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Women's Health

Costochondritis

11/18/2009

Question:

I had a realy bad cough to the point were I would throw up while coughing. I developed stabing chest pains and I knew it was from coughing. So I did my regular home treatments of Tylenol, rest heat and ice. But the pain was still getting worse even though I was not coughing any more. I went to my doctor and he told me that I had costochondritis. Since I was already on NSAID and Prednisone he gave me Tramacet. I have been having the pain for 2 weeks now. I also have RA. How long does this normaly last?

Answer:

The problem with costochondritis is that it takes a while to heal, up to 6 weeks or more. Unlike an inflammed wrist or other joint, it would be difficult to splint the ribs. This, combined with the fact that we take 12-16 breaths per minute, delays the healing process. Continued use of NSAIDs and heat are recommended.

If it does last longer than 4-6 weeks, going to a physical therapist for ultrasound treatments, or to a rheumatologist for a local steroid injection, may help.

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Response by:

The Ohio State University W. Fred Miser, MD
Associate Professor of Family Medicine
Director, Ohio State Medicine Residency Program
Department of Family Medicine
College of Medicine
The Ohio State University
W. Fred Miser, MD