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Journal of Integrative Medicine ›› 2020, Vol. 18 ›› Issue (5): 450-454.doi: 10.1016/j.joim.2020.07.001

• Case Report • Previous Articles    

External application of two unrestricted herbal medicines to treat costochondritis in a young collegiate athlete: A case report

Bin Zhang a, Ying Jiang b, Chun-song Cheng a,c, Hong Lin a, You-ping Guo d   

  1. a Sports Teaching and Research Room, Martial Arts Team, Anhui University of Traditional Chinese Medicine, Hefei 230038, Anhui Province, China
    b Institute of Physical Education, Anhui Normal University, Wuhu 241002, Anhui Province, China
    c Faculty of Chinese Medicine, Macau University of Science and Technology, Taipa 999078, Macao, China
    d Department of Obstetrics and Gynecology, Zhuhai Fanghua Hospital, Zhuhai 519100, Guangdong Province, China
  • Received:2020-03-05 Accepted:2020-06-19 Online:2020-09-10 Published:2020-07-10
  • Contact: Hong Lin; E-mail address: hlin_ahtcm@126.com; You-ping Guo; E-mail address: guoyouping7@126.com

Costochondritis (ChC), especially chronic ChC, typically manifests as spontaneous vague pain in anterior chest area and often occurs in adolescents for unknown reasons; it has prevented many collegiate athletes from participating in physical training and competitions. A 21-year-old female collegiate taekwondo athlete suffering from chronic chest pain was sent by her coaches for diagnosis and treatment. Seated motion palpation was used to identify spontaneous and motion-involved pain areas. Palpation in the supine position was used to initially rule out breast diseases. X-ray, electrocardiogram, and cardiac Doppler ultrasound were used in conjunction with myocardial enzyme testing to rule out lung and cardiovascular diseases. The patient was treated using herbal medicines applied via an external patch. The medicine was comprised of Rhizoma Corydalis and borneol, and the treatment lasted for seven weeks. For five weeks patches were applied at a frequency of two or three times per day, followed by a two-week period of once per day. The patient reported that the pain was relieved after two weeks of external herb use, and the autonomic chest pain had resolved. Re-examination after one month showed that her upper limb range of motion was close to normal, and her psychological burden had almost disappeared. It is possible to seek more active medicinal treatment and more practical external products for young athletes who is suffering chronic ChC that affects the sport training and competitive performances.

Key words: Costochondritis, Herbal medicine, Tietze's syndrome, Chest pain, Case report

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