Costochondritis Secondary to COVID-19
Keywords:
costochondritis, Tietze syndrome, respiratory rehabilitation, breathing exercisesAbstract
Anterior chest pain of musculoskeletal etiology is a frequent reason for medical consultation, caused by costochondritis, a disease of unknown origin that usually affects several costal cartilages bilaterally and IT is traditionally treated with non-steroidal anti-inflammatory drugs, local heat and rest. However, little has been said about the alterations in the ventilatory pattern that it produces. The case of a patient with rib pain and fatigue after having COVID-19 infection is reported. A respiratory rehabilitation program consisting of education (evolution and prognosis of the disease) and respiratory physiotherapy (re-educating the altered ventilatory pattern and learning specific exercises) was prescribed, after which significant improvement was observed, and it was established that a physiatric program to correct alterations in ventilatory dynamics (costal or abdominal diaphragmatic breathing restriction), to improve evolution and quality of life of the patient.
Downloads
References
1. Haute Autorité De Santé. Les douleurs thoraciques au cours des symptômes prolongés de la Covid-19. Paris, France; 2021 [acceso 08/06/2023]. Disponible en: https://www.has-sante.fr/upload/docs/application/pdf/2021-11/fiche_douleurs_thoraciques.pdf
2. British Medical Research Council (mMRC). Escala de disnea modificada del MRC (mMRC). 1aria; 2021 [acceso 08/06/2023]. Disponible en: https://1aria.com/images/entry-pdfs/mmrc2-epoc-2021-tabla.pdf
3. Taghavi MR, Mollazadeh S, Mohajerzadeh Heydari MS. Diagnostic challenges in an atypical chest pain, Tietze’s syndrome: a case report in Northeast of Iran. J Adv Med Biomed Res. 2021 [acceso 08/06/2023];29 (137):359-61. Disponible: http://zums.ac.ir/journal/article-1-6134-en.html
4. Mott T, Jones G, Roman K. Costochondritis: Rapid Evidence Review. Am Fam Physician. 2021;04(1):73-78.
5. Barranco-Trabi J, Mank V, Roberts J, Newman DP. Atypical Costochondritis: Complete Resolution of Symptoms After Rib Manipulation and Soft Tissue Mobilization. Cureus. 2021;13(4):e14369 DOI: 10.7759/cureus.14369
6. Rokicki W, Rokicki M, Rydel M. What do we know about Tietze's syndrome? Kardiochir Torakochirurgia Pol. 2018;15(3):180-182. DOI: 10.5114/kitp.2018.78443
7. Frontera WR, Silver JK, Rizzo TD. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th Edition Elseiver; 2018. DOI: 10.1016/B978-0-323-54947-9.01001-4
8. Ayloo A, Cvengros T, Marella S. Evaluation and treatment of musculoskeletal chest pain. Prim Care. 2013;40(4):863-87. DOI: 10.1016/j.pop.2013.08.007
Download
