Dear Dr. Sudhir Kumar,
Thank you so much for your reply. I went to my neighborhood pharmacy but came to know from there that Diclofenac cannot be sold in the USA without a doctor's prescription. Ibuprofen is available over the counter, but I tend to vomit continuously if I take it. Last time I tried taking it coupled with Pepcid for stomach support, but after 2-3 days, I started to vomit again.

Actually I forgot to mention, as I was unable to take painkiller medicines by mouth, I was prescribed a topical pain gel (Voltaren, diclofenac sodium gel 1%) to apply in the chest area. I used it for a couple of weeks and it seemed to numb the pain at first, but then after 10-15 days it was not as effective any more so I stopped using it regularly and now only use it few and far between.

In order to get prescription of Diclofenac and/or proceed treatment for Costochondritis do you suggest I visit any particular doctor or specialist here in Florida, USA? I live in Tallahassee and there isn't many options here under my health insurance, could you kindly suggest me a particular specialist that would be most helpful in my case??

I am attaching scanned copy of all the blood reports here if you want to see them. I also thought this must be Costochondritis. Because the symptoms match more, specially the terrible hurting with sneezing. But I have a question, if my condition is indeed Costochondritis/Tietze's syndrome, and I have inflammation internally then isn't it supposed to have some indication in any of the blood test results (e.g. presence of protein, sedimentation etc.)??

I really hope that my condition may not be Intercostal neuralgia, because I feel very scared and nervous about Nerve related problems and their treatment (nerve injection, surgery etc.). My another question would be,is there a way to be absolutely sure which one of this two is causing my pain, either Costochondritis or Intercostal Neuralgia, and not the other one??

I should also mention that I have been having shoulder pain and lower back pain almost all the time. I ignore the lower back pain because I have had sporadic occurances of it since I was 12 yeard old. I had trouble with Sinusitis for a long time (16-17 years ago) and it caused headaches in the past. I Also I had foot heel pain for the past 2-3 months, only recently it has been reduced after using a good quality hiking keds (I wear it all the time), and taking warm water epsom salt soak. Not sure if these are related, but I just wanted to include all my conditions.

I am really worried about my chest pain. It is effecting my life in terrible sort of way and I feel almost disabled to go on even with normal day to day activities. Eagerly waiting for your reply.
Thank you. Sabrina

Thank you Dr. Sudhir Kumar.
I wasn't able to go to visit a doctor here recently. But I plan to go this week for the Diclofenac prescription like you advised. I have also asked my family in Bangladesh to send me some tablets, they are sending it by someone, it will take some time as he arrives here in September. When I start taking the tablets, what dosage do you prescribe? How many/day? How many miligrams? and how long must I continue?
Meanwhile I am just using Diclofenac Gel and tiger balms, although they don';t work that well to reduce the pain. I forgot to mention to you that sometimed my Collar-bones hurt a lot in addition to the chest pain, do you think they may be related?
Today I have a new symptom which has been bothering me since 4-5 hours and still hurting now. It is not going away. On my back starting just below the neck bone and ending 2-3 inches down the spine, it is hurting a lot constantly. It feels like there is some kind of weight/ pressure on it. At first I wasn't alarmed, but then when it hurt so much even after resting I felt worried. Do you think it is something serious? What can be the probable cause for it?
I am attaching a picture and marking the area of spine pain in case my description wasn't clear.
Waiting for your reply.
thank you.