Muscle Pain: Left Chest and Upper Right Abdomen Issues - Orthopedics

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Muscle pain in the left chest and upper right abdomen?


Hello Dr.
Lee, I have been experiencing unusual pain near the left latissimus dorsi for the past six months.
When I turn to the right, I feel a pulling sensation in the upper right abdomen, and when I turn to the left, I have this sensation from the left chest down to the lower left abdomen.

Mr. Gao, 10~19 year old female. Ask Date: 2016/09/17

Dr. Li Yongheng reply Orthopedics


This may be a chronic inflammation of the muscle tendons, and you can seek rehabilitation treatment at a physical medicine and rehabilitation department.
Thank you for your inquiry, and if you have any further questions, feel free to reach out again.

Reply Date: 2016/09/17

More Info


Hello! It sounds like you're experiencing significant discomfort in your left back, chest, and upper abdomen. Based on your description, there are several potential causes for your symptoms, and understanding them can help guide you toward effective treatment.

Firstly, the pain you're feeling in the left side of your back, particularly near the latissimus dorsi (the large muscle in your back), could be related to muscle strain or overuse. If you've been engaging in activities that require repetitive motion or heavy lifting, this could lead to muscle fatigue and pain. Additionally, poor posture, especially if you're sitting for long periods or not using ergonomic support, can contribute to muscle tension and discomfort.

The sensation of pulling or tightness when you turn your body could indicate that the muscles in your chest and abdomen are also affected. This could be due to a strain in the intercostal muscles (the muscles between your ribs) or even the oblique muscles in your abdomen. These muscles work together to facilitate movement and stability, and if one area is compromised, it can lead to discomfort in adjacent areas.

Another consideration is the possibility of referred pain. Sometimes, issues in one area of the body can manifest as pain in another. For example, conditions affecting the spine, such as herniated discs or spinal stenosis, can lead to pain that radiates into the chest or abdomen. It's also worth noting that certain gastrointestinal issues, such as gastritis or even gallbladder problems, can cause discomfort in the upper abdomen and may be mistaken for muscular pain.

Given the complexity of your symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an X-ray or MRI, to rule out any structural issues in your spine or surrounding tissues. Additionally, a physical examination can help identify specific areas of tenderness or weakness that may be contributing to your pain.

In the meantime, here are some general strategies that may help alleviate your discomfort:
1. Rest and Recovery: Allow your body time to heal. Avoid activities that exacerbate your pain, and consider taking breaks during prolonged periods of sitting or standing.

2. Stretching and Strengthening Exercises: Gentle stretching of the affected muscles can help relieve tension. Focus on stretches that target the back, chest, and abdominal muscles. Strengthening exercises for your core can also provide better support for your spine and reduce the risk of future injuries.

3. Posture Correction: Pay attention to your posture, especially when sitting or lifting. Ensure that your workspace is ergonomically designed to minimize strain on your back and shoulders.

4. Heat and Cold Therapy: Applying heat can help relax tight muscles, while cold therapy can reduce inflammation. You might alternate between the two to see which provides more relief.

5. Physical Therapy: A physical therapist can provide tailored exercises and treatments to address your specific issues. They can also teach you proper body mechanics to prevent future injuries.

6. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

In summary, your symptoms may stem from muscle strain, poor posture, or even referred pain from other conditions. A comprehensive evaluation by a healthcare professional is essential to determine the underlying cause and develop an appropriate treatment plan. In the meantime, focusing on rest, gentle stretching, and posture correction may provide some relief. I hope you find this information helpful, and I wish you a speedy recovery!

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