Swollen sterno clavicular joint

by Amanda Jane
(Kuala Lumpur, Malaysia)


A swollen sterno clavicular joint is usually Tietze's syndrome.

I have had a hard lump on my collar bone near my throat, swollen collar bones & sternum for the past 11 months. The lump near my throat & the sternum are very painful. I have seen 4 bone, osteopaths, chiropractors & none can explain the reason for the swellings. I have had antibiotics, anti inflammatory tablets & the swelling have not subsided.

I had a car accident in July 2015 but surely symptoms would not show up this much later?

Really would appreciate you help or advice.

Thank you.

Hello Cup Cakes!
What a beautiful nickname, just don't eat them. They are the epitome of a downgrade in your health.

But almost certainly it has nothing to do with the lump. You almost certainly have a condition known as Tietze's syndrome. It affects the joints that connect to the sternum; the ribs and the clavicle.

To be honest there's not a great deal known about Tietze's syndrome, but my feeling is that comes after trauma to the clavicle or rib cage.

My initial thoughts were from the seatbelt in the MVA, but that would cross your right clavicle. Mm, did you take that photo in a mirror? Right or left?

It's not reckoned to be an inflammatory condition, and hence doesn't respond to NSAIDs. It doesn't appear to be a lymph node; that's vital in the differentials. An annual blood count would be advisable.

I would recommend you do alternating ice and heat in the shower; an iceblock directly on the lump.

I mobilise the joint, keep an eye on the AC joint as it often affects the other end of the clavicle, and do a lot of soft tissue around the swollen lump. It helps, mostly quite considerably making it at least bearable, but won't cure it.

It may affect the brachial plexus giving you tingling in the arm; the first rib needs to be checked for a fixation by your chiropractor.

There's a page designated to Tietze's syndrome at Chiropractic Help; read and digest it. Then scour the net to see what else you can find.

May I use this photo please? I won't mention your name; it's a classic.

I hope this contributes.

Dr B


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Aug 06, 2020
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I feel.like a lump under my collarbone it aches
by: Anonymous

I feel like there is a lump under my right collarbone, when both arms are relaxed my my side like I'm slouched over I can feel it aches. I have lg thyroid on the right side scan was done with no nodules seen. I have frequent heartburn and feels like food get stuck in my throat. My arm shoulder aches even to brush my teeth or pick up my 4 mth babybits difficult. I also have severe sinus infections all the time and I feel I have anxiety at times with it. Sometimes my throat itches, my nose is constantly stuffy and i get a cough. If i exercise or do strenuous activities i feel like my throat is closing up i cough and start wheezing . I inhale albuterol it's the only thing that helps sometimes along with benadryl and claritin. I also have fibrocystic breast my sed rat recently was a 46 could this lump under my r clavicle be cancer or my sed rate indicate cancer

May 24, 2020
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Collar bone closest to my chest
by: Terrence

On one side of my collar bone by my chest at the end, it is bigger than the other side. I do not know why. I don't know how long it's been there but I notice it now, and I want to no the cause please.

Hello Terrence,
Tell me more please. Does it hurt, and is it red, swollen and inflamed?

Do you have any pain in your arm and what is your general health like; what tests have you had?

And so on.

Dr B.R. Lewis DC

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