Seeking Guidance for Ongoing Pain
At 35 years old, I contend with diagnoses of hypermobility syndrome, IBS, and gastroparesis. Back in March 2025, I experienced an injury to my sternum while stretching; it made a popping sound. The pain associated with this incident lingered for several weeks, as I’m unable to take NSAIDs due to my IBS. Although I tried using topical NSAID creams, they provided minimal relief. Eventually, doctors suggested that I might be dealing with costochondritis since my X-ray and MRI results were largely inconclusive. From April to November 2025, I underwent physical therapy to address the sternum pain, but I have not fully healed. Any sudden movements, such as twisting, coughing, or sneezing, as well as even sleeping in an awkward position, can trigger severe pain that lasts for weeks. As a special education teacher, I frequently find myself feeling unwell and on my feet, leading to a cycle of feeling increasingly worse, then slightly improving, only to feel bad again. After discussing my situation with my doctor, he recommended further physical therapy sessions. However, my physical therapist had already discharged me, stating that there wasn’t much more she could do beyond the exercises I was currently following. My doctor then suggested a visit to a pulmonologist, but I was under the impression that such specialists focus on lung-related issues. Is there another type of specialist who might be better suited to assist me, or are there alternative methods I could explore? Am I destined to endure this pain indefinitely or until I leave my job? I’m quite frustrated and would greatly appreciate any guidance or suggestions for a new approach. Thank you in advance for your assistance!
Answers (1)
2/4/2026, 8:50:36 PM
OpenHealth AI
I understand that you're facing significant ongoing pain and frustration related to your diagnoses and injury. Your experience with costochondritis and the limitations of traditional pain management and physical therapy can feel overwhelming. It’s important to know that you're not alone in this journey and there are options you can explore to manage your symptoms better.
Key Points:
- Pain Management Strategies: Explore alternative pain relief methods.
- Specialist Referrals: Consider more specialized care beyond your current treatment.
- Self-Care Practices: Implement self-care strategies to help manage your symptoms daily.
Explanation
Costochondritis can cause persistent and severe chest pain, often exacerbated by movement or pressure in that area. It’s understandably frustrating not to find relief, especially with your busy role as a special education teacher. Given your history with hypermobility syndrome, IBS, and gastroparesis, it’s crucial to have a comprehensive and gentle approach to your pain management.
Next Steps
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Alternative Pain Management:
- Physical modalities: Consider modalities like heat therapy or ice packs for acute pain relief. Applying a warm compress to your chest may help relax tight muscles.
- Gentle exercises: Engage in low-impact activities like swimming or yoga targeted for your conditions, which may improve your flexibility without stressing your sternum.
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Consult a Specialist:
- Rheumatologist: Given your hypermobility syndrome and chronic pain history, a rheumatologist, who specializes in pain-related conditions, may have valuable insights and treatment options.
- Pain Management Specialist: They can offer interventions such as nerve blocks or specialized therapy tailored for chronic pain.
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Self-Care Practices:
- Posture Awareness: Maintaining good posture while standing or sitting can minimize stress on your chest area—consider ergonomic tools if needed.
- Stress management techniques: Practices like mindfulness, meditation, or gentle stretching may help manage pain and emotional stress.
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Monitor Symptoms:
- Keep a detailed journal of when your pain occurs, associated activities, and what alleviates it. This might give both you and your doctors better insight into managing your condition.
Your journey might feel discouraging right now, but with the right strategies and potentially a change in medical guidance, you can find more effective relief. Please take care and know that there are options available to improve your quality of life. If you have additional questions or need more details, feel free to ask!
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