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During the physical exam, a health care provider will feel along your breastbone for tenderness or swelling. The provider might also move your rib cage or your arms in certain ways to try to trigger symptoms. The pain of costochondritis can be similar to the pain associated with heart disease, lung disease, gastrointestinal problems and osteoarthritis. There is no laboratory or imaging test to confirm a diagnosis of costochondritis. But a health care provider might order certain tests, such as an electrocardiogram and chest X-ray, to rule out other conditions.

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