Doctor insights on:
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
I have swollen lymph nodes (which come and go), painful swallowing (sporadically), always feeling feverish, chronic pain at a costochondral junction. Swollen tonsils and suffer from panic attacks. Had 2 endoscopies which are fine. What could it be?
Don't sound related: But we're happy to hear what testing you've had to date and what entities has thus far been addressed and excluded. ...Read more
Οver the past few days I've been experiencing light pain at one of my left costochondral junctions, when laying on this side in bed. What could it be?
See below: Most likely muscle soasm. Did you have any trauma to that area or do any heavy lifting? ...Read more
What muscles are attached in the costochondral sternum junction of the first and second ribs? I have a costochondral sep and muscles are affected.
? dose oacetaminophen: ? History of trauma to chest wall need neurological evaluation. ...Read more
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
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
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
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
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
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
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
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
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
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
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?
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
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
The costochondral sep of 2nd rib interferes with shoulder movement and neck movement. Incapacitating nerve pain makes me think brachial plexus?
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
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
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
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
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
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
I have anxiety and panic disorder. I recently had ekgs. Both say non specific st changes and at junctional changes. I just need to know if this is ok?
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
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