TIETZE SYNDROME - Overview, Facts, Types, Diagnosis, Medications,..


Tietze syndrome is a rare condition that is often associated with chest pains in your upper ribs; it is also benign and may infect people under 40 years of age. 

It is commonly characterized by chest pain and swelling of the cartilage or by the upper ribs, which is known as the costochondral junction. The pain can be gradual or aggressive, depending on the sudden spread to the body of the patient diagnosed with this rare condition. In some cases, this rare condition can be resolved by itself without treatment. 

This rare condition can be challenging to diagnose since the symptoms are common to other illnesses. They seem to be like other diseases, angina, for example, which is a pain in the chest caused by heart muscles that do not get enough oxygen. This rare condition is also similar to lung problems such as rheumatoid arthritis and costochondritis. Considering that there is no test done to determine this rare condition, medical practitioners typically ask you more about your symptoms. The doctor will probably do a physical exam that involves a gradual pain on your chest. 

The exact cause for this rare condition is considered to be unknown. Some have speculated that multiple microtraumas to the chest wall may have caused the development of this rare condition. Frequently, the development of this rare condition may be known as having experienced excessive coughing and vomiting.


This condition is associated with mild to severe pain in one of the four upper ribs, but in most cases, the cartilage of only one rib is affected. It is said to have a spindle-shaped swelling in the cartilage of the affected rib. Thus, an aching, sharp and dull pain occurs in this area. Frequently the pain may spread to the neck, arms and shoulders. The pain can be intense and can be gradual or sudden. It is also considered that the pain may worsen due to sneezing, coughing, or activities that may require a lot of energy. The pain commonly subsides in a few weeks or months.


Tietze syndrome is very challenging to diagnose. Your doctor will perform a physical exam and will ask you about your symptoms.

Your doctor will order you to undergo specific tests to help them determine the right diagnosis.

The following tests include:

Diagnosing Tietze syndrome is based on your symptoms.




Often cases, the pain that is brought about by this rare condition resolves itself without treatment. Some are advised to take rest and avoid activities that require a lot of energy. Some would apply heat to the affected area and would drink medications to relieve the pain. In other cases, patients are injected, and this is done to those who do not respond to pain relievers. 

In severe cases where even therapies don’t help to reduce the pain and swelling, surgery may be needed to remove extra cartilage from the affected ribs.

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