The treatment of nonspecific costochondritis is not effective.

When the treatment of nonspecific costochondritis is ineffective, you can try to adjust the treatment plan, including drug therapy, physical therapy and lifestyle intervention. Nonspecific costochondritis is an inflammatory disease characterized by pain in the sternocostal joint area. It is common in people aged 20-40 years old, with a higher incidence in women. Its cause is still unclear, and it may be related to viral infection, trauma, poor posture or long-term overuse of chest wall muscles. Poor treatment effect may be related to inaccurate diagnosis, single treatment plan or poor patient compliance.

1. Drug treatment is an important means of relieving symptoms. Nonsteroidal anti-inflammatory drugs such as ibuprofen and diclofenac sodium can reduce inflammation and pain, and topical drugs such as Voltaren ointment can also act directly on the affected area. For patients with severe pain, short-term use of weak opioids such as tramadol can be considered, but attention should be paid to addiction and side effects. Traditional Chinese medicine such as blood-activating and stasis-removing prescriptions can also be used as auxiliary treatment, but they must be used under the guidance of a traditional Chinese medicine practitioner.

2. Physical therapy can improve local blood circulation and promote the absorption of inflammation. Thermotherapy such as hot compress and infrared irradiation can relieve muscle tension, and ultrasound therapy can promote tissue repair. Chest wall muscle traction training and posture correction training can help reduce the load on the sternocostal joints and prevent recurrence. Acupuncture treatment can regulate local qi and blood circulation and relieve pain by stimulating specific acupoints.

3. Lifestyle intervention is crucial to improve symptoms and prevent recurrence. Avoid maintaining a fixed posture for a long time, such as sitting or working at a desk for a long time. Get up and move every 1-2 hours. Sleep in a side-lying position and use a mattress with moderate hardness to avoid chest pressure. Moderate aerobic exercise such as swimming and yoga can enhance chest wall muscle strength and improve chest mobility. Eating more foods rich in vitamin C and protein, such as citrus fruits and fish, can help tissue repair.

4. Psychological counseling is particularly important for patients with chronic pain. Nonspecific costochondritis has a long course of disease, and patients are prone to anxiety and depression. Cognitive behavioral therapy can help patients establish a correct understanding of the disease and relieve psychological pressure. Relaxation training such as deep breathing and meditation can reduce pain perception and improve sleep quality. If necessary, seek the help of a psychological counselor to develop a personalized psychological intervention plan.

The treatment of nonspecific costochondritis requires a comprehensive approach, including drug therapy, physical therapy, lifestyle intervention and psychological counseling. Patients should remain patient, actively cooperate with treatment, undergo regular checkups, and adjust treatment plans in a timely manner. At the same time, attention should be paid to preventing recurrence, maintaining good living habits and mentality, which will help improve the quality of life and promote recovery. For those whose symptoms continue to worsen or whose treatment is ineffective, they should seek medical attention in a timely manner to rule out other potential diseases.