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Why is costochondritis so painful?

Author

William Rodriguez

Published Jan 23, 2026

Cartilage is a flexible connective tissue found in joints. The cartilage that joins the ribs to the sternum allows the ribcage to expand during inhalation. Because of this, people with severe costochondritis may have difficulty or experience pain while taking deep breaths.

What does severe costochondritis feel like?

The most common symptoms of costochondritis are pain and tenderness in the chest. You may feel: Sharp pain at the front of your chest wall, which may move to your back or stomach. Increased pain when you take a deep breath or cough.

How painful is costochondritis?

Typically, it is sharp and stabbing in nature and can be quite severe. The pain is worse with movement, exertion and deep breathing. Pressure over the affected area also causes sharp pain. Some people may feel an aching pain.

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 causes costochondritis to flare up?

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.

39 related questions found

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.

How should you sleep with costochondritis?

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.

What happens if costochondritis goes untreated?

Costochondritis is a relatively harmless condition that will usually go away without treatment. However, it can cause anxiety as its symptoms may be mistaken for a heart attack. The sudden onset of chest pain should be assessed immediately by emergency services or a doctor.

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.

Does costochondritis get worse at night?

The pain from costochondritis may be most noticeable when an individual is lying in bed at night. It is important to find a suitable lying position in order to reduce the degree of discomfort. It may be useful to use local heat as much as possible providing this does not aggravate the condition.

Does costochondritis get worse?

It usually gets worse if you breathe deeply or move your upper body. When you press on your chest, it feels tender and painful. The pain usually lasts for a few weeks or months, but about a third of those with costochondritis will have it for about a year.

Does stretching help costochondritis?

The best treatment for chest pain from costochondritis is active in nature. Postural correction, breathing exercises, and stretches can help decrease your pain and improve your mobility.

Can costochondritis be chronic?

This condition usually isn't persistent. In many cases, costochondritis goes away on its own. Mild cases of costochondritis may disappear after a few days. Chronic cases can last for weeks or more, but most cases don't last any longer than a year.

Does heat help costochondritis?

Heat: Heat helps decrease pain in some patients. Apply heat on the area for 20 to 30 minutes every 2 hours for as many days as directed. Ice: Ice helps decrease swelling and pain. Ice may also help prevent tissue damage.

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.

Does Vitamin D Help costochondritis?

However, with treatment of deficiency and normalization of their serum vitamin D, both patients' costochondritis improved, further supporting vitamin D deficiency as a potential cause of their costochondritis.

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.

What autoimmune disease causes costochondritis?

There is a variation of costochondritis called Tietze syndrome. This condition causes pain associated with costochondritis, as well as swelling of the rib cartilage. The swelling of Tietze syndrome affects at least one of the upper four ribs, usually the second or third ribs.

Is massage good for 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 emotional stress 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.

Does costochondritis affect the heart?

Pain in the chest and breastbone area is the chief symptom of costochondritis. The pain may be so severe that the person feels they are having a heart attack.

Does costochondritis make you breathless?

Can costochondritis cause trouble breathing? Difficulty breathing is not a symptom of costochondritis, but it's understandable if it feels difficult because of the chest pain, especially when that pain gets worse because of a deep breath or a cough. Go to the hospital immediately if you're having trouble breathing.

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.

How do you stretch costochondritis?

The stretches involve holding a raised, bent arm with the forearm parallel to the wall and gently twisting the body in the opposite direction to open the chest and relieve tension on chest muscles. The exercises are repeated on both sides, several times a day to decrease pain.

Does caffeine make costochondritis worse?

Stress contributes to the pain because it makes the muscles tense. Other things that hurt are lifting, pushing, pulling, sneezing, coughing, long hours of driving or using the computer, repetitive motions and caffeine. Cold, rainy and humid weather also make the discomfort worse.