Is chest wall pain always painful to pressure?

Usually is. Chest wall pain is generally due to a strained muscle, contused or broken rib, or arthritis/rheumatism of the costo-chondral joints (the attachment of rib to cartilage). Heat, physical therapy, acupuncture and pain relieving drugs are the usual course of therapy. Many forms are self-limited and if persistent, further evaluation is indicated.

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