Costochondritis, can have a sharp chest wall pain worsened by movement, direct pressure on that area.
Costochondritis can be a part of certain diseases like
fibromyalgia, psoriatic arthritis,ankylosing spondylitis etc. Importantly, anxiety and panic attacks, depression are frequently associated with chest pain, dull or sharp both, accompanied by shortness of breath, worsened by emotional stress and not relieved by nitroglycerin. so it’s a diagnosis of exclusion.