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Pectoralis Major strain can happen during vigorous sports activity classically weight training. It used to rotate the arm inwards, pull a horizontal arm across the body, pull the arm from above the head down and pull the arm from the side upwards. The Pectoralis major muscle is a large muscle at the front of the chest. Larger chest wall muscle groups can also be strained. Heavy lifting with side bending, twisting or turning Weight training (side to side against resistance) However, swelling in the area may make this difficult to appreciate.Īctivities and Sports that may cause chest wall muscle strain: These can present with a palpable defect in the muscle or tendon. These injuries present with significant loss of strength and motion.Ĭomplete rupture of a muscle or tendon.

However, the muscle is not completely ruptured. More extensive damage with more muscle fibres involved.

Mild damage to individual muscle fibres (less than 5% of fibres) that causes minimal loss of strength and motion. Muscle strains can be categorized into three grades, based on severity Costotransverse disorders or costovertebral joint dysfunction are disorders affecting or involving specifically the costotransverse and costovertebral joints and ligaments which are felt to be related to pain experienced in the thorax. The pain experienced in the front or side of the chest is described as referred pain and may arise from the posterior thoracic spinal structures including the intervertebral discs and facets. Pain originating from the thoracic spine and specifically from the ‘spinal-rib complex’ is common. The cause is unknown.įor Lower rib pain syndromes. The swelling may last for several months and often radiates to the arms and shoulders. It usually affects the junctions at the 2nd and 3rd ribs. Tietze syndrome is often confused with costochondritis but is rarer and importantly associated with sudden chest pain and localised swelling at junction of the ribs and breastbone. Typical location of pain and tenderness noted in Costochondritis Occasionally, it can follow a viral infection or rarely a bacterial or fungal infection in patients prone to such infections. The cause is unknown but may be associated with unusual or excessive physical activity, minor trauma particularly repetitive and/or excessive over of use of arms. Without this tenderness, a diagnosis of costochondritis is unlikely. The reproducible tenderness but without swelling you feel when you press on the sternal and rib joints (costosternal and costochondral junctions respectively) is a constant feature of costochondritis. Conversely, it decreases as movement stops or with quiet breathing. This pain increases with activity, moving or twisting or when taking deep breaths. The most common sites of pain are the anterior cartilage segments of the 2th to 5th ribs at the front of the chest near where the ribs join the breastbone. It’s felt over the affected cartilage segments in multiple areas, usually on one, or occasionally both sides of the sternum. It is a relatively common condition seen in adult and patients who develop pain and tenderness at the front of the chest. Intercostal muscle strain or pulled chest muscleĬostochondritis refer to Inflammation of the cartilage junctions of the sternum and ribs typically felt at the costosternal and costochondral joints. Pain radiating from thoracic spine or costovertebral joints Slipped Rib Syndrome or lower rib pain syndromes The most common cause of chest wall pain is from through some form of direct trauma or injury to chest wall with underlying swelling and inflammation to the soft tissues.Īs a result of direct Injury or trauma to chest The causes of chest wall pain are numerous but are most commonly musculoskeletal conditions, though other conditions often need to be excluded first. It may be associated with numbness, tingling or a ‘radiating’ pain, from front to back for example. The pain may worse on certain movements such as deep breathing, coughing or twisting. The pain may be an ache, constant or occasional, sharp, stabbing or burning. The type of pain and its location depends on the underlying cause of the pain. The most common chest wall symptom is pain. The complex nature of thorax with multiple joints and cartilaginous connections coupled with a need to continually move (breath) makes it prone to inflammatory conditions and chronic pain problems. This cartilage also contributes to elasticity within the walls of the thorax, allowing the chest to expand during respiration. The costal cartilage are segments of cartilage that connect the sternum to the ribs and help to extend the ribs into a forward motion. Created for the rib injury clinic by AnatomikModelingģD interactive chest wall model showing rib cage, thoracic spine and sternum with costal cartilage