Xiphodynia: Definition, Description, Causes and Risk Factors
Symptoms:Xiphodynia is a musculoskeletal disorder capable of producing a constellation of symptoms that mimic several common abdominal and thoracic diseases including:
- Cardiac chest pain.
- Epigastric pain.
- Nausea, vomiting and diarrhea.
- Radiating pain into the back, neck, shoulders, arms and chest wall.
Diagnosis:The diagnosis of xiphodynia is dependent upon the reproduction of the patient's symptoms completely or in part by moderate pressure on the xiphoid process and its adjacent structures.Even though xiphodynia often exists in the absence of any other medical condition, it has been demonstrated in conjunction with life-threatening disease such as cardiac disease including angina pectoris, myocardial infarction, and pericarditis. It is therefore imperative that any patient presenting to a primary health care provider with acute chest or abdominal pain be carefully investigated to establish a diagnosis and treatment plan where appropriate, emergency medical care must be rendered. In cases where a clear medical diagnosis cannot be established, a simple provocative test may uncover a symptomatic xiphoid process and establish the diagnosis of xiphodynia. In those patients who receive treatment for an established 'medical condition' in whom symptoms persist, consideration might be given to examining for xiphodynia.
Xiphodynia Treatment:The literature suggests that xiphodynia is a self-limiting disorder to be treated with reassurance or with analgesics, topical heat and cold, and an elastic rib belt. It is clear from these and other reported cases that xiphodynia may not be self-limiting. The medical 'treatment of choice' is an injection of local anaesthetic and steroid. Xiphoid injection, while often curative, is not without risk of complications including pleural or peritoneal perforation, pneumothorax, or infection.Conservative physical therapies are worth a trial, however no evidence exists for their effectiveness with xiphodynia.NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
A new study, conducted by the scientists from the University of Gothenburg in Sweden, finds that light and moderate physical activity, for example walking and swimming, may help reduce the stroke severity. The study included approximately data from 1,000 individuals...
According to the latest study, published in the European Journal of Public Health, regular use of probiotics may cut the necessity for antibiotics and help decrease the rise of antibiotic resistance. Having performed the analysis of the data, collected from recent...
It is very entertaining to be a sport fan. There is a big variety of sport games that are extremely interesting to follow. Moreover, it is always fun to anticipate the score and watch the enthusiasm live. One of the benefits of being sports fan is using different...read more
A new study of nearly 18,000 participants found that those with high fitness at middle age were significantly less likely to die from heart disease in later life, even if they were diagnosed with depression. Doctor's Tips: How to Stay Fit While Treating Depression Dr....read more
The warm ups are supposed to increase body temperature and blood flow so the muscles and surrounding joints become more responsive and prepared for physical activity. Although there’s a neurological element to warm-ups, most research focuses on the physiological...read more