
Costochondritis, Taken Painkiller, Anti-inflammatory, Cortisone, History Of Pleurisy. Check B12 Level?

Thanks for writing to us.
Costocondritis is often misdiagnosed as a cardiac pain. It is good that you your cardiac and pulmonary status are normal.
Inflammation of costochondral joints is mostly due to a genetic predisposition. There are some autoimmune disorders also which need to be ruled out for their association like- fibromyalgia, psoriatic arthritis, ankylosing spondylitis reactive arthritis, and inflammatory bowel disease (such as ulcerative colitis and Crohn's disease).
I hope you are not having any problems related to any other joint pains and bowel movements.
Pain killers, antiinflammatory drugs- steroids and lidocaine patch are the main treatments. You need discuss all options available with your orthopedician for proper treatment.
Meanwhile doing a hot compresses will be useful pain relieving measure. You may apply a local analgesic gel on that area.
I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Regards.

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