Tietzes Syndrome

by Joe
(saskatchewan)

Tietzes syndrome

I am an amateur boxer and was diagnosed with costochondritis in february of 2011. I rested 6 weeks like the doctor said and began training again with no ill affects at first. 2 weeks after my first fight back from the injury i began to feel pain again..the doctor suggested i rest again..i did and when i returned to exercise it again started hurting this time with swelling on my costochondral attachment.

I've lifted weights around it and did alot of back exercises, skipping out on chest work. eventually creating a muscle imbalance in my back being too strong for the chest. I've taken 2 months off of exercise but my ribs pop multiple times each day...the popping doesn't cause pain, and the swelling has gone...

I am giving it 8-12 weeks this time and if it does not heal i am considering taking HGH because i've heard it is an effective method to heal injuries. What do you think i should do...the pain is not too bad as long as im not exercising, after 1 month i still have daily popping sounds that are not painful, but i can feel pressure on my chest when layin on my belly or doing any kind of pushup. I appreciate any help.

Hello Joe,
I'd try as many things as you can before going on to HGH. Interfering with the body's hormone system can have very serious side effects.

You have typical Tietzes syndrome if the costo-sternal joint was swollen. You don't have a photo by any chance? I'd appreciate a copy.

Odd, boxers usually over exercise the pecs, not neglect them. That could well be the problem.

I find that a midback subluxation is the usual cause of Tietzes syndrome, though a heavy blow to the chest could as well. It's a disturbance of the whole rib, from the sternum to the joints with the spine.

A heavy manipulation, posterior to anterior, will aggravate. A chiropractic "anterior thoracic" adjustment is what will fix it, though the whole rib needs to be addressed.

Don't crack your ribs deliberately, it will become even more unstable. Those constant popping sounds may in fact be the cause of the problem. Have you had too-frequent manipulation of the rib?

Ice massage on the rib-sternal joint will help.

It's a difficult problem, Joe, one that responds well to a regimen I've worked out. I'm trying to summon the energy to put it onto the net for chiropractors who may be interested. Keep watching the Tietzes syndrome page, I'll get up soon.

Kind regards,

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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