FIBROMYALGIA: THE MOST TERRIBLE PAIN, BECAUSE IT HURTS BREATHING … COSTOCONDRAL PAIN

Symptoms of Thorax

Those who have fibromyalgia and participate in activities that force them to lean forward (eg, typing or sitting at a desk, etc.) often have particular problems with chest pains or upper body parts. they are known as “chest pains and dysfunctions”.

Often, these pains are accompanied by panting and posture problems, (does not allow to be upright because the pain is accentuated) Some patients may also have a condition called “costochondralgia”, which is a muscle pain where the ribs are attached to the sternum . Such conditions mimic the symptoms of heart disease and are therefore often misdiagnosed.

(Anyone who experiences chest pain should always consult a doctor immediately).
Remember that people with fibromyalgia can also have other health problems!

People who have MFS are susceptible to a generally asymptomatic heart condition called mitral valve prolapse (MVP) in which one of the heart’s valves swells during a heartbeat, causing a snap or puff. In general, a PVM is not a cause for concern in patients with MFS unless there is another cardiac condition.
It is characterized by pain in the joint that joins the sternum with the ribs or the costo-condral joint (which joins rib with cartilage). This causes a strong chest pain (in some cases this pain can be extreme, becoming debilitating, preventing even breathing, since inhaling the chest opens and produces unbearable pain), in one or several rib cartilages. Its onset may be gradual or sudden and, due to its intensity, may radiate to arms and shoulders and cause difficulty in breathing. That is why it can often be confused with angina pectoris or myocardial infarction. In addition, the person who suffers, in the face of severe pain and symptoms can lead to a picture of anxiety or panic at the thought that he is suffering a heart attack.

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Tietze syndrome or Costochondritis
The Tietze Syndrome, also known as Costochondritis or Tuberous Chondropathy of Costochondral Union, a pathology that is quite unknown and whose exact cause is still a mystery. It is a rare musculoskeletal disease, as in itself alone it evolves spontaneously for weeks or months (in some cases a few years) until it reaches its full cure.

It is characterized by benign inflammation of the joint that joins the sternum with the ribs or the costo-condral joint (which links rib with cartilage). This causes a strong chest pain (in some cases this pain can be extreme, becoming debilitating), in one or several costal cartilages. Its onset may be gradual or sudden and, due to its intensity, may radiate to arms and shoulders and cause difficulty in breathing. That is why it can often be confused with angina pectoris or myocardial infarction. In addition, the person who suffers, in the face of severe pain and symptoms can lead to a picture of anxiety or panic at the thought that he is suffering a heart attack.

As we have said, the exact cause of this ailment is not known but some possible triggers have been indicated:

Respiratory tract infection, such as a cold
Costal thoracic trauma
Inflammatory systemic diseases
Anguish and stress
It usually affects young people, between 20 and 40 years of age, of both sexes, although with a higher incidence in women. For its diagnosis it is necessary to previously rule out other types of coronary, respiratory or some type of arthritis. Once discarded, the examination and clinical history are usually sufficient to make the diagnosis. In some cases it may be necessary to perform a CAT scan or bone scan that confirms the condition.

For the treatment and improvement of pain, we will use:

Analgesics and non-steroidal anti-inflammatories in the most severe cases, for one or two weeks. If the pain becomes persistent and very strong, it may be possible to resort to local infiltration of anti-inflammatory
Application of local heat in the pain area
Rest, since movement or activity increases pain
Movha physiotherapy and laser therapy. It has been proven that this treatment relieves pain
Breathing exercises, to relax the respiratory tract and allow acute episodes of pain to be passed before
It is therefore a quite painful syndrome but once diagnosed it gives enough tranquility to the patient to know that it is not serious and that it also heals spontaneously after a while.

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