Health information to help you understand symptoms. It isn't a diagnosis.About OwieClear
Check symptoms

Chest wall pain (costochondritis)

Also called: Costochondritis, chest wall pain, Tietze syndrome

Inflamed cartilage where the ribs meet the breastbone, causing sharp chest pain that's worse when pressing on it. Harmless, but chest pain should be checked first.

FeelsTender to press
LastsWeeks
FirstRule out heart causes

Symptoms

Common signs:

  • Chest pain that hurts to press

Less common

  • Pain with deep breaths

When to get medical care

Call 911Chest pressure, pain spreading to arm or jaw, or shortness of breath: call 911.
Get care todayNew chest pain.
See a doctor soonPain lasting weeks.

Causes

Strain, coughing.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Diagnosis

A clinician examines.

Tests

Tests, if needed:

  • ECG: To rule out heart problems.

Treatment

Ease it.

Self-care

  • Heat
  • Avoid straining activities
  • Gentle stretches

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

  • Avoid heavy straining

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an orthopedist (bone and joint doctor).

Back to school, work, or sports

  • Most people keep up normal school and work. Rest when you need to.

Children, pregnancy, and older adults

  • Adults 20 to 40: Most common.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Goes away.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Do I need an ECG?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Chest wall pain (costochondritis)

Sources

Last updated 2026-11-12.