Tietzes: Difference between revisions
Els Bernaers (talk | contribs) No edit summary |
Els Bernaers (talk | contribs) No edit summary |
||
Line 46: | Line 46: | ||
== Physical Therapy Management <br> == | == Physical Therapy Management <br> == | ||
The treatment of Tietze’s syndrome is not yet perfect. It is not known weather the disease is dealed definitly or not.<ref name="Moin et al" /> There are not yet trustworthy clinical studies on the treatment of Tietze’s syndrome<ref name="Proulx and Zryd" /><ref name="Verdon et al" /><ref name="American academy of family physicians" />. For now, the treatment consist:<br>- pain medication (NSAID)<ref name="American acadamy of family physicians" /> or eventually an injection on the painfull spot,<ref name="Proulx and Zryd" /><ref name="Gregory et al" /><ref name="Fam and Smythe" /><ref name="Moin et al" /><br>The physiotherapist can:<br>- reassure the patient by explaining the condition <ref name="Proulx and Zryd" /><ref name="Verdon et al" /><br>- instruct a good body position and give exercise advise. Patients need a good balance between exercise and rest.<ref name="Proulx and Zryd" /><ref name="Gregory et al" /><ref name=" | The treatment of Tietze’s syndrome is not yet perfect. It is not known weather the disease is dealed definitly or not.<ref name="Moin et al" /> There are not yet trustworthy clinical studies on the treatment of Tietze’s syndrome<ref name="Proulx and Zryd" /><ref name="Verdon et al" /><ref name="American academy of family physicians" />. For now, the treatment consist:<br>- pain medication (NSAID)<ref name="American acadamy of family physicians" /> or eventually an injection on the painfull spot,<ref name="Proulx and Zryd" /><ref name="Gregory et al" /><ref name="Fam and Smythe" /><ref name="Moin et al" /><br>The physiotherapist can:<br>- reassure the patient by explaining the condition <ref name="Proulx and Zryd" /><ref name="Verdon et al" /><br>- instruct a good body position and give exercise advise. Patients need a good balance between exercise and rest.<ref name="Proulx and Zryd" /><ref name="Gregory et al" /><ref name="Hurst et al" /><ref name="American academy of family physicians" /><br>- use heat pads and massage to help against the overloading of muscles and tot temper the pain.<ref name="Proulx and Zryd" /><ref name="Fam and Smythe" /><ref name="American academy of family physicians" /><br>- mobilize spine and ribs to avoid rigidity of the thorax and to reduce complaints.<ref name="Gregory et al" /><ref name="Moin et al" /><br>- teach the patient breathing excercises<ref name="Moin et al" /> <br>- learn the patient to handle with pain. Which movements are provocative?<ref name="Proulx and Zryd" /><ref name="American academy of family physicians" /><br>Excercise for shoulder and back can be provocative, only when the complaints have disappeared, vthey can be applied.<ref name="Moin et al" /> | ||
== Key Research == | == Key Research == |
Revision as of 19:37, 8 May 2011
Original Editors - Els Bernaers
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Search Strategy[edit | edit source]
add text here related to databases searched, keywords, and search timeline
Definition/Description[edit | edit source]
Costochondritis is a painfull chronical inflammation of the cartilago of one or more costae at
the transition between sternum and costae.[1][2][3] Only when a swelling occurs underneath sternum and/or a reddening of the skin at the painfull spot, it's called Tietze's syndrome[4][5][6][7]. This disease causes severe pain when coughing and deep breathing. The Tietze's syndrome is not life-threatening or contagious but it is a fastidious and painfull disease.[4][3] Costochondritis[6] and the Tietze's syndrome are often confused but in fact they are two different diseases. [8]
Clinically Relevant Anatomy[edit | edit source]
add text here
Epidemiology /Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
The cartilage connects sternum with costae and clavicula, and makes the movement of the thorax possible while the breathing.[1][3] The inflammation of the the cartilage of one or more costae causes a swelling of the cartilago and a red, warm swelling will be visible and palpable.[7][3]There is pain with a varying intensity in the chest wall and this pain aggravated by movements of the torso, deep breathing, coughing and exertion. [8][4][1][7] Pain occurring during the palpation of the painfull spot suggests costochondritis but the pain could have a cardiac origin[8][4] tumor[4][5][1],... [3] Other investigations like electrocardiography[1][3], CT-scan[9][5], MRI[10][5][1],… are necessary. Through the pain of inflammation, the normal movement in joints are disrupted, the movements of the shoulder crepitates or pain may occur.[4][1][3] Complaints occur gradually and can disappear spontaneously after some days but it may take years to disappear.[11][1] Even after a spontaneously healing the complaints can return on the same place or another spot around the costae.[1][7]
Diagnostic Procedures[edit | edit source]
add text here related to medical diagnostic procedures
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
add text here related to physical examination and assessment
Medical Management
[edit | edit source]
add text here
Physical Therapy Management
[edit | edit source]
The treatment of Tietze’s syndrome is not yet perfect. It is not known weather the disease is dealed definitly or not.[3] There are not yet trustworthy clinical studies on the treatment of Tietze’s syndrome[8][4][6]. For now, the treatment consist:
- pain medication (NSAID)[12] or eventually an injection on the painfull spot,[8][11][1][3]
The physiotherapist can:
- reassure the patient by explaining the condition [8][4]
- instruct a good body position and give exercise advise. Patients need a good balance between exercise and rest.[8][11][7][6]
- use heat pads and massage to help against the overloading of muscles and tot temper the pain.[8][1][6]
- mobilize spine and ribs to avoid rigidity of the thorax and to reduce complaints.[11][3]
- teach the patient breathing excercises[3]
- learn the patient to handle with pain. Which movements are provocative?[8][6]
Excercise for shoulder and back can be provocative, only when the complaints have disappeared, vthey can be applied.[3]
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
- ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 Fam A.G., Smythe H.A.,Musculoskeletal chest wall pain, Can Med Assoc J. Sept 19851; 133(5):379-389.
- ↑ Thongngarm T., Lemos L.B., Lawhon N., Harisdangkul V., Malignant tumor with chest wall pain mimicking Tietze's syndrome, Clin Rheumatol., 2001; 20(4):276-8
- ↑ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 Moin P., Vergouw M., Imanuel N., Hulshof D., 2005, Syndroom van Tietze, geraadpleegd op 26/12/2010, http://www.fysiotherapie-enschede.nl/content/ziektenbeelden3upo/Syndroom%20van%20Tietze.htm
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 Verdon F., Burnand B., Herzig L., Junod M., Pécoud A., Bernard F., Chest wall syndrome among primary care patients: a cohort study, Fam Pract., 2010 Aug; 27(4):363-9
- ↑ 5.0 5.1 5.2 5.3 Hoogendoorn R.J., Brinkman J.M., Visser O.J., Paul M.A., Wuisman P.I., Sternal pain: not always harmless, Ned Tijdschrift Geneeskd. 2004 Dec 11;148(50):2469-74
- ↑ 6.0 6.1 6.2 6.3 6.4 6.5 American acadamy of family physicians, Costochondritis: What you need to know, Am Fam Physicians, Sept 2009, 15;75(10):1
- ↑ 7.0 7.1 7.2 7.3 7.4 Hurst J.W., Morris D.C., Williams B.R. “Chest Pain” in patients with costochondritis or Tietze's syndrome, Wiley-Blackwell, 2001, p23-29
- ↑ 8.0 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 Proulx A.M., Zryd T.W., Costochondritis; Diagnosis and Treatment, Am Fam Physician, 2009 Sep 15;80(6):617-20
- ↑ Hamburg C., Abdalwahab I.F., Reliability of computed tomography in the initial diagnosis and follow-up evaluation of Tietze's syndrome: a case report with review of the literature, J Comput Tomogr., 1987;11(1):83-87
- ↑ Volterrani L., Mazzei M.A., Giordano N., Nuti R., Galeazzi M., Fioravanti A., Magnetic resonance imaging in Tietze's syndrome, Clin Exp Rheumatol., Sept-Oct 2008; 26(5):848-53
- ↑ 11.0 11.1 11.2 11.3 Gregory P.L., BISWAS A.C., Batt M.E.,Musculoskeletal problems of the chest wall in athletes, Sports Med., 2002;32(4):235-50.
- ↑ Cite error: Invalid
<ref>
tag; no text was provided for refs namedAmerican acadamy of family physicians