Costochondritis/referred pain

Discussion in 'Fibromyalgia Main Forum' started by lisabk, Aug 29, 2006.

  1. lisabk

    lisabk New Member

    My GP assured me that the rib pain that I feel is costochondritis, and I don't doubt it - I've had it off and on for at least 3 years (mostly on) and it never fully goes away. Right now it's flaring big-time.

    I guess I worry because it's my 4th rib, right under the breast. Any time things get painful or weird in that part of your body, it's a little alarming! Anyway, the pain I'm feeling isn't so much on inhalation (that has never been a problem) but is radiant - through the side of my ribcage to the back, into the shoulder, through my breast, even, though the breast itself isn't sore. It's clearly happening underneath.

    This has happened before but this time it seems a little more hardcore. Does this happen to anyone else, this radiating? I have my first appointment with a rheumatologist Thursday morning, where I'm hoping for a definitive dx (the GP was pretty sure fibro is the problem) and some reassurance/guidance. I can fight whatever, as long as I know what it is.

    This board has been a huge help. Thanks.
  2. mosherpit

    mosherpit New Member

    I have not had to suffer with this one, but my mom had it along with Fibro and many a time did she tell me how it radiated to all the locations you mention. I would definitley mention it to the rheumy on thursday, but based on what my mom said it sounds like it is that. good luck
  3. charlenef

    charlenef New Member

    right know with this, although my pain is not that bad the transfer of muscle twitches and shaking are all in the same places you talked about. it is making my heart have a rapid heart beat and skip beats i just had all the tests and am waiting to hear from the dr. i think it is all my muscles pulling my heart though. hope this helps charlene
  4. charlenef

    charlenef New Member

    or anything due to stomach problems. sometimes i feel like screaming because everything i take bothers me that is why i guess i am in so much pain and cant stay out of my bed.i cant drive because of this im afraid i will make the heart problems worse. hope you feel better soon god bless charlene
  5. Andrea4

    Andrea4 New Member

    i've had this condition before a few times. it really sucks.

    last night, i had real bad chest pain...pain radiating straight thru to my back and up my shoulders and neck. I saw the doctor today and he ordered a nuclear stress test for me to be sure there's no cardiac involvement. i had a stress echo 2 yrs ago and it was ok then.

    reading these articles were helpful and i am glad you guys posted your info.

  6. lisabk

    lisabk New Member

    Thanks so much for the replies.

    I think the worst thing for me is that I always feel like I'm "shielding" the painful area - if it gets knocked or pressed, it hurts like crazy (when the doctor palpated the area, it was all I could do to not slap her hand away!). Of course, while I'm shielding, I'm also hunching, which makes the pain worse from all the tension.

    I'll check with the rheumy, but the GP, as I was telling her more about it, was like, "That's costochondritis, and you kind of have to wait it out."

    Wait it out? I've been waiting for years!
  7. findmind

    findmind New Member

    I just saw my dr. yesterday, again, for my costo, which has knocked me flat for 2 months now.

    He said this:

    Continue ibuprofen, but because it hurts my stomach, take Zantac 2x daily.

    I also convinced him to give me a Z-Pak, and I have several viruses and mycoplasma infections, and maybe this has caused my costo. If so, the antibiotics may help.

    He also Rx'd tramadol (Ultram) 2xdaily to decrease the costo and referred pain.

    So I'm starting the regimen today. Will try to remember to let you know how much if any, it helps!

    Hang on, and take it easy. This stuff is really terrible, and I thought FM and CFS was bad, HA!

    There's always hope,
  8. lisabk

    lisabk New Member

    They don't seem to cut the pain very much, but I'll try again. I wonder if anyone at work has any...

    I really would like to find out WHY this happens and what I can do to get rid of it, not just mask the symptoms. I hope the rheumy has some suggestions. If not, I'm soldiering on. Like I mentioned above... once I know what I'm fighting, I'm tireless.
  9. lisabk

    lisabk New Member

    Thanks! I signed up a few weeks ago, thanks to someone's (yours?) suggestion here on the board.

  10. findmind

    findmind New Member

    Hey, Nanjee, 800mg???? Not ever...the dr. first rx'd 400mg and they killed my stomach immediately!

    So I got 200mg Wal-profen (Walmart's), and take only one every 4 hrs, and my stomach was still hurting.

    So will take the Zantac and one 200mg and Ultram and see how it goes.

    You are right, this has brought me to me knees, too. I thought the neuropathy in me feet and ankles was the worst pain even with neurontin, but this is so, so BA-A-A-A-D!

    Maybe I'll visit the Yahoo group, don't know whether I can, with webtv.


  11. I have been suffering for wks now with it, nothing helps much at all, I have tried high dose of ibuprofen and tried heat . It radiates to my back , left shoulder and neck and is miserable.
  12. rmsjohns

    rmsjohns New Member

    I am one of those who was sent to the ER in an ambulance by the DR. Seems my EKG was abnormal. I went to my Family Dr a week after the pain in the lower 3 ribs all around my left chest and back hurt so bad I couldn't breathe.
    Well, off to the hospital I went. I was already on 4 Ultram a day for my Arthritis, and I still couldn't handle the pain. So, a zillion tests later, and $2000 more in debt, I got a clean bill of health on my heart. And left the hospital in more pain, because they irritated it more with all the tests.
    My RH Dr saw me, changed me to Darvocet and sent me to Physical Therapy. This is working, my therapist is doing tissue work, and she is making everything feel better. She is a specialist and I love her. The only issue is the copay is every time I go, and that hurts the wallet since I had to leave working and have lost a third of our income now.
    I am going on week 8 now, and there is improvement, my pain is in 2 centered spots, and not all over. I am still on light duty only, but at least the pain is not unbearable.
    I had never heard of this until a few weeks ago, but it is common in Fibro. Looks like this board might become my favorite friend.
  13. lisabk

    lisabk New Member

    I actually find myself reverting to old habits - self-medicating with food to get my mind off of how much I'm hurting.

    I recently had a conversation with a friend in Sweden who also has fibro - she mentioned that she feels best at times when her weight is down - when she's underweight, not just at her target or set point weight. It makes me wonder if the toxis we carry in our body fat are making us sicker...
  14. charlenef

    charlenef New Member

    im not heavy and im about as sick as they come.i just wish i could have 25% of my life is terrible for me to even go to the dr.i have been taking a shower and putting on a new pair of pj back on for about 3 day why make more laundry i dont leave the house. charlene
  15. lisabk

    lisabk New Member

    That sounds terrible. I'm so sorry you feel so crummy.

    I was just thinking aloud, really. I did feel much better about 15 pounds ago...
  16. tammis

    tammis New Member

    skelaxin is the best medicine for this rib and chest pain!I take it and usually within 20 min,it comes down,I couldnt do without!!!!Good Luck,Make sure you mention this drug to Rhuemy...
  17. Yes I have loss of appetite too as I feel so nauseous and bloated horribly. I don't know if I have two things going on or it is part of it all. I HATE IT!
  18. dialow

    dialow New Member

    Hi fellow sufferers
    I have found "some" relief with STOP Pain in the roll-on form. I have discarded all of my favorite colognes, as the smell overpowers everything, but it does offer some relief!
    Best wishes
  19. dafoefan

    dafoefan New Member

    This is the one thing with my fibro that really scares me.

    When I am going through it, if it is winter, I use heat on my chest and also my back (basically all the way around). In the summer, I do the same, except with ice.

    I immediately take a vicodin, a muscle relaxer, and most important, a klonopin. The klonopin relaxes me. Without it, I think it becomes so awful that I work myself up and make it worse.

    If you don't have klonopin, then maybe xanax would be good. I know I'm fortunate that my doctor trusts me and I have a good amount of options. I can't imagine if I had to rely on over the counter products. I think if it was over the counter, I would take 2 tylenol pm's, and do the heat or ice, and try to go to sleep.

    Good luck and a quick recovery for those of you suffering with chondro right now.
  20. Mikie

    Mikie Moderator

    I've had this whenever I have had respiratory problems. It's inflammation between the ribs where they meet the sternum. If one feels in between the ribs there, one can usually find a very, very sore spot. This can be injected with a small amount of cortisone and it is very effective. I don't like steroids but when the costo pain kept me from sleeping, I decided to go for it and the injections lasted a year each time.

    I have had horrible respiratory problems since Easter because of recurring Red Tide, complicated by mold and pollen, down here. When the Costo reared its ugly head this time, I decided to ice down the area on my chest. I also took anti-inflammatories (ibuprophen works best for me). It worked and the Costo went away.

    My daughter has a chiro who works on her and keeps the Costo from being a problem. I would imagine a good physical therapist might be able to do this.

    Costo is one of the most painful conditions I have ever had with it unrelenting pain which radiates out the back and down the arm. I think it's important to take care of it early on because it seems that the longer it is allowed to cause pain, the worse it gets.

    Love, Mikie

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