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Individuals who are at risk of CAD, such as those with a family history, those who are obese, or those with a history of smoking, should Other medical conditions that may closely resemble costochondritis include: arthritis of the shoulder or nearby joints chest wall infections fibromyalgia, a condition that causes nerve pain slipping rib syndrome, when there is too much mobility in the cartilage supporting the ribs injuries to the shoulder or neck that cause pain to refer or travel to the chest wall A doctor will perform a physical examination to detect tenderness of the cartilage to the touch