I've had flare ups of costo for several years, one of the causes of it is trauma to the chest area, which I had, alos viral infections can trigger it to. It's a painful condition, I've had one cortizone injection at the site of the 5th rib and costovertebra and it helped simmer down a nasty flareup, so I wouldn't get one unless you were having a nasty flare. I don't let it bring me down either but it is rather a painful situation.
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