Costochondritis Pain Management Tips!!!

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Green Grove
Veteran Member


Date Joined Oct 2008
Total Posts : 2424
   Posted 12/28/2008 3:00 PM (GMT -7)   
Hello,
 
I'm new on here and am usually on the Anxiety and Panic Forum.  A lot of my anxiety stems from the persisitant pain I have from the costo, and in return the anxiety makes the coso flare. . . I think many of us go through this with chronic pain.
 
The only things I find that works is NSAID's and heating pad, but now the NSAIDS are causing ulcers.
 
Does anyone else have any good pain management advice?  I will definitely consult my doctor first :)
 
Thanks for your help!
Much Love, Hugs, Peace and Comfort!!!
Your Bro,
Sam
   
"And in the end, it's not the years in your life that count. It's the life in your years"
~ Abraham Lincoln ~
 
Not a medical professional.  Seek your physician's advice
before making changes to your meds or lifestyle :)


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2856
   Posted 12/28/2008 3:56 PM (GMT -7)   
Hi Green Grove,

Welcome to the chronic pain board. I'm glad to meet you, but wish it could be under different circumstances! There are a lot of elements to pain, and you are quite right that anxiety & depression go hand in hand with chronic pain. I have chronic severe eye pain from a traumatic injury two years ago. My pain has caused me much stress & depression. I, like many others here, am also being treated for chronic pain induced depression. As you said, they make each other worse, placing you in the midst of a vicious cycle.

I'm so sorry for all your pain & now your new problem with ulcers. Unfortunately, NSAID's tend to do that. May I ask, were you on a COX-1 or COX-2 inhibitor? COX-1 or nonselective NSAIDs tend to be more ulcer causing (I won't go into all the biochemistry), and COX-2 inhibitors have a significantly lower incidence of ulcers (however, chronic use can cause heart problems, so there isn't a great solution). COX-1 or non-specific inhibitors are drugs like indomethicin, aspirin, ibuprofen, naproxen, and the most famous COX-2 inhibitor is Celebrex. Sorry for the ranting, I actually spent the last 3 months doing a huge research project into the biochemistry of COX inhibitors for my biological chemistry class. I just thought it might be worth switching to a COX-2 inhibitor for a while, if you were on a COX-1 inhibitor before, to give you a chance to heal.

Were you taking an antacid (for example, protonix or prilosec) while taking the NSAIDs? I'm currently back to taking massive doses of ibuprofen, and so my doc put my on an antacid to try to prevent ulcers (I do tend to be very sensitive to NSAIDs). I've been on just about every NSAID and steroid anti-inflammatory out there, short of the ones used in chemotherapy, unfortunately, I didn't get any relief from them, only stomach problems.

Have you ever seen a pain management doc before? I found my PM through referral from both my ophthalmologist & neurologist. I think most, but not all, operate by referral only. I saw my PM for about 8 months, in which time we exhausted all the possible procedures he could do on me & began to start medication. There are different kinds of PM's out there. Some only do procedures (never blocks, injections, etc), and some do both medication and procedures. I ended up switching back to my pcp,. He is now in charge of my pain management & meds. i consider myself very lucky, because my pcp is excellent & truly cares about me. So many people on this forum aren't as lucky & have to suffice with docs who are mediocre at best. Some pcp's will do pain management for their patients, but not all of them.

I don't know much about your condition, so I can't really suggest anything specific. Have you tried any alternative treatments, like acupuncture, herbs, or homeopathy? I've found acupuncture to be beneficial, but only to a point, but everyone responds differently.

Good luck! I hope you are able to find some relief & I hope your ulcers heal fast! Sending you warm thoughts & well wishes.

Skeye

Post Edited (skeye) : 12/28/2008 3:03:10 PM (GMT-7)


ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 12/28/2008 6:25 PM (GMT -7)   
I go to a chiropractor and use a menthol creme to help control the pain from my chosto. I too have taken too many NSAIDS and cannot due to the stomach pain they cause. Another thing I use is heat and ice. Other then that it seems to be a matter of ignoring it and reminding myself that it is just pain and not a heart attack.

Take care and keep in touch if you find something that works, I am always looking for new ways to treat it!

Sarrah

Hysterectomy at 25

4 laproscopic surgeries since 24

Cervical stenosis in C3 & C4

_____________________________________________

 

Meds - percocet  3x day : nexium : xanax :

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E

____________________________________________

In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults. ~Thomas Szasz 


Green Grove
Veteran Member


Date Joined Oct 2008
Total Posts : 2424
   Posted 12/28/2008 8:42 PM (GMT -7)   
Hi Skeye and Sarrah :) Thank you for the warm welcome and advice :)

I would love to try some alternatives Skeye, but I'm out in the sticks and we do many of our own cures here. I have only been on OTC NSAID'S because of cost and side effects :) I would try the steroids but am a little anxious about how it will make my anxiety levels. . . :)

And Sarrah, I have to do the same thing with just ignoring it when I can. . . It makes me dizzy/faint at times from the pain, but intense things and shock have always had this effect on me :)
Much Love, Hugs, Peace and Comfort!!!
Your Bro,
Sam
   
"And in the end, it's not the years in your life that count. It's the life in your years"
~ Abraham Lincoln ~
 
Not a medical professional.  Seek your physician's advice
before making changes to your meds or lifestyle :)


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2856
   Posted 12/28/2008 9:32 PM (GMT -7)   
Hi Green Grove,

I'd stay away from steroids if you can. They come with their own nasty side effects & are really bad for your body in general. I was on the maximum possible dose of Prednisone for a week last year & it was hell. Never again (and it didn't help me).

I'm taking prescription strength ibuprofen at the moment (ibuprofen 600mg, one tablet is the same as taking 3 Advils) and the prescription is actually cheaper than an OTC bottle of Advil. With insurance it is definitely cheaper, but even without insurance it can save you money. Without insurance, it woud be about $39 for 90 tablets, but if 1 tablet = 3 of the OTC tablets, and you do the math, the prescription stuff is actually cheaper in the long run if you buy the brand name Advil. Just a thought.

Skeye

Green Grove
Veteran Member


Date Joined Oct 2008
Total Posts : 2424
   Posted 12/28/2008 9:35 PM (GMT -7)   
Wow, we live in the sticks and prices like that are insane. . . I buy the equate generics at Wal-Mart and never spend more than 15 bucks which will last me and my family a month :) Thanks for the advice on the steroids. . . I really am thinking I won't do it :)
Much Love, Hugs, Peace and Comfort!!!
Your Bro,
Sam
   
"And in the end, it's not the years in your life that count. It's the life in your years"
~ Abraham Lincoln ~
 
Not a medical professional.  Seek your physician's advice
before making changes to your meds or lifestyle :)


Dagger
Veteran Member


Date Joined Apr 2008
Total Posts : 1522
   Posted 12/28/2008 10:03 PM (GMT -7)   
Check out the Fibro Forum. Costo is common with fibro and there have been many threads about it. Maybe someone there can give you some good advice.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/28/2008 10:23 PM (GMT -7)   
I'm sorry to be so ignorant, but could someone explain costochondritis to me? I always like to learn what others are experiencing.

PaLady

ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 12/29/2008 9:59 AM (GMT -7)   
PALady
It is a pain people get in the sternum and rib cage. A lot of docs call it arthritis of the rib cage (all mine do at least) It can be extremely painful and the pain can mimic that of a heart attack. No one really knows what causes it and there is no definitive treatment. Pain meds only seem to help about 1/2 of the time so it can be a beast to deal with.

Oh yeah Sam - if you can talk to your doc about low level muscle relaxors, they can help a lot. I have used Skelaxin in the past and while it seems pretty much useless for back and neck pain, when I was on it, my chosto was non existant!

Take care,
Sarrah

Hysterectomy at 25

4 laproscopic surgeries since 24

Cervical stenosis in C3 & C4

_____________________________________________

 

Meds - percocet  3x day : nexium : xanax :

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E

____________________________________________

In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults. ~Thomas Szasz 


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/29/2008 11:12 AM (GMT -7)   
Could it be due to something like a cracked rib? Since that was being discussesd on another thread, and I know how painful that can be, I just wondered. I'm guessing that gets ruled out, though.

Thanks for explaining!

PaLady

Green Grove
Veteran Member


Date Joined Oct 2008
Total Posts : 2424
   Posted 12/30/2008 9:13 PM (GMT -7)   
My costo does come from broken ribs and thank you everybody so much for taking the time to answer my post :)

Have a Wonderful New Year!
Much Love, Hugs, Peace and Comfort!!!
Your Bro,
Sam
   
"Don't sweat the petty things and don't pet the sweaty things :)"
~George Carlin~
 
Not a medical professional.  Seek your physician's advice
before making changes to your meds or lifestyle :)


hdblue
New Member


Date Joined Mar 2011
Total Posts : 1
   Posted 3/10/2011 8:28 PM (GMT -7)   
Green Grove said...
My costo does come from broken ribs and thank you everybody so much for taking the time to answer my post :)

Have a Wonderful New Year!


Hi,

Thanks for posting to everybody. It's good. It make me thinking about my ideal.

We also find them more same at: Time management tips
Tks again and pls keep posting.

Post Edited (hdblue) : 3/26/2011 8:28:09 AM (GMT-6)


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11532
   Posted 3/12/2011 12:24 PM (GMT -7)   
Hi HDBlue and welcome to Healing Well's chronic pain forum. I am glad that you found us but so sorry that you have to be here.

I am going to ask you to start a post new topic and introduce yourself to the forum so that the other members can stop by and give you a proper welcome. With this post being so old I am afraid most will skip right over it.

Again welcome aboard and we look forward to hearing from you.
Moderator Chronic Pain Forum

kim9807
Regular Member


Date Joined Mar 2011
Total Posts : 39
   Posted 3/13/2011 11:40 AM (GMT -7)   
I also suffer from costo. When I get a flare I use ibuprofren that seems to help.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3614
   Posted 3/13/2011 8:55 PM (GMT -7)   
Green Grove -

My rib pain started as broken ribs - wreck, seatbelt and airbag. The continuing pain is from slipping ribs. They never reconnected or something else tore loose. Mine is where the bone ribs attach to the cartilege in front. (A lot of people have ribs disconnected at the spine.) If I bend or twist I can feel the ribs slipping over each other. It hurts to sit in a chair too. I have to recline at least a little even when driving.

The only relief I have had was a nerve block at the thoracic spine for each rib - 3 of them. I had to see an anesthesiologist to get this block done. My PM doc doesn't do thoracic. Unfortunately the nerves grow back after several months to a year. But it was worth it. I'll consider a more permanent solution if I can just get the lumbar pain under control.
Alcie
 
 

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1752
   Posted 3/13/2011 11:30 PM (GMT -7)   
This is one area I don't think I have discussed here before and was honestly the "beginning" of my CP issues. I honestly thought I was having a heart attack and did the ER thing several times (many years ago now) when I had my first costrocondtritis flare. For me, it's like somebody is taking a knife though your breastbone and twisting it. Then there is the muscle spasm and no breath and then several days of soreness that follows. Mine started when we were clearing property around our house by pulling these huge vines out ot the pear trees. I wish we had just pulled up the whole stupid orchard, since that's what we had to do two years later (from a blight), but I mention that because the explaination given to me was that there is inflamation in the cartlidge between the ribs and the breast bone. I used to get a shot of steroids (which I am no longer able to take....developed allergy) and it would clear it right up. Nothing, and I mean nothing, would ease it off except the steroids. It tended to show up a week to three weeks after the activity that brought it on....pulling/pushing/digging).


Strangely enough, my younger sister was just diagnosed with costro too, after having done some overly strenously work. It almost makes me wonder if there is a genetic pre-disposition to the inflamation....of course, I'm no Dr., but the linke is interesting.

I hope you all feel better soon....by the way, I do have fibro too.
Failed fusion L5-S1, Pituatary damage, HGH Def, Fibro, Bladder surgery failure, Nissen Failure, GERD, OCPD, GAD, MDD, CTS (Bilateral Surgery completed), CFS, TMJ, Migraines, Vit D, A, Magnesium deficiency, Pre-glaucomic (sp?), HBP, Idiopatic Reactive Hypoglycemia, Edema, too many Drug/Food allergies, sensitivites, and current meds to list.
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