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Doctor insights on: Costochondral Junction

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Shoulder pressed against chest might have caused a costochondral junction injury now have an indention in upper chest where pressure was, resolution?

Shoulder pressed against chest might have caused a costochondral junction injury now have an indention in upper chest where pressure was, resolution?

Bruise/Hematoma: It may be related to the same trauma and it may be due to a bruise or a hematoma. It should resolve on its own with time. If it is very painful or does not resolve get it checked from your family physician. ...Read more

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How long should I expect pain from a costochondral dislocation?

How long should I expect pain from a costochondral dislocation?

6-8 weeks: You could apply ice to the area for 20 minutes, 3-4 times per day and if you could take an over the counter anti-inflammatory medication, that would be helpful. ...Read more

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Are there any exercises I can do to alleviate pain from costochondral separation?

Are there any exercises I can do to alleviate pain from costochondral separation?

Ouch!: Unfortunately, cartilage (costo- ribs, chondro-cartilage) is very slow healing tissue. Need to take it easy for 2-6 wks & let tissues heal. Wrapping w ace wrap may feel better, but is controversial due to concerns re pneumonia. If you wrap take it off every 2-4 hrs & try to breathe deeply. Hugging a pillow may help w this. Ibuprofen if not contraindicated. Try exercising arms & legs. Walk in 2 wks. ...Read more

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Can you tell me how to know when I'm ready to lift again after having a costochondral separation?

Can you tell me how to know when I'm ready to lift again after having a costochondral separation?

When the pain stops: Costochondral injuries can take up to 2-3 months to get better. You should be ready to stop lifting again once the pain subsides and you don't feel any popping or have pain with deep breathing, coughing or sneezing. ...Read more

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The costochondral sep of 2nd rib ligament healed but then rehab ruined it. Undiagnosed and re-injured over and over. No rib belt used. What now?

The costochondral sep of 2nd rib ligament healed but then rehab ruined it. Undiagnosed and re-injured over and over. No rib belt used. What now?

Takes several months: Costochondrial separations are seen commonly as sports injuries, from twisting forces. They take several months to heal and the key is to reduce the pain so that breathing is not problematic. A good evaluation including possible MRI to rule out other issues. Wrapping or taping may be difficult at this high level, but more useful at the lower levels. Hypermobility syndrome is sometimes associated. ...Read more

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Can Costochondral Separation cause a fever?

Can Costochondral Separation cause a fever?

It's a stretch: Sure, it's inflammation and inflammation can cause a fever, but it's generally a small area.

Breaking the ribcage during a bipass operation...well, it's the overall surgery but a mild elevation of temp. Happens in that context sometimes.

Infection, big trauma, those would be more likely ...Read more

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What is the healing time of a costochondral separation of #7 or #8 rib and can I continue with any exercises while it heals?

What is the healing time of a costochondral separation of #7 or #8 rib and can I continue with any exercises while it heals?

Rib pain: Costochondral separation may take anywhere from 4 - 8 weeks, and sometimes even longer, to "heal." in some cases the separation may not entirely heal, but instead a fibrous healing occurs which results in resolution of pain. It's ok to exercise while it heals, just let pain be your guide - don't do anything that exacerbates your pain. ...Read more

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My sister has costochondral tenderness with increasing pain & hard mass near right ribcage. Thoughts on possible cause or relief?

See doc now: Without a physical exam or more history, it is impossible to know what is causing her symptoms. Increasing pain with a hard mass in her chest is concerning, however. She needs to be examined now to get this figured out. ...Read more

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Is there a surgical fix for a costochondral separation of 2nd rib? The condition now is chronic (2 years) and only recently diagnosed.

Is there a surgical fix for a costochondral separation of 2nd rib? The condition now is chronic (2 years) and only recently diagnosed.

Surgical fixation: You are 48 years old and have chronic non healing costochondral seperation. Usually this heals. However talk to a thoracic surgeon and you may benefit from a new rib stabilizing surgery. There is a risk the surgery may help. First he/she may try a period of observation first. Be well. ...Read more

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With the chiropractic adjustment and correct placement...No doubt a costochondral separation of 2nd rib. What areas are affected by this injury?

With the chiropractic adjustment and correct placement...No doubt a costochondral separation of 2nd rib. What areas are affected by this injury?

Back and chest: The second rib has three attachments. Thoracic vertebral body, transverse process and costal cartilage in front. If it's separated and moves about it can cause pain in the intercostal (between rib) muscles above and below due to compression and stretch injury. See an orthopedic surgeon for a consultation and treatment plan. ...Read more

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Have a costochondral indentation in ribs after blunt trauma/twisting. Would seeing PT/chiropractor help to manipulate cartilage/ribs back into place?

Have a costochondral indentation in ribs after blunt trauma/twisting. Would seeing PT/chiropractor help to manipulate cartilage/ribs back into place?

Hard to say: Generally any drug, herb, treatment, or procedure that stands up to rigorous scientific scrutiny is included in modern medicine. The problem is that many alternative practices, Chiro etc do not stand up to scientific scrutiny and cannot be shown to work. They will take your money though and prob recommend repeat visits. Still, you will know quickly if it doesn't work. If no result -- stop going ...Read more

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Hi, I have been recently diagnosed with a costochondral separation. No MRI and now it's a chronic issue. Is there a chance the ligament will heal?

Hi, I have been recently diagnosed with a costochondral separation. No MRI and now it's a chronic issue. Is there a chance the ligament will heal?

No guarantees: Chest immobilization is the main key to prevent it from worsening. Check online for more info. If you have increasing pain or shortness of breath, notify your dr right away as this may indicate injury to the lungs. Bless u! ...Read more

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Will an MRI show a costochondral separation? I really need a diagnostic test to confirm as insurance company do not believe my gp!

Will an MRI show a costochondral separation? I really need a diagnostic test to confirm as insurance company do not believe my gp!

Sometimes: One article demonstrated mr as able to demonstrate costochondral injuries (mri evaluation of costal cartilage injuries.)i.N american journal of roentgenology in 2008. Sometimes insurance companies do not endorse expensive imaging studies when not a lot of evidence is present in the literature. Most radiologists know that certain sequences in mr imaging are very sensitive to cartilage abnormalities. ...Read more

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It's been nearly two years since my chest injury and the diagnosis is now costochondral separation of second rib. Any chance it will heal now?

It's been nearly two years since my chest injury and the diagnosis is now costochondral separation of second rib. Any chance it will heal now?

Possibly: Chronic costochonral separation might or might not be a correct diagnosis. Chronic (over three months) chest pain is possibly a chronic inflammation called costochondritis, in which case a single small local anesthetic injection with corticosteroid can be miraculous. If is separation, then spontaneous healing after two years unlikely. An osteopath is good specialist to help with such problems. ...Read more

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I was just told I had costochondral separation, will this make my heart palpitations worse?

I was just told I had costochondral separation, will this make my heart palpitations worse?

No, need evaluation: Costochondral seperation may have nothing to do with heart palpitations. Costochondrol means connection between rib and cartilage. Whereas palpitations have to do with heart which means fast heart beat. Further evaluation is indicated. ...Read more

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Costochondral separation. Can it be diagnosed without an mri, and by what kind of doctor, an orthopedic?

Costochondral separation. Can it be diagnosed without an mri, and by what kind of doctor, an orthopedic?

Yes: Clinical exam still is useful especially by an orthopedic surgeon. Mr is used to confirm suspicion but not necessary. ...Read more

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Misdiagnoses of neck strain meant the costochondral separation was not treated properly in the acute phase. After two years, is there hope to heal?

Misdiagnoses of neck strain meant the costochondral separation was not treated properly in the acute phase. After two years, is there hope to heal?

Yes: Interesting - presumably your "neck" pain is low and in front, and the costochondral separation is high on your chest wall. Keep in mind that the treatment for a costochondral separation is essentially the same as that for neck strain - time, pt, localized treatment such as e-stim, and nsaids, so you may not have lost anything from the misdiagnosis. Consider steroid injections and home tens. ...Read more

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I have bruising on my sternum mostly left side costochondral joints where I had a deep lipoma removed. Bruising came after 24 mo later after adjustment. Bruise has not left in over 12 mo. Cause?

I have bruising on my sternum mostly left side costochondral joints where I had a deep lipoma removed. Bruising came after 24 mo later after adjustment. Bruise has not left in over 12 mo. Cause?

Chronic bruise: A bruise present that long is best explained as similar to a tattoo. With the adjustment perhaps you had some bruising or bleeding into the scar and area. Blood got into part of skin with little blood supply and hemoglobin left behind leaving a discoloration or tattoo ...Read more

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Could any expert explain what a junctional rhythm is? Thanks!

Could any expert explain what a junctional rhythm is? Thanks!

Junctional rhythm: The "AV junction" is a connection that the electrical signal passes through from the top of the heart to the bottom. It acts as a back-up pacemaker when the hearts normal pacemaker stops working. Thus, a Junctional rhythm is a back-up rhythm that keeps your heart beating. It's typically slower than normal and less responsive to activity. Many times an artificial pacemaker is required. See PCP. ...Read more

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Junctional nevus with cytologic atypia concern?

Junctional nevus with cytologic atypia concern?

Yes: Depending on the degree of atypia, most surgeons recommend excision with clear margins to reduce the risk of developing skin cancer (melanoma being the most concerning). Certainly excise if moderate to severe atypia. ...Read more

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Are junctional nevi common?

Are junctional nevi common?

Yes: When a mole is biopsied and examined under the microscope, there a many different patterns junctional nevus is a common, benign mole. ...Read more

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Can junctional tachycardia be safely ablated?

Can junctional tachycardia be safely ablated?

Yes: Depending on the source causing junctional tachycardia, cardiac electrophysiologic procedures can safely interrogate the source of the ectopic foci, in safely ablate the pathway causing recurrence utilizing radio frequency, catheter ablation. ...Read more

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Accelerated junctional rhythm inferior infarct anterolateral infarct what does this mean?

Accelerated junctional rhythm inferior infarct anterolateral infarct what does this mean?

ECG: That reading means you should be in touch with your doctor asap to discuss what's going on and what to do you ...Read more

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Vus shows adenomyosis, pelvicmri says abnormal thickening of junctional zone upto 12mm, does it confirm adenomyosis? 2 much pelvic pain on right side

Vus shows adenomyosis, pelvicmri says abnormal thickening of junctional zone upto 12mm, does it confirm adenomyosis? 2 much pelvic pain on right side

Suggestive: The imaging findings are suggestive of adenomyosis. It is ultimately diagnosed under the microscope after surgery. It can cause bad cramps and heavy periods. It is likely that you have adenomyosis. Nsaids like Ibuprofen can help. Birth control pills or Mirena (levonorgestrel) may also help. ...Read more