eMedicine Specialties > Pediatrics: General Medicine > Rheumatology
Costochondritis: Follow-up
Updated: Jan 22, 2010
Follow-up
Further Outpatient Care
- Follow up as needed after initial diagnosis of costochondritis. Reevaluate patient if the nature, character, or severity of pain changes.
- For individuals who participate in athletics, follow up at 2 weeks or sooner and instruct patient to return to activity only with medical clearance.
Prognosis
- The overall prognosis of a patient with costochondritis is excellent; full recovery can be expected.
- Resolution occurs in several weeks or months and rarely lasts longer than 4-6 months. Relapse may occur if the patient returns to activity while still symptomatic.
Patient Education
- For excellent patient education resources, see eMedicine's patient education articles Costochondritis and Chest Pain.
Miscellaneous
Medicolegal Pitfalls
- Failure to consider the broad list of chest pain causes may lead to missing the diagnosis of an underlying or concomitant disease process.
- Changes in the nature or character of the chest pain in costochondritis warrant a thorough interval history and physical examination to exclude a new diagnosis or disease process.
Special Concerns
- Changes in the biomechanics associated with pregnancy may contribute to the development of costochondritis. Pay particular attention to the lower costochondral cartilage.
- Acetaminophen and ice may be used for analgesia and treatment.
- Avoid NSAIDs, particularly in the third trimester.
- International Classification of Diseases, Ninth Revision (ICD-9) codes are "733.6 costochondritis" and "786.52 anterior chest wall pain." Current procedural terminology (CPT) billing code for a costochondral joint injection procedure is "20600 - arthrocentesis, injection; small joint."
More on Costochondritis |
| Overview: Costochondritis |
| Differential Diagnoses & Workup: Costochondritis |
| Treatment & Medication: Costochondritis |
Follow-up: Costochondritis |
| Multimedia: Costochondritis |
| References |
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References
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Further Reading
Keywords
chest wall syndrome, costochondral syndrome, costosternal chondrodynia, Tietze syndrome, chest pain, costochondral joint, costochondritis, costochondral cartilage, treatment, symptoms, diagnosis
Follow-up: Costochondritis