Topical NSAID's: Costochondritis can be quite painful. It is effectively treated with topical antiinflammatory medications. These include voltaren (diclofenac) gel and pensaid. My own preference is to have a 10 % solution of Ketoprofen made at a qualified compounding pharmacy and apply 4 times a day. This avoids gastritis as a side effect of taking nsaids by mouth and only gives you 1% of the blood levels as those by mouth.
Answered 6/26/2014
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