Burning and warm skin on left of rib cage, no rash or shingles. What could be the cause?
Thanks for your query.
You are having burning pain on left side of chest.
Do you have the rash at present?
I would like to know the duration of burning pain.. Since how many days you are having the pain?
Is the pain is localized or radiating to back of the chest?
Do you have any other disease,beside Diabetes?
Did you undergo blood testing for lipid profile?
Do you have any worry or tension?
Please reply me above questions, so that I can advice you specifically.
Dr. Ilyas Patel MD, DVD
Thanks for writing back.
It seems that you are having either costochondritis or Tietze syndrome.
Costochondritis is a common form of inflammation of the cartilage where ribs attach to the breastbone, the sternum.
The inflammation can involve multiple cartilage areas on both sides of the sternum but usually is on one side only. You are having on right side only.
Costochondritis is distinguished from Tietze's syndrome, a condition also involving the same area of the front of the chest, by the presence of swelling. Costochondritis is not associated with swelling, as opposed to Tietze's syndrome, where swelling is characteristic. Tietze's syndrome is an inflammation of the costochondral cartilages of the upper front of the chest that involves swelling of joint.
The pain is variable, often sharp, can be confused with heart pain, and can last from hours to weeks in both conditions.
Pain usually subsides within few weeks,still following treatment may be considered..
Rest, anti-inflammatory drugs, physical therapy, and cortisone injections have been used as therapy for the inflamed, painful cartilage of both costochondritis and Tietze's syndrome.
Ice packs applied to local swelling can sometimes help to reduce pain and inflammation.
Intercostal nerve block may be helpful..,but it is rarely required.
Local lidocaine analgesic patch (Lidoderm) application can reduce pain.
Do not worry, prognosis in these both the condition is good. However relapse can occur..
I hope you may be satisfied with my answer, still you contact me after your result of X XXXXXXX blood test.. Ok
Dr. Ilyas Patel MD,DVD
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