Causes
By Mayo Clinic staffMost cases of costochondritis have no clear cause. Occasionally, however, costochondritis may be a result of:
- Injury. A blow to the chest could cause costochondritis.
- Physical strain. Heavy lifting and strenuous exercise have been linked to costochondritis, as has severe coughing.
- Arthritis. In some people, costochondritis has been linked to specific problems, such as osteoarthritis, rheumatoid arthritis and ankylosing spondylitis.
- Joint infection. The rib joint itself can become infected by viruses, bacteria or fungi. Examples include tuberculosis, syphilis and aspergillosis.
- Tumors. Noncancerous and cancerous tumors also can cause costochondritis. Cancer may travel to the joint from another part of the body, such as the breast, thyroid or lung.
References
- Wise CM. Major causes of musculoskeletal chest pain. http://www.uptodate.com/index. Accessed March 5, 2012.
- Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-6/0/1678/0.html. Accessed March 5, 2012.
- Proulx AM, et al. Costochondritis: Diagnosis and treatment. American Family Physician. 2009;80:617.
- Stochkendahl MJ, et al. Chest pain in focal musculoskeletal disorders. Medical Clinics of North America. 2010;94:259.
- Wise CM. Clinical evaluation of musculoskeletal chest pain. http://www.uptodate.com/index. Accessed March 6, 2012.
- Phillips K, et al. Treatment of musculoskeletal chest pain. http://www.uptodate.com/index. Accessed March 6, 2012.


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