Respected user, hi I evaluated your query thoroughly . * Sound more likely to be costo chondral in nature . * Recommendations at present - moderately hot pad fomentation for 4-5 minutes interval every 4 hourly - analgesic tablets 3 times a day after meals for pain relief - local analgesic spray help instantaneously - deep breathing exercises with YOGA help slowly but surely - avoid strenuous work / weight lifting - avoid stress / anxiety - avoid smoking / alcohol / any abuse substances if any - keep ambulatory prefer to walk in fresh air to rejuvenate the lungs with enough oxygen - role of systemic molecules in form of certain anti-inflammatory agents , muscle relaxants , anti-oxidants is to be decided by in person examination thoroughly with eliciting clinical signs ; if needed may require X-ray / MRI Hope this helps you . Welcome for any further assistance . Thanks for using Healthcaremagic.com & giving us an opportunity to assist Wishing you fine recovery from the same . Regards dear take care .