Tietze syndrome - What it is, causes, symptoms and treatment

It is possible that at some point in life a person feels some pain at chest level, a sharp and intense pain, which can be so strong that its presence leads to the sufferer to consult a doctor suspecting that may suffer from a heart problem and even a heart attack.


According to the patient's history, this pain can lead to suspicion of esophageal discomfort. However, sometimes this condition does not find its cause in heart or digestive problems, but are derived from an inflammation of cartilage known as Tietze syndrome .

What is the syndrome of tietze


The Tietze syndrome is the medical name given to the inflammation and hardening of the cartilage that serves as a link between the sternum and the ribs, called costal cartilage because it is on the sides of the sternum.

This junction or costal cartilage is located in the right center of the rib cage, since the ribs protect the heart and lungs, so when this condition occurs the pain is usually felt at the chest height.

It is in general lines and to understand it in an easy way, a disorder or inflammatory rare characterized by chest pain and swelling of the cartilage of one or more upper ribs (costochondral junction).

The Tiezte syndrome is named after the German doctor who described him for the first time, Alexander Tiezte, in the 1920s.

Formerly it was believed that this syndrome was infrequent coming to be considered extremely rare, however, it is currently recognized as a common condition among the population of 20 to 40 years although it can occur at any age, and with higher incidence in men than in women.

Causes of Tietze syndrome

The Tietze syndrome is a common complaint today, however the specific medical causes that pr These problems are virtually unknown. While it is known that the tietze syndrome is derived from costochondritis, what causes this inflammation has not been defined.

Among the probable causes commonly associated with the > Tietze syndrome , since there is no medical consensus on them, stress is found. A life with constant upheavals, agitated, with demanding delivery times or dealing with clients and difficult partners, increases the possibility of suffering episodes of anxiety which manifests itself physically somatizing this discomfort and provoking various inflammations, among them the syndrome of Tiezte .


On the other hand, One of the most accepted probable causes for the onset of this disease is that of having suffered some traumatism in the chest area as a strong blow derived from a fall, a road accident or a contusion with a blunt object in the area. p>

By suffering this trauma, the area can become inflamed in both the soft tissue and joints and cartilage, causing the Tiezte syndrome .

You can also cause internal damage an intentional physical effort So, as this causes a constant pressure increase in the chest and being constant and repetitive causes the cartilage to become inflamed.When the condition causes enough discomfort in the patient to undergo a medical examination, inflammation is usually such that it is evident from a simple examination.

Tietze's syndrome It is characterized by localized and painful pain from mild to severe in one or more of the four upper ribs. The second or third rib is the one that hurts most often . In most people, the single-rib cartilage is affected. A firm spindle-shaped swelling occurs in the cartilage of the affected rib. In this area, painful, sharp, opaque or neuralgic pain is produced. Sometimes, the pain can spread and affect the neck, arms and shoulders. There may be redness (erythema) and warmth of the affected area.

The onset of pain may be gradual or sudden, and may vary in intensity. The pain associated with Tietze syndrome may get worse due to sneezing, coughing, or strenuous activity or exercise. The pain usually goes away after several weeks or months, but the swelling may persist.


Homemade, the syndrome of Tietze is identified as a condition that causes pain in the area between the ribs. The pain will increase when you cough, make some physical effort or in some cases with simple movement.

The pain of the tietze syndrome is usually acute and be close to a sensation of heat in the area that when pressed is identified as if it were a bruise. In the most severe cases a swelling or inflammation to the touch and a slight reddening in the area can be identified.

Treatment of the tietze syndrome


When we ignore the specific causes that generate the syndrome of tietze , its treatment is more focused on the palliation of its symptoms, in particular what is sought mostly is to reduce the inflammation of the area to, in this way, disappear the pain that prevents the sufferer from carrying However, if it is suspected that the cause of the tietze syndrome may be stress, it is important to modify the patient's lifestyle in order to avoid relapses or chronic conditions.

To reduce inflammation in the cartilages of the syndrome The doctor can prescribe common anti-inflammatory drugs orally, however for a more effective and immediate relief and if the pain is extremely acute, the anti-inflammatory solution can be applied in a direct through an infiltration.

Local injections of corticosteroids or lidocaine directly into the affected area may be beneficial for people who do not respond to analgesics (refractory cases).

In addition to treatment with drugs, to treat the tiezte syndrome it will be necessary for the patient to avoid carrying out physical activities that deplete the central area and the body's rib cage, until the pain refer.

As support for drug therapy, it is usually beneficial to reduce inflammation by applying warm or cold fomentations or compresses to the affected area.Magnetic resonance imaging (MRI) may show thickening and enlargement of the affected cartilage.

Natural treatment for the tietze syndrome

In the margin of what the doctor prescribes so that we can alleviate the pain in the area, and especially the swelling, the natural treatment for Tietze syndrome, requires rest, avoid doing a strenuous activity, apply some heat in the affected area.

On the other hand we can recommend you take the well-known Noni, a fruit that acts as an anti-inflammatory and is an excellent natural remedy for cases like Tietze syndrome . It is a good remedy as I say, although if you suffer from this syndrome and take medication you should go to the doctor and consult if you want to also take Noni.

On the other hand, you can always resort to other therapies of healing such as acupuncture , which can also be combined with the medications you are taking.

Relationship between the tietze syndrome and the sports

Relationship between tietze syndrome and sports

It is said that somehow an overexertion can lead us to end up suffering from Tietze syndrome. There are many cases that are diagnosed among people who regularly practice sports , especially running or playing football, so there may be a relationship between the syndrome and sports.

Anyway, we can find that there are also cases that have found relief to the syndrome of Tietse, precisely in sports and in this way, we can refer to visit a traumatologist and a physio, so that they can advise you to do according to your profile and the pain you have, to some stretching exercises that allow you to alleviate the area.

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