Which department should I go to for nonspecific costochondritis?

Nonspecific costochondritis should be referred to an orthopedic or thoracic surgeon. This is a common chest wall pain disorder that manifests primarily as pain and tenderness in the costal cartilage area and may be related to trauma, infection, overuse, or immune response. Treatments include medication, physical therapy, and lifestyle adjustments.

1. Drug treatment

The drug treatment of nonspecific costochondritis focuses on relieving pain and inflammation. Commonly used drugs include nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, diclofenac, and celecoxib, which can effectively reduce pain and inflammation. For patients with severe pain, doctors may recommend short-term use of analgesics such as acetaminophen. Topical anti-inflammatory and analgesic plasters or gels can also play an auxiliary role.

2. Physical therapy

Physical therapy is an important means of relieving nonspecific costochondritis. Hot compresses can promote local blood circulation and relieve muscle tension and pain; cold compresses are suitable for the acute stage to help reduce inflammation and swelling. Doctors may also recommend chest wall stretching and strengthening exercises to improve the flexibility and strength of the chest wall muscles and reduce the risk of recurrence.

3. Lifestyle Adjustment

Avoiding overuse of the chest wall muscles is the key to preventing and relieving nonspecific costochondritis. Patients should reduce heavy lifting, strenuous exercise, or repetitive movements to avoid aggravating symptoms. Maintaining a good posture, especially when sitting and standing, can help reduce chest wall pressure. Proper rest and relaxation can also help recovery.

Although nonspecific costochondritis has obvious symptoms, it usually does not cause serious complications. If the pain persists or worsens, you should seek medical attention in time to rule out other underlying diseases. With reasonable treatment and lifestyle adjustments, most patients can see significant improvement within a few weeks.