Nothing can be further from the truth. When you exercise your pecs, only the muscles to either side of the sternum develop and get filled out. The area along your sternum will maintain its depression so what you have after exercising that area may be a more prominent bump. The best thing to do is leave it alone. The bump is entirely natural and hardly anyone will notice it.
Unless, of course, if you keep directing their attention to it by being overly self-conscious. If you are intentional about getting rid of the bump, you can approach your doctor to explore the possibility of getting a surgery.
You should think this over carefully though. As you have seen from this article, there are many reasons why you could be experiencing the pain below your sternum. But you need to take it slow and consult your doctor before taking any other steps.
Back Why Future Fit Training? Everything you need to know. Everything you need to know about the xiphoid process Even though it sounds like some complex medical procedure, the xiphoid process is nothing more than a bone or bony cartilage depending on how old you are right at the base of your sternum.
What is the xiphoid process and what does it do? Xiphoid process pain can be triggered by many different causes and is most commonly a result of acute chest trauma. Inflammation of the region can cause a lump to develop that may be mistaken for a more serious condition, such as a tumor or a hernia. Some fractures or breaks may require the xiphoid process to be surgically removed to prevent more serious internal damage.
Anxiety is a condition affecting a great number of people for a range of causes. One of its effects can be chest pain similar to a heart attack. Slipping rib syndrome is a condition where the ribs slip away from their usual position.
Learn about the symptoms and when to see a doctor. The rib cage protects vital organs, such as the heart and lungs. Angina is pain, squeezing, or pressure in the chest. It signals that too little oxygen is reaching the heart. Learn more here, including when to seek…. Sternum pain can result from a variety of causes.
These range from medical conditions, such as acid reflux or costochondritis, to traumatic events…. What you need to know about the xiphoid process. In addition, RH was advised to use a topical anti-inflammatory gel over the xiphoid. RH was reviewed in April and related that she went overseas during the University summer break during which time her symptoms continued to subside.
RH stated that her symptoms were mild and intermittent. At this point in time RH elected to have no examination or treatment of the xiphoid, instead opting to return for assessment and treatment if she experienced an exacerbation of symptoms. Xiphodynia is a condition involving referral of pain to the chest, abdomen, throat, arms and head from an irritated xiphoid process. The literature over a 60 year period reveals 12 citations relating to the terms xiphodynia and xiphoidalgia, with only 5 of these in English.
The papers published between and [ 3 - 5 ] present 10 cases of xiphodynia, all treated by localized injection. Lipkin et al [ 6 ] published what appears to be the first 'modern' paper on the hypersensitive xiphoid in They reported on 24 cases observed over a seven year period where gentle pressure on a hypersensitive xiphoid reproduced all or most of the patients' presenting pain.
Lipkin et al [ 6 ] note that the earliest report of disorders of the xiphoid was recorded in There are no clear data relating to the incidence or prevalence of xiphodynia. Most authors say that it is an uncommon disorder [ 3 - 5 , 7 ] while Lipkin et al [ 6 ] found the syndrome present in about 2 percent of the population of a general-hospital ward and stated that it is "far more common than is generally appreciated".
They went so far as to suggest that examination of the xiphoid should be part of the routine examination of any patient presenting with upper-abdominal or chest pain [ 6 ]. It is a thin and elongated, cartilaginous in structure in youth, but becomes ossified at its upper part in the adult. The xiphoid may be broad and thin, pointed, bifid, perforated, curved, and may deviate laterally.
The xiphoid forms a synchrondosis with the body of the sternum. On the front of each superior angle, there is a facet for part of the seventh costal cartilage. The sternum — anterior surface [8]. Figure 1 shows the anterior surface of sternum and costal cartilages. Muscular attachments are shown in red. The sternum — posterior surface [8]. Figure 2 shows the posterior surface of the sternum. The xiphoid process serves as an attachment for several soft tissue structures that have rich innervation.
Sternal attachments and innervation [8]. Table 1 lists the soft-tissues that attach to the xiphoid and their innervation. Xiphodynia is a musculoskeletal disorder capable of producing a constellation of symptoms that mimic several common abdominal and thoracic diseases including:.
While xiphodynia is frequently insidious in onset, trauma may precipitate the syndrome. The cases presented here all gave a history of 'trauma' which appeared to be associated with the onset of symptoms. The diagnosis of xiphodynia is dependent upon the reproduction of the patient's symptoms completely or in part by moderate pressure on the xiphoid process and its adjacent structures.
Even though xiphodynia often exists in the absence of any other medical condition, it has been demonstrated in conjunction with life-threatening disease such as cardiac disease including angina pectoris, myocardial infarction, and pericarditis [ 3 , 5 ].
It is therefore imperative that any patient presenting to a primary health care provider with acute chest or abdominal pain be carefully investigated to establish a diagnosis and treatment plan. Where appropriate, emergency medical care must be rendered. In cases where a clear medical diagnosis cannot be established, a simple provocative test may uncover a symptomatic xiphoid process and establish the diagnosis of xiphodynia.
In those patients who receive treatment for an established 'medical condition' in whom symptoms persist, consideration might be given to examining for xiphodynia. The literature suggests that xiphodynia is a self-limiting disorder to be treated with reassurance [ 3 ] or with analgesics, topical heat and cold, and an elastic rib belt [ 7 ]. It is clear from these and other reported cases [ 3 ] that xiphodynia may not be self-limiting.
The medical 'treatment of choice' is an injection of local anaesthetic and steroid [ 2 - 6 ]. Xiphoid injection, while often curative, is not without risk of complications including pleural or peritoneal perforation, pneumothorax, or infection [ 3 , 7 ].
Conservative physical therapies are worth a trial, however no evidence exists for their effectiveness with xiphodynia. Given the extent of symptom referral that is the hallmark of xiphodynia, it is relevant to briefly consider the topic of referred pain here.
Pain referred from a distant structure is a real phenomenon, one that sometimes presents a clinical conundrum for practitioners and, at times, leaves patients suffering untreated pain needlessly.
This is not new. In Mackenzie [ 9 ] wrote about the phenomenon of viscero-somato pain referral. Kellgren [ 10 ] recognized the limitations inherent in defining the origin of back pain and, following a series of experiments in the late s, mapped patterns of referred pain from deep structures such as deep fascia, periosteum, and ligaments. In the late s Travell and Rinzler mapped referral patterns from pectoral muscles that mimicked the symptoms of angina pectoris and myocardial infarction [ 11 ].
More recently, Travell and Simons [ 12 ] identified referral patterns from myofascial trigger points throughout the body. Chiropr Osteopat ; 15 : Google Scholar. Howell J. Xiphodynia: a report of three cases. J Emerg Med ; 16 : — Postoperative elongation of the xiphoid process—report of a case. Ann Thorac Cardiovasc Surg ; 17 : — Periosteal reaction. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide.
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Volume Article Contents Abstract. Case report. Conflicts of interest. Xiphoid syndrome: an uncommon occupational disorder. Yapici Ugurlar , O. Yapici Ugurlar.
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