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Costochondritis

Costochondritis

Costochondritis (Tietze syndrome), where the rib cartilage in the front of the chest is painful due to pressure.

Jang-Hyuk Choi, KMD
의료 감수Jang-Hyuk Choi, KMDHead Doctor
Jang-Hyuk Choi, KMD
Medically Reviewed
동제당한의원·Jang-Hyuk Choi, KMDHead Doctor
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Q Are there any specific movements I need to be particularly careful about during exercise or daily activities while suffering from costochondritis? I go to the gym, so I'm worried.

A Movements that compress the chest or twist the rib cage strongly can place a direct load on the costochondrosis and cause severe pain. It is advisable to avoid bench presses, dips, fly-type exercises, and push-ups during the acute phase. It is recommended to switch to lower-body focused exercises or cardio, and to gradually resume upper-body exercises once the pain has completely subsided.

Detailed Answer

Movements that place a direct load on the costochondrosis are the most dangerous. Specifically, this includes: ① weight training that strongly contracts the triceps, such as bench presses, dumbbell flies, and cable crossovers; ② movements that concentrate body weight on the costochondrosis, such as pat-roll-punch-pess and dips; ③ lifting or pushing heavy loads; and ④ repeated vigorous coughing or sneezing. Additionally, you should be cautious with movements involving significant twisting, such as golf swings and baseball pitching motions. While experiencing pain, it is safer to shift your routine to focus on lower body and cardio, and to resume upper body exercises starting with light weights only when you are pain-free. Perspective of a Korean Medicine Clinic Vigorous muscle contractions overload the muscles and ligaments governed by the liver, and in situations where Qi and blood are stagnant, they further exacerbate circulatory congestion in the costal cartilage area. From a Korean medicine perspective, it is recommended to avoid exercises that apply strong pressure to the chest and to relax the rib cage through gentle stretching and diaphragmatic breathing.

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동제당한의원 Care

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