• Self S
• Miles K
• Sergent A

• Chest Pain
• Male
• Ribs
• Young Adult

Objective: To describe the management of a 20-year-old male with costochondritis involving chiropractic adjustments, nutritional and other intervention.

Clinical Features: A 20-year-old male presents with chest pain following a triceps dip exercise years ago. He describes the pain as on and off and made worse with activity. The pain is sometimes helped with a brace that is worn.

Intervention and Outcome: As a result of minimal change within the initial treatment plan, an emphasis was placed on addressing the patients’ comorbidities, such as gastro-esophageal reflux disease (GERD), hiatal hernia, peripheral neuropathy and nutritional deficiencies as contributing factors. The patient was treated initially strictly with chiropractic adjustments and ultrasound. Instrument-assisted soft-tissue technique, breathing exercises, nutritional supplementation, dietary changes and durable medical equipment were all added after the initial care plan treatment had plateaued.

Conclusion: The combination of chiropractic adjustments and alternative methods for this patient presenting with costochondritis helped to manage the patient.

Author keywords: Chiropractic, adjustment, manipulation, costochondritis

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