Chest-wall pain guide

Costochondritis (chest-wall pain) support online in Virginia and West Virginia

This guide is only for follow-up after an in-person evaluation already diagnosed costochondritis — any new, different, or exertional chest pain is an emergency.

Start online

Start a $59 online review for Costochondritis support.

Follow-up for adults who were already evaluated in person for chest pain, with an electrocardiogram and any tests the clinician ordered, and were told the pain comes from the chest wall (costochondritis): reassurance, activity and posture changes, heat, gentle stretching, and at the physician's discretion a bounded topical or screened oral anti-inflammatory course composed by hand.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Sharp, localized pain where the ribs meet the breastbone
Tender to press, worse with deep breaths or twisting
Already evaluated and cleared by an emergency department or clinic

May fit online care

Adults 18 and older
Chest pain already evaluated in person with an EKG
The pain is the same pattern that was evaluated, not new or different
No exertional chest pain
No fever, cough with colored sputum, or leg swelling

Look for another care setting

Chest pain that is new, different from the pain that was evaluated, or brought on by exertion; chest pressure; or pain spreading to the arm, jaw, neck, or back
Shortness of breath, sweating, nausea, fainting, a racing or irregular heartbeat, coughing blood, or one-sided leg swelling with chest pain
Fever with a cough that brings up colored sputum
Swelling, redness, or warmth over the sore spot

What to have ready

When and where you were evaluated for this chest pain
Confirmation an EKG was done
How long the costochondritis diagnosis has been known
Whether the pain pattern has stayed the same since that evaluation

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Can this lane evaluate new chest pain?

No. This lane never evaluates new chest pain. It only supports patients already evaluated in person and diagnosed with costochondritis. New, different, or exertional chest pain is always an emergency — call 911 or go to the nearest emergency department.

What if my chest pain feels different now?

Any change from the pain that was evaluated needs a new in-person evaluation, not this follow-up lane.

What does ongoing care look like?

Avoiding aggravating strain and posture, heat for 15 minutes several times daily, gentle doorway stretches and shoulder-blade squeezes, and acetaminophen or topical diclofenac gel as the label directs.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Achilles tendinitis Acute low back pain Acute muscle strain Alcohol use disorder Altitude sickness prevention Ankle / wrist sprain