Precordial catch syndrome (Texidor's twinge) treatment available online

Request precordial catch syndrome treatment from our trusted, board-certified online doctors and get relief from chest pain. Get a new prescription for precordial catch syndrome or refill an existing prescription today.*

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*Prescriptions are provided at the doctor's discretion. Learn more about our controlled substances policy and how to save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of precordial catch syndrome. Our primary care physicians can conduct an initial evaluation of your symptoms but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately.

Learn about precordial catch syndrome (Texidor's twinge)

Precordial catch syndrome (PCS), also called Texidor's twinge, is chest pain that occurs when nerves in front of the chest are aggravated.

This pain is not a medical emergency, and it usually causes no harm. It mostly affects older children and adolescents.

Precordial catch syndrome causes

  • Precordial catch syndrome commonly occurs due to a growth spurt, injury (such as chest trauma), or poor posture. For some children, pain can start in the chest wall, ribs, or cartilage.

    The pain stems from the nerves in the inner lining of the chest wall that are pinched or irritated. It is not caused by heart or lung disease.

Precordial catch syndrome symptoms

  • The primary symptom of precordial catch syndrome is sharp chest pain that becomes worse with deep breaths. Your child may take shallow breaths or gentle breaths to avoid the sharp pain.

    In most cases, the stabbing pain only lasts a few minutes. The pain may have a sudden onset, especially when your child is at rest.

    The pain tends to localize at a specific part of the chest—usually below the left nipple—and may feel worse when your child takes deep breaths. As a result, your child may feel lightheaded from the lack of deep breathing.

How to treat precordial catch syndrome

If your doctor thinks you or your child has PCS, no specific treatment is needed. Your doctor may recommend over-the-counter pain medication, such as ibuprofen, to treat pain.

Sometimes, shallow breathing can help the pain disappear. In some cases, a deep breath can help the pain disappear, even though taking deep breaths can be painful in the moment.

How to prevent precordial catch syndrome

PCS is sometimes caused by growth spurts, which are not preventable.

Other causes of pediatric chest pain, such as chest trauma and poor posture, can be avoided. Because symptoms typically arise when slouching or resting, standing or sitting upright may help prevent future episodes.

When to see a doctor for precordial catch syndrome

If you or your child has unexpected chest pain, seek medical attention. Your doctor will perform a physical examination to rule out potential heart or lung emergencies.

Seek immediate medical attention if the pain is accompanied by other symptoms, such as:

  • Nausea

  • Lightheadedness

  • Shortness of breath

  • Severe headache

  • Intense pain that comes more often



It could be a more serious condition, such as a heart attack or heart-related emergency.

Precordial catch syndrome treatment FAQs

  • How common is precordial catch syndrome?

    PCS commonly causes precordial pain in older children and teenagers, according to the Texas Children's Hospital. PCS episodes can also happen in young adults.

  • What triggers precordial catch syndrome?

    PCS has no clear triggers. Although sudden chest pain can feel scary, PCS is not caused by heart or lung problems. Wellness professionals think that the pain caused by PCS occurs when nerves become pinched or irritated in the inner lining of the chest wall.

  • How do you know if you have precordial catch syndrome?

    The only symptom of PCS is a sharp, often severe pain that occurs on the left side of the chest. Although PCS can cause intense chest pain, this pain is temporary, typically lasting between 30 seconds and 3 minutes.

    While PCS is a harmless condition, chest pain may also be related to other health conditions, such as heart and lung problems. If you or your child is experiencing chest pain, talk to your doctor to rule out underlying health conditions.

  • Is precordial catch syndrome serious?

    PCS is a non-serious condition. It is a common cause of benign chest pain in children, adolescents, and young adults.

    While sharp pain may feel uncomfortable, PCS does not require any specific treatment. Most children and adolescents outgrow PCS by their 20s.

  • Can precordial catch syndrome be caused by stress?

    There is no clear cause of PCS. For some people, PCS may arise after a growth spurt or injury. For others, PCS may arise due to stress or anxiety.

  • How common is precordial catch syndrome in adults?

    Although PCS can occur at any age, the condition is less common in adults. PCS commonly occurs between 6 and 12 years of age.

    PCS is common in older children, teenagers, and young adults, but it becomes significantly less common after the age of 20.

  • Is there a link between PCS and anxiety?

    Although PCS is harmless, the unexpectedness and intensity of precordial pain may cause children or teens to feel panicked that they are experiencing a medical emergency. As a result, PCS may cause anxiety in children and teens.

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Related conditions to precordial catch syndrome

Chest pain may be the symptom of an underlying condition. Fortunately, most pediatric chest pain is caused by benign or self-limited illnesses.



  • Acid reflux

    Acid reflux can cause chest or stomach pain. Sometimes, acid reflux-related pain manifests as a burning sensation.

    Unlike PCS, acid reflux pain may vary with eating. Fortunately, there are many over-the-counter medications to treat acid reflux and its associated symptoms.



  • Costochondritis

    Costochondritis involves pain between the breastbone and the ribs. The condition is common in adolescent and pre-adolescent females but can affect anyone at any age.

    Frequently caused by viral illness, upper respiratory symptoms often accompany costochondritis. Symptoms can last for several weeks.



  • Stress and anxiety

    If left unchecked, stress and anxiety can cause physical symptoms in children and adolescents. Stress-related pain is typically dull and worsens with stress.

    Common stressors in children include the death of a loved one, school exams, and relationship conflicts.



Precordial catch syndrome treatment pricing details

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Precordial catch syndrome treatment resources

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