Chest Pain After a Car Accident: What to Know - Pulmonology

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Please help with my mom's question?


Hello Doctor: My mother was in a car accident previously.
On the day of the accident, she felt fine, but after some time, she started experiencing pain in her chest area.
The pain has been ongoing for a while now and is getting worse, almost reaching her chest.
What could be the issue? Thank you.

Xuehua, 30~39 year old female. Ask Date: 2016/10/06

Dr. Yang Wenda reply Pulmonology


Hello: Chest pain after a car accident may be due to contusions or muscle strains in the thoracic region.
It is recommended to obtain an X-ray to confirm whether there are any rib fractures or hemothorax.
If no significant abnormalities are found, it is more likely to be a muscle strain.
Please ask the physician to prescribe pain relievers and muscle relaxants, which should help improve the condition! Best wishes!

Reply Date: 2016/10/06

More Info


Chest pain following a car accident can be a concerning symptom and may arise from various underlying issues. It's essential to understand that even if a person feels fine immediately after an accident, injuries can manifest later. In your mother's case, the delayed onset of chest pain could be due to several factors.

Firstly, it's important to consider the possibility of soft tissue injuries. The impact from a car accident can cause strains or sprains in the muscles and ligaments surrounding the chest area. These injuries may not be immediately apparent but can lead to significant discomfort as inflammation develops over time. Muscle strains can cause localized pain that may worsen with movement or certain positions, such as lying down or twisting.

Another potential cause of chest pain after a car accident is rib injuries. Rib fractures can occur even without visible signs of trauma, especially if the impact was significant. While X-rays are often used to diagnose rib fractures, they may not always show hairline fractures or injuries to the cartilage connecting the ribs to the sternum. If your mother is experiencing sharp pain that worsens with deep breaths, coughing, or movement, it could indicate a rib injury.

Additionally, the chest pain could be related to the thoracic spine. Given that the spine is closely connected to the ribcage, injuries to the spine, such as sprains or herniated discs, can also lead to referred pain in the chest area. This type of pain may be accompanied by discomfort in the back, especially if there is a history of pre-existing conditions like scoliosis or spinal issues.

In some cases, the pain could be related to internal injuries, such as a pneumothorax (collapsed lung) or hemothorax (blood in the chest cavity). These conditions can occur due to blunt force trauma and may not present symptoms immediately. If your mother experiences shortness of breath, rapid breathing, or a feeling of tightness in the chest, it is crucial to seek immediate medical attention.

Given the complexity of chest pain and its potential causes, it is advisable for your mother to consult a healthcare professional for a thorough evaluation. A doctor may recommend imaging studies, such as a chest X-ray or CT scan, to assess for any underlying injuries. They may also perform a physical examination to check for tenderness, swelling, or other signs of injury.

In the meantime, encouraging your mother to rest and avoid activities that exacerbate the pain can be beneficial. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort, but she should consult with a healthcare provider before starting any medication, especially if she has any pre-existing health conditions or is taking other medications.

In conclusion, chest pain after a car accident can stem from various causes, including soft tissue injuries, rib fractures, spinal issues, or even internal injuries. It is essential to seek medical evaluation to determine the exact cause and receive appropriate treatment. Early intervention can help prevent complications and promote a faster recovery.

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