Rest, anti-inflammatory medication, physical therapy, and cortisone injections have all been used by doctors to treat the inflammation and pain associated with costochondritis and Tietze syndrome.Medications: Anti-inflammatory nonsteroidal drugs- Some medications can be used without a prescription such as ibuprofen (Motrin IB). Another medication called Aleve which is naproxen sodium can be used without a prescription. Your doctor may prescribe, depending on the pain, some stronger versions of these nonsteroidal anti-inflammatory drugs. Damage to the stomach lining and kidneys are possible side effects and therefore you should take stronger versions only after your doctor recommends these medications. Narcotics- If the pain that you suffer is very high, your doctor at his discretion may prescribe codeine-containing medications such as Hydrocodone/Acetaminophen (Vicodin, Norco). Narcotics can become addictive and should be taken in quantities recommended by a doctor.
Antidepressants- Tricyclic antidepressants, such as amitriptyline, are frequently used to manage chronic pain, particularly if the pain is unbearable and you have trouble sleeping at night.Anti-seizure medication.
Gabapentin (Neurontin), a medication used to treat epilepsy, has been found to be effective in cases of severe pain.
Therapy:Treatments for physical therapy may include the following: Stretching exercises that are extensive. Gentle stretching exercises for the chest muscles may be beneficial.
Nerve stimulation: TENS is a procedure in which a device sends a weak electrical current through adhesive patches on the skin near the area of pain. Pain signals may be interfered with or obscured by current, preventing them from sending the signals to your brain.