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COSTOSTERNAL CHEST PAINANATOMYCostosternal chest pain is the most common cause of non-cardiac chest pain. Chiropractic treatment of this breastbone pain is built around understanding the anatomy of the chest.
For information on Costo Sternal Anatomy, click here., PREVALENCEChest pain is very common and can be serious. The proportion of patients with joint related chest pain is called the PREVALENCE. Recent research about chest pain reveals:* In the emergency department, approximately 10 to 15 percent of adults and 23% of children presenting with chest pain have a musculoskeletal breastbone condition. * In one large study 11 percent of adults presenting with chest pain were felt to have a costo sternal cause. The incidence rose to 26 percent in those patients considered at low suspicion for myocardial infarction, making this THE MOST COMMON category of non-cardiac chest pain in this setting. * In an emergency department study of 122 consecutive patients, 30% were felt to have chest wall tenderness due to a costo-sternal syndrome. In 17, the tenderness reproduced their pain. (NB. Two of these patients had acute myocardial infarction, indicating that chest wall tenderness does not exclude the presence of serious coronary disease.) * In a study of 250 patients hospitalized for chest pain, 23% of the non-cardiac patients were felt to have a Costo-sternal (musculoskeletal) cause. * In a review of 399 episodes of chest pain evaluated in primary care practice settings, 36 percent were categorized as costo sternal (musculoskeletal) in origin, making this the most common diagnostic category.
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