The painful lump described could be due to costochondritis or also due to involvement of other âmusculoskeletal structures in the chest wall too. â
Costochondritis is an inflammation of the cartilage connecting the ribs to the sternum (breast bone). âIt presents as a sharp pain in the affected cartilages, and may be associated with redness and âswelling too. â
Pain caused by costochondritis may mimic that of a heart attack or other heart conditions.â
The proper diagnosis is usually done by clinical examination, and tests like X ray are needed just to ârule out other causes like rib fractures. â
Taking medications like Ibuprofen (Advil, motrin) can help in relieving the pain. â
In case, they do not help, you may need treatment with prescription medications like âantidepressants to control the pain.â
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