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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Costochondritis

My daughter has what seems to be costochondritis. Her doctor says her rib is not attached, possibly genetic. She was referred to a spine and pain specialist. After an injection and an MRI she suggested we see a surgeon for rib removal. Is this our last option and how are the success rates?
Fri, 29 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
hi

thank-you for providing the brief history of your daughter.

A thorough musculoskeletal assessment is advised.

As she is having costochindritis, and she is advised for rib removal I wish to know her age. If she is under the age of 18 then it is advised to wait since the growth hormone is still active to get the connection happen. Also, you haven't mention which rib is it in particular. If it is the lower ones or the middle or the upper one. Is the sternum involved or not? also, making a connection in the empty space may be tried but it's totally a Surgeon's choice. I will advice to check for optional things is connection is made beteen the missing area of soft tissue. A bone graft may work but it's all on surgeon's choice and knowledge.

Regards
Jay Indravadan Patel
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Suggest Remedy For Costochondritis

hi thank-you for providing the brief history of your daughter. A thorough musculoskeletal assessment is advised. As she is having costochindritis, and she is advised for rib removal I wish to know her age. If she is under the age of 18 then it is advised to wait since the growth hormone is still active to get the connection happen. Also, you haven t mention which rib is it in particular. If it is the lower ones or the middle or the upper one. Is the sternum involved or not? also, making a connection in the empty space may be tried but it s totally a Surgeon s choice. I will advice to check for optional things is connection is made beteen the missing area of soft tissue. A bone graft may work but it s all on surgeon s choice and knowledge. Regards Jay Indravadan Patel