I have both type 2 diabetes and fibromyalgia. I have neuropathy in my hands and feet. At times I have a lot of tenderness in whole chest area. Do you know if this is fibromyalgia or diabetes or a combination?

Dr. William Sullivan


Tenderness in the chest area is frequently caused by costrochondritis, which is inflammation in the cartilage area in the rib cage. Costochondritis involves the area between the ribs and the breastbone. This condition can be treated with anti-inflammatory medication and often gets better spontaneously. Diabetes is not associated with tenderness over the chest. Fibromyalgia is a condition associated with widespread musculoskeletal pains. There are multiple areas of tender points in fibromyalgia and these areas include the upper chest wall (the so-called second costochondral junction) – this is the same area affected by costochondritis. In fact, the second costochondral junction is one of the most frequent areas affected by fibromyalgia. I would suggest that you review your symptoms of tenderness over the chest with your healthecare provider.