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Patients with noncardiac chest wall pain may have symptoms that become chronic or recurrent, yet often lack adequate diagnosis and treatment plans leading to further disability, decreased physical activity, anxiety, and depression. Abnormal rib biomechanics may be a cause of chest wall or upper abdominal pain and should be considered after visceral causes have been ruled out. Osteopathic diagnosis of the ribs may help differentiate rib somatic dysfunction from referred pain originating from thoracic viscera, providing diagnosis and management options (video). Previous studies have demonstrated that osteopathic manipulative treatment (OMT) has proven beneficial in providing pain relief and improved thoracic motion in patients with costochondritis, costovertebral joint dysfunction, and poststernotomy rib dysfunction. (This is a hyperlink to the abstract for this article. To view the full article, you will need to log in to the journal's website.)
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