Sternal pain
In recent days, I have been experiencing persistent pain in the bones of my left chest.
I usually sleep on my side, and it is very painful when I turn over.
It also hurts significantly when touched.
A few years ago, I had palpitations and consulted a cardiologist, who diagnosed me with mild mitral valve prolapse.
I'm wondering if this pain could be related to my heart condition.
Tsai, 20~29 year old female. Ask Date: 2016/07/11
Dr. Zhou Ziguang reply Pulmonology
Hello: If there is pain upon touch, it is more likely to be muscle pain.
It is advisable to visit an orthopedic specialist for evaluation, where the physician can diagnose and differentiate from other possible conditions.
Reply Date: 2016/07/11
More Info
Understanding chest pain can be a complex issue, especially when considering the various potential causes and their implications for heart health. Based on your description of the pain in your left chest, particularly the fact that it worsens with movement and touch, it is essential to differentiate between musculoskeletal pain and cardiac-related issues.
Firstly, the nature of your pain is crucial. You mentioned that the pain is localized to the bone area and is aggravated by movement and touch. This suggests that the pain may be more likely related to musculoskeletal issues rather than cardiac problems. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum), muscle strain, or even rib injuries can cause localized pain that worsens with movement or palpation. Given your habit of side sleeping, it is possible that you may have strained a muscle or irritated the cartilage in that area.
On the other hand, you also have a history of mitral valve prolapse (MVP), which is a condition where the valve between the heart's left atrium and left ventricle doesn't close properly. While MVP can sometimes cause palpitations or atypical chest pain, it is generally not associated with sharp, localized pain that worsens with movement or touch. If your heart condition was previously assessed and deemed not severe, it is less likely that your current symptoms are directly related to your heart.
However, it is important to consider the psychological aspect as well. Stress, anxiety, and emotional distress can manifest physically, sometimes leading to sensations of pain or discomfort in the chest area. If you are experiencing increased stress or anxiety, this could also contribute to your symptoms.
Given your history and current symptoms, here are some recommendations:
1. Consult a Healthcare Professional: Since you have a history of heart issues, it is always wise to consult with a healthcare provider, especially if the pain persists or worsens. They may recommend further tests, such as an electrocardiogram (ECG) or echocardiogram, to rule out any cardiac issues.
2. Monitor Your Symptoms: Keep track of when the pain occurs, its intensity, and any associated symptoms (like shortness of breath, dizziness, or palpitations). This information can be valuable for your healthcare provider.
3. Consider Lifestyle Factors: Evaluate your lifestyle, including stress levels, sleep patterns, and physical activity. Regular exercise, a balanced diet, and stress management techniques (like mindfulness or yoga) can improve overall health and potentially alleviate some symptoms.
4. Musculoskeletal Care: If the pain is determined to be musculoskeletal, treatments such as physical therapy, rest, and anti-inflammatory medications may be beneficial.
5. Avoid Self-Diagnosis: While it is helpful to research and understand potential causes of your symptoms, self-diagnosing can lead to unnecessary anxiety. Always seek professional guidance for an accurate diagnosis.
In conclusion, while your history of mitral valve prolapse is noteworthy, the nature of your current pain suggests it may be more related to musculoskeletal issues rather than a direct heart problem. However, given your medical history, it is prudent to consult with a healthcare professional to ensure a thorough evaluation and appropriate management of your symptoms.
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