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costochondritis
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costochondritis - August 12, 2003 1:10:00 PM
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NewBuckeye
Posts: 1
Joined: August 11, 2003
Status: offline
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Hello...
I currently have my first patient that I am seeing with costochondritis. I have read up on the causes and typical treatments, however, I am unsure of the best physical therapy approach to this disease. Does anyone have any suggestions or success stories? They would be greatly appreciated.
Thanks!
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Re: costochondritis - August 12, 2003 4:14:00 PM
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Sam B
Posts: 73
Joined: August 6, 2003
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What kind of symptoms does the patient have? Any pertinent subjective or objective findings? Need more info here. Any previous surgeires, trauma, history of any underlying medical disease, psychological profile etc..
You can't treat any patient based on pattern recognition alone; being a little more specific may help, as all rib problems are not alike.
Sam
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Re: costochondritis - August 13, 2003 3:11:00 AM
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PTupdate.com
Posts: 1490
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
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That is a very interesting condition, and until recently, not very well reported. My own Mom has suffered from it, and when I first began practicing, spent a lot of time researching to find some answers. Unfortunantely, most articles that appeared promising were in journals from the Soviet bloc countries, under Tietze's Syndrome (sp?)
I get patients about once a year with the condition. Usually female, middle aged, kyphotic, and flared up from some overuse activity (washed all their walls down, etc).
What I have seen most in these patients is severe thoracic hypomobility, both vertebral and at the costovertebral joints. Perhaps it places more force on the costal cartilage, I don't know.
Once past the acute phase, I have found gentle mobilization of thoracic spine, costovertebral joints and breathing exercises that emphasize cage expansion help. Also, they love heat and analgesics.
John Duffy, PT OCS [URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
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