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A 26-year-old female asked:

Diagnosed with costochondritis in both chest sides 2 months ago and since had had shortness of breath that comes and goes can costo cause this?

1 doctor answer1 doctor weighed in
Dr. Dimitri Novitzky
Thoracic Surgery 53 years experience
Bilateral costochondritis: Yes, as well pulmonary hypertension.Costochondritis is a common form of inflammation of the cartilage where ribs attach to the breastbone, the sternum. The inflammation can involve multiple cartilage areas on both sides of the sternum but usually is on one side only. The causes of costochondritis are not known and may involve several factors. Possible causes include heredity (genetic predisposition), viruses, and trauma (injury). Costochondritis can be an independent condition by itself or sometimes can be a feature of a more widespread disorder. Examples of illnesses that can feature costochondritis include fibromyalgia, psoriatic arthritis, ankylosing spondylitis,reactive arthritis, rheumatoid arthritis, lupus, and inflammatory bowel disease (such as ulcerative colitis and Crohn's disease). Costochondritis and Tietze's syndrome are diagnosed based on the typical history of pain localized to the cartilage adjacent to the breastbone as well as the examination findings of tenderness. Swelling is also noted in patients with Tietze's syndrome.Costochondritis can be aggravated by any activity that involves stressing the structures of the front of the chest cage. It is generally best to minimize these activities until the inflammation of the rib and cartilage areas has subsided.Rest, anti-inflammatory drugs, physical therapy, and cortisone injections have been used as therapy for the inflamed, painful cartilage of both costochondritis and Tietze's syndrome. Ice packs applied to local swelling can sometimes help to reduce pain and inflammation. Local lidocaine analgesic patch (Lidoderm) application can reduce pain
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Last updated Nov 27, 2016

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