ChiroACCESS Clinical Review

Parker College of Chiropractic Research Institute

Parker College of Chiropractic is a nonprofit, co-educational, private professional institution of higher education. The purpose of the College is the preparation of men and women to become Doctors of Chiropractic, who will then serve as primary health care providers and perpetuate chiropractic services worldwide for the benefit of all mankind.

Parker College is committed to the maintenance of chiropractic as a separate and distinct healing art which addresses primarily the location and detection of spinal misalignments, dysfunctions and subluxations affecting neural integrity. Correction is achieved by either force or non-force spinal and/or extraspinal techniques.

The integration of this wellness philosophy principle is woven through the basic science, chiropractic science, clinical science and techniques department.

Costochondritis: Prevention

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s):

Dwain M. Daniel, D.C.

Dwain M. Daniel, D.C.

Dr. Dwain Daniel graduated from Cleveland Chiropractic College in 1981 and opened his private practice in San Antonio, Texas in 1982. He was in solo practice until 2000 when he accepted the position of Associate Director of Research at Parker College of Chiropractic. In 2002 he was selected as the Chairperson for the Department of Diagnosis and Clinical Applications. In 2006 he returned to the Research Institute to become the Research-Faculty Liaison for the college. His primary mission is to develop reviews on evidence-based prevention, diagnosis and treatment of a variety of commonly encountered conditions and to assist faculty research. This new and unique position is critical to the educational process in a rapidly changing information and evidence based health care environment. Dr. Daniel received his B.A. degree from Texas State University, is a past President of the Texas Chiropractic Association, District 10, and has earned a Chiropractic Certification in Spinal Trauma (CCST). He has had several papers published in the peer reviewed press and teaches informatics and evidence-based practice to chiropractors throughout the United States.

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Strength of Recommendation Taxonomy (SORT)

Legend:

A = consistent, good quality patient oriented evidence;

B = inconsistent or limited quality patient oriented evidence;

C = consensus, disease oriented evidence, usual practice, expert opinion or case series;

D = all or the preponderance of existing evidence is negative.

For more information on the Strength of Recommendation Taxonomy (SORT), please click here.

Published on

December 1, 2010

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Prevention of idiopathic costochondritis (CC) is truly an elusive subject in the scientific literature. Only a handful of studies have been performed that even attempt to address risk factors or prevention. All are observational. The following are have been rated as C and have very limited evidence.

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References

Jensen S. Musculoskeletal causes of chest pain. Aust Fam Physician 2001 Sep;30(9):834-9.

[ Medline ID 11676310 ]

2.

Rovetta G, Sessarego P, Monteforte P. Stretching exercises for costochondritis pain. G Ital Med Lav Ergon 2009 Apr;31(2):169-71.

[ Medline ID 19827277 ]

3.

Peyton FW. Unexpected frequency of idiopathic costochondral pain. Obstet Gynecol 1983 Nov;62(5):605-8.

[ Medline ID 6621950 ]

4.

Freeston J, Karim Z, Lindsay K, Gough A. Can early diagnosis and management of costochondritis reduce acute chest pain admissions? J Rheumatol 2004 Nov;31(11):2269-71.

[ Medline ID 15517642 ]

5.

Almansa C, Wang B, Achem SR. Noncardiac chest pain and fibromyalgia. Med Clin North Am 2010 Mar;94(2):275-89.

[ Medline ID 20380956 ]

Incidence

The proportion of new cases of the target disorder in the population at risk during a specified time interval. It is usual to define the disorder, and the population, and the time, and report the incidence as a rate.

For some examples of incidence studies, two of the best relate to how Parkinson's disease incidence varies with latitude, and how Perthes' disease (a developmental problem of the hip joint affecting younger children) varies with deprivation.