Thanks for your question on Healthcare Magic. I can understand your concern. Tietz syndrome is severe form of costochondritis. Till date there is no known cause of this. Similarly till date no treatment is discovered which cure it completely. Yoi can try alternatively ice packs and warm water pad applications on affected areas of chest. Tramadol patch on affected chest area is also beneficial in some cases. Anxiolytic drugs like clonazepam, diazepam are also given to see if it works. Rib belt application should also be tried. No surgery is available for this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.