Diagnosed with Tietzes Syndrome - not quite sure...

by Kier
(Millville, NJ)

I have been diagnosed with Tietzes Syndrome after much in the way of testing..I could have sworn that my gall bladder was to blame, in that I exhibited the classic upper right quandrant pain.

As I write this, the pain on my upper right side is excruciating, it hurts to even just touch it or press on the area. I am a little doubtful though, about my Doctor's diagnosis. First, the pain is not quite on the rib where it meets the sternum, but just slightly off in the "field" or area near the rib.

Second, it feels numb to the touch, which sounds like a paradox in that there is so much pain, but it does have a deadness to it like when your leg falls asleep, just without the tingling. It also feels like there is heat being generated as well, but I've had my wife touch the area and she feels no difference in the surface temperature of my skin.

I just took an 800 mg Ibuprofen and after 20 minutes or so, the pain level of 10 drops to a more manageable 6 or so..I have had this condition before, about 4-5 years ago, then it went away. Presently, I have been dealing with this for about the last 6 months or so..I have had every gall bladder test to rule that out, as well as CT scans of the abdomen and thorax, with and without contrast and all have been negative, or basically revealed nothing..

I sure wish something would have been conclusive, this condition really is a bummer..I hope that this has been somewhat comforting to someone who is going thru this, I would have felt better if I found another person with the same symptoms who wrote them down..

Hallo Kier,
Ben je Nederlands?

I'll assume several generations ago, but the name has continued in the family.

Well, it certainly would be useful if YOU would write down all your symptoms, your story, and with your permission I would put it on the site, without your name of course.

Much of the details are already here, but some more would be useful. I can't quite make it out where the pain is - in your side, or near the breastbone? And which rib(s). Do you have any pain in the midback.

Tietzes classically affects ribs 1-5, more on the left, but also right. From what you describe, it sounds to me like you have a lower rib problem, in which case not a classical Tietzes. The root of your problem is almost certainly in the low thoracic spine. Lie on your tum and ask "she who must be obeyed" to press in that area on the right. Is it sore?

Does it give you any indigestion? Heartburn? Often affects the diaphragm.

This is a very treatable syndrome, but I have to say that it's taken me thirty years to perfect it. I can't guarantee that every chiropractor can help you, but it's worth a try, because no one else probably can.

Be pleased the scans are negative. Gallbladder, liver and pancreas do refer to that area.

I hope this contributes. Separately I'll send you our latest newsletter than has some info on the subject.

Met vriendelijke groenten!

Dr B

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