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Dr. Stoll, one more question about costochondritis--causes...

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Dr. Stoll, one more question about costochondritis--causes...

Posted by Nutmeg [86.74] on January 31, 2006 at 01:40:16:

Hi Dr. Stoll,

I've been reading the archives about costochondritis. A friend suffered an acute attack out of nowhere over the weekend and ended up in the ER and hospital having her top-of-the-pain-scale chest pain checked out. All cardiac testing was normal and she was diagnosed with costochondritis believed to be brought on by a viral infection that inflamed the cartilage around the sternum and ribs.

In the archived posts I read on costo, several of the posters mentioned their costo began after a viral infection. In your replies, I noticed that you didn't respond to the viral infection aspect of the questions. To my way of reading, your replies suggest that you believe costo is *always* brought on by bracing of the intercostal muscles, stress-storage effect in the hypothalamus, etc.

Do you not believe that viral infections can cause this type of inflammation? In doing a Google search on the internet, I found plenty of medical websites discussing viral costochondritis.

Thanks for any light you can shed on this,
Nutmeg



Re: Dr. Stoll, one more question about costochondritis--causes...

Posted by Amy [3419.74] on January 31, 2006 at 15:41:54:

In Reply to: Dr. Stoll, one more question about costochondritis--causes... posted by Nutmeg [86.74] on January 31, 2006 at 01:40:16:

Hi. I was diagnosed with costochondritis last year from the ortho doc I work for. He said it was from the recent bronchitis I had. I coughed my brains out for a week, then a month and a half later had a sinus infection. I also am a very stressed out person. I believe that costo can be caused by both of these. In fact, I am having a flare up right now. Just my two cents worth! Hope it helps.



Re: Dr. Stoll, one more question about costochondritis--causes...

Posted by Nutmeg [86.74] on January 31, 2006 at 16:06:07:

In Reply to: Re: Dr. Stoll, one more question about costochondritis--causes... posted by Amy [3419.74] on January 31, 2006 at 15:41:54:

Hi Amy,

Thanks so much for your reply. I hope your flare-up fades quickly. Just curious, do you do SR, and if so, does it help?

And just to clarify, did your ortho doc think you brought on your first bout of costo from coughing trauma & muscle tension in your chest? Or did he think it was from viral or bacterial infection(s) settling in the cartilage of the sternum and ribs?

I can definitely understand how physical trauma from things like intense coughing or heavy lifting can cause costochondritis, and I can see how stress could aggravate or even cause it if a person unconsciously tightens their muscles in response to stress or becomes frightened from the unexplained pain and not being able to breathe deeply, or has a panic attack.

I'm definitely interested in hearing more about infectious causes, so I hope Dr. Stoll or others will shed some light on that.

Thanks again,
Nutmeg



Re: Dr. Stoll, one more question about costochondritis--causes...

Posted by Amy [3419.74] on January 31, 2006 at 16:58:42:

In Reply to: Re: Dr. Stoll, one more question about costochondritis--causes... posted by Nutmeg [86.74] on January 31, 2006 at 16:06:07:

Hi. My flare ups are not too terrible so I try to just relax and not think about it. Sometimes the flare ups only last a few hours. It helps just knowing what it is. My ortho doc did link the onset of costo to intense coughing and the fact that I had bronchitis. It was really bad, the coughing that is. Being a stressed out person doesn't help either. I think this current bout is related to coughing and stress together. I have been coughing some the last few days and I recently flew on a plane and that was horribly stressful for me. I hate flying. As far as a virus causing inflammation of the cartilage around the sternum, ribs, I bet that is a factor as well. I can't confirm that though because I am not a doctor, but it makes sense to me. Hope that helps.

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one more question about costochondritis--causes... EXPLANATION Archive.

Posted by Walt Stoll [93.1889] on February 01, 2006 at 06:54:33:

In Reply to: Dr. Stoll, one more question about costochondritis--causes... posted by Nutmeg [86.74] on January 31, 2006 at 01:40:16:

Thanks, Nutmeg.

Of course there are cases of costo that follow viral infections, just one of the many contributing factors possible.

However, if the person had not already been bracing the joints would not have been stressed to the point where the virus could have pushed the individual over the edge. Since there is nothing that anyone can do about the fact that they have HAD a viral infection that pushed them over the edge, the only thing they CAN do is deal with the bracing (which is ALWAYS present in cases of costo) that pushed them to edge of their cliff in the first place.

Capice?

Walt



Re: one more question about costochondritis--causes... EXPLANATION Archive.

Posted by Nutmeg [86.74] on February 02, 2006 at 00:50:24:

In Reply to: one more question about costochondritis--causes... EXPLANATION Archive. posted by Walt Stoll [93.1889] on February 01, 2006 at 06:54:33:

Hi Walt,

Yavol! I will tell my friend. Nothing like an episode of severe chest pain and difficulty breathing to ramp up the stress level, too. Yowser.

Muchas gracias,
Nutmeg

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