Everything you need to know about pain and how we can help you

The true cause of Costochondritis is not generally recognized, so treatment is often ineffective. DMR Therapy® focuses on the true cause which results in fast, effective treatment.

Costochondritis, with similarities to Tietze’s syndrome, is an inflammation of the cartilage at the costosternal joint where the upper ribs attach to the to the breastbone or sternum.


One feels chest pain near the breastbone, which may get worse if one breathes deeply or stretches. The pain may radiate to the back or to the abdomen.


  • The cause of Costochondritis itself is generally not known, but may appear as a response to:
  • trauma to the chest
  • physical strain, such as heavy lifting
  • viruses or respiratory conditions that can cause joint inflammation
  • some forms of arthritis


Costochondritis will normally disappear on its own after a few days or weeks.

Treatment of Costochondritis often begins with bed rest, hot and cold applications, or over-the-counter medications such as ibuprofen (Advil) or naproxen (Aleve).

If that doesn’t help you might be prescribed any of the following:

  • prescription-strength NSAIDs
  • painkillers, such as narcotics
  • antianxiety medications
  • antidepressants
  • oral steroids
  • steroid injections
  • and (rarely): surgery


The chest pain normally classified as Costochondritis is caused by tight chest (pectoral) muscles that tighten and pull the fascia. The resulting tension at the point of attachment to the breastbone or sternum causes the pain and inflammation. Releasing this tension normally ends the pain almost immediately. If the pain is not aggravated by movement, trigger points in the sternalis muscle, on one or both sides of the sternum, may be the cause cause deep, constant pain sometimes confused with angina or heart pain. Releasing these trigger points will normally eliminate this pain.

NOTE: Other names for this condition are Tietze’s syndrome, chest wall pain, costosternal syndrome, or costosternal chondrodynia

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