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What is the best way to lie with costochondritis?

Author

Daniel Moore

Published Jan 18, 2026

Other than taking medications for pain and inflammation, what I find helps is not to sleep on the side affected, and try not to sleep on back or stomach. When sleeping on other side prop up your ribs with a pillow this will give them support throughout the night.

Does costochondritis hurt more when lying down?

When the costochondral joint becomes inflamed, it can result in sharp chest pain and tenderness, which may develop gradually or start suddenly. The pain may be made worse by: a particular posture, such as lying down.

Should you rest with costochondritis?

Rest: You may need to rest and avoid painful movements and activities. Do not carry objects, such as a purse or backpack, if this causes pain. Avoid activities such as weightlifting until your pain decreases or goes away.

How can I ease the pain of costochondritis?

They include:

  1. Over-the-counter nonsteroidal anti-inflammatory drugs pain relievers. Ask your doctor about using ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others).
  2. Heat or ice. Try placing hot compresses or a heating pad on the painful area several times a day. ...
  3. Rest.

What should you not do with costochondritis?

Costochondritis can be aggravated by any activity that places stress on your chest area, such as strenuous exercise or even simple movements like reaching up to a high cupboard. Any activity that makes the pain in your chest area worse should be avoided until the inflammation in your ribs and cartilage has improved.

22 related questions found

What causes costochondritis to flare up?

Costochondritis doesn't always have a specific cause, but it's most often a result of a chest injury, strain from physical activity, or joint conditions like osteoarthritis.

What virus causes costochondritis?

Costochondritis might be linked to specific problems, such as osteoarthritis, rheumatoid arthritis or ankylosing spondylitis. Joint infection. Viruses, bacteria and fungi — such as tuberculosis, syphilis and aspergillosis — can infect the rib joint.

Why is costochondritis so painful?

The ribs are connected to the breastbone by tough, protective tissue called cartilage. When this cartilage becomes inflamed, the condition is known as costochondritis or chest wall pain. While this condition is usually temporary, it can be alarming, as the pain can become so significant it mimics a heart attack.

How long does it take for costochondritis to heal?

Costochondritis most often goes away on its own in a few days or weeks. It can also take up to a few months. Treatment focuses on relieving the pain.

What does a costochondritis flare feel like?

The most noticeable symptom, chest pain, can be moderate to severe and may develop into a sharp, stabbing sensation. You feel this pain to the left of your sternum, and you might also feel a lot of pressure. In some cases, the pain may spread toward your shoulder and upper back.

Can costochondritis be on the right side?

Costochondritis

This condition happens when your rib cage cartilage becomes inflamed. The pain can be severe or mild. Although the pain is typically felt on the left side of your chest, it may also occur on the right side.

Does stretching help costochondritis?

Some research suggests that people who treat costochondritis with NSAIDs experience more pain relief if they add certain stretching exercises to their treatment regimen.

Where is costochondritis pain located?

Costochondritis is a harmless swelling (inflammation) of cartilage in your chest. The cartilage connects your ribs to your breastbone (sternum), creating the costochondral joint. Costochondritis feels like a sharp or aching pain. The pain can start suddenly or develop slowly and spread across your chest.

Is costochondritis a symptom of Covid 19?

Here, we report a case of severe costochondritis unresponsive to traditional management in a child who had COVID-19 infection a few months earlier. To our knowledge, this is the first reported case of post-COVID-19 costochondritis (PCC) that has been successfully managed with colchicine.

What is the best medication for costochondritis?

The treatments for costochondritis are painkillers and anti-inflammatory medications. Often, just simple painkillers such as paracetamol or codeine are needed. Ibuprofen is an anti-inflammatory medication (also called a non-steroidal anti-inflammatory drug, or NSAID) that is often effective for costochondritis.

Does costochondritis hurt to touch?

It could be caused by a mostly harmless condition called costochondritis, an inflammation of the cartilage that connects your ribs to your breastbone. If you press on your upper ribs and it feels tender, you may have it.

Can Massage Help costochondritis?

Massage is indicated. However, not recommend in the chest area during the acute phase. Due to the enflamed cartilage, any pressure or increased circulation to those joints will result in pain and prolonged recovery.

Can costochondritis make you feel unwell?

If you feel unwell, breathless, dizzy, or sweaty, or if your chest pain is very severe or spreading to your jaw or left arm then treat it as an emergency. Call 999/112/911 for an emergency ambulance. It is more likely that you have costochondritis if: You are young and otherwise healthy.

Can costochondritis cause pain between shoulder blades?

Pain from this condition can mimic the signs of a heart attack and various other conditions relating to the heart. It can also mimic the signs of acid reflux and indigestion. Pains can also travel to the spine and between the shoulder blades.

Can anxiety cause costochondritis?

While costochondritis can be caused by activities that put stress or strain on your chest area, it isn't known to be connected to emotional stress.

Can sleeping position cause chest pain?

Injury to the Chest Wall

If the muscles and bones of your chest wall have been strained or injured in some way, any type of movement of your torso can cause pain. As a result, you may experience chest pain while you are sleeping, particularly if you frequently change positions or fall asleep on your chest.

How should I sleep to avoid chest pain?

Sleeping. Lie on your side with a pillow between your legs and your head elevated with pillows. Keep your back straight. Lie on your back with your head elevated and your knees bent, with a pillow under your knees.

When I lie down my chest feels tight?

If you have orthopnea, you may feel short of breath upon lying down. The sensation may come on instantly or develop gradually. You may also feel tightness or pain in your chest or experience additional symptoms like wheezing, coughing, or heart palpitations.

How do I stop chest tightness at night?

Infection Treatment

  1. Drink fluids: Fluids help thin out mucus that causes chest congestion. ...
  2. Use a humidifier: Steam from a humidifier (or hot shower) can help clear up congestion. ...
  3. Take a decongestant: Decongestants may help break up mucus and clear the congestion in your chest and nose.

Are muscle relaxers good for costochondritis?

If a case of costochondritis is causing uncomfortable symptoms, several approaches help relieve them. “Often anti-inflammatory medications are prescribed, such as acetaminophen, ibuprofen, or a muscle relaxant known as cyclobenzaprine (Flexeril),” says Schwartz.