Costochondritis manual therapy






















 · Another way in which PT can correct costochondritis is through manual therapy. In manual therapy, the physical therapist puts their hands on the patient and physically manipulates their muscles, fascia, and other tissues. This can help decrease pain and inflammation associated with costochondritis. The findings suggest that strengthening exercises, with or without associated manual therapy techniques and other resources, were the interventions with greatest power of treatment over the medium and long terms, for individuals with shoulder pain. These had greater therapeutic power than surgical p . Subjects between 18 and 55 years, both genders, will undergo a screening process to confirm painful TMD by the Research Diagnostic Criteria (RDC/TMD), and then the volunteers will be randomized into two groups (G1: pain neuroscience education + craniocervical manual therapy and exercises vs. G2: craniocervical manual therapy and exercises).


Costochondritis. ARC Acupuncture provides personalized treatment programs tailored to treat your unique pain issue so that you can enjoy increased mobility and quality of life. Roy had acupuncture with electrical stimulation, manual therapy and manual mobilizations, as well as, cupping and moxibustion. When speaking about his experience. Costochondritis does not have an associated known etiology, Recent clinical suggestions 12 and case reports have included the use of manual therapy interventions directed at the thoracic spine in the management of rib injuries. 3, 9, 10 The rib and associated thoracic vertebral segment can be described as a fixed ring analogous to a hula. Current recommendations for medical treatment are analgesics and nonsteroidal anti-inflammatory drugs, heat/ice, and possibly anesthetic/steroid injections.3,4,8,11,12 The infrequent referral of subjects with costochondritis to rehabilitation has made it difficult for research to be performed regarding the effects of manual therapy or exercise.


This case report describes the successful treatment of a patient with chronic costochondritis utilizing gentler, more conservative manual therapy techniques than those that are typically used in PT management of the condition. Interventions included postural exercises and manual therapies directed at the lateral and posterior rib structures to improve rib and thoracic spine mobility. Over a 3-week time period pain experienced throughout the day had subsided (visual analog scale – VAS 0/10). Prednisone – oral steroids are often prescribed for costochondritis to reduce inflammation. Antibiotics (IV or oral) may be prescribed if your costochondritis is the result of a bacterial or fungal infection. Muscle relaxers such as Flexeril (cyclobenzaprine) may be prescribed.

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