Chest Rib pain (Left Side)

[saqi19]

its been little over a year i been having pain in my chest (left side) right above the nipples. some times i also feel burning kind of pain in my back (Right behind where it hurts from front). Funny thing is i cannot simulate pain when i rub or press the Spot, but internally i feel kind of soreness or maybe discomfort.

i went to many different doctor and did blood tests, ECG, Sonogram of heart , but everything came out normal. and they claimed its related to some chest rib pain or something and told me to take B1,B6 Vitamin and take advil/Motrin when it hurts alot, but honestly speaking nothing is helping.

How can i diagnose this issue, what do I have, what kind of special doctor do i need to go, how can i fix this.?

i will really really appericate your help.

Thanks

[Dr J Singh]

Hello,

There is no specific test or investigation for costochondritis. The diagnosis can only be reached after excluding more serious causes of chest pain that are related to the heart and lungs.It is completely curable and treatment involves conservative local care with careful use of nonsteroidal anti-inflammatory medications such as ibuprofen (Advil, Motrin) or naproxen (Aleve) as needed. Application of warm compresses may also help.If there is nor may relief even with medications, then steroid injections be needed.

Pls get yourself evaluated from an orthopedician for this.

Hope it helps.Take care and pls do keep me posted on how you are doing and if you have any additional queries.

[saqi19]

Costochondritis, very interesting. are there any tests for it? is it treatable?  i will go to doctor as well. but for some reason i went to many doctors and they say it willl heal with time.

Thanks

[Dr J Singh]

Hello,

Since the cardiac causes have been ruled out,so other possibilities that need to be probed are costochondritis,GERD,peptic ulcer disease,fibromyalgia,lung conditions and esophageal motility disorder. Costochondritis is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone or sternum.

Pls take an appointment from a physician and get yourself thoroughly examined so that a confirmatory diagnosis can be made. Treatment will depend on the diagnosis.
I hope it helps.Take care and pls do keep me posted.