Costovertebral pain willingly appear after bronchitis or bed rest. They give a posterior pain, more or less lateralized, like intercostal neuralgia. Sometimes the pain is sharp, blocking breathing. It can simulate a pneumothorax or cardiac pain (angina pectoris). Clinical examination will differentiate by specific signs on palpation. The effect of the manipulation is often dramatic.
Dr Yves BENSOUSSAN M.D.
Manual Medicine Osteopathy
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