My 10 year old son was diagnosed with strep throat. Two days later, he woke complaining of terrible chest pain. He was diagnosed with costochondritis, and an x-ray also confirmed pneumonitis. His pain has continued for fifteen days. It is not joint or muscle pain. His skin is painful to the touch. It is excruciating in some instances. The pain is in his torso, and now has gone to his arms and legs. His head and hands are unaffected. EKG ECG, bloodwork, and vitals are all normal. No Epstein-Barr, MMR negative. We are at a loss and are trying to find answers. Has anyone had or seen anything like this before?
*No existing medical conditions; normal medical history
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replied February 19th, 2018

Hello and welcome to e health forum.

The chest wall includes the skin, ribs and muscles that surround the ribs. Chest wall pain is usually caused by injury, inflammation or infection of these structures.

Common causes for chest wall pain include: muscle strain, chest contusion, and costochondritis. The pain in these conditions is brought on by movements of the abdominal wall or the rib cage. It is also increased by deep breathing.

Costochondritis is inflammation of the junctions where the upper ribs join with the cartilage that ‎holds them to the breastbone or sternum. The condition causes localized chest wall pain and ‎tenderness that you can reproduce by pushing on the involved cartilage in the front of the rib cage. ‎Most cases of costochondritis have no apparent cause, and they usually subside spontaneously ‎without treatment.‎

Try icing the area and use anti-inflammatory medications like advil to control the pain. The symptoms due to chest wall pain should subside within a few days.

Some conditions like Fibromyalgia , costochondritis , chronic pain syndromes could sometimes present in a minority of patients , who have issues like severe anxiety, stress and a low pain threshold.

If the pain is intolerable or annoying and you still are in doubt, you can seek a second opinion and proper testing ‎‎including X ray , ultrasound or CT , etc.

If all the tests come out to be normal, then it is highly likely that your symptoms are functional, and you do not have major issues.

I hope this helps.



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