This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.
Dwain M. Daniel, D.C.
How this evidence was rated:
Strength of Recommendation Taxonomy (SORT)
February 16, 2011
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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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.
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.
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.
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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.
Peyton FW. Unexpected frequency of idiopathic costochondral pain. Obstet Gynecol 1983 Nov;62(5):605-8.
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.