Xiphoid process lump no pain Overexertion of the abdominal muscles. Breathing doesn’t make it hurt though Recently noticed I have tenderness in my xiphoid process and it’s prominent and on one of the days I noticed some sort of lump or mass or I am not sure how to call it right on the right side of xiphoid, jsit tiny bit higher that xiphoid bone itself . It doesn’t actively hurt unless I press or massage the area, or when I kind of suck my chest in as if to be taking a deep breath. In this post we shall look at what causes xiphoidalgia, what are its symptoms, diagnosis and treatment options. ventral or dorsal deviation, h Aug 28, 2025 · Learn about the xiphoid process, its anatomy, functions, and why it is important for respiratory therapists and patient care. Xiphoid Process. xiphoid size varies (e. there's no pain and i have no other symptoms. Surgery may be an option in patients who do not respond to medical treatment. You may also experience xiphoid process pain with acid reflux. Pain, lumps, and its potential removal can indicate various health issues. The bony lump felt at the base of the skull in back. The diagnosis was xiphodynia caused by a large xiphoid process. If this extension breaks off completely due to some accident or trauma, it can lead various health problems such as chest pain, breathing difficulties and nausea. Most of the sternum that can be felt in detail over the skin on the chest wall Feb 3, 2025 · The xiphoid process is a small, bony structure at the bottom of the sternum (breastbone) in the chest. Common Objects Used to Guess the Size Pea or pencil eraser: ¼ inch or 6 mm Dime: ¾ inch or 1. 1 Xiphoid process (bottom of sternum) sticking out So, now that I've lost a bunch of weight, I noticed the bottom of my sternum sticking out when I lay down or arch my back. Xyphoidynia can also be associated with nausea Enhanced CT showed no chest or abdominal abnormalities, except for a large xiphoid process. Xiphodynia is a term used to describe an 'uncommon' syndrome with a constellation of symptoms ranging from upper abdominal pain, chest pain, sometimes throat and arm symptoms which are referred from the xiphisternal joint or the structures attached to the xiphoid process. It’s made up of cartilage at birth but develops into bone in adulthood. g. Discover the causes and treatments for this common discomfort. Background Xiphodynia, also known as xiphoid cartilage syndrome, is an infrequently encountered medical condition characterized by localized pain and tenderness of the xiphoid process. Telehealth Doctor answers about: Lump below xiphoid process A member asked: I can feel a lump about the size of a quarter below my xiphoid process. The pain, and tenderness may increase with chest movement, lifting heavy objects, and bending. Common triggers include injury, repetitive strain, or costochondritis. Management involves addressing underlying conditions. Take control of your health today! Aug 24, 2022 · Conclusion Xiphodynia can be described as pain radiating from an irritated xiphoid process that can travel to the chest, abdomen, throat, arms, and head. Although xiphodynia is a musculoskeletal pain in nature, the pain Xiphodynia is a rare but debilitating condition that can be described as a form of pain on the xiphisternal joint or any related structures that are anchored to the xiphoid process. Learn when to consult a doctor for a proper diagnosis and care plan. The xiphoid process is the small bone at the bottom of the sternum and does not usually cause problems but can become painful due to injury or inflammation. The pain was obvious when the patient bent over, or upon epigastric fullness. The angle from the sternal body to xiphoid process was 138° (reference range, 160°-180°). The pain is generally more severe with stooping for-ward, bending the torso, and overeating. It is typically located at the T9 or T10 vertebral level of the anterior thorax and is usually triangular. It also feels a bit tender when touch and also feels a bit hard. This lump generally does not cause any problem for the individual in the initial stage. Feb 4, 2025 · The xiphoid process is the smallest and most distal part of the sternum. May 5, 2025 · Xiphoid Process and Pain Definition Other names for the xiphoid process are processus xiphoideus, ensiform or xiphoid appendix. MeSH terms Chest Pain / diagnosis Chest Pain / etiology* Diagnosis, Differential Female Humans Middle Aged Musculoskeletal Pain / complications Musculoskeletal Pain / diagnosis* Syndrome Tomography, X-Ray Computed Xiphoid Bone* Customer: Good morning Doctor Chip Have a ? I know we have xiphoid process yesterday I notice some tenderness And what looks to be a little lump no pain just discomfort feels a bit swollen Xiphodynia is a rare musculoskeletal disorder characterized by pain at the lower anterior chest or epigastric region. Causes of Lump in Xiphoid Process Development In neonates and young infants, particularly smaller infants, the tip of the xiphoid process may be seen as a palpable lump situated just below the sternal notch. All patients complained of pain near the xiphoid process or epigastric region which was present for 1 month and up to 35 years. 5 cm Golf ball: 1 ½ inches Sep 15, 2007 · Xiphoid process pain (xiphodynia) is a condition involving referral of pain to the chest, abdomen, throat, arms and head from an irritated xiphoid process 1. Attached to the anterior Xiphodynia is a rare but debilitating condition that can be described as a form of pain on the xiphisternal joint or any related structures that are anchored to the xiphoid process. This suggested abdominal wall pain, and the mass was consistent with the xiphoid process, suggesting xiphodynia. A clinic that is run by doctors who specialize in chest wall injuries and who can guide you about all aspects of your chest wall problem. Xiphodynia is in fact a relatively common condition which will be missed unless considered in the differentials list. Swollen Xiphoid Process: Causes and When to Seek Help Pain or tenderness near the lower sternum and discomfort during deep breaths. Dec 19, 2023 · This article looks at the xiphoid process, a tiny bone structure within the sternum. Plain chest May 29, 2021 · Xiphodynia, also known as xiphoid syndrome and xiphoidalgia, was diagnosed in this patient. Dec 11, 2013 · On examination, a tender swelling was palpable as an immobile, hard mass showing minimal protrusion under the skin on the xiphoid process. Computed tomography of the chest showed an elongated and Aug 25, 2022 · Xiphoidalgia is pain from the xiphoid process, with risk factors including GERD and coronary artery disease. Xiphoid process pain can lead to discomfort and affect quality of life. Keywords: differential diagnosis, risk factor, epigastric pain, large xiphoid process, xiphodynia Introduction Pain caused by the xiphoid process is called xiphoidalgia. Xiphoid Process: Sternum Lump Pain Treatment Now after having a little idea, what actually Xiphoid Process is, below you can find the information about its pain and treatment. However, while this distorted xiphoid process often rights itself in growing kittens or follows minor falls, it can also indicate injury or illness demanding prompt veterinary care. With the abdominal cavity holding so many organs in such close proximity to each other, the cause of pain below the breastbone can vary greatly. B, Sagittal computed tomography. Xiphoid process is a small projection of the lower part of the breastbone Figure A, Dermatological observation. INTRODUCTION Xiphodynia is a general term used to describe any form of pain that is of the xiphisternal joint or any related struc-tures that are anchored to the xiphoid process. Nov 6, 2025 · Discover what a lump in the xiphoid process means, exploring common causes like inflammation and trauma, and when to seek medical advice for proper diagnosis and treatment. Xiphoid process syndrome is considered an uncommon variation of xiphoid process with aseptic inflammation of surrounding tissues, which can be mistaken for epigastric masses. It’s above the belly button and just below the sternum of your rib cage. a. Learn about its function, pain causes, and treatments. Find out what it might be and when to see a doctor. Do you have problems with acid reflux or indigestion? That would probably be the case if you have an epigastric hernia but maybe not yet, if it is relatively new. There are some ab muscle attachments to it, especially the gristle from the very top of your rectus abs (the six-pack ones). The possible causes a Apr 11, 2022 · Xyphoid syndrome is a rare clinical pathology in which the xiphoid process is angled anteriorly, causing severe pain, and can be confused with epigastric pain and acute myocardial infarction. Although xiphodynia is a musculoskeletal pain in nature, the pain located in the anterior chest can commonly mislead physicians into pursuing other diagnoses such as cardiac diseases. Understanding its role is crucial for effective health management. Jul 16, 2025 · Living With Xiphoid Syndrome Living with xiphoid syndrome, a condition characterized by pain or inflammation in the xiphoid process (the small cartilaginous extension at the lower end of the sternum) can be challenging, especially when pain is triggered by everyday activities like bending, lifting, or sitting for long periods. His chest CT revealed an elongated anteriorly curved xiphoid process. Both patients had undergone extensive examinations, but no source for their symptoms could be found. Local inflammation can also occur. ICD 10 code for Fracture of xiphoid process, initial encounter for closed fracture. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S22. Physical examination showed a firm mass of about 1 cm × 1 cm in size with tenderness and was palpated in the epigastric region. There's not much that the xiphoid process does - it's just a little finger of bone hanging down off the front of your rib cage. 8 cm Quarter: 1 inch or 2. Sep 27, 2020 · His past medical history and medication were unremarkable. Xiphisternal angles of less than 160° or excessively long xiphoid processes have been linked to xiphodynia. In many cases, a protruding sternum or chest bone bump signals no dire cause for concern. When this part is damaged, it gets inflamed. Xiphoid process pain (also called xiphoid syndrome, xiphodynia or xiphoidalgia) affects quite a few people. A small hard lump felt at the lower end of the sternum (breastbone). Symptoms differ in severity and site, and can consist of chest, throat, and upper abdominal pain. Xiphoid Syndrome (Xiphodynia) The xiphoid process, also referred to as the metasternum, is a small, bony extension of the sternum at its lower end 19. . It’s located where the lower ribs attach to the breastbone. We would like to show you a description here but the site won’t allow us. In addition, symptoms were revivable by palpation and other causes were, if suspected, excluded prior to surgery. xiphodynia) isn;t as common as costo, but it still happens. Pain in Xiphoid Process Area 31 M, 5’5”, 175lbs, on 40mg pantaprozole Issue: Since about the beginning of October (6-7 weeks now), I’ve had this daily, persistent pain in the area that is known as the xiphoid process. After this exclusion as xiphodynia is diagnosed, treatment can consist of a multitude of options, since there is no consensus B, Sagittal computed tomography. k. Several known Self Care at Home Small lump present 7 days or less and cause not known. Mastoid Process. Nov 10, 2025 · A lump under the center of the ribcage can stem from various causes, from a prominent xiphoid process to a fatty lipoma or an epigastric hernia. His-torically, the etiology of this ailment has been attributed to inflammation surrounding the xiphoid area, although the spe-cific underlying mechanisms remain a subject of debate [1– 4]. Primarily, other more severe causes of these symptoms need to be excluded. These old threads about Xiphoid Process are very enlightening since many discusses significant weight loss! Radiologic Evaluation of Abnormalities of the Sternum and Sternoclavicular Joints Yadavalli S, MD, PhD and Nall CR, MD The bony lump felt at the base of the skull in back. For instance, I couldn’t locate any information about the xiphoid process being visible in an adult, or being palpable (felt with the fingertips as a small hard lump) in an adult. A swollen xiphoid process may be due to inflammation, trauma, or irritation of the cartilage at the lower end of the sternum. At the very bottom of this structure is the xiphoid, a small piece of bone. This little bone is an anchor point for many important muscles including for the very front of the diaphragm, that muscle that helps us breathe. Xiphoid process syndrome is considered an uncommon variation of xiphoid process with aseptic inflammation of surrounding tis-sues, which can be mistaken for epigastric masses. It hurts only when I press on it for too long (trying to examine myself) all blood work came back fine 3 months ago and I’m not having any symptoms. It is a form of pain in the anterior chest that is not commonly diag-nosed. Computed tomography of the chest showed an elongated and Summary Background Common causes of an epigastric mass include hepatomegaly, pancreatic pseudocyst and epigastric hernia, less common causes being carcinoma of the stomach or pancreas, whereas diseases of the sternum presenting as an epigastric swelling is extremely uncommon. May 20, 2021 · Xiphodynia, the painful xiphoid process, is a rare condition with an atypical presentation. Reason: probably due to insect bite not observed. Xyphoidynia should be considered a differential diagnosis for epigastric pain. elongated process) xiphoid morphology (e. I did find information that sometimes, the xiphoid process is visible in newborns, and that over time, it loses its visibility. [1] It is caused by The xiphoid process is a small bone at the bottom of the sternum. Pain or tenderness around the xiphoid area, known as xiphoidalgia or xiphoid syndrome. Apparently, the story goes that diaphragm has attachments to xiphoid process and t6-t7 area and any pain/inflamation/damage done in the front side radiates to the back trough intercostal nerves. Apr 29, 2020 · Xiphoid Process Pain Sometimes, this structure can also bend to form a lump that sticks out from an area around the chest. Xiphoid process pain (a. Dec 7, 2023 · Has your cat’s breastbone started mysteriously sticking out? Don’t panic. Apr 12, 2025 · Xiphoid process disorders cause pain at the lower sternum, which may radiate to the chest, abdomen, or back, often leading to misdiagnosis. I can feel a lump about the size of a quarter below my xiphoid process. On physical examination, a hard protuberance was palpated in the epigastrium. Aug 5, 2018 · I can feel a lump about the size of a quarter below my xiphoid process. On examination, a tender swelling was palpable as an immobile, hard mass showing minimal protrusion under the skin on the xiphoid process. We report a case of tubercular infection of the sternum located in the xiphoid process resulting in its presentation as Aug 17, 2015 · Power of Observation Cause and effect: Texas surgeon changes lives by listening to patients AOA board-certified surgeon Albert H. It is also called as xiphoidalgia, xiphoid syndrome, or xiphodynia. Common symptoms of Xiphoid Process Cancer include persistent pain or tenderness in the xiphoid region, difficulty breathing or swallowing, a visible mass or lump, weight loss, fatigue, and changes in bowel or bladder habits. Sep 15, 2015 · The medical term for pain behind the breast bone is retrosternal pain. should i be concerned seriously ? What is Lump on the Sternum? Definition, Pain, Symptoms, Causes, Treatment, Lump on the Sternum. Due to the direct elongation of the xiphoid process, this case intuitively supports the latter theory. Because of ongoing symptoms and a worsening popping sensation with bending forward, he underwent xiphoidectomy, and his abdominal pain symptom resolved I feel a strange lump in between my ribs right where my xiphoid process would be. Xiphoid process pain occurs for varying reasons but is often related to minor trauma to the area, over exercise (such as abdominal crunches) or can become more prominent following excessive weight loss. Severe pain and inflammation in the swollen Xiphoid Process are common symptoms of it. 7. Yurvati, DO, has become an expert in identifying the xiphoid process as the source of mysterious pain for many patients. Jul 20, 2017 · A broken xiphoid process increases inflammation, which leads to pain and tenderness in the chest. It rests at the 10th thoracic vertebra. Treatment options for xiphodynia can range from conservative management to injections or surgical resection of the xiphoid Xiphoid Process Pain Pain that is experienced below the breastbone is called as xiphoid process pain, which is described as tenderness or dull pain in the area. Fracture of xiphoid process, subsequent encounter for fracture with nonunion Jul 8, 2024 · 1. 24XA. Sometimes the xiphoid process can feel more prominent or like a lump, especially if there’s been some irritation or inflammation in the cartilage around it. 24. We prescribed anti-inflammatory medication and advised him to avoid pressure on his anterior chest wall, especially on the sternum, while cutting wood. Xiphoidalgia and the Concept of Surgery The patient with severe xiphoid pain came into my office several months ago having just had her Nov 10, 2025 · Discover the causes of a bone like bump on the chest, from common anatomical features like the xiphoid process to other benign conditions and rare issues. He was diagnosed as having xiphoid syndrome. However, it can be very uncomfortable when the individual tries to lift weight or eats a heavy meal. The resultant swelling may form a lump in the middle of the chest, between the ribs. Physical examination revealed tenderness on palpation of the xiphoid process. The length of the xiphoid process is typically between two and five centimeters. Figure A, Dermatological observation. What causes issues with the Xiphoid Process? The common causes include: Trauma or injury to the chest area. should i be concerned seriously ? Oct 1, 2025 · Xiphodynia is a condition where pain radiating from an irritated xiphoid process can travel to the chest, abdomen, throat, and arms. A 61-year-old man who engaged in the construction industry presented to the hospital with a 5-year history of intermittent xiphoid process pain accompanied by nausea and vomiting. Could this be just the xiphoid process ? It’s hard to the touch. The xiphoid process can be broad, thin, monofid, bifid, trifid, curved, or deflected and contain Dec 6, 2019 · Causes of lumps below the sternum Xiphoid syndrome Xiphoid syndrome is a rare condition that causes inflammation of the lower tip of the sternum, which is called the xiphoid process. Although the xiphoid process is small, it serves as an attachment point for organs and large muscles that make the floor of the ICD 10 code for Fracture of xiphoid process. There are no clear data relating to the incidence or prevalence of xiphoid process pain (xiphodynia). Xiphodynia is an uncommon thoracic wall disease, characterized by local tenderness over the xiphoid process. Reply reply Ald1ss • Jan 7, 2023 · A 61-year-old man who engaged in the construction industry presented to the hospital with a 5-year history of intermittent xiphoid process pain accompanied by nausea and vomiting. Feb 14, 2012 · The sternum or breastbone is the central bone at the front of the chest to which the clavicle (collarbone) and ribs attach. There are physicians who claim that the condition is a commonly overlooked condition, while Nurse here - is it soft or hard to the touch? The xyphoid process would be hard and a hernia would be soft. Jun 17, 2024 · Xiphoid syndrome Xiphoid syndrome is the painful swelling of the xiphoid process, the protrusion of cartilage at the bottom of the sternum. Xiphoidalgia syndrome may also cause abdominal pain, nausea, and vomiting. Get informed now. should i be concerned seriously ? A doctor has provided 1 answer For instance, I couldn’t locate any information about the xiphoid process being visible in an adult, or being palpable (felt with the fingertips as a small hard lump) in an adult. See Costochondritis and other inflammatory problems. Breast bud - normal lump under the nipple External occipital protuberance - normal lump on back of head Mastoid process - normal lump behind each lower ear Xiphoid process - normal lump at bottom of breastbone Xiphodynia or Xiphoidalgia is thought to be a rare musculoskeletal syndrome that involves referred pain referred from the xiphisternal joint or the structures attached to the xiphoid process. Feel free to ask questions, and share what helps you manage the pain and hasten the recovery process. One Year Of Abdominal Pain Gone After One Ultrasound-guided Cortisone Injection A group for those who are suffering from costochondritis and Tietze syndrome (/r/TietzeSyndrome). This leads to a prolonged Jan 18, 2023 · Xiphoidalgia syndrome is a disorder in which there is pain and tenderness in the xiphoid process, which is situated on the sternum. Digital examination of the xiphoid process reproduces symptoms. Find out the causes and treatment for Xiphoid Process Pain. The xiphoid process can be broad, thin, monofid, bifid, trifid, curved, or deflected and contain foramina. 5 cm Golf ball: 1 ½ inches May 15, 2025 · They suggested that the xiphoid process was fractured during surgery, subsequently pulled caudally by the abdominal muscles and later reconnected to the sternum. Determining what’s behind your cat’s Aug 28, 2017 · An epigastric hernia is a type of hernia in the epigastric region of the abdominal wall. Apr 13, 2016 · Pain and inflammation over xiphoid process are normal symptoms of swollen xiphoidynia. The Xiphoid process sticking out after pregnancy causes pain, tightness, and pressure leading to a condition called Xiphodynia. Included are details on the symptoms in this area and how to treat the problem. Pain below this xiphoid process or just underneath is technically epigastric pain (upper middle abdominal pain). Unlike the other two parts of the sternum namely manubrium and body, there are costal cartilages and ribs that are attached to the xiphoid process. It’s good that there’s no pain, but it’s understandable to be concerned when you feel something different like a lump. Dec 13, 2016 · The breast bone is called the sternum. Risk factors for developing secondary xiphoidalgia include injury, cold and hot compresses, ice packs, medication, and physical therapy. The tip of the xiphoid process resembles a sword. Between the ages of 15 and 29, the xiphoid process typically undergoes fusion with the body of the sternum through a fibrous joint. However, the Jan 8, 2017 · What is xiphoid process pain? This condition refers to pain experienced in the xiphoid process area, which is located in the lower part of the sternum. 123 Symptoms can often be provoked by manual compression of the sternum and the xiphoid process, which also serves as a confirmation of The xiphoid process is the smallest region of the sternum, or breastbone. Treatment typically includes There is considerable anatomic variation in the shape of the xiphoid of the sternum: xiphoid ending is classified as single, double, or triple. Patients can report symptoms such as thoracic or abdominal wall pain, throat tightness, nausea, and referred pain to arms, shoulders, back, or neck. Carnett sign was positive. However, there have been controversies about the xiphoid process pain. The bony lump felt behind each lower ear. Mar 17, 2024 · Relieve xiphoid process pain with our expert solutions. The xiphoid process can be broad, thin, mono d, bi d, tri d, curved, or No, that’s not an exclusive membership of Costco but a very painful inflammation of the rib cage which, apparently, many experience and are later diagnosed with something related to their Xiphoid. The base articulates with the sternal body forming the xiphisternal joint while the tip of the xiphoid points inferiorly. Lump or mass feeling if the xiphoid process protrudes more prominently. It is the tiniest and lowest part of the sternum. It is an elongated flat bone made up of three parts – manubrium (uppermost part), body of the sternum (longest part in the middle) and the xiphoid process (short pointed part at the bottom). Xiphodynia may result from traumatic experiences to the Xiphoid process, acid reflux, heart disease, weight gain, or Two patients who presented with nonspecific thoracic and upper abdominal symptoms and tenderness of the xiphoid process are discussed. rfggl zwvk zsud lkwo klrv zuq znwxcetj bjt xwvgkp nbe jsrr drqttan fnanzfo rilej hys