Symptoms
Costochondritis-like pain
Sharp anterior chest pain reproduced by costochondral palpation often has a myofascial component from intercostals and pectoralis major.
Overview
Sharp anterior chest pain reproduced by costochondral palpation often has a myofascial component from intercostals and pectoralis major. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Coordinate with primary care to confirm diagnosis.
Red flags — when to refer
Cardiac symptoms, dyspnea — emergency referral.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction