costochondritis is an inflammation of the cartilage that attaches the ribs to the breastbone (costo = rib, chond = cartilage, itis = inflammation). Costochondritis causes mild to severe pain in the lower rib area or upper breastbone. Some patients fear they are having a heart attack. The most severe pain is usually in the lower rib area between the breast and upper abdomen. The pain may be more noticeable in sitting or reclining positions, and stress is known to aggravate this condition. Costochondritis may also be caused by trauma, such as bumping the rib cage; as a result of a viral infection; or as part of an inflammatory disease process. Usually the cause is unknown. Once the diagnosis of costochondritis is made, it usually responds well to a course of a pain-killing, anti-inflammatory medications such as aspirin, ibuprofen, or any of a number of prescription medications. If this condition doesn't respond to simple treatment measures, the patient should undergo more tests. When costochondritis is associated with liver disease, it is more difficult to treat. Our group consists of fellow PBC sufferers, NOT medical professionals or advisors. The medical articles and website locations shared in this group are for information purposes ONLY and NOT to be used as medical advice. We do not take responsibility for information or links to these sites. Site maintained by Linie. Direct comments or questions to PBCers@aol.com

    20. Costochondritis (Tietze's Syndrome); Treatment, Prevention, Cure
    costochondritis (Tietze's Syndrome)Search information from many of the bestcostochondritis (Tietze's Syndrome) health sites. costochondritis.
    http://www.healthlinkusa.com/content/577.html
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