ChiroACCESS Clinical Review

Costochondritis: Therapy

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.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

February 16, 2011

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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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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.


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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.


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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.