For the Health of It: Using OT / PT to treat sternum pain

Tyler Ryan and Hima Dalal discuss causes and rehabilitation of sternum pain

COLUMBIA SC WOLO) –

Sternum pain, often described as discomfort or soreness in the breastbone area, can be
unsettling. The pain may range from sharp, stabbing sensations to dull, aching discomfort. For
those experiencing sternum pain, it is essential to understand potential causes, symptoms, and
a variety of treatment options, including integrative rehabilitation approaches, to manage the
condition effectively.
Symptoms of Sternum Pain
● Localized Pain: Often felt in the center of the chest where the breastbone (sternum) is
located, especially with pressure.
● Swelling and Tenderness: Inflammation or soreness in the chest area may accompany
the pain.
● Sharp Pain During Movement: Pain may worsen with certain movements, particularly
bending, lifting, or twisting the upper body.
● Radiating Pain: In some cases, sternum pain may radiate to the shoulders, arms, or
neck.
● Difficulty Breathing: Pain can increase when taking deep breaths, leading to shallow
breathing due to discomfort.
● Associated Symptoms: Sternum pain can occasionally be linked to nausea,
lightheadedness, or anxiety.
Common Causes of Sternum Pain
1. Costochondritis: This is an inflammation of the cartilage connecting the ribs to the
sternum, often caused by physical strain, repetitive activities, or trauma.
2. Injury or Trauma: A direct impact, such as from a fall or car accident, can cause
sternum fractures or bruising, leading to significant pain.
3. Strain from Physical Activity: Lifting heavy objects or performing strenuous upper-
body exercises may strain the chest muscles, causing pain around the sternum.
4. Acid Reflux: Gastroesophageal reflux disease (GERD) can create a burning sensation
near the sternum, often mistaken for cardiac issues.
5. Tietze Syndrome: Similar to costochondritis, Tietze syndrome also involves rib cartilage
inflammation but is typically accompanied by visible swelling.
6. Arthritis: Conditions like osteoarthritis or rheumatoid arthritis can cause inflammation in
the sternum area, especially with age.
7. Cardiac Concerns: Although sternum pain is usually not heart-related, conditions like
angina or a heart attack may occasionally mimic sternum discomfort. It’s crucial to
differentiate these causes with a healthcare provider.

Integrative Rehabilitation Treatment Options
Integrative rehabilitation, led by experienced therapists like Hima Dalal, offers a holistic
approach that combines traditional and alternative therapies to address the underlying cause of
sternum pain, reduce symptoms, and support full-body health. Some effective integrative
treatment options include:
1. Myofascial Release Therapy (MFR)
● This gentle, hands-on technique targets fascia restrictions, especially around the chest,
to relieve tightness and pain. MFR can improve flexibility, alleviate muscle tension, and
restore mobility by releasing adhesions around the sternum and connected areas.
2. Crystal Myofascial Release Therapy (CMFR)
● This technique, developed by Hima Dalal, involves the application of healing crystals
during myofascial release sessions, targeting scar tissue, improving circulation, and
reducing inflammation. CMFR is particularly beneficial for patients experiencing chronic
sternum pain related to soft tissue strain or repetitive stress.
3. Craniosacral Therapy (CST)
● CST involves light touches to release tension around the central nervous system,
promoting relaxation and reducing pain. CST can address referred pain or nerve tension
that may be contributing to sternum discomfort.
4. Reiki and Energy Medicine
● Energy-based practices, including Reiki, support the body’s natural healing processes,
reduce stress, and balance energy. Reiki can be especially helpful for pain management
by calming the mind, releasing tension, and fostering overall wellness.
5. Physical Therapy and Gentle Strengthening Exercises
● A tailored program of physical therapy can help strengthen chest and upper-back
muscles, reducing strain on the sternum. These exercises are essential for patients
recovering from trauma or injury, as they support muscle function and prevent future
strain.
6. Breathing Exercises and Yoga
● Deep breathing exercises can improve lung capacity, promote relaxation, and decrease
tension around the sternum. Yoga, particularly gentle chest-opening postures, can help
relieve pain, improve flexibility, and reduce stress on the chest muscles.
7. Anti-Inflammatory Diet

● Integrative rehabilitation often includes guidance on diet to support healing. An anti-
inflammatory diet—rich in omega-3 fatty acids, antioxidants, and nutrients—can help
reduce inflammation and ease symptoms. Foods like leafy greens, berries, fatty fish, and
nuts may help relieve chronic inflammation and support healing.
8. Mind-Body Techniques (Meditation and Relaxation)
● Stress management is key to integrative rehabilitation. Techniques like mindfulness
meditation and relaxation exercises help manage pain perception, reduce anxiety, and
provide emotional support. For patients dealing with chronic sternum pain, these
practices can create a sense of control
When to Seek Immediate Medical Attention
While sternum pain is often due to musculoskeletal or digestive causes, seek immediate
medical attention if you experience severe, sudden chest pain, shortness of breath, nausea, or
other symptoms that may indicate a cardiac event.
Conclusion
Integrative rehabilitation provides a comprehensive, non-invasive approach to managing
sternum pain, focusing on healing the body and calming the mind. By combining targeted
therapies such as Myofascial Release Therapy, Craniosacral Therapy, and mind-body
practices, we aim to treat the root causes of pain and improve quality of life. With a
personalized, holistic approach, integrative occupational therapy can play a pivotal role in
helping individuals find relief and long-term recovery from sternum pain.
You can contact
Hima Dalal ,Integrative Occupational Therapist for any questions or consultation at
www.Himadalalintegrativehealth.com
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