Re: Bone ache

[Guest guest]

Hi Tim;

This sounds like Costochondritis or Tietze syndrome:

http://www.emedicinehealth.com/articles/5058-1.asp

" Tietze syndrome is often referred to as costochondritis, but the

two are distinct conditions. You can tell the difference by noting

the following:

Tietze syndrome usually comes on abruptly, with chest pain radiating

to your arms or shoulder and lasting several weeks.

Sneezing, coughing, deep breathing, or twisting your chest can

increase the pain. "

Costochondritis & Tietze Syndrome

http://www.medicinenet.com/costochondritis_and_tietze_syndrome/articl

e.htm

" What is costochondritis?

Costochondritis is a common form of inflammation of the cartilage

where ribs attach to the breast bone, the sternum. The inflammation

can involve multiple cartilage areas on both sides of the sternum

but usually is on one side only.

The cause(s) of costochondritis is(are) not known and may involve

several factors. Possible causes include heredity (genetic

predisposition), viruses, and trauma (injury).

Costochondritis can be an independent condition by itself or

sometimes be a feature of a more widespread disorder. Examples of

illnesses that can feature costochondritis include fibromyalgia,

psoriatic arthritis, ankylosing spondylitis, reactive arthritis, and

inflammatory bowel disease (such as ulcerative colitis and Crohn's

disease).

Costochondritis should be distinguished from Tietze syndrome, a

condition involving the same area of the front of the chest.

Costochondritis is not associated with swelling, as opposed to

Tietze syndrome where swelling is characteristic. Tietze syndrome is

an inflammation of the costochondral cartilages of the upper front

of the chest.

Patients with Tietze syndrome develop tenderness and swelling over

the ribs and cartilage near the breast bone (sternum). Redness,

tenderness, and heat can also be present but a localized swelling is

the distinguishing finding. The pain is variable, often sharp, can

be confused with heart pain, and can last from hours to weeks. It

can cause difficulty with sleeping and even rolling over in bed is

sometimes painful. Blood testing (Sedimentation Rate or C-Reactive

Protein Test) can show signs of inflammation in patients with Tietze

syndrome, whereas patients with costochondritis alone typically have

normal tests for inflammation.

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. "

I's recommend going to see your doctor to find out whether this

could be the cause.

Best regards,

Dave

(father of (20); PSC 07/03; UC 08/03)

>

> Hi

>

> I was wondering if anyone knows about bone ache? (I am sure there

is a medical term!). For some weeks / months I have had a sore bone

at the top of the chest - the little lump which sticks outwhere yr

ribs meet in the middle. Now the whole front of my chest aches & if

I sneeze or cough it really hurts. Maybe nothing to do with liver

tec but just wondering. Any help wd be much appreciated.

>

> Tim (UK) PSC, UC osteoperosis, vitiligo

>

[Guest guest]

I agree with (costochronditis). Probably age, rather than PSC . Aubrey

has seen many in the ER that were convinced they were having a heart attack, but

turned out to be costochronditis.

Took a long time for it to go away, for me (months).

Arne

54, UC 1977, PSC 2000

.....For some weeks / months I have had a sore bone at the

top of the chest - the little lump which sticks outwhere yr ribs meet in the

middle. Now the whole front of my chest aches & if I sneeze or cough it really

hurts. Maybe nothing to do with liver tec but just

wondering. Any help wd be much appreciated.

Tim (UK) PSC, UC osteoperosis, vitiligo

[Guest guest]

Hi Tim,

I've had the same pain for the past 2 weeks and a half. In my case

I've been diagnosed with ankloysing spondilitis. Prednisone really

helped to manage the pain in the first week when the pain was

terrific (Salofalk also seems to help). Because of PSC treatment

options are limited with normal anti inflamitories for arthitis and

AS. Physical theropy is somewhat helpful but they are afraid of

working on the area with ultra sound and 'tens' because of the

organs in the area. Heat and cold packs helped a lot with long hot

showers and breathing exercises. I also just returned from Flordia

and the warmer weather and sun really helped to reduce the pain (I'm

in Toronto). My pain was originally so bad that it took over an hour

to get out of bed but now its a minor (dull) pain mostly in the

sternum and back rib cage. Still hurts with deep breaths and coughs.

Hopefully it will completely go away soon. I also had a major

Colitis attack at the same time. Anyways good luck, hope your pain

goes away soon.

Geoff

>

> Hi

>

> I was wondering if anyone knows about bone ache? (I am sure there

is a

> medical term!). For some weeks / months I have had a sore bone at

the

> top of the chest - the little lump which sticks outwhere yr ribs

meet

> in the middle. Now the whole front of my chest aches & if I sneeze

or

> cough it really hurts. Maybe nothing to do with liver tec but just

> wondering. Any help wd be much appreciated.

>

> Tim (UK) PSC, UC osteoperosis, vitiligo

>

[Guest guest]

Interesting, but this is something Bill complained of before any of the other symptoms and before we knew he was sick.My husband has probably forgotten about it , even as I did, until I read this.My son said his chest hurt over the breast bone and we assumed he bruised it or pulled it. But at the time we thought it was strange.Lee Hi Tim; This sounds like Costochondritis or Tietze syndrome: http://www.emedicinehealth.com/articles/5058-1.asp "Tietze syndrome is often referred to as costochondritis, but the two are distinct conditions. You can tell the difference by noting the following: Tietze syndrome usually comes on abruptly, with chest pain radiating to your arms or shoulder and lasting several weeks. Sneezing, coughing, deep breathing, or twisting your chest can increase the pain." Costochondritis & Tietze Syndrome http://www.medicinenet.com/costochondritis_and_tietze_syndrome/articl e.htm "What is costochondritis?