Costochondritis (Chest Wall Pain): Symptoms, Causes & PT Treatment
Updated October 20261 minute read
Costochondritis is inflammation of the cartilage where the ribs meet the breastbone, causing chest-wall pain that's usually sharp, worse with deep breathing or pressing on the area, and tender to touch. It's benign and self-limiting. But because chest pain can also signal a heart problem, it's essential to be sure: pain with pressure/tightness, breathlessness, sweating, or radiation to the arm/jaw is a medical emergency, not costochondritis.
What is costochondritis?
It's inflammation of the rib-to-breastbone cartilage, producing front chest-wall pain. It is a common cause of chest-wall pain, but it is a diagnosis of exclusion — meaning it is only correct once a clinician has ruled out serious causes.
Symptoms
Common features are sharp or aching front chest-wall pain, tenderness when you press on the area (a key clue), and pain worse with deep breathing, coughing, or certain movements. It can radiate to the upper back.
What causes it / risk factors
A recent illness with coughing, physical strain, repetitive upper-body activity, or minor injury can trigger it; often there's no clear cause.
How it's diagnosed
Diagnosis is clinical — reproducible tenderness over the cartilage — after ruling out cardiac and other serious causes, especially in those with risk factors.
Physical therapy treatment
What a PT does. Once serious causes are excluded, your therapist eases the chest wall and upper back with gentle mobility, breathing, and posture work. Exercises & progression (overview). Gentle thoracic mobility, breathing techniques, and graded return to activity; avoid aggressive stretching that flares it. Recovery timeline. Often settles over a few weeks, though it can linger.
Treatment options compared
Reassurance, activity modification, and gentle PT are first-line. Anti-inflammatory measures help some. The priority is excluding cardiac and other causes first.
Red flags
Call emergency services for chest pain with pressure/tightness, breathlessness, sweating, nausea, or radiation to the arm/jaw, or any concern about your heart — do not assume chest pain is costochondritis.
Already seen a doctor, or have imaging? Request a match — free.
If a doctor has checked you out and physical therapy is an option, tell us where you are. We'll send you cash-pay PTs nearby who treat this, with their prices and first openings — bring your results to the first visit. You choose; we don't give medical advice.
We check two or three cash-pay PTs near you. We reply within 1 business day with next steps.
Frequently asked questions
You cannot tell from home. Chest-wall tenderness does not rule out a heart problem — many people with confirmed heart attacks also have a tender chest wall. Any chest pain needs a clinician to assess the heart first.
Sources (5)
- MedlinePlus: Costochondritis. — NIH/MedlinePlus
- Proulx AM, Zryd TW. Costochondritis: diagnosis and treatment. Am Fam Physician. 2009. — PubMed
- Stochkendahl MJ, et al. Chiropractic treatment vs self-management in patients with acute chest pain: a randomized controlled trial of patients without acute coronary syndrome. J Manipulative Physiol Ther. 2012. — JMPT
- Stochkendahl MJ, et al. A randomized clinical trial of chiropractic treatment and self-management in patients with acute musculoskeletal chest pain: 1-year follow-up. J Manipulative Physiol Ther. 2012. — JMPT
- MedlinePlus Medical Encyclopedia: Chest pain. — MedlinePlus
This article is for education only and isn't medical advice. Always talk to a licensed clinician about your specific situation.