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Costochondritis is a condition characterized by rib and cartilage inflammation, causing chest pain. It can often be mistaken for a heart problem, leading individuals to undergo unnecessary heart testing. The primary treatment for costochondritis typically involves medication, steroids, or injections. The condition can be caused by two primary factors: old injuries to the front or back of the rib cage or damage to the thoracic spine. Scar tissue resulting from rib or spine injuries can lead to delayed pain in the front part of the rib cage, affecting breathing and sleep.