What is the treatment for costochondritis and Tietze syndrome?
Costochondritis can be aggravated by any activity that involves stressing the structures of the front of the chest cage. It is generally best to minimize these activities until the inflammation of the rib and cartilage areas has subsided. Rest, anti-inflammatory drugs, physical therapy, and even cortisone injections have been used as therapy for the inflamed, painful cartilage of both costochondritis and Tietze syndrome. Ice packs applied to local swelling can sometimes help to reduce pain and inflammation. Local lidocaine analgesic patch (Lidoderm) application can reduce pain. Kelley’s Textbook of Rheumatology, W B Saunders Co, edited by Shaun Ruddy, et al., 2000.