0:03 Good morning today we’ll talk about
0:12 Two conditions that are encountered more
0:16 Than you think in our clinical practice
0:18 But are often misdiagnosed these are
0:22 Conditions that cause non-specific chest
0:25 Pain and are costochondritis and
0:28 Sleeping rib syndrome so the first
0:30 Question is are they the same thing and
0:33 The answer is no there are two different
0:34 Things costochondritis is an
0:37 Inflammation of the cartilage that joins
0:39 The Bony part of the rib to the sternum
0:48 Was sleeping rib syndrome is caused by
0:51 Misalignment of the ribs in the bottom
0:55 Part of the rib cage
1:03 The second question is argue treat
1:11 In case of costochondritis this can be
1:14 Caused and you know by repeated strain
1:17 Injury and you just need to take some
1:23 Anti-inflammatory drug like ibuprofen
1:25 And rest for a little while in case of
1:32 You can ask a chiropractor for some
1:35 Manipulation or in certain cases surgery
1:38 Is necessary to realign the rib or
1:43 Removing the poking part of the rib
1:46 The other question that I’m asked quite
1:48 Often is are you diagnosed
1:51 This to condition in the case of
1:53 Costochondritis there is a much you can
1:55 Do mostly is a clinical diagnosis and so
1:58 Unfortunately is the case of sleeping
2:02 I had a lot of patients that came to me
2:04 With numerous investigation chest XA CTE
2:08 MRI of the chest and they are all pretty
2:11 Much normal one maneuver that is quite
2:14 Characteristic of sleeping cream
2:16 Syndrome is called the hooking maneuver
2:18 When you actually hook the bottom part
2:21 Of the rib cage and you reproduce the
2:23 Pain that patient experience
2:28 Can the two condition be confused with
2:33 Condition and the husband is yes in case
2:39 It’s always mistaken for
2:42 Either heart attack or
2:45 Animatorics but the type of pain is a
2:47 Little bit different in case of sleeping
2:49 Grip syndrome there are patients that
2:55 Gastric reflux or when he’s on the right
3:00 Gallbladder problems but actually a
3:03 Careful history taking should make the
3:07 Diagnosis a little bit clearer
3:11 I hope this is going to be informative
3:13 Enough for you as usual if you have any
3:16 Doubts please do get in touch