costochondritis.org

About Our PractiCe

Who We Are

This website is intended to provide information about costochondritis pain, and to point to relevant resources, information and specialists.

We have gathered decades of experience from world leading experts, such as Dr. Michael Durtnall, Dr. Dominic Metcalfe, Dr. Guy Ashburner, and Dr David Fishkin, and successful treatment testimonials, to provide helpful information and treatment options.

Please use the information provided to understand the causes of costochondritis and Tietze syndrome, as well as their diagnosis and treatment.

The exact cause of costochondritis in most people is unknown. But it may be caused by:

- Trauma to the chest, such as blunt impact from a car accident or fall
- Physical strain from activities, such as heavy lifting and strenuous exercise
- Certain viruses or respiratory conditions, such as tuberculosis and syphilis, that can cause joint inflammation
- Certain types of arthritis
- Tumours in the costosternal joint region.
In such cases, manual treatments, if applied by an expert, may relieve the pain.

Frequently Asked Questions

Please get in touch using the form below if you cannot find an answer to your question.

What is Costochondritis?

Costochondritis is an inflammatory condition where the cartilage (costochondral cartilage) that joins the ribs to the sternum becomes inflamed.
The most common symptom is chest pain, which can be sharp, stabbing, or aching. This pain may be localized to one or more ribs and can be made worse by movement, deep breathing, coughing, or pressure on the chest.
The exact cause of costochondritis is often unknown. However, it's thought to be related to repetitive strain, trauma, infection, or even just being overly active.

Important Note:

Costochondritis can sometimes be confused with heart problems, especially if the pain is severe or accompanied by other symptoms like shortness of breath or sweating. It causes chest pain that can mimic a heart attack or other heart conditions but is actually musculoskeletal in nature. If you're concerned, it's always best to see a doctor and heart specialist to rule out other possibilities.

What services does costochondritis.org offer?

costochondritis.org provides information and leads you to the best providers for a range of chiropractic services including adjustments, posture correction, and rehabilitation exercises.

Treatment

Costochondritis is typically treated conservatively, meaning without surgery. The main goal is to reduce inflammation and relieve pain, while addressing any underlying mechanical or muscular issues that may contribute to the condition.

Chiropractic care for costochondritis centres on improving the mobility of the thoracic spine and rib joints. A chiropractor may use gentle adjustments to the mid-back area to relieve stress on the costosternal joints (where the ribs meet the sternum). This approach can help correct postural issues that place extra strain on the chest wall. Chiropractors also often incorporate soft tissue work and guided stretching to reduce tension in surrounding muscles, particularly in the upper back, shoulders, and chest.

Massage therapy complements chiropractic treatment by directly targeting muscle tightness and myofascial tension that often accompany or worsen costochondritis. A massage therapist may work on the intercostal muscles between the ribs, the pectoral muscles in the chest, and the upper back. Techniques like myofascial release, trigger point therapy, and gentle stretching can help ease muscular tension, reduce referred pain, and improve circulation to the affected area, promoting healing.

In addition to manual therapies, treatment may involve the use of anti-inflammatory medications such as ibuprofen or naproxen to reduce swelling and discomfort. Ice packs can help relieve acute pain during flare-ups, while heat therapy might be used later to loosen tight muscles. Many people also benefit from physical therapy exercises that focus on posture correction, thoracic mobility, and proper breathing techniques to take stress off the chest wall.

Overall, treatment for costochondritis is typically successful but may take several weeks to months, depending on the severity and underlying causes. Chiropractic and massage therapy can be helpful, especially when used alongside other supportive strategies, but they should always be tailored to the individual and performed by qualified professionals familiar with rib and chest wall conditions. This is why we recommend the Sayer Clinics.

How do I book a consultation?

Please book with the Sayer Clinics who we recommend as the leading, highest reviewed costochondritis experts. Please rule out any heart conditions first and book your consultation with Dr. Dominic Metcalfe. He will be able to take x-ray images if necessary, and treat you in that first consultation session. He will then be able to create a treatment plan and, if needed, refer you to Madalina, the Sayer Clinic Massage expert for costochondritis, and you will be able to receive a combination both chiropractic and massage therapy care.

Please follow this link to book: Book Here

Contact Us

For leading, successful, chiropractic and massage treatment of costochondritis...

We recommend the Sayer Clinics, Wimpole Street

Sayer Back and Neck Pain Clinics London, Wimpole Street, London, UK

+447555615330 WhatsApp is available too for international calls.

Hours

Open today

09:00 – 20:00

Please Tell Us about your costochondritis experience

Worldwide recommended costochondritis specialists, doctors and therapists

To make the website even more helpful for those suffering with costochondritis, we ask you to help by recommending a great physiotherapist, physical therapist, osteopath, chiropractor or medical practitioner, who has treated or cured your costochondritis.

Please contact us to let us know who you’d like to recommend.

Recommended therapists’ information will be posted on our worldwide list of costochondritis therapists.

Patient Testimonials

Priya Mishra

I highly recommend Sayer Clinics for costochondritis treatment. I had a great experience with Dr. Michael Durtnall and his team for costochondritis. I also had pain in upper back and shoulder areas.

I am based in Finland and came to London for a few weeks of treatment. Dr. Michael gave very good advice on postural corrections and day to day exercise advice. The key idea is to keep moving as much as possible. I got chiropractic and massage treatments and started to feel better.

I am doing much better now with Michael’s exercise recommendations and I am continuing treatment in Finland with local practitioners advised by Michael.

Thanks to the Sayer Clinics team. Our chiropractic adjustments are safe, non-invasive, and effective. We use a variety of techniques to restore your body's natural alignment, relieve pain, and improve your function and mobility.

Phoebe Walsh

I have been seeing Dr Michael Durtnall for the past year for my costochondritis. I had given up hope of ever improving my symptoms as I had been stuck with them for years and sometimes was unable to move completely. I saw several other practitioners who were unable to help, but luckily then I found Michael! He is really the only expert in costochondritis and there is no way I would be where I was without his techniques! I have also had massages from Chifumi, Andra and Madalina who have all also been excellent!

I still have a long road to complete recovery, but my symptoms have markedly improved! Many thanks to Michael and the team.We understand that every patient is unique, which is why we develop custom treatment plans tailored to your individual needs and goals. Our team of experts will work with you to create a plan that works for you.

Christine L

I can’t say enough good words about Sayer Clinics!

During my second trimester of preganancy, I started having rib pain. It got worse as I progressed and baby was pushing against my ribs. Then I had three sudden episodes of severe costochondritis pains, particularly in the sternum, that I had to rush to hospital in the middle of the night and had problems breathing. Nurses and doctors were worried it was a heart attack, so had to perform all sorts of tests for an hour or so – good thing I was in the clear, but the experience was scary and painful. They diagnosed it as costochondritis, and could only perscribe paracetamol which I already was taking.

I was worried I would have another episode of severe chest pains. Luckily my husband found Sayer Clinic online, and we booked with Maria who is well experienced with pregnant women and costochondritis.

I’m quite shy about my body but Maria has been amazing at making me feel comfortable. She listened to my problems and targeted the exact areas on my ribs. She has been massaging each rib and helped me on some back pains I was experiencing. I felt so much better afterwards, like my chest and ribs had opened up. My husband even commented that I was standing taller too, which I didn’t even realise my posture improved straight after. When I started stretching again, after Maria’s massage I felt I could actually stretch properly and my muscles around my ribs weren’t restraining me anymore.

I’ve been going almost weekly and since the first time I had a massage from Maria, my costochondritis severe chest pain episodes haven’t come back! She’s a life saver!

I am so happy I found Sayer Clinic and don’t have to fear those terrible painful chest pains anymore. Also so thankful to Maria for helping me immensely, she feels like a great warm hearted friend. I look forward to seeing her every week.

Rhianna L.

I fully recommend Sayer Clinic, it has completely changed my quality of life. Having suffered with costochondritis for two years, I had seen physiotherapists and prescribed NSAID drugs which I wasn’t happy taking.

Dr. Michael Durtnall has changed my health and well being for the better! He was proficient in diagnosing and setting forward a treatment plan which has been very successful. In January this year I could not get out of bed, within a few months, I have been able to go running, walk for miles and do boxing twice a week. I am so grateful to Dr. Durtnall and his team for their care and compassion.

This month, I cancelled an appointment having had a diagnosis of interstital cystitis which was causing extreme pain. Dr. Durtnall reached out via email and to my relief he has been able to help me through this as well. My pelvic pain is greatly improved and the aggravated nerves are much calmer. I cannot praise this practitioner enough. Having been diagnosed with two chronic illnesses that many say are untreatable, I can say that if anyone can prove that wrong it is Dr. Durtnall!

This clinic is a calm and supportive environment which promotes healing. Lucie, the clinic manager has been amazing in organising all my appointments, always trying her best to appoint times that work best for me, often going above and beyond. Very friendly so you always feel at ease and able to make enquiries.

Madalina is outstanding, having given me the best remedial massages of my life. I left floating on a cloud and felt so much better.

The Sayer Clinic has been the best investment in my heath and wellbeing!

Andrei-Bogdan Puiu

Before finding the Sayer Clinic back in November ’21, I was in excruciating, continually worsening pain, with no understanding of what the source of my costochondritis was, or how I could ever fix it.

After about 9 months of treatment, despite not always being a model patient in terms of respecting the reccomendations I was given, and despite working a software engineering job that puts a lot of strain on my back and neck, I would say I’m around 80% cured: I am now pain-free on more days than not, I can do all of the things that I stopped doing because of my condition, and I can see a very near future in which my costochondritis is a thing permanently consigned to the past.

I cannot recommend this clinic any higher, if you have costochondritis, or any other similar condition.

Amanda Hosek

I’m unbelievably grateful to have found Michael and the Sayer Clinic! I had been suffering from on and off costochondritis pain caused by undiagnosed spine alignment issues for years without being able to properly understand or identify how to treat it. After just 5 weekly visits with Michael, I feel more empowered to correct my spinal alignment and my costochondritis discomfort is already at least 50% better. I can’t recommend Michael and the clinic enough if you’re dealing with anything similar!

Aesha

Since discovering Sayer Clinics it has literally been a weight lifted off of my shoulders since being diagnosed with Costochondritis.

There are only two people in the world that specialize in this and Micheal is one of them. When going in for my consultation Micheal was very knowledgeable and very friendly. He knew exactly where the problem was and discovered a few thing that may become problems in the future. Going in for treatment now is something I always look forward to because I know if I have a question about something Micheal will always know the answer and always asks about updates and improvements.

Sayer Clinics is THE BEST clinic I have ever been to and I recommend it to everyone and to anyone who has had a vague diagnosis or even a “I can’t help you” – Sayer Clinics WILL help you and WILL diagnose you. On the road to recovery ❤️ customers can’t find it, it doesn’t exist. Clearly list and describe the services you offer. Also, be sure to showcase a premium service.

Samantha Wellington

Sayer Clinic have been an amazing find. The treatment I have received from Dr Michael, Dr Dom and Chifumi has been world class!
From my diagnosis of costochondritis, Sayer Clinic has been outstanding in treating and managing the condition. They really helped me at time when I was at a loss and in significant pain and distress.
The treatment is a very holistic approach, coupled with their vast knowledge, skill set and expertise. This includes work on posture, sitting, physiotherapy, massage therapy and managing the condition day to day. They have also signposted me to ergonomic equipment, which has been invaluable.
With Sayer Clinic, they are able to answer questions, alleviate fears, treat you with amazing results and take you on a positive path to rehabilitation.

I could not recommend the clinic enough.

Leigh Cole

After first being diagnosed with a mild case of costochondritis with my doctor back in May last year, I was told it would go on its own after a couple of weeks with nothing other than a poke in the chest and “does that hurt?”. In the meantime, it gradually got worse and started to affect my every day life, so I revisited the doctor and was fobbed off with 2 weeks of anti inflammatories, which made no difference at all. I told him about my worries regarding breast cancer due to family history, but he insisted it was costochondritis. He didn’t rule out anything serious first by referring me for any checks, so I wasn’t reassured at all. I decided to find my own treatment as doctors didn’t seem to have a clue how to treat it. I first looked into acupuncture. I tried three treatments. It did relieve the pain a little in areas, but never lasted more than a few hours. A couple of months later I had a massive attack where the pain became so unbearable, I called NHS Direct and almost went to A&E. I could barely stand or do anything other than fall asleep on the sofa as the pain exhausted me. NHS Direct referred me for a doctors appointment the next day. I was in tears and he referred me for some blood tests, which again found nothing other than low iron and I didn’t hear anything more from the doctors. I’m self employed, so couldn’t afford to keep taking time off, especially last minute. I decided to have a peruse on Facebook to see if there may be any other help out there, even someone who may specialise in this condition. This is where I found Sayers Clinic and Doctor Michael and Adele. I felt this was my last hope. I’m not even 30 yet, so why should I be in this pain for, potentially, years? I was quite anxious on my first appointment, but doctor Michael made me feel at ease, like I wasn’t alone and most importantly, I could be fixed. He explained why I may have developed my costochondritis which was due to bad posture and lack of movement since being very active when I was younger. So far, I’ve had about 6 treatments and am hopefully nearing the end of my course. I started off coming back to the clinic every other week, but have worked down to monthly. After the first 2 treatments, I didn’t notice a lot of difference regarding pain levels, but movement soon started to become easier and pain began to lessen as sessions went on and both Adele and Michael started to notice my ribs loosening. I have been given exercises by both Michael and Adele to do every day in between treatments. It’s hard work and I’ve had good and bad days. The trick is to do what you’re told and be honest when you haven’t! I’d say since my last treatment, I’m 99% there most days as long as I stick with a good posture throughout the day and keep my chest and ribs moving. I would definitely recommend to anyone with Costochondritis Are your customers raving about you on social media? Share their great stories to help turn potential customers into loyal ones.

Tanya Hayes

I cannot express my gratitude enough to Michael Durtnall. For nearly a year my 12 year old daughter had been experiencing severe chest pains, to the point that she was barely attending school, she had given up all the sport she loved and was spending more and more time in bed. Despite extensive tests the NHS were unable to diagnose the issue. There were scarey words being banded around like M.E. / CFS and fibromyalgia and an ever increasing cocktail of prescription drugs which did not seem to be helping.

After spending many hours on the Internet trying to find some help I stumbled across the Sayer Clinic website. I didn’t know if anyone could help but was so desperate I figured we didn’t have much to lose.

Within 10 mins of the initial consultation Michael diagnosed my daughter with Costochondritis and said he could help. I wanted to cry and hug him with relief.

It’s taken 10 sessions and we have had a 2 hour journey each way to get to the clinic but my daughter is now almost pain free, she’s back at school full time, and beginning to enjoy sports again. I cannot express my gratitude enough to Michael for giving my daughter her life back and hopefully she can now go on and enjoy her teenage years pain free.Running a holiday sale or weekly special? Definitely promote it here to get customers excited about getting a sweet deal.

Caroline Elliott

After suffering for 2 weeks with debilitating chest pain, I went to see my GP, who sent me to A&E, to have an precautionary ECG. As someone who had a history of previous heart issues, and had surgery, this was my overriding concern. All tests (inc blood) were clear, and so the A&E consultant examined me. He prodded my chest a few times (which nearly sent me through the ceiling!) and diagnosed me with Costochondritis.

I asked what I should do to get rid of it, and he said that I should just ‘carry on as normal’, which included, according to him, being perfectly fine to keep cycling on my road bike with dropped handlebars.
I kept telling myself it must be all in my mind as I was enduring a period of extreme stress in my life, and I was an otherwise fit, and very active 42 year old.

The pain in my chest, the extreme tight feeling, and not being able to take a ‘proper’ breath, got progressively worse when I exercised. I took it upon myself to stop all strenuous activity, especially as it made my symptoms much worse!

I became very sensitive to vapours, breathing in air fresheners, aftershave or perfume, or any cigarette smoke, literally felt like a fire inside my chest. My shoulders were so tight and painful too. I could not tolerate a bra of any kind.

I returned to my GP around 4 months later, still complaining of the same symptoms, though some of the pain had relocated to another area in my chest, my lower ribs. He said I should take anti-inflammatories for 6 weeks, and rest. Neither of these things were possible for me, as I have issues with stomach acid (worse thing to do is take Ibuoprofen), I was a full time carer for my disabled Mother, and was running my own business, so rest was not an option.

I sought professional help from a local Physio who helped a little with some gentle massage, but I only had small relief for a few hours, and then the intense discomfort returned.
I tried ice packs on my chest, hot packs, drinking lots more water, massage, and various creams and rubs, but they all only provided fleeting relief. In short, nothing really made much difference to the condition.

Eventually I did some research online and discovered Costochondritis.org. They had a link to advise of practitioners who could help treat the condition effectively. I was stunned to see that there was only one name listed world wide! This is Dr Michael Durtnall, whose clinic is in London.

I made an appointment for a consultation with Michael, and that was without doubt, the best thing I have ever done. He took a number of X-ray images of my thoracic region, cervical (neck), and pelvis. I found out some very interesting information about myself from these X-rays! During this first visit, Michael began some treatment to help with my discomfort. When I left, I already could feel a slight improvement in my symptoms, and I was much wiser about my physical state, and the way forward.

The key thing about the treatment Michael provides for Costochondritis is that it is completely targeted to the individual, and the deep tissue massages, (and I mean deep) combined with Chiropractic treatment, is what generates this effective lasting relief. It is not like any treatment you may have anywhere else, because the chest is exposed while Michael, with total professionalism, works on the affected areas in the chest and upper back. He massages very firmly, into the muscles between your ribs directly on your skin, without towels, which would dampen the effect.
I have had around 6 treatment sessions, each for 30 minutes, and I can already say, I am 75% better. Of course I have some very good days, and then some bad days, but none as bad as before seeking help from Michael. The stretching exercises, and understanding the importance of keeping moving, especially if you feel discomfort, is all fantastic advice from Michael. He is thoroughly professional, and reassuring.

I travel up to London by train from the south coast, but if I had to travel thousands of miles to be treated by Dr Michael Durtnall, I would. I will continue seeing Michael, and any members of his Physio team for as long as I need to. I am very hopeful that I will be cured completely.

Costochondritis is a painful, changeable, and at times, quite worrying condition. If you are suffering with it, and you are able to, PLEASE seek help from Sayer Clinics in London. You absolutely WILL find help here, to treat this horrible condition.

All the very best.

Caroline Elliott.

Jacob Almagro

I had been suffering from costochondritis and sporadic neck problems for more than a year and half, I found very little help in pain killers or regular physiotherapy. At the clinic they treated the root problem, mobilising my stiff joints and correcting my very bad posture (years of working in front of a computer). Now I’m back to normal and have acquire the habits to maintain good posture. Staff at the Sayer clinic were very helpful, while Dom and Madalina were outstanding when treating me. I truly recommend the clinic to anybody suffering costochnodritis or chronic/recurring pain in the back or neck

Emily B

Sayer Clinics cured my Costochondritis.

I was in horrible pain in my sternum after a jogger ran hard into the side of my chest while I was standing quite still, innocently watching roller hockey in Hyde Park. For weeks afterwards my ribs hurt especially if I lifted anything, sat at a computer or twisted the wrong way. I had a sharp pain as if a knife was being stuck into my breastbone.

I saw Dr Michael Durtnall who diagnosed me with Costochondritis and treated by mobilising my spine and ribs for postural re-education and gave me clear exercises. At different treatment appointments I saw Marta or Sofia who are very experienced physiotherapists who treated me with back, chest, ribs and diaphragm muscle massage.

After the collision I had started subconsciously tensing my body when I was about to do something that I knew would aggravate my costochondritis. Even going on the tube at rush hour was a daunting prospect in case someone knocked into me. Michael, Marta and Sofia were fantastic by making me aware of this and helping me to relax. Michael showed me how to do frequent, short bursts of exercises to maintain muscle mobility and regain my confidence and now excellent posture.

I am so grateful I was treated at Sayer Clinics as I appreciated their effective muscles and rib-joints approach instead of drugs or cortisone injections.

Thank you Michael, Marta and Madalina and the lovely staff at Sayer Clinics for being so incredibly professional, efficient and kind.

Emily B.

Lexi Watson

I was ‘diagnosed’ (as much as a person can be diagnosed with Costochondritis!) 7 years ago when I was 19.
I had had glandular fever and was just starting to get over it, so went back to uni lectures, and whilst pulling my chair forward I felt a sudden stab in my chest, just to the left of my sternum. I went home, lay in bed for a week before going to A&E and they ran every test in the book on me to make sure I didn’t have a blood clot/hadn’t broken a rib/wasn’t having a heart attack etc etc. When they didn’t find anything, I was told to take ibuprofen and it would go away. 7 years later, obviously, it’s still here. Wonderful.

Naturally I have tried pretty much everything to try and alleviate the pain or cure the issue; from seeing acupuncturists, osteopaths, chiropractors and masseurs to having my own blood injected into the site and steroids injected straight into the junctures between the two painful ribs, which, by the way, was excruciatingly painful (and I had it done 6 times, that’s how much I wanted that to work!) But nothing seemed to even remotely help. I basically just felt like I wanted to cut into my own chest and rip the cartilage out, it hurt that much.

The only thing that has seemed to help at all has been seeing chiropractor Michael Durtnall at Sayer Clinic. He made me see how ridiculously stiff and terrible my posture had become (after years of hunching over to protect my ribs) and got straight to giving me exercises to start loosening up my chest and back, as well as directly getting to treating the source of the pain with back adjustments and massage to the area. This has helped a lot with the pain that had started to radiate out from my painful cartilage into other parts of my ribcage. I have had maybe 12 sessions and I would say the main source of pain has improved around 50% (which is nothing to be sniffed at!) and I’m hopeful that it will improve further as well.

I also invested in a BackPod which is pretty painful (I won’t lie) but it really helps stretch out and separate the ribs, which seems to help movability. GPs tend to be rubbish when it comes to things like Costo, because they can’t physically see it and there’s not a lot of research into it, but asking for a referral is definitely the best thing to do, I’m still waiting to get a referral to a thoracic specialist, but apparently they are the people to see if every other avenue fails.

Also, my final piece of sage wisdom, would be to get a portable TENs machine. They are lifesavers, honestly. They help to mask the pain and mean you can actually get from wherever you are when the pain starts to home with relative ease (compared to when you haven’t got one and you basically just want to curl up into a ball in the middle of the street!) I keep one in my bag at all times just in case. I’m hopeful that my Costo will resolve itself in time, because to be honest I’m sick of feeling like an old lady at 26 years of age. It’s easy to feel pretty beaten by it all when you’ve spent your entire twenties in pain, but there really isn’t anything to do except battle on and be willing to try anything that might help. I’ve found that chiro and massage is by far the best thing I have tried so far, so that’s what I would recommend starting with, but make sure you see a specialist (like at Sayer) so that they don’t just mess up your ribs more!

Dominique N

I have suffered from sternal pain and costochondritis for 5 years. It all started with chronic chest pain and difficultly breathing, I rushed myself to A&E and was diagnosed with costocondritis and given strong ibuprofen. I was told it should clear up in a few months, It never did.

I found sneezing incredible painful and would clench my chest in agony. I tried numerous different things and saw all sorts of specialist. I was told it was anxiety a lot of the time. I was close to having injections of Cortizone in my chest to relive the pain. I thought I would try one last time and typed in ‘Costocondritis specialist’ the Sayer Clinic came up.

I went to see Michael and we took x rays there and then-which was so helpful. Michael really listened and understood exactly what I was saying-in the past I felt like no one knew what chostochondritis was! The manipulation and musculoskeletal massage instantly relived me from pain. I couldn’t believe it, I walked home so relieved that I’ve found the Sayer Clinic. I’m still on the road to recovering with regular exercises, but things are improving.

Pip

I’m so happy I saw Dr Michael Durtnall at Sayer Clinic Kensington for my severe flares of Costochondritis, rib and chest pains which radiated around my ribs to my breastbone from my middle back. I had repeated attacks for four months and was worried sick about it. My GP sent me for heart and breast checks which were normal so I went straight to the Sayer Clinics because I knew their great reputation.

I’ve been receiving incredibly specific spinal manipulation plus deep diaphragm stretching massage and chest mobilisation from Michael and excellent physiotherapy treatment from Karolina. I had been so worried but having received such wonderful treatment from Michael and Karolina they put my mind at rest and took away all my worry.

I’m feeling great and I highly recommend visiting the team at Sayer Clinics for all your physio and chiropractic needs. I’m so pleased I did.

Roma Fer

I started having severe rib pain when I was 3 months pregnant that got progressively worse during the pregnancy. After the pregnancy I saw numerous consultants, physics and chiropractors to get my rib sorted but 2 years on and several procedures later I was in chronic pain everyday.

I finally came across the Sayer Clinic and under the care of Michael and Karolina I’m finally on the mend and can look forward to a pain free life again. They are the first people who were really hands on and worked on the issues causing the pain instead of just giving me painkillers to mask the pain.

I can’t recommend them highly enough.

Thomas

I have been a patient at Sayer Clinics for about 8 months and I must say Michael Durtnall’s treatment and Madalina's massage therapy really changed my life. I first came to see Michael in April 2017 after suffering bad and persistent back and neck tension as well as costochondritis for about 1.5 years. By the time I came to see Michael, over 1.5 years I had consulted 3 different doctors (including expensive private ones, 3 different osteopaths and 2 different physiotherapists in London. None of these could identify what my problem was and in fact treated me incorrectly: physiotherapists would not treat my tension affected areas because they “didn’t want to make it worse” and an orthopaedic surgeon I consulted gave me a mix of pain killers that severely affected how I perceived. It got to the point where I was incredibly frustrated. I thought nobody could help and that I would never get well, do sports and be pain free again. What a relief and what a change when I saw Michael! He is extremely knowledgeable about back and neck and frankly any skeletal and muscular issue. From the first appointment I felt that this practice was different: Michael did a thorough assessment of my condition and quickly drew up a plan of how to tackle my problems. He made me do regular physiotherapy with Karolina whose treatment and exercises helped me tremendously in easing my muscular tension and in learning how to ameliorate and release tension and pain if and when I get it. Both of them are also extremely nice and pleasant. I highly recommend anyone with complex and severe neck, back and other skeletal or muscular problems to see Michael and Madalina at Sayer Clinics. Highly recommend them!

Laura P

My costochondritis started when I was 21 weeks pregnant. The condition become so debilitating I was signed off work. I work as an orthopaedic nurse on a high dependency ward. The pain was constant and so intense (stabbing and burning around my left rib cage) often bringing me to tears. The GPs answer was to take strong opiod based medication and nothing more could be done. I became very down. Taking daily painkillers was not a route I wanted to go down while pregnant so I started to do my own research on the condition and began to see different practitioners including physiotherapists and osteopaths. Unfortunately nothing worked. After a couple months of exhausting what I thought was every option I stumbled across Sayers online stating to be specialists in costochondritis. This was my last hope and I was praying they could help.

My partner came with me and I saw Michael Durtnall for a very thorough hour long consultation taking an extensive history. He used an ultrasound on the area around my left rib cage as he was unable to x-ray due to the fact I was pregnant. He explained it was good news that my tissues within that area were all intact but this then did confirm what I had was Costo with all the symptoms I had been describing. After the examination he used a combination of manipulation and deep tissue chest and musculoskeletal massage. The treatment was not painful at all unlike when I had seen other practitioners including physios and osteopaths who aggravated my condition often leaving me in bed for several days unable to hardly move.

Michael was very honest in managing my expectations, explaining it would not be a quick fix but I should certainly see an improvement after the treatment. I left Michael’s and for the first time in months I had no pain whatsoever. I couldn’t quite believe it. Unfortunately the pain did come back later that evening but I knew this was the start of the healing process and it was the first time in months I had felt positive that I could get better. Seeing Michael was a breath of fresh air. Unlike the other practitioners he told me I should not take any painkillers especially while pregnant. This was exactly what I wanted to hear and I knew from that moment I was in good hands. He also advised me to keep moving while I had been lying flat for months due to the pain. I then bought the back pod and I feel that together with Michael’s treatment and daily rib massages this is what eventually helped the condition and by the time I was 35 weeks pregnant I was 80% better. I can now report I have had the baby and since week 38 of my pregnancy I had no further pain and am still pain free ? Its actually quite hard to write this review as it brings back just how awful a time that was for me but I’m also exceptionally grateful that I can write this completely pain free.

I continue to have maintenance treatments with Michael, as I never want to go back to being in that excruciating pain again. Michael is an exceptionally talented chiropractor with vast amount of experience and knowledge. I highly recommend him to anyone with the condition. Unfortunately there is no magic cure and it will take time to get better but following treatments, using the back pod, Michael’s advice on postural re-education and keeping moving, it will. Thanks again Sayers for everything.

Jacqui Asad

Dr Durtnall has given my daughter her life back.

The NHS acknowledged her pain but didn’t know how to treat costochondritis. After months of tests and chronic pain not getting any better, we were told her only choice is pain management, leaving a 17 year old girl potentially a victim of severe pain for the rest of her life, on a huge amount of painkillers.

That was until we saw Dr Durtnall. He’s patient, kind and just amazing! Turning her life around from the first visit. We travel nearly 2 hours to get the best treatment there is from a leading expert whose knowledge and dedication is second to none.

It’s so great to see her be able to walk again and not rely on a wheelchair. It’s even better to see her smile and less tears in pain. Seeing Dr Durtnall is the best thing we ever did and I don’t know what we’d do without his support. He’s just wonderful.

Lauren Asad (Daughter)

NHS gave up on me!

The man who’s completely changing my life Dr Durtnall with one of the proudest paintings I’ve painted was presented to Michael at Sayer Back and Neck Pain Clinics in London.

Costochondritis is the most painful thing imaginable. Without Dr Durtnall I’d have no life. A year ago in a wheelchair unable to sit up straight for more than a few hours taking the worse pain killers. A dark place. I wanted to given up. Specialist after Specialist didn’t understand why I was in so much pain for so long sending me home saying keep taking pills. When we asked how long for, one actually replied “how longs a piece of string” another just said “it’s not a condition I specialise in I have no answer”, he didn’t even examine me!
A physio thought the lumps in my chest were something more dangerous. Mum didn’t give up. She researched until she found Dr Durtnall. She said sometimes we’re sent miracles and I do believe that. This is one of mine.
From the first day I felt safe I had a full examination with someone who finally knew exactly what’s wrong, how painful it is and how to get me well again. Every single month I feel stronger than the last. The worse thing is people who don’t believe what they don’t understand. I learnt this is called Ignorance. Ignorance is as damaging as physical pain.
Dr Durtnall is a hero who’s changed my life in ways I’ll never forget. He hasn’t given up on me. Thank you with all my heart for making me feel human. Never give up believing. You'll find your heroes like I found mine.
I put up with the pain for 2 years and had come to terms that I would have to be in pain for the rest of my life, it wasn’t until the pain progressed and shifted slightly that I started to look around and do some self research. I stumbled upon the costochondritis treatment page and saw rave reviews of how Michael was curing people. I was sceptic, after all the NHS had told me to put up with the pain, there was no cure.

Katie

Approximately 2 years ago, I used to get quite severe chest pain after exercising – not due to a heart problem, as I had this checked!

I was already seeing Michael Durtnall for an issue with my coccyx and asked him about this, he cured the pain (Costochondritis) in only a few sessions through massage and some very helpful postural advice (which I still use today).

Michael is a remarkable doctor but also an amazing person; friendly, approachable, and he really cares about his patients!

TJP

As someone who has been struggling with Costochondritis for over a year and didn’t find any real answers either online or through other practices, i found that Michael Durtnall was the first person i saw who knew what he was talking about, others seem to guess or give general advice but not Michael.

I listened to his reasoning and did the things he said to do and with this after my first meeting with him my costo was feeling better than it ever has, im still on the road to 100% recovery but without Michael Durtnall and Sayer clinics it would not be possible.

Natalie Lucia

THE ROAD TO RECOVERY. HEALING FROM COSTOCHONDRITIS

Fed up of feeling like you’re having a heart attack, like someone is stabbing a searing hot knife through your chest, you can’t breathe properly and your rib cage and sternum are so sore you can barely touch them? Tired of being scared all the time, confused by conflicting information and constantly worried the doctors have ‘missed something’? How about being pumped full of medication that at best makes you bloated and at worst leaves you feeling sick, dizzy and even hallucinating?

With commitment, positive thinking and the right help, I believe you can not only take control of costochondritis, but beat it too.

I was diagnosed with costochondritis five months ago. After a severe bout of adult chickenpox and then an inflamed lung, I was rushed to hospital with chronic chest pain and shortness of breath. Like many others before me, the blood tests, X rays, CT scan and ECGs all came back clear, but I was in agonizing pain, unable to breathe, walk or sleep properly. Today I’m 80 per cent recovered and looking forward to a full recovery. The road to healing is a personal one, but here’s my top tips:

1. Find a specialist

Costochondritis is primarily a musculoskeletal condition, that in my case was triggered by an inflammatory virus, but in fact has many underlying causes, including bad posture and years of working hunched over desks and laptops. This causes your chest to drop down, the joint that attaches your ribs to your back to lock and this in turn overworks the connected joint at the front of your chest. Your connective tissue – which is stronger than steel – then sets over these locked joints, pinching nerves, tightening your chest and causing chronic pain. Check out New Zealand costochondritis expert physiotherapist Steve August’s brilliant video for a clear explanation.

First and foremost find a specialist, who can unlock those hinges and break up the connective tissue that’s tightened around your body. My weekly musculoskeletal treatment with Dr Durtnall at Sayer Clinics combines physical manipulation, with deep tissue massage on my chest, diaphragm and ribs. It’s slow, it’s painful and if you’re a woman like me, it means not being shy about someone seeing or treating your chest. This won’t fase a professional and their lack of embarrassment will ensure any embarrassment you feel is fleeting

2. Flood your body with nutrition

Remove all foods from your diet that cause inflammation and replace them with wholesome, nourishing foods that will boost your immune system and give your body the best chance of fighting back. After speaking with the brilliant nutritionist Candice Caskey at the Facebook Group Healing from Costochondritis & Tietze’s Syndrome, I adopted a gluten free, dairy free, meat free, refined sugar free and processed food free diet. And I pumped my body full of nutrition, including green vegetables, wild fish, good fats and inflammation busters like turmeric, pineapple and spinach. I drink a fresh green juice every day and if I want treats, I opt for raw chocolate like Ombars that are packed full of micronutrients.

At first it was difficult, but within a fortnight of eating whole, clean foods, my pain had halved and my energy levels had soared. With so many incredible, delicious and easy recipes out there, from Deliciously Ella to The Earth Diet, I can honestly say I would never go back.

3. Correct your posture

When I was X-rayed at Sayer Clinics Dr Michael discovered that my chest had fallen down, tightening my diaphragm and scrunching all the nerves in my sternum. My left ribs were pushed in front of my right and my posture was horrendous, which was causing all kinds of strain on my skeleton. A big part of my recovery has been around getting my chest upright and making postural changes that will stop this condition recurring.

First up he got me to ditch sofas, armchairs and any thing else that would cause me to drop my chest. When I watch TV I sit on the floor with my legs outstretched, with a foam wedge propped against the sofa. I have a sit/stand desk at work and I do postural exercises every day, to get my body into alignment.

4. Move!

Mainstream medicine will tell you to ‘rest and take anti inflammatories and in six weeks it will go away’. Not only is this not true for thousands of costochondritis sufferers, it’s the opposite of what’s going to help in the long run. When I met my Sayer Clinic specialist unable to walk and with searing stabbing pains in my chest, he made me get up and push through the pain. He taught me that we have to remobilize the chest, to break up the fascia that is constricting the rib cage and hence breathing. I took to doing three brisk walks with my chest up and my arms swinging, every single day. I went from not being able to walk to the end of my garden, to doing hour-long walks at pace! I’m now reintroducing exercise like pilates, swimming and ballet, to help with my posture, keep my body supple and to strengthen my core.

5. Ditch the underwires

Ladies , tight rings of metal pushing down on your sternum and ribs will make what’s already sore 10 times worse. If you can, ditch your bras altogether. If like me you need the support, opt for a softer bra like a crop top or Bravissimo’s Sophie Non-Wired Bra. Following Michael’s advice I overhauled my entire wardrobe, cutting out heels, handbags and anything that had a negative impact on my posture. Trust me, when I was told to buy a backpack to wear to work I baulked at the idea, but now I realize nearly everyone is wearing them and the right brand can look pretty stylish!

6. Take supplements

Now I take Vitamin D to strengthen my muscles and cartilages, a strong multivitamin to boost my immune system and Turmeric Complex to fight inflammation in my body. I drink Clean Greens everyday and I get muscle-repairing magnesium into my body every evening with an Epsom salts bath.

7. Use heat to manage the pain

When I came to Sayer Clinics I had previously been pumped full of medication including NSAIDS, steroids, stomach liners and a host of other nasties. From chronic digestive issues caused by anti inflammatories, to insomnia and a horrendous hallucination caused by steroids, my body was so out of whack I couldn’t tell what pain was caused by medication and what was costochondritis.

Dr Durtnall took me off all pain medication overnight.

Instead, I started using hot baths every evening, full of Epsom salts, heat patches for my chest, tiger balm patches for my back and arnica gel for my ribs. These natural remedies not only have no side effects, but they encourage blood flow to the damaged areas, helping them to heal.

8. Sleep like a pregnant lady

Sleeping through the night was near impossible for me to begin with. So I bought a new, firm mattress with a soft foam topper and I learnt to sleep on my side with one pillow under my head and another between my legs. If your ribs are really tender and you can’t quite manage this yet, try sleeping on your back, with one pillow under your head and another under your legs. Getting a good nights sleep is so important for your healing, so make it a priority.

9. Stretch

Keeping your muscles supple and stretching out your connective tissue is so important with this condition, especially when you start correcting your posture and moving muscles and tendons that haven’t been used in years. I have a deep tissue massage every week and I do a ton of stretches every morning, at my desk and all through the day. The trick is to flex your cartilages enough to keep your chest moving, but not so far that you cause more damage. You really have too listen to your body with this one. Some people find Steve August’s BackPod a great way to stretch the back and shoulders out, but start gently and build up.

10. Don’t make costochondritis a part of you

I point blank refuse to refer to the costochondritis in my body as ‘my costochondritis’ or ‘my costo’. My boyfriend and I have taken to calling it ‘Mother F***er’. Why? Because it’s an unwelcome guest that’s passing through. In short, its not part of me and I will not let it define me.

Yes its important to be patient with yourself and sometimes we just need a good cry to get it out. But don’t let the unfairness of this condition eat you up, because it will only hamper your recovery. When you are unwell, try to focus on your healing. When you feel pain, breathe through it and think of something that makes you happy. When you focus on how horrendous this condition is, you get lost in it, releasing stress hormones and adding to the tension you’re already holding in your body. I find inspiring radio shows like The Earth Diet really motivating but anything that makes you feel positive and happy will help keep your mind where it needs to be.

Onwards

For me, the biggest part of my recovery has been about empowerment. I had been scared silly by doctors and hospitals, who said I might have a blood clot, then an inflamed heart, then chronic fatigue syndrome, then something else and something else. It wasn’t until I blocked out my fear and took control of my recovery that I went from a place of darkness and panic, to getting on the road to health and wellbeing. I’m not 100 per cent recovered yet, but I’ve come a long, long way from being bed bound, unable to breathe and wracked with pain.

I congratulate myself every day on how far I HAVE come and the belief that I will recover fully pushes me through any set backs. William Ernest Henley sums it up perfectly in his poem Invictus, when he says:

“I am the Master of my fate. I am the Captain of my soul.”

Why? Because we’re not helpless bystanders when it comes to our bodies. The people who recover from this condition are those who are willing to try everything until they find a combination that works for them. We have the power to affect our recovery and we chose whether we fight costochondritis or are defeated by it.

worldwide list of costochondritis therapists

Dr Dominic Metcalfe DC MCC GCC

Sayer Clinics: Lister House, W1G 9ST

Chiropractor Dr Dominic Metcalfe and his team of therapists are renowned as the world-leading Costochondritis manipulation specialists in London UK with advanced treatment protocols for effective costochondritis, intercostal neuralgia, Tietze syndrome and rib-pain musculoskeletal manipulation and postural rehabilitation.

• Specialist in Radiology low-dose, high-definition, computed digital x-ray diagnosis

• Dr Dominic Metcalfe is expert in diagnosis and successful treatment of neuromusculoskeletal Pudendal Neuralgia (PN), Coccyx / Tailbone pain (Coccydynia), Postural correction and Scoliosis analysis and rehabilitation. Taking over from retired world leading expert Dr. Michael Durtnall.

For successful costochondritis, middle-back, rib & chest pain treatment you can make an appointment to see Dr Metcalfe’s team for costochondritis specialist treatment in Wimpole Street, London for your initial consultation, diagnostic x-rays and to start effective manual treatment and postural rehabilitation.

Sayer Clinics team of chiropractors and specialist manual therapists successfully treat Costochondritis patients every day who visit from just about every country in the world for daily treatments over several days or a week or two.

UK patients are usually treated initially weekly or fortnightly depending on their distance to travel. At Sayer Clinics they know from very long experience that the sooner you start treatment to improve flexibility, posture, exercise and fitness the sooner you will achieve and maintain excellent, pain-free future health.

Dr Guy Ashburner BSc Hons Ost

South Africa: Dr Guy Ashburner BSc Hons Ost – Listed here as he claims to have great success in treating costochondritis.

45 Kendal Road , Constantia, Cape Town, South Africa

T: +27 021 715 9999

www.osteogoodhealth.com/blog/costochondritis/

guy.ashburner@gmail.com

New Zealand – Backpod

Costochondritis.org recommends the Backpod which was designed in New Zealand by Costochondritis expert physiotherapist Steve August after he himself suffered several years of costochondritis pain following a traumatic injury.

Steve developed the backpod which has helped very many people worldwide with multiple excellent reviews.

www.bodystance.co.nz/costochondritis

Dr David Fishkin

Maryland US

Recommended by Jonny Corry on Facebook ‘UK Costochondritis Support Group’

We have two locations in Maryland
Rockville 301-444-4890
Calverton 301-441-1515

https://fishkincenter.com/costochondritis/

Relief from Costochondritis pain