Treatment of Costochondritis
Treatment of costochondritis focuses on relieving pain and inflammation while allowing the cartilage to heal naturally. Since the condition is self-limiting in most cases, conservative therapies are often sufficient. However, persistent or severe cases of costochondritis may require more intensive intervention.
Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are first-line treatments. They help reduce inflammation and relieve pain.
Paracetamol may be used for those who cannot tolerate NSAIDs.
Stronger painkillers, such as codeine, may be considered for acute flare-ups but are not recommended for long-term use.
Corticosteroid injections may be used in chronic or unresponsive cases to reduce inflammation at the affected joints.
Physical Therapy | Treatment of Costochondritis
Physiotherapy can help improve posture and reduce strain on the chest wall:
Stretching exercises to relieve tightness in the chest muscles
Postural correction to address ergonomic causes of costochondritis
Breathing exercises to reduce tension in the rib cage
Local Treatments
Heat or ice packs can provide temporary relief. Apply a warm compress or cold pack for 15–20 minutes at a time to the affected area.
Topical anti-inflammatories, such as diclofenac gel, may reduce localised discomfort.
Activity Modification | Treatment of Costochondritis
Rest and avoiding activities that exacerbate symptoms are key in the early stages. This includes:
Avoiding heavy lifting or upper-body workouts
Minimising repetitive chest movements
Adopting ergonomic positions when sitting or working
Alternative Therapies
Some individuals find relief with:
Acupuncture
Chiropractic adjustments
Massage therapy
While evidence is limited, these may be useful as adjunctive therapies in chronic cases.
In summary, treatment of costochondritis aims to relieve symptoms through anti-inflammatory medication, rest, and physiotherapy. Most individuals recover within weeks to a few months, particularly with early intervention and lifestyle adjustments.
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