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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyPsoriasisTeam Member asked a question 💭
Adelaide, AU

Last year my Rheumatologist advised me that a spot in my ribs that was sore (near my collarbone) was indeed PsA. I've had more areas 'appear' recently where is tender to touch and feels like someone is pinching me at the front of ribs under the breastbone. My GP said it's not PsA as it only affects joints but my Rheumy said anywhere can be affected in my body. It's really bad at my T10/Rib also to the point I've had a cortsone injection there and am due to get another one in the next few weeks… read more

July 1
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A MyPsoriasisTeam Member

I have severe psoriatic arthritis. It gives me amongst other pain stabbing chest pain. In numerous spots in my chest/ribs. 1 in 3 patients who present with chest pains actually have this problem and not a cardiac issue. I am on biological medication and also get the first rib subclavicular joint and acromioclavicular joints injected with steroids and local anesthetic. This provides extra relief in a flare up. Inflammation of these joints can cause pain in chest across the shoulder, up the neck, down the arm and back. Many years ago a group of medical students in Australia injected each other with hypertonic saline to map the pain. It was very painful and individual pathways. It was written up in medical literature. My rheumatologist was actually one of the doctors. I don’t think many doctors would show such a level of dedication today. Enthesis is very real and influences the pain. Read up about your condition from medical websites and registered support groups. Knowledge is power the more informed you are about your health the better.
Good luck

July 21
MyPsoriasisTeam

Your Rheumatologist is absolutely right — and after 24 years with PsA, you've clearly learned to trust the specialist! PsA inflammation can affect cartilage, tendons, and ligaments throughout the body, not just the joints. The rib pain you're describing under your breastbone sounds very consistent with costochondritis Show Full Answer

Your Rheumatologist is absolutely right — and after 24 years with PsA, you've clearly learned to trust the specialist! PsA inflammation can affect cartilage, tendons, and ligaments throughout the body, not just the joints. The rib pain you're describing under your breastbone sounds very consistent with costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum.

Many MyPsoriasisTeam members have shared similar experiences:

- One member asked "Is it possible to have arthritis in your chest (sternum area)?" and another replied, "Yes, the pain in the sternal area of your ribs happens with PsA."
- Another member described their rib pain as feeling like "someone punched me in my right side" — which sounds very familiar to what you're experiencing.
- One member shared that muscle spasms from rib pain were so severe they were hospitalized. The "pinching" sensation at the front of your ribs is a really common description. PsA can also cause enthesitis — inflammation where tendons and ligaments attach to bone — which can affect areas well beyond typical joints, explaining why your Rheumy's view differs from your GP's.

It's worth flagging the new tender areas to your Rheumatologist at your next visit, especially since you're already managing the T10/rib and lumbar areas so actively. The cortisone injections and upcoming denervation procedure sound like important steps in managing what sounds like a really tough situation. Hang in there! 💪

July 1
A MyPsoriasisTeam Member

Yes, I’ve have the rib pain.

August 4
A MyPsoriasisTeam Member

I will be discussing my symptoms with my Dermatologist PA. Thank you for the information.

July 21
A MyPsoriasisTeam Member

I’m so glad I viewed this information about Coctochondritis. I recently developed soreness in my ribs and sternum areas. Thought it might be a cardio problem, however, from reading this member’s post it is the same symptoms.

July 21

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