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Causes

By Mayo Clinic staff

Most 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
  1. Wise CM. Major causes of musculoskeletal chest pain. http://www.uptodate.com/index. Accessed March 5, 2012.
  2. 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.
  3. Proulx AM, et al. Costochondritis: Diagnosis and treatment. American Family Physician. 2009;80:617.
  4. Stochkendahl MJ, et al. Chest pain in focal musculoskeletal disorders. Medical Clinics of North America. 2010;94:259.
  5. Wise CM. Clinical evaluation of musculoskeletal chest pain. http://www.uptodate.com/index. Accessed March 6, 2012.
  6. Phillips K, et al. Treatment of musculoskeletal chest pain. http://www.uptodate.com/index. Accessed March 6, 2012.
DS00626 May 5, 2012

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