Costochondritis and Fibromyalgia

What is fibromyalgia?

Fibromyalgia is a condition that causes widespread, constant muscular and skeletal pain throughout the body. It can give rise to extreme fatigue and tiredness, sleep issues, mood problems, memory weakness (sometimes called “brain fog”), headaches, and make you feel tired all the time. While symptoms may vary from person to person, Fibromyalgia can also cause chest pain which is often described as a sharp, stabbing and burning sensation. It can cause your chest to feel tight or knotted, creating further breathing issues.

What is costochondritis?

Costochondritis is a form of chest pain that occurs due to inflammation of the area where your ribs join the cartilage that is attached to the sternum. It usually resolves on its own and doesn’t typically require any special treatment. While many people with costochondritis initially believe they are having a heart attack, it’s not a life-threatening issue and can happen in both adults as well as children. 

Symptoms of fibromyalgia

Symptoms vary for everyone, but these are some common indicators that show you might have fibromyalgia.

One of the most common symptoms is costochondritis, due to the inflammation in the cartilage caused by fibromyalgia. If you have sharp pain throughout your body and especially feel burning and sharp sensations in the chest area in addition to other symptoms, then it could be a sign that you have fibromyalgia. 

Other symptoms may include:

  • Widespread pain that occurs in both sections of your body, both above and below your waist.
  • Feeling tired all the time, even though you get proper sleep you still feel restless and exhausted.
  • Cognitive disorders such as not being able to focus properly and both short and long-term memory issues.

Diagnosis of fibromyalgia chest pain

To diagnose this condition, doctors put pressure on 18 different pressure points throughout your body to see if they hurt. These pressure points extend from lower parts of your knees to the back of your head.

After checking these pressure points, symptoms including presence of sharp pain in the chest (costochondritis) which further extends to your shoulders and arms, alongside other disorders such as fatigue, sleep trouble, and cognitive symptoms can be used to diagnose fibromyalgia in a person.

The connection between costochondritis and fibromyalgia:

As both of these conditions are similar in their nature, costochondritis and fibromyalgia are connected with each other. It is estimated that 60-70% of people who have Fibromyalgia have symptoms very similar to costochondritis. While costochondritis is a minor injury and can resolve within two to three months but if your pain doesn’t subside with time it could indicate that you’re dealing with something else such as fibromyalgia.

Treatments for fibromyalgia

While doctors are still working for finding the best cures for fibromyalgia, here are some ways that the condition can be treated:

  • Medications, as prescribed by a doctor, can provide relief for soothing pain in your body. 
  • Applying heating pads for 20-minute intervals on chest joints and areas where you feel pain.
  • Avoiding foods that cause inflammation such as red meat, spicy foods or drugs like alcohol.
  • Engaging in mindfulness techniques and taking slow deep breaths to relax your body.
  • Take care of your mental and emotional health. Relax as much as possible, get proper sleep and stay well-nourished and hydrated. Remind yourself that the pain will decrease with time.
  • Gentle stretching for your chest joints, muscles, and ligaments for comfort.
  • Therapies such as chiropractic, massage, physiotherapy and cognitive behavioral therapy (CBT) can help decrease mental as well as physical pain. 

Treatments for fibromyalgia are fairly similar to treatments for costochondritis and other inflammatory conditions, and are focused on relieving painful symptoms as well as trying to attack the root cause.

If you are experiencing new chest pain, it’s best to see your physician immediately and continue to follow up if symptoms continue. Be sure to speak with your physician before trying any new treatment. It can be difficult to live with chronic pain, so take care of yourself.

Have you been diagnosed with fibromyalgia, costochondritis, or both? Please feel free to leave a comment below with your experience.

11 thoughts on “Costochondritis and Fibromyalgia”

  1. Thank you! This has helped me make sense of my chest and upper body pain. Deep breathing helps as well as the stretches. Hard to do sometimes when fatigue is overwhelming but worth the incredible effort that it can take!

  2. Thank you so much for this information! I was put in the hospital last week with chest pain and was diagnosed with Costochondritis. A week long I am still having shortness of breath, chest pain, and other symptoms you have listed. I have a follow up appointment with my doctor today and I am going to talk to her about getting tested for the Fibromyalgia. Thank you again!

    • I have both and had to go to the hospital this morning for the anxiety,chest pain, and all the other symptoms that was mentioned. They sent me home with nothing. I had to go get some aleve just to get some relief. It’s horrible. The brain fog is so scary which causes anxiety and panic attacks. I go see my dr in the morning

  3. My poor daughter who is 55 has been suffering for two years. She has Chrones,fibromyalga,costochondritis,joing pain .she remains in bed for days. I am scared she has put on so much weight,i am afraid she will die

    • Has your daughter gone on a strict Gluten Free Diet yet? It reduces inflammation in the body but will take almost 2 months to start to help. Good help for Crohns. Back in 2018 I had spontaneous vomiting and diarrhea for 8 months and the GF diet cured it so I have stuck with it. I have had Fibromyalgia since childhood with only a couple huge flare-ups. It is awful to live with because you have a hard time discerning if it’s Fibro or something worse.ER departments are worthless. I wish her well. I am at the other end of the spectrum where I keep losing weight no matter what I do. Bloodwork is unremarkable.

  4. I am an 86-year-old female with fibromyalgia, costochondritis, and many other ailments. I just recovered from pneumonia and can’t seem to get well. A medical friend just listened with a stethoscope and didn’t think my lungs were causing my severe chest/back pain. He felt certain it is the costochondritis, and never was I so glad to hear THAT. My lingering cough creates severe pain, but it is my ribs and not my lungs. Your information has been very helpful to a miserable old lady.

  5. I was DX with costochondritis, the pain never goes away for 10 years i have dealing with this pain daily the pain is rated as 7 out of 10, and a good day rated at 5, I have change diet with no results, I think it maybe Fibromyalgia because the pain never goes away

  6. I suffer with all the symptoms described, such as severe Arthritis, Fibromyalgia, IBS, Costochondritis, Anxiety, Hot Flushes, so life’s not much fun! In addition, from time to time I become ‘paralysed with pain’ in various parts of the body, such as head & neck, (completely unable to lie down for a month), chest, abdomen and lower back. It is excruciatingly painful and nothing really helps, with heat packs bringing only transient relief, but I recently saw a letter to Dr Martin Scurr in the ‘Daily Mail’, on this exact subject and giving the condition a name, but my foggy memory, another symptom, means I can’t recall it. Can anyone help? However, lots of the information here was helpful, so thank you.

  7. I wondered if anyone with costochondritis has related sleep apnoea? When my costochondritis (probably caused by a previous chest infection) flares up I wake up briefly many times a night, but when it settles I sleep normally again. I’m sure it’s not the pain waking me because the pain is not that bad. I can’t seem to find any information on a connection.


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