Growing big pecs with costo?

Hi All! I’ve found a couple posts with people talking about how they’ve found ways to workout with costo (avoiding dips, doing lighter weights, etc.). But I was curious has anyone actually been able to successfully see a size increase in their chest while working out with this condition?

If so, when you had flare ups did you stop the gym for a couple days/weeks or take some painkillers and push through the pain? How much slower do you think your progress was? Did you end up doing anything special in your routine to compensate for things you couldn’t do (e.g. adding extra sets of presses because you avoid pec flys)?

Thank you for any help/advice!