Costochondritis is the inflammation of the cartilage that connects the rib to the breastbone and may often mimic the pain of a heart attack. The condition is characterized by mild to chronic pain on the breastbone with sharp aching affecting more than one rib cartilages and may worsen while taking deep breath or cough. Costochondritis can be developed from an injury to the chest, physical strain, arthritis, joint infection and tumors (Noncancerous and cancerous tumors).
During the physical exam, the doctor checks along the breastbone for tenderness or swelling and move the arms in certain ways to try to trigger the symptoms. Conventional treatment methods include medication to relief pain and physical therapy includes stretching exercises and nerve stimulation.
The doctor diagnoses to understand the type of pain in the rib and may order an x ray or MRI imaging test to get detailed information on the cause of rib pain. Conventional treatment for rib pain includes an analgesic ointment along over-the-counter pain relievers.
ALTERNATIVE TREATMENT METHODS AT BETH YEHUWDAH ARTHRITIS/SPINE CENTRE & DAYSTAR CLINIC
Low Dose Steroid Infilteration/ Neural & Soft Tissue Infilteration Therapy (NESTIT)
Steroid tablets and injections of the group Corticosteroids, (which are very different from Anabolic steroids misused by some athletes) have been repeatedly proven medically for the last 70 years in the successful treatment of inflammatory conditions due to its potent anti-inflammatory effect. Though corticosteroids are very effective in reducing inflammation, they carry numerous potential side effects, which are undesirable. To circumvent this problem, and in order to utilize the potent anti-inflammatory effects of steroid injections, at the same time taking appropriate measures to considerably lower its side-effects, Dr Tejaz Koshy John in 2010 while working as an Orthopaedician in his private clinic in Guyana, South America developed NESTIT. NESTIT stands for (Juxta) Neural and Soft Tissue Infilteration Therapy. It consists of injecting small amounts of diluted anti inflammatory steroid solution indirectly near (juxta) nerve CCPs- (chronic constricting points) in the lower back/ hip/ neck/ shoulder regions, in order to reduce juxtaneural and perineural inflammation, as well as in certain soft tissue sites including but not limited to trigger points (painful muscle “knots”)/ myofascial syndrome and/or enthesitis (inflammation of soft tissue-bone junctions) and/or sites of nerve inflammation (neuritis/ radiculitis) and/or bursitis (inflammation of fluid filled cushions called bursa) and/or additional sites causing pain referrals (referred pain) to distant sites; in order to obtain a reduction in inflammation and pain in the concerned joint/ region/ limb. It is preferably given for those patients who have Rheumatoid Arthritis, Inflammatory Arthritis, Synovitis, Inflammatory Low Back Pain, Spondyloarthropathy & Nerve and Nerve root irritation. It is not a substitute for DMARDS (Disease modifying anti rheumatoid drugs), however when given with low dose DMARDS, in Dr Tejaz John’s clinical experience it may result in significant reduction of local inflammation, pain and improvement of joint function in most cases, also indirectly reducing side effects of high dose DMARDS.
In Dr Tejaz John’s clinical experience, the patient benefits of Low Dose Steroid Infilteration/ Neural & Soft Tissue Infilteration Therapy (NESTIT) treatment are:
At Daystar Star Clinic we provide a variety of options for patients suffering from Costochondritis/ Rib pain. To know more about treatment options for Costochondritis/ Rib pain treatment cost, book an appointment now.
MBBS, MS Ortho (Christian Medical College, Ludhiana), Joint Replacement Fellowship (HOSMAT Hospital, Bangalore), Orthopaedic Trauma Fellowship (Hebrew University Hospital, Jerusalem, Israel)Read More