I cannot take nsaids due to stomach issue how can i help chostocondritis pain?

Costochondritis: Try Acetaminophen if there are no other contraindications to that.

Rib: This condition is junction of end rib with cartilage , allowing chest to expand. Nsaids merely for pain. They do little for inflammation- only if take max doses and have autoimmune disease like rheumatoid arthritis. Generally they heal. There are transdermal medications to massage in, but must be compounded. Patches like flector very expensive. Rarely injection therapy? Consult dr or phy therapist.

Try Tylenol (acetaminophen): Tylenol, (acetaminophen) or its equivalent may be of some use.

Costochondritis: Try to limit activity, which can help rest the affected area. Avoid activities as pushing, pulling, rowing and upper body work as pull-ups or push-ups. Try to use ice, for 5-7 minutes 3-4 times per day. This should give you some relief. As always, if you don't see an improvement, see your doctor.

Omega 3's: Omega 3, 6, 9 fatty acids are outstanding choices for decreasing inflammation. 2.6 grams divided over 3 doses per day are recommended. Counter-irritants like bengay and icy-hot applied over the area will be a big help. Capsaicin ointment if used daily can exhaust substance p which is the neurotransmitter that causes pain.

Heat/Ice/PT: Heat or ice might help. Try 15 minutes 4 times a day. A steroid injection or nerve block might help if it's really severe. Have you tried taking zantac/tagamet or something like Prilosec otc along with the nsaid? Sometimes that solves the stomach issue.