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Suggest Treatment For Chest Pain From Codtocondritis

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Posted on Wed, 12 Feb 2014
Question: Hi I have chronic severe chest pain from codtocondritis. I have had a bone scan, chest X-ray, full blood work and do weekly intense accupuncture... Nothing shows or helps Have tried anti inflammatory meds (naproxen and arthrotec) and oxycodone and none offer pain relief. It used to be a semi annual occurrence now it's become chronic...I have had it everyday except for four days since December and 8 occurrences in the fall each lasting 5-7 days. I am investigating seeing a pain specialist for botox injections...do you know of any other options/avenues I could try as this is very debilitating. Thank you.
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Answered by Dr. Saurabh Gupta (1 hour later)
Brief Answer: Other options could be- Detailed Answer: Hello, Thanks for your query. Your case of costochondritis seems to be refractory. It can be treated with local injections of combined lidocaine (Xylocaine)/corticosteroid into costochondral areas. If still there is no response to medical therapy, surgical removal of the sore cartilage may be required . I do hope that you have found something helpful and I will be glad to answer any further query. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Saurabh Gupta (50 minutes later)
Thank you for your quick reply. What type of specialist do you recommend I see? I am not getting any helpful direction from my GP so I am having to self direct my care to try and find a solution. I have seen a rheumatologist with no success/ results. Have you personally seen long term pain relief with the injection solution?
doctor
Answered by Dr. Saurabh Gupta (8 hours later)
Brief Answer: You need to consult an orthopaedician. Detailed Answer: Hi, You need to consult an orthopaedician.In my clinical practice I have seen my patient having good long term pain relief with local injections of combined lidocaine (Xylocaine)/corticosteroid in refractory cases. Hope this discussion was useful. Please close this discussion, if you do not have any other queries. I would appreciate your reviews about this service. Wishing you speedy recovery.....
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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Suggest Treatment For Chest Pain From Codtocondritis

Brief Answer: Other options could be- Detailed Answer: Hello, Thanks for your query. Your case of costochondritis seems to be refractory. It can be treated with local injections of combined lidocaine (Xylocaine)/corticosteroid into costochondral areas. If still there is no response to medical therapy, surgical removal of the sore cartilage may be required . I do hope that you have found something helpful and I will be glad to answer any further query. Take care.