What is costochondritis? 10

Costochondritis is a condition caused by trauma or local inflammation and infection. The occurrence of this disease may cause pain, or cause chest tightness and suffocation, which can be cured with the help of the grape (rib soft, Shungu Anyu, paste). It is also necessary to pay attention to daily health care measures, usually avoid overwork, staying up late, smoking and drinking, and eat more nutritious foods to prevent the reduction of resistance.

If there are other infectious diseases, it should also be actively carried out**, so as to avoid the spread of bacteria and infection that may lead to costochondritis again**.

Key points for daily care of costochondritis

1. When working, pay attention to improving the awareness of protection, it is best not to lift heavy objects, do not use too much force when doing other things, and beware of damage to the chest, ribs, cartilage and ligaments. Pay attention to the combination of work and rest, and don't get too tired.

2. Open the windows frequently to ventilate, keep the indoor air fresh, participate in more sports activities, and enhance your own resistance.

3. Pay attention to keeping warm and prevent cold.

4. People who often catch colds can be injected with influenza vaccine if necessary.

5. Clothing should be soft, dry and avoid moisture.

In patients with costochondritis, the most typical symptom is pain in the rib cage in the chest of the affected area, which is manifested as a dull local pain, dull pain, or paroxysmal pinprick pain, which may radiate to the back or abdomen, and tenderness may occur when pressing on the affected rib cartilage. Pain is worsened by coughing, breathing exercises, and chest wall movement. In some patients, the costal cartilage in the affected area is significantly enlarged and raised.

People may stop breathing because of a sudden pinprick pain during breathing exercises. Usually do a good job of nursing, pay attention to the quality of diet, eat more foods rich in high-quality protein, trace elements and vitamins, and bask in the sun to help Taobao's Ke Zhi hao, not hao can be decadent. Avoid spicy and greasy foods, and eat more vegetables, fruits and foods containing crude fiber.

Eat nuts often and pay attention to nutritional supplements.

Costochondritis is a common condition in pain clinics or thoracic surgery clinics, and is classified as non-specific costochondritis (

tietze

syndrome) and infective costochondritis. Tieze syndrome is generally considered to be a non-specific, nonpurulent inflammation of the costochondral and is defined as an unexplained non-purulent costochondritis lesion at the junction of the costochondral and sternum, manifested as a self-limiting condition of localized pain and swelling. The disease was first discovered and reported by the German scholar Tieze in 1921.

Most cases are young adults, mostly female, but also in the elderly.

Clinical presentation. 20 30 years old and 40

It is more common in patients aged 50 years, and the incidence of the left and right sides is similar, 70%.

It is unilateral and has a solitary lesion. Onset is slow. Its prominent clinical manifestations are the enlargement and enlargement of the involved cartilage, with obvious spontaneous pain and tenderness, and no local redness or thermal changes. In most cases, only a single costal cartilage is affected, and in some cases, there are more than two costal cartilages or multiple costal cartilages on both sides.

The most common lesions are the second costal cartilage on the left, followed by the second costal cartilage on the right side.

3. 4. Costal cartilage. There are no inflammatory changes such as redness, swelling, and heat on the surface. The degree of pain and tenderness in the affected area varies from mild to severe. The pain points are relatively fixed, and the pain can be exacerbated by coughing, deep breathing, and expanding the chest wall. In severe cases, it may involve pain in half of the body. The main symptom of costochondritis is localized pain.

It usually lasts 2 to 3 months and can resolve or disappear on its own. However, some patients do the opposite, sometimes it is good, sometimes it is severe, sometimes it is severe, and it is delayed for months or even years.

Costochondritis is a aseptic inflammation caused by excessive stress on the costochondral area. Costochondritis is caused by exertion, and the main symptom is pain. It is mainly caused by obvious pain and tenderness in the rib cartilage area of the chest, especially when bending over, taking deep breaths, and coughing, the pain will be significantly worsened.

Therefore, after the occurrence of costochondritis, the first is to avoid repeated bending over activities and desk work. When the pain is obvious, oral non-steroidal anti-inflammatory drugs, such as ibuprofen, nimesulide, diclofenac sodium, etc., can be used to fight against aseptitis in the costochondral area, so as to relieve the patient's pain.

Symptoms of costochondritis can be mild and severe, and can occur from months to years. After the affected costal cartilage is enlarged to a certain extent, some will gradually shrink; The outpouring of ribs is soft and the ancient Anyu sticks a certain treasure, and insists that the jade can be cured. However, although the pain has subsided, the costal cartilage continues to enlarge and does not shrink.

Early is the right decision.

The first one is that our patients feel chest pain at the beginning of the disease, and after a few days, there is a swollen bulge and a dull or sharp lump in the costal cartilage area, which occurs mostly on the cartilage next to the sternum, and this disease is often a single rib, and occasionally there will be multiple or left and right ribs at the same time.

Rib ochondritis is a complex condition of bones and nerves, mainly ribs, and the rib nerves will be painful, but there is no bruise visible on the outside.

Costochondritis is a chronic inflammation that occurs in the costal cartilage area, which is related to cartilage trauma, infection, and other factors.

Or consider a case of pleurisy, pleural adhesions, it is recommended to go to the hospital for a further diagnosis, and then make a judgment. If you still have any questions, you can continue to ask me.

Costochondritis is more common in the second to fourth costal cartilage of the human body, and usually occurs unilaterally. Patients often present with a more severe stabbing or throbbing pain around the sternum, often with worsening pain when pressing on the junction of the sternum and ribs. At the same time, the patient may also have a lump under the skin, the costal cartilage has obvious bulging, and in severe cases, it may radiate to the shoulder, armpits, and both sides of the chest, and the costal cartilage inflammation, and there is aseptic inflammation caused by chronic strain.

It is also directly related to bacterial or viral infections of the costochondral caused by respiratory tract infections. Some thoracic surgeries may be complicated by costal cartilage infection after surgery.

Costochondritis has many causes, and is often divided into infectious costochondritis and non-specific costochondritis. Costochondritis is an inflammatory reaction to the cartilage at the junction of the sternum and ribs, manifested by definite pain in the anterior chest, often accompanied by tenderness. Infectious costochondritis is usually caused by a local infection caused by cardiothoracic surgery or other procedures.

The cause of nonspecific costochondritis is unknown, but it is speculated to be related to viral infection, articular ligament injury, and endocrine abnormalities. Viral infections are considered to be related to the virus of the upper respiratory tract, chronic strain of the thoracic and costal joints, injury to the ligaments of the thoracic and costal joints, and pure secretion abnormalities before internal division can also lead to abnormal nutritional isolation of the costal cartilage, and other causes include violent impact on the chest, extraction of heavy objects, etc., which may lead to non-specific costochondritis.

It can be caused by trauma or inflammation.

1. Costochondritis is mainly caused by viral infection, which is mainly a respiratory viral infection, which will occur before the patient, in which case it will directly cause the occurrence of costochondritis.

2. Chronic strain of the thoracic rib joint ligament will also directly lead to the occurrence of costochondral inflammation.

3. The appearance of costochondral inflammation is also directly related to systemic malnutrition, infection of respiratory tract and rheumatoid arthritis, decreased autoimmunity, and infection of pathogenic bacteria in internal secretions, which can induce costochondritis.

4. The lesion site occurs at the second and fifth costal cartilages of the chest, mostly at the second and third costal cartilages, and can also have dull or sharp pain on the sternal stem, multiple costal cartilages and clavicles in front of the chest, tenderness and swollen bulges, aggravated pain when inhaling or coughing and moving, and sometimes loose in the shoulder or back and unable to lift the arm.

Problem Analysis:

Costochondritis is an unexplained non-purulent costochondritis lesion at the junction of the costochondral and sternum, presenting as a self-limiting condition of localized pain and swelling. It has non-specific inflammation, and then infectious costochondritis, some upper respiratory tract infections, viral infections induce.

Suggestions: If it is costochondritis, you can usually avoid a single posture for a long time, physical work, and then adjust your mood, work pressure, and pain, rest, avoid feeling the wind and cold, local external application, most of the time can be improved, the pain is obvious, you can take anti-inflammatory and pain-relieving drugs, and the whole can be improved

The condition of the disease is unknown. There are several possible causes.

1) viral infection, many cases report a history of viral upper respiratory tract infection before the disease;

2) chronic strain of thoracic-costal ligaments;

3) Immune or endocrine abnormalities cause costochondrodystrophy. (4) It has been reported that tuberculosis, systemic malnutrition, acute bacterial upper respiratory tract infection, etc. can lead to costochondritis.

Costochondritis is a common disease, divided into non-specific costochondritis and infectious costochondritis, the most common in clinical practice is non-specific costochondritis, which can account for more than 95% of the outpatient volume, is a non-specific, non-purulent inflammation of the costochondritis, a non-purulent costochondritis lesion that occurs for unknown reasons at the junction of the costochondral and the sternum, and is manifested as a self-limiting disease with localized pain and swelling. It is more common in adults aged 25 to 35 years, and women are the majority, with a male-to-female ratio of 1:9.

It also occurs in older people. It is more common at the junction of the 2nd and 5th costal cartilage, and is generally multiple, seen in one side of the parasternal or symmetrical on both sides, and the second costal cartilage is common in single cases. Infectious costochondritis, also known as purulent costochondritis, is a less common surgical infection.

**：1.Non-specific costochondritis.

The reasons are as follows: 1) Viral infection, many cases report a history of viral upper respiratory tract infection before becoming ill.

2) chronic strain of thoracic-costal ligaments;

3) Immune or endocrine abnormalities cause costochondrodystrophy.

4) Other causes, which may be related to tuberculosis, systemic malnutrition, acute bacterial upper respiratory tract infection, rheumatoid arthritis, thoracic costal subluxation, chest impingement injury, severe cough and other injuries.

2.Infective costochondritis.

Primary infection is relatively rare, generally infected through the blood route, its pathogenic bacteria are often tuberculosis bacillus, typhoid bacillus or paratyphoid bacillus, and chondritis caused by infection after thoracic surgery is more common, and its pathogenic bacteria are mainly pyogenic bacteria and fungi.

Clinical presentation.