Distinguishing Features
| Feature | Costochondritis | Cardiac Chest Pain |
|---|---|---|
| Reproducible with pressure | Yes — pressing on the area reproduces pain | No — pressing doesn't typically change cardiac pain |
| Worsens with movement/breathing | Yes | Sometimes, but less specifically |
| Associated with exertion | No | Often yes (angina) |
| Radiates to arm/jaw | Uncommon | Common |
Treatment
- NSAIDs (ibuprofen, naproxen) for pain and inflammation
- Rest from aggravating activities
- Heat application
- Reassurance once serious causes excluded — this is important as anxiety about chest pain can be significant
Always Exclude Cardiac Causes FirstNew chest pain, especially in those over 40 or with cardiac risk factors, should always be assessed to exclude heart-related causes before attributing it to costochondritis, even if the pain seems reproducible with pressure.
Reassurance MattersOnce serious causes are excluded, understanding that costochondritis is benign and self-limiting (though sometimes recurring) can significantly reduce the anxiety that often accompanies chest pain.
How long does costochondritis last?
Typically several weeks, though it can recur, particularly after unusual physical activity or with viral infections.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.