ChiroACCESS Clinical Review



Costochondritis: Therapy

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Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

February 16, 2011

Text Size:     
As discussed in the costochondritis (CC) prevention and diagnosis monographs, CC has been investigated on a very limited basis.  Investigations into treatment of CC provide equally sparse information.  There are no randomized controlled trials or even quasi-experimental trials testing different interventions.  Only case reports, case series, retrospective studies and expert opinion are available for both conservative and pharmaceutical interventions.
 
Costochondritis is generally considered a self limiting condition.  Disla et al reported, regardless of intervention, up to 1/3 of patients are still symptomatic at 1 year (1).

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References

1. 

Disla E, Rhim HR, Reddy A, Karten I, Taranta A. Costochondritis. A prospective analysis in an emergency department setting. Arch Intern Med 1994 Nov 14;154(21):2466-9.



2. 

Mani K. Use of thrust and non-thrust manipluation for costochondritis:  A case series. The Journal of Manual and Manipulative Therapy (AAOMPT conference proceedings) 2008 16(3):173-174.



3. 

Cubos J, Cubos A, Di SF. Chronic costochondritis in an adolescent competitive swimmer: a case report. J Can Chiropr Assoc 2010 Dec;54(4):271-5.



4. 

Aspegren D, Hyde T, Miller M. Conservative treatment of a female collegiate volleyball player with costochondritis. J Manipulative Physiol Ther 2007 May;30(4):321-5.



5. 

Hudes K. Low-tech rehabilitation and management of a 64 year old male patient with acute idiopathic onset of costochondritis. J Can Chiropr Assoc 2008 Dec;52(4):224-8.



6. 

Proulx AM, Zryd TW. Costochondritis: diagnosis and treatment. Am Fam Physician 2009 Sep 15;80(6):617-20.



7. 

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.



8. 

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



9. 

Spalding L, Reay E, Kelly C. Cause and outcome of atypical chest pain in patients admitted to hospital. J R Soc Med 2003 Mar;96(3):122-5.