COSTOCHONDRITIS? TIETZES SYNDROME

by MELISSA
(GLASGOW UK)

TIETZES SYNDROME

HI THERE CAN YOU PLEASE ADVISE ME I HAVE HAD PAIN FOR NEARLY 2 YEARS IN THE RIB, STERNUM, BREAST REGION SOMETIMES RADIATING TO MY MID BACK, RIGHT UNDER THE SHOULDER BLADE.

ALSO I HAVE HAD PAIN IN MY ARM, WITH TINGLING IN MY FINGERS.

I CAN'T LIE IN CERTAIN WAYS, I DEFINITELY CAN'T LIE ON MY FRONT AND TWISTING IS A NO-NO.

I CAN'T LIFT THINGS FOR ANY LENTGH OF TIME.

IT'S SERIOUSLY AFFECTING MY LIFE THAT I'M SO DOWN EVERY DAY AND I HAVE 3 GORGEOUS GIRLS WHO ARE NOT SEEING THE BEST OF THEIR MUM AND I AM SUFFERING.

I'M OK IF I DON'T MOVE BUT I CAN'T GO ON EVERY DAY LIKE THIS, MY DAUGHTERS HAVE HEALTH PROBLEMS AND SEVERE SKIN CONDITIONS AND I THINK YEARS OF DOING THEIR SKIN ROUTINE HAS OVER WORKED MY MUSCLES BUT I'VE HAD SCANS XRAYS BLOOD TESTS AND NOTHING IS SHOWING UP I WOULD JUST LOVE A DIAGNOSIS OF SOMETHING AND A PROMISE IT WIL GET BETTER AS I CAN'T FACE LIFE LIKE THIS EVERY DAY.

PLEASE CAN YOU HELP

I,M IN SCOTLAND UK

ANY ADVISE IS WELCOME AS I HAVE THE PAIN CLINIC AT THE HOSPITAL SOON AND NO ONE KNOWS WHAT TO DO WITH ME. THEY ARE SAYING I,M A HYPOCHONDRIAC SO I JUST SHUT UP AND PERSEVERE NOW.

I TRAINED AS A HOLISTIC THERAPIST AND QUALIFIED JUST BEFORE THIS HAPPENED AND THAT DREAM IS IN TATTERS NOW AND AFFECTING FAMILY INCOME.

IF YOU CAN FIND ANYTHING THEN I WOULD BE SO GRATEFUL,

YOURS SINCERELY

Hello Melissa,

Regretably I can't do anything to help you, but there is sure to be someone nearby to help you out. You have what seems to be a classic case of Tietze's syndrome.

I take it you have seen the page on Tietzes at C-H, hence this letter.

Is it also giving you indigestion? The diaphragm attaches to those the lower six ribs and so upset tum is often a biproduct of the problem.

Tietze's syndrome is a dysfunction of the whole rib, hence you are getting pain all the way from the midback where the rib begins, all along its course to the breastbone.

One big NO-NO. Never let anyone manipulate you hard in the midback. That will aggravate the condition. Talk to your local Chiropractor about that, as it took me 20 years to work that out. S/he may not know it either. You need help, Melissa, see your local DC.

What you can do for yourself is:

* Fill a polystyrene cup with water and put it in the deep freeze. When frozen tear away a little of the polystyrene so that the ice is proud. Take it to the shower or bath. First give yourself an ice massage over the offending rib-breastbone joint. When very cold, go in the hot water. Repeat a few times. Do it at least once a day, preferably more often.

* Take a little massage oil or cream and gently run your index and middle finger, straddling the painful rib(s), starting at the breastbone and moving as far under the breast as you can reach.

* Lying on your side, ask hubby to use some cream to rub all along the rib from your back towards sternum, under the armpit, under the breast (no hanky panky now!). Take him with you, by the way, the treatment goes all around the breast (mostly you can pull the breast tissue out the way with your own hand which gives you a modicum of privacy.

But that rib needs a very specific and careful Chiropractic adjustment to fix this condition.

Thought: It took me me 25 years to work out the treatment of this condition. If your chiro is floundering, suggest he skype me. I'm very happy to go thru the protocol with her/him.

There's hope, Melissa. Really there is. This is something I treat on a daily basis, it's really quite common, just you have a particularly bad, and now chronic dose of it. If all else fails, I'll be in Ludlow in June, tho not sure what the laws of the land are. I'm not registered in the UK. Otherwise you could come to Dordrecht in the Netherlands for a week or two in July or August where I'll be doing a locum, nice holiday in Holland! But first your local DC.

Oh, btw, don't believe that bs about being a hypochondriac. That's we doctors do when don't know what else to do: blame the patient: IT MUST BE YOUR FAULT! This is a very real condition, just Medicine is not so good at handling musculo-skeletal conditions.

Oh, by the way, it's well known that a progressive and inadequately treated Tietzes syndrome begins to affect the neck and arms.

Let me know how you get on.

Dr B

Comments for COSTOCHONDRITIS? TIETZES SYNDROME

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Mar 31, 2019
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Result
by: Paul scotland

Did you ever get anyone to help you in Scotland , I am having the exact same symptoms? Hope you did!!!

Jul 10, 2016
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Chest pain
by: Anonymous

I'm a 59 yr old female that had total thyroidectomy in Dec 2015. Trying to get Levothyroxine regulated has been a challenge. Have started going to a Functional Medicine Chiropractor. He specializes in helping people with thyroid and adrenal issues. I did a 30 day elimination diet and started on numerous supplements. Also have been told I have a fatty liver approx 1 1/2yrs ago by Internist.

On June 20, 2016 went to ER with chest pain. Had EKG & Chest xray and lab that determined it was not heart attack. Have continued to have episodes of chest pain off and on the past 3 wks. Earlier today had episode where could hardly breath with terrible pain between breasts. Have had pain under left breast and in left side of back by shoulder blade and in center of back.

Hands are tingling. Pain off and on in the left arm. Scheduled for stress test with neuro dept tomorrow at hospital. See internist next morning. I had never seen a chiropactor before the past 6 wks. Had never had an adjustment before. Went in to get help with thyroid. Neck and back have bothered me for a long time much more in past couple years. My husband suggested I get an adjustment since I was going to him anyway so I have had several.

Now esp if after tom stress test is normal wondering if I have costochondritis? I'm just at a loss and have been in so much pain off and on. More on past few weeks. Now taking Motrin regularly and using heating pads. Does help but isn't going away. Any help or suggestions would be so greatly appreciated.
Thank you.

Hello,
One of the rules with chest pain, if it involves the rib-sternum joint is to absolutely avoid any heavy posterior to anterior manipulations in the midback.

The anterior thoracic treatment is the best option. Talk to your chiropractor.

Use an iceblock directly over the painful area in the shower, alternating cold and hot, ending with cold.

Lying on your side, ask you husband to gently massage along the painful rib, from the spine, under the breast as far as possible, and to the sternum.

With the painful rib between two fingers you can gently massage away from sternum towards the breast yourself.

No heavy PA manipulations, remember. Sorry for the late reply; I've been on two weeks leave.

Dr B


Nov 04, 2012
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adjustment for tietzes
by: Anonymous

I would love to know more about the adjustment so I can have it done here in the usa. I have been having trouble since I started wrking out. I stopped and the problem seems to be getting worse with bad weather. My armpit feels swolle when it comes on and my sternum "clicks" when i sneeze. I feel that click under my arm,, it seems. Tks! Lisa

Hello Linda,
Turning a lecture I gave to the national chiro association into a pdf file is one of things on the to-do list, fraid I can't promise when.

Whilst it took me 25 years to figure how to treat Tietzes, I'm sure there must other chiros, probably many, who could successfully treat you. Just ask before you make the appt. If they've never heard of Tietzes, move on.

A quick rule of thumb: a heavy post to ant manipulation will aggravate the condition, whereas an "anterior thoracic" is a large part of the successful treatment of Tietzes.

Get your doc to check out that swollen armpit.

Dr B

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