Discussions By Condition: Joint conditions

Sternoclavicular chondritis- pain, pain and more pain!

Posted In: Joint conditions 30 Replies
  • Posted By: Anonymous
  • August 1, 2006
  • 04:09 AM

Hello, hope someone reads, relates and replies..

the story begins, about 6 months ago when i started with a pain in my left side of the chest... to make things short, i been to 3 different doctors (1 sport medic and 2traumatologist) only to be let down everytime. they just cant simply help me.
i suffer from so sort of chondritis (which i attribute to my swimming practice). the problem is that i been told this is not a terrible afliction but is one that is chronic.. so my pain remains, i havent been back to the pool, and i am slowly going totally mad.
i have used all sorts of medications even had intraarticular kenacort injection administer and the pain just laughs and returns shortly after. what has worked best is artren 100mg(voltaren) but only for short periods and the pain always as ever returns.

i also was told that what i have is a degeneration of the cartilage (strange for my age 27) and that it can return with rest (i havent exercised in a month); and some treatment that consist of a medication (i wasnt told about) that helps regenerate the cartilage...
anyhow i am, as can be seen desperate and lost. i dont know what else to do. if any of you has a suggestion please comment.

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30 Replies:

  • Hi there the regeneration supplement is Glucosamine. You are young for such a condition but it is not unusual..... if you have done alot of swimming it can prematurely "age" your joint. You may be predisposd to this conditon and your stroke may need to be evaluated. There are some good swimming sites on the net and theraband exercises you can that may help. I am surprised the kenacort didn't help.
    Anonymous 42789 Replies
    • September 18, 2006
    • 02:53 AM
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  • Hi,I too have been dealing with this condition for over 2 years now and since than I have had several episods of pain. That is so intense I get shortness of breath. I am young too and I have read this cronic condition affect young people even as young as 10 yrs old. Now im in my late 20's and feel like im in my 50's. the scariest part of it all is having this pain and really not having a really test that shows my conditions its just like going through a proccess of eliminating other porblems like heart attack, or disease.I still worry so much and have gone to so many doctors who just tell me take an anti-inflammatory pill. I am in the proccess of looking into holistic care and see if that will help. I just wonder if this problem is a stem into something bigger in the future. I hope not......
    Anonymous 42789 Replies
    • February 7, 2007
    • 02:41 PM
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  • oddly enough i have had a strange story too. back in 2003 i suddenly became immobile from joint pains. they just came from no where. my current bf at the time was over seas with the army so the doctors first said it was due to extreme stress. i was in so much pain i couldnt even open my own pain medicine bottle, my dorm roomate had to. at the time the dorm was having issues with their air units and had us put dehumidifiers in the room which would fill up GALLONS of water a day...there was mold growing on the walls from the moisture, which i think has to do with the onset of my problem which started the same time as the air unit problems. i kept going to doctors and then they said i had allergies and that didnt work so they said i have inflammatory, like rhuematoid arthritis. was put on celebrex plaquinel and steroids. i now have bad bones for a 40 year old (density wise) from the steroids i guess they are bad for your bones. I broke my metatarsels in my foot just walking due to the bones beind bad...and then i had a really bad pain in my sternum ( the bone/cartilege that attaches your ribs int he middle of your chest) it was so bad i couldnt breath or laugh or talk without crying in pain....which led to more steroids and pain meds. the story goes on and on with other random "'flare ups" but then i was fine for a while after 3 years of ***l. so i decided i should try to stop taking my meds and see what happens and i am fine. weird. so i went to the doctor and he tested me and id idn't have the inflammation whatever it is in my blood and i seemed normal. so all has been well and i have been back to my athletic happy healthy self. i am in ballet and everything again. BUT now i have a weird flare up again. this time it is my NOSE. PLEASE tell me if this could help diagnose any of the other symptoms ive had in the past. the cartilidge in my nose hurts soooo bad and has been this way for 4 months now. i am going to the dr today but im sure i will find out nothing as usual. but it hought i would post cause eveything i read from you guys was so similar to mine in the past i thought someone might want to here my story. sorry about typos and if i didnt make sense. but let me know if i can help or if you can help meKatie22 yrs old Georgia
    Anonymous 42789 Replies
    • February 9, 2007
    • 03:20 PM
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  • I've been having the same problem! It's horrible... I have had constant pain for 5 months. I have had all kinds of tests done and been told that there is not much that can be done. Take anti-inflammatory medication if it is bothersome. I am and I'm still in pain. Very frustrating. Anyone try anything that relieves the pain?
    Anonymous 42789 Replies
    • February 26, 2007
    • 11:58 PM
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  • I'm in the same boat as all of you. I have been diagnosed with pericarditis, inflammation of the "heart's sac" or pericardium. I spent 4 days in the hospital because of the stress that it put on my heart and the fact that my cardiac enzymes were high. (basically that just shows that I may have had a small heart attack) That was in early December, and now I'm still in pain. I went back to doctor mid-Feb. and he diagnosed me with costochondritis. He said that he looked over everything that was done to me in the hospital, which was literally everything you could think of, and everything looked fine. He reassured me that nothing was wrong with my heart and that the pericarditis should be going away within another week or so. He then said that the costochondritis would be around for 6-8 weeks and that I may be on the tail end of it. Well its March 1st and I'm still in pain. Its not horrible stabbing pain, but more like a nonstop migraine headache in my chest. This pain sometimes radiates up to my left shoulder and jaw. Oddly, I feel pain in the middle-right side of my back, just next to my spine. It is slightly crushing especially when I try to sleep. It feels like I have a small child standing on my chest when I lay in my bed. Like I said, not horrible gun shot pain, but on a scale of 1-10 its a 4. The problem is its all the time and thats what it feels like even though I take 800mg of ibuprofen three times a day! I can't wait till this pain is gone! By the way, I've also been a swimmer my whole life (I'm 27) and in great shape until this all happened.
    Anonymous 42789 Replies Flag this Response
  • Costrochondritis and pericarditis are both treated very effectively with acupuncture. Please look into this- it works great for the pain and helps promote healing. Visit www.acufinder.com to find a practitioner near you. Best wishes.DOM
    acuann 3080 Replies Flag this Response
  • Accupuncture was going to be my next plan of attack! I figured why not? I've tried everything else in the past 5 months! Thanks for the info.
    Anonymous 42789 Replies Flag this Response
  • I can't tell you how many patients I see who come to me as a "last resort"! They are most often full of joy when their pain subsides.Good for you to give this a try and I hope it helps you:) Best wishes.DOM
    acuann 3080 Replies Flag this Response
  • Thanks DOM. I apologize for spelling acupuntcure correctly! :)
    Anonymous 42789 Replies Flag this Response
  • oops, that should have read "incorrectly" in my previous post!
    Anonymous 42789 Replies Flag this Response
  • this is my storyi rode horses alot before but not nowinjury most frequently occurs w outstretched handtried accupuncture and glucosamine and lots more - no improvementcould be a connection here - i hope notapril 2006Sternoclavicular Joint InjuriesThe Truth About These Injuries – The Nightmare of IgnoranceI had just bought my third horse. I rode 4 days a week, went country western dancing, swimming and was very active and happy. I was not a couch potato.7 years later I was walking to my mailbox on a muddy cement walkway. My legs slipped out from under me and I was falling on my back. To keep from injuring my back I threw my weight as hard as I could forward and landed on both outstretched hands. I had ridden horses for years (some not too cooperative) and I suddenly found myself incurring an injury on my casual walk to the mailbox.The pain was instant and I noticed whenever I stood up my right collarbone would fall forward out of joint. I would later come to learn (from the internet – not doctors) what a crucial role that joint would play in my despair – it was called the sternoclavicular joint – the one which holds the collarbone to the sternum. The joint with no repair.But I didn’t know that then. It was my very first injury and I was in good physical condition. I went to my general doctor who told me talk aspirin for 2 weeks and don’t ride. After that I should be fine. It was the first of many times a doctor would give me incorrect information. I rode 2 weeks later after following his advice and found myself in extreme pain from my sternoclavicular (sc) joint down through my sternum.I continued to deal with the injury the best that I could and in constant pain when there was a flare-up. During that time it felt like my shoulder was out of joint and when the pain lessened it felt back in proper position.I began to see my first orthopedist. He was a highly recommended surgeon but not a whole lot on bedside manner. He told me the good news is you don’t need surgery and if it hurts don’t do it. It did not sound all that serious. I did not feel I had cause for alarm.But each year the injury got progressively worse. I would try to ride my horse and we would start at the beginning to try to get us both back in condition but i could not get past 6 months and would have to get off the horse for a spell again and start all over again at the beginning.The condition continued to deteriorate. Even the bumping of the horse when I rode became painful. I began to get very concerned about myself and set a course to seek out a qualified doctor who could treat me.This served to be very frustrating. I went to several doctors over the next few years, all orthopedists hand picked. One treated a pro sports team and I live close to the houston area. I had utter confidence I could be treated and I was in for the shock of my life.They all told me something different and diagnosed me with something different (sprained collarbone, subluxated sc joint, arthritis of the sc joint, tietze’s syndrome). They all said I could try other doctors but they weren’t sure who was treating this injury (they could not treat it). One doctor finally told me the reason they all told me something different is because there is no answer. He said you will never do anything physical again and the most you can hope for is to live in low pain.At this point upon seeing these doctors they gave me a cat scan (in 1998) which did not show a dislocation but showed a piece of my sternum broken off. This was caused by my sc joint coming out of joint and causing this. The bone scan showed increased uptake at the sc joint. The MRI taken later showed no abnormalities. I had 3 utterly painful cortizone shots.My pain increased. Now it felt disconnected all the time. Working was ***l. I lived in terrible pain. I turned to the internet and here’s what I found after 5 years of research.(1) No one with a serious injury (one that persists for more than 2-3 years) ever recovered – anywhere in the world This included pro sports athletes who would trimph over countless injuries up to this one.(2) I probably had an anterior dislocation of the sc joint.(3) Most people with this injury have a normal MRI – the theory being that the ligaments in this part of the body are so tightly packed that it is difficult to get a clear reading.(4) The only surgery that exists is highly controversial and does not reconstruct the joint. It is highly not recommended – unless there is a posterior dislocation and the patient risks death and breathing problems. A piece of the collarbone is cut off and attached to the sternum with a muscle. Dr. Wirth in san antonio (with charles rockwood) does this surgery. He does about 10 a year.It would take me many years to live with this injury. The ignorance surrounding this injury would cause me as much grief as the injury itself. Friends and coworkers would say they couldn’t believe that nothing could be done. The sent me to several doctors to no avail. One was a nurse. She was sure I would receive treatment and be cured. No dice. One time I went to an emergency room with pain and the doctor there said he would not admit me because I would not let him push on my chest (which could cause so much pain I could be bed ridden for days). He said didn’t I know there was a surgery where they could remove my collarbone? I said give me the doctor’s name. He said go talk to my primary physician. I told him my primary physician did not have a clue where to send me for that kind of surgery and that I suspected there was no surgery and why didn’t he know that? I complained to hospital but they blew me off. It was very frustrating and scary. I suddenly found myself in the position of protecting myself from the doctors who did not know much about this injury.I would continue to endure curious physicians who would push on my chest without warning out of curiosity. I now walk into a doctors office and the first thing I say is do not touch me from my sc joint down my arm, at all. If we can agree on that we can do medicine together. Otherwise no deal – I’m out of here. I had visions of getting in a car crash and refusing to go to the emergency room.I continue to live in constant pain now (9 on a scale of 1 to 10). I have a couple of days a week where it is so bad I cannot get out of bed. I struggle to grocery shop and take showers and do all the regular things people do – at least some of them. I have a lot of help and a lot of spiritual fuel from my church which has proved to be life sustaining. My shoulder is deformed now (somewhat higher than the other) but was not before in the early years. Recently my doctor diagnosed me with RSD. I don’t believe RSD had much to do with it, maybe just a result of an injury they could not fix.I do the best that I can today. I have hit bottom emotionally and spiritually and am coming back up. My body is crippled and hurting. I am disabled and a lady is taking care of my horse for me (he is now up in years). I struggle to care for him (just visiting, brushing and bathing) as the lady has many horses of her own. People ask me how I can do this. I say, easy, my horse adjusted to me along the years, but the grocery store did not. The pain is so bad I cannot be hugged. I cannot use my right hand or arm hardly at all. It continues to deteriorate as does my shoulder. Bumping around in a car causes terrible pain. I cannot travel much and my driving is very limited.I have now suffered for 13 years. I know if nothing is done I will continue to suffer.But the biggest battle I face every day is the ignorance surrounding this injury and the doctors I will have to protect myself from. There is no support group that I could find for this injury. We are all over the world. There is no surgery and no cure. There is very little research being done. One wonders if it is perhaps in large part due to the fact that the public and doctors do not understand that there needs to be. Sufferers face certain disability in time as they continue, like me, to deteriorate over time. And they do this in frustration surrounded by those who do not believe that nothing can be done – they must not be doing something right. Hear ye, hear ye, I do hereby declare that there is no surgical way at this time to treat the 3 ligaments that hold the sternoclavicular joint in place should they become damaged and cause instability in this joint area. There is for the ac joint, the main shoulder joint but not for the sc joint – yet. If others do not find treatment they will most likely continue to deteriorate and face possible disability as I have. Most have not even been diagnosed effectively yet. And doctors, please, the answer is not in the book. If it were, we would all be cured. Listen to us as a group to learn how to treat us without causing further bodily and emotional pain. We are your only information at this time. Please, someone get on the stick and promote more study and research so that our fate does not remain dismal and meodicre. Our future is in your hands.make my day-prove me wrong. show me a cured patient!!! calling all cured patients--are any of you out there?
    Anonymous 42789 Replies Flag this Response
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  • Having just joined in this conversation I was stunned to see how many others were having the same problems. My story is:a 24 hour attack of pulpatations approx 4 weeks ago. This left me with chest pain / inflammation which radiated down my left arm and breathlessness. I was admitted to hospital and underwent every test possible. The lung scan (VQ scan) showed some abnormality in my left lung but no blood clot was found. Other than the ongoing pulpatations (approx 2 weeks) all tests were coming back normal.I am currently waiting to see a cardiologist but have just compared notes with my physio- who strangely enough just had the same symptoms except for the pulpatations - her specialist diagnosed the sternum inflammation.I was initially diagnosed with pericarditis- but following talking with my physio my pain is definitely affected with movement which indicates joint inflammation. I agree with the surprise echoed from you other sufferers- too young for this type of pain at 32. Nothing other than heavy duty painkillers have made an impact but not keen to take these for too long. I was also a swimmer and played waterpolo for 12 years so was interested to hear the comments of the swimmer above as I have experienced many smaller injuries from my years in the pool.Have any of you improved, found any new treatments or information or experienced similar heart, blood pressure issues along with the chest pain?
    Anonymous 42789 Replies Flag this Response
  • I have been searching for something about this for about a year and this is the first time I have found people with similar problems to mine. I am only 24 years old and last summer I was blindsided by extreme pain and some swelling in my left SCJ. My doc said it was nothing, take some ibuprofen. Well, I did. I wore my arm in a sling for a month at work (I work in a restaurant). I finally see a specialist who told me to take more ibuprofen and see a PT. Time passes, and I eventually get to see the PT. By this point my left arm was actually starting to atrophy because I had lost a lot of muscle mass from not using it for months.PT really helped build back my muscle, and helped with a lot of scapular pain, but the really breathtakingly painful spot in my joint was still there. So they did a hydro cortisone shot, which seems to be helping albeit slowly (that was only 2 weeks ago)The worst thing is that in the last month he paint has started in my right SCJ. I cannot fully extend either arm up or to the side. It is really hard to brush my hair or pull a shirt on over my head. I just wonder how long this will last and if there is anything else I can do. I used to be fairly active, weight training, swimming etc. Now I can't even run up the stairs without jarring the joint. It's been very hard at work because people can't see my problem and don't really understand how much it hurts. I also have been tossing around the idea of acupuncture. I'm really looking for anything here..it's been a hard road.
    Anonymous 42789 Replies Flag this Response
  • I also have been tossing around the idea of acupuncture. I'm really looking for anything here..it's been a hard road. Yes, please give acupuncture a try. It doesn't help EVERYBODY, but IME it is very very helpful for 75-80% of the people coming to my clinic. Visit www.acufinder.com to find one near you and make sure they are NCCAOM certified. MakeMyDay: have you considered acupuncture? It won't cure your condition, but it may really help manage your pain and it DOES promote healing. Best wishesDOM
    acuann 3080 Replies Flag this Response
  • hello again, i am back!as of today the pain is still the same, but i have another suggestion from my doctor. he told me i should use "Extracorporeal Shock Wave Therapy" which will help me solve my problem. i too am in the what the heck i might as well try it. but i havent gotten around to it. also what are the differences in results between acupuncture and eswt? cause here in Venezuela i havent had that suggested.do any of you have any suggestion about this type of surgery/therapy? if so please, please reply!thank you, salud!
    Anonymous 42789 Replies Flag this Response
  • Dear Original Poster:Please read about Jaffe Mellor Technique (JMT) it eliminates Pain.If the JMT doctor tell you that you also suffer from allergies, treat them with NAET instead of Jaffe Mellor- it 'holds' better.As far as pain goes JMT is amazing!Frui.Oh you are in Venezuela? I don't know if there is NAET or JMT down there, but try the Oriental Medicine doctor and ask for herbs.Dolores en el cuerpo son originado por germenes (bacterias, viruses, micoplasma). Tienes que tomar hierbas para destruir esos patogenos. Los doctores regulares no saben eso. Hasta la artritis esta relacionada con infecciones. Haz tomado Pau D' Arco? No se si es bueno para eso- pero es muy recomendado ahora.Saludos...Represent Xoxo.Frui.
    Eatafruit78 960 Replies Flag this Response
  • I unwitingly entered into an opiate withdrawal. Six days in I got my meds I take for my back pain (Another sad story). My withdrawal obated but I had this pain in my chest. My sternum and area around. Bad pain.The doctors say it's chondritis. Is it viral or did I hurt myself thrashing about in my withdrawal? When does it go away? Does it go away? These are the things I need to know.
    Anonymous 42789 Replies
    • October 2, 2007
    • 07:25 AM
    • 0
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  • Hello! I started out years ago with psoriasis, then occassional joint flareups from physical strain, then I developed rheumatoid arthritis and vertigo. A very healthy and active person all my life, but not so much now. I was diagnosed this week with costro chondritis after a nuclear bone scan and constant complaining to my RA Dr. who said people don't get RA in their chest wall, I beg to differ. I have suffered more and more each month with RA for almost 4 years while taking Methotrexate, Folic Acid and now Prednisone every day. I got dehydrated and passed out and bruised my left rib on the coffee table on the way down, I thought I got better and then all of a sudden this! When I lay down I feel like an elephant is sitting on me and I cough up clear stuff. My Dr. says my heart and lungs are fine, and I told him it felt like RA in my ribs, just like when it swells up in my hands or feet or elsewhere. I too was active up until a few years ago with swimming and other activities. I had patella surgery last year and it took me a year to recooperate. I have had to stop the career path I was on in patient care and work in the office in the hospital now, and each day I can still work is a blessing, but a painful and tiresome one. I can no longer do daily chores or even bend over to pick up the pencil I dropped without pain. When I'm all rested and on prednisone and I have my 3 month check up I am not usually swollen then ofcourse, but suffer most of the week otherwise. I cannot sleep because I cannot lie flat, I have lost my boyfriend because I can't do anything and always feel sick or in pain, but my mind and heart is still young and has love to give, and receive. I am afraid to stop working because there is no financial assistance I can count on, and my Dr. has yet to agree to declare me disabled as he keeps wanting to try new meds. Once, I tried to stop taking the Methotrexate and thought I was going to die of a heart attack, so we are supposed to try adding something soon, however, I am allergic to sulfa and most of the new meds have possible side effects like tb and cancer! My friends tell me to just pray, well I do, however, I don't know what HIS plan is and I don't want to be unproductive and in pain daily. I am not deformed yet and have minor bone damage, however the pain and inflammation and inability to perform daily tasks is huge, so how do doctors believe we are not hypochondriacs? People have told me that I look good, don't look like I have a problem, but they can't feel what I feel or seem my hidden joints under my clothing. To top it off I am gaining weight from the prednisone and inactivity which doesn't help in any dept. I wish there were a group of people that would meet in person and talk who have RA and/or similar conditions that were more compassionate and actually understand what's it's like to live with it. Don't get me wrong, I feel so blessed, and at 48 I can say I have had a wonderful life, children, joy, etc., but now is the time I am supposed to have for me with the boys out on their own and been divorced for awhile, all I can do is sit here and hope I feel well enough to go to work the next day, because when I try to be social it hurts too much! I don't want to start taking pain medication and get addicted to it, or even use to it 'cause I will definitely need it when I get further along... I have valium and hydrocodone I will take on rare occassion and my eldest son who lives on the other coast is putting together a healthy menu for me to follow we hope will help some. Any suggestions will be appreciated, thanks for letting me vent.
    Anonymous 42789 Replies
    • February 13, 2008
    • 04:42 AM
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  • I'm in the same boat as all of you. I have been diagnosed with pericarditis, inflammation of the "heart's sac" or pericardium. I spent 4 days in the hospital because of the stress that it put on my heart and the fact that my cardiac enzymes were high. (basically that just shows that I may have had a small heart attack) That was in early December, and now I'm still in pain. I went back to doctor mid-Feb. and he diagnosed me with costochondritis. He said that he looked over everything that was done to me in the hospital, which was literally everything you could think of, and everything looked fine. He reassured me that nothing was wrong with my heart and that the pericarditis should be going away within another week or so. He then said that the costochondritis would be around for 6-8 weeks and that I may be on the tail end of it. Well its March 1st and I'm still in pain. Its not horrible stabbing pain, but more like a nonstop migraine headache in my chest. This pain sometimes radiates up to my left shoulder and jaw. Oddly, I feel pain in the middle-right side of my back, just next to my spine. It is slightly crushing especially when I try to sleep. It feels like I have a small child standing on my chest when I lay in my bed. Like I said, not horrible gun shot pain, but on a scale of 1-10 its a 4. The problem is its all the time and thats what it feels like even though I take 800mg of ibuprofen three times a day! I can't wait till this pain is gone! By the way, I've also been a swimmer my whole life (I'm 27) and in great shape until this all happened.Hi I'm Debra in Texas, and I can relate to all of you. I started having pain back in October, thought I was having a heart attack, was hospitalized for 4days and had numerous of tests done which all check out okay with my heart. I am still in pain every single day, I started feeling it in my chest and seemed as though it spread to the left, my shoulder and the pain go through to my upper back. It hurts just sitting and especially at night when I'm trying to sleep. I take 800mg motrin also and use heating pad every night. I'm still in pain, I feel like just screaming everyday. No one seems to understand. My doctor said it is arthritis in my chest, I've never heard of that before. So he prescribed Celebrex and I want take it because of the severe side effects, so he told me to take motrin. He had me scheduled to go get an injection in my chest by the Anesthisiologist this week, but I can't get that now because of surgery. I'm having surgery on my right shoulder to repair a tear that I have been having pain with since the summer. My doctor found this outwith an MRI 3wks ago. I hope he can figure out this pain before I go crazy. I will see my doctor Friday and I will ask him about costochodritis. If you all find any relief please share with me and I will do the same.
    Anonymous 42789 Replies
    • February 20, 2008
    • 04:42 AM
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  • I can empathize with you. Its bad enough that you have a problem its worse when you give the Doctors a road map and they just mess it all up.I don't blame them from not knowing everything. I do blame them for not admitting to not knowing. Its stems from being insecure. A high percentage of Drs. were geeks that got kicked around in preschool through high school.Admitting you don't know is much harder than you would think. Unfortunately this creates a big problem when they don't know.Thank God for the internet. CostoChondritis is something any pulmonologist should be aware of. I can see the family MD not knowing but a specialist really should know the cause.I went through the cluster F. of mess ups. Very irritating. Mine started off as a allergic pulmonary reaction. It was only treated with steroids which fixed one thing and caused pneumonia to take hold.This was treated improperly for 1 year. The chronic inflammation created adult asthma and finally chondritis.When you mention chest pain they must rule out cardiac. Which I did twice. Finally I have to tell them what is wrong.Things that are putting a dent in the pain.1. Zithromax - If you have not tried it its worth it. Much much better than any steroid. It probably gets to the source vs treating the symptoms. The source is probably bacterial which in turn gives inflammation etc....2. A DO did some heavy manipulation to free up my frozen ribs. It hurt like ***l but it did improve things.3. Vicodin kills the pain well. 4. Stretching exercises for the chest.Any time a Dr. tells you there is no answer you know that its automatically a cop out and bull S.... There is a answer for every disease and symptom.The proper answer is .. There is a reason for your symptoms sir, I or we just have not figured it out yet. I can buy that. But its very difficult for the tiny tiny egos of many Drs. to blurt out.
    rjonesod 5 Replies Flag this Response
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