Sudden Chest Pain and Indentation: Is It Serious?

Q: Sudden Chest Pain and Indentation: Is It Serious?

Hello： A single intercostal retraction usually does not indicate any significant pathology. <br>If the chest pain persists, it is advisable to consider getting a chest X-ray. <br>If the lungs appear normal, the likelihood of neuralgia increases. <br>Best wishes!

I suddenly noticed a slight indentation in my chest between the ribs that wasn't there before?

Hello doctor, since last week I've been experiencing some pain in my right chest while breathing, and today I still feel a tightness in my chest and discomfort.
I also suddenly noticed a slight indentation in the intercostal area of my chest, which I didn't have before.
When I press on this area, it feels a bit painful.
I visited a general internist who suggested that it might be intercostal neuralgia triggered by a cold, but I don't feel like I have any cold symptoms.
I'm also worried that it could be related to my heart or lungs.
By the way, I smoke about a pack a day; could this be related to my symptoms? I'm quite concerned.

Meng Meng, 20~29 year old female. Ask Date: 2016/12/17

Dr. Yang Wenda reply Pulmonology

Hello: A single intercostal retraction usually does not indicate any significant pathology.
If the chest pain persists, it is advisable to consider getting a chest X-ray.
If the lungs appear normal, the likelihood of neuralgia increases.
Best wishes!

Reply Date: 2016/12/17

More Info

Based on your description of sudden chest pain, a feeling of tightness in the chest, and the recent discovery of an indentation in the area between your ribs, it is understandable that you are feeling anxious about your health. While I cannot provide a definitive diagnosis, I can offer some insights into potential causes and considerations based on your symptoms.

Firstly, the pain you are experiencing in your right chest area could indeed be related to intercostal neuralgia, which is inflammation of the nerves that run between the ribs. This condition can occur due to various reasons, including muscle strain, injury, or even viral infections. However, it is important to note that intercostal neuralgia typically presents with sharp, stabbing pain that may worsen with movement or deep breathing, and it may not always be accompanied by other symptoms like a cough or fever.

The indentation you mentioned is particularly concerning. While it could be a benign anatomical variation or a result of muscle atrophy, it is essential to have it evaluated further. Changes in the structure of your chest wall, especially if they are new, warrant a thorough examination. It is crucial to rule out any serious conditions, including musculoskeletal issues or even more severe concerns like lung or heart problems, especially given your smoking history.

Smoking is a significant risk factor for various respiratory and cardiovascular diseases. It can lead to chronic obstructive pulmonary disease (COPD), lung cancer, and heart disease, among other health issues. If you are a heavy smoker, it is advisable to consider quitting, as this could significantly improve your overall health and reduce the risk of serious complications.

Given your symptoms and concerns, it is wise to follow up with a healthcare provider who can perform a comprehensive evaluation. This may include a physical examination, imaging studies such as a chest X-ray or CT scan, and possibly pulmonary function tests to assess your lung health. Additionally, if there is any suspicion of cardiac involvement, an electrocardiogram (ECG) or echocardiogram may be warranted to evaluate your heart's function.

In the meantime, if you experience any worsening symptoms such as increased pain, difficulty breathing, or any signs of a heart attack (like radiating pain to the arm or jaw, sweating, or nausea), seek emergency medical attention immediately.
Lastly, while your current symptoms may not be indicative of a severe condition, it is essential to take them seriously and address them with a healthcare professional. Early intervention can often lead to better outcomes, especially when it comes to respiratory and cardiovascular health. Remember, your health is paramount, and taking proactive steps to understand and manage your symptoms is crucial.

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