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Costochondral and Sternochondral Junction Injections

A fairly common source of pain in the chest is the junction between the bone and cartilage (gristle) parts of the ribs, which are called the costochondral junctions.  Pain can also arise from the junctions between the gristly part of the ribs and the breastbone, the sternochondral junctions.  This is called costochondritis or sometimes Tietze's Syndrome. 


In some cases this pain can be helped by injection of small amounts of local anaesthetic and steroid around the junctions.  This is done, after cleaning the skin, with a very fine needle.  We sometimes use an ultrasound machine to help to steer the needle onto the junctions.

(Please see general comments on the Procedures page)

You can download our Pain Service information leaflet on this porcedure from this link.




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Pain Service Website, Gloucestershire Hospitals NHS Foundation Trust
Webmaster Dr J G de Courcy, Consultant in Pain Medicine and Anaesthesia
email: pain.webmaster[at]

Page updated 22/6/2016