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What is Costochondritis?

Costochondritis is characterised by an inflammation in the cartilages attached to the breastbone. Except for the last two ribs, all the ribs are attached by cartilage to the breastbone. This self-limiting inflammation results in chest pain, which is a common symptom of costochondritis.

Costochondritis is also known by the following terms:

  • Costo-sternal Syndrome
  • Parasternal Chondrodynia
  • Anterior Chest Wall Syndrome

What are the main signs and symptoms?

Important signs and symptoms of costochondritis include pain with the following characteristics:

  • Pain often occurs on the left side of the breastbone
  • Pain felt maybe described as sharp and aching
  • Patient may experience a pressure-like feeling of pain
  • Deep breath, cough, exertion, and upper body movement aggravate the pain
  • More than one rib is affected

What are its main causes?

Costochondritis is the most common cause of anterior chest wall pain. It usually has no specific underlying cause. The ribs joined by cartilage to the breastbone get inflamed leading to costochondritis.

Frequent causes include

Costochondritis is linked with Tietze’s syndrome, which involves only one area with associated painful, localised swelling.

People over 40 years of age are at a higher risk of costochondritis. It is more prevalent in women than in men.

How is it diagnosed and treated?

Diagnosis of costochondritis is based on the medical history and physical examination of the rib area. Your doctor will ask about any history of a severe cough or strenuous physical training. Anterior chest X-ray may be required to look for underlying causes including

  • Arthritis in the shoulder joints and joints in the  chest region
  • Destruction of costal cartilage by infections or neoplasm
  • Fibromyalgia
  • Herpes zoster of the thorax

Treatment of costochondritis involves

  • Analgesics and anti-inflammatory drugs
  • Local anaesthetic or steroid injections if needed in severe cases
  • Gentle stretching exercises as advised by the doctor


  • Warm or cold compresses
  • Avoidance of any strenuous physical activities or stress

(Read more: Inflammatory disease treatment)

  1. Medicines for Costochondritis
  2. Doctors for Costochondritis
Dr. Vivek Dahiya

Dr. Vivek Dahiya


Dr. Vipin Chand Tyagi

Dr. Vipin Chand Tyagi


Dr. Vineesh Mathur

Dr. Vineesh Mathur


Medicines for Costochondritis

Medicines listed below are available for Costochondritis. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
TizapamTizapam 400 Mg/2 Mg Tablet42
Espra XnESPRA XN 500MG TABLET 10S104
LumbrilLumbril Tablet16
TizafenTizafen 400 Mg/2 Mg Capsule53
EndacheEndache Gel47
FenlongFenlong 400 Mg Capsule21
Ibuf PIbuf P Tablet11
IbuvonIbuvon 100 Mg Suspension8
Ibuvon (Wockhardt)Ibuvon Syrup9
IcparilIcparil 400 Mg Tablet23
MaxofenMaxofen Tablet5
TricoffTricoff Syrup48
AcefenAcefen 100 Mg/125 Mg Tablet23
Adol TabletAdol 200 Mg Tablet33
BruriffBruriff 400 Mg Tablet4
EmflamEmflam 400 Mg Injection5
Fenlong (Skn)Fenlong 200 Mg Tablet16
IbrumacIbrumac 200 Mg Tablet3

Do you or anyone in your family have this disease? Please do a survey and help others


  1. MedlinePlus Medical Encyclopedia: US National Library of Medicine; Costochondritis
  2. Healthdirect Australia. Costochondritis. Australian government: Department of Health
  3. American Academy of Family Physicians [Internet]. Leawood (KS); Costochondritis: Diagnosis and Treatment
  4. Australian Family Physician. Musculoskeletal chest wall pain. Royal Australian College of General Practitioners. Victoria, Australia. [internet].
  5. Nidirect. Costochondritis. UK. [internet].
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