Chest Pain: Causes and Remedies for Muscle Strain - Pulmonology

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Sharp pain in the center of the chest?


Hello Doctor, about a month ago during weight training, I worked on my chest muscles and experienced a prickling sensation in the center of my chest for several days afterward.
This condition has persisted for a month now, and I haven't exercised in between.
Currently, my symptoms are: when I sit up from bed in the morning and stretch my chest, I feel pain in the center of my chest.
Additionally, when I squeeze my hands together in front of me or pull my shoulders back, it also hurts.
At other times, there is no pain, and pressing on the area does not cause pain either.
The pain feels like a mild strain, not particularly severe, but it has lasted for some time.
Since I am currently abroad and unable to see a doctor, I can only apply ice twice a day.
Should I continue to ice the area?

zero zero, 20~29 year old female. Ask Date: 2017/07/26

Dr. Yang Wenda reply Pulmonology


Hello: Based on your description, it seems more likely that you have a strain at the junction of the ribs and sternum involving the muscles or soft tissues.
I recommend applying heat, and if necessary, using topical analgesics or pain relief patches.

Reply Date: 2017/07/26

More Info


Chest pain can be a concerning symptom, especially when it persists for an extended period. Based on your description, it seems that you may be experiencing muscle strain, particularly in the pectoral muscles or the muscles surrounding the chest area. This type of pain is often associated with physical activities, such as weightlifting, where the muscles can be overworked or injured.


Causes of Chest Pain from Muscle Strain
1. Muscle Overuse: Engaging in heavy lifting or strenuous exercises can lead to micro-tears in the muscle fibers, resulting in pain and discomfort. This is common in weight training, especially if proper form is not maintained.

2. Poor Posture: Incorrect posture during workouts or daily activities can place undue stress on the chest and shoulder muscles, leading to strain.

3. Inadequate Warm-up: Failing to properly warm up before exercising can increase the risk of muscle strain.

4. Repetitive Movements: Repeating the same movements without adequate rest can lead to cumulative muscle fatigue and strain.


Symptoms of Muscle Strain
- Dull or Sharp Pain: The pain can vary from a dull ache to a sharp sensation, particularly when moving the arms or chest.

- Pain with Movement: Activities such as lifting, pushing, or pulling can exacerbate the pain.

- Stiffness: You may experience stiffness in the chest area, especially after resting or sleeping.


Remedies for Muscle Strain
1. Rest: Allowing your muscles time to heal is crucial. Avoid activities that exacerbate the pain, including weightlifting or any strenuous upper body exercises.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. It is generally recommended to ice the area for 15-20 minutes every 1-2 hours during the first 48 hours after the injury. Since you mentioned you are currently using ice twice a day, continue this practice as it can be beneficial.

3. Gentle Stretching: Once the acute pain subsides, gentle stretching of the chest and shoulder muscles can help improve flexibility and reduce stiffness. Be cautious not to overstretch, as this can worsen the injury.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help alleviate pain and reduce inflammation. However, consult a healthcare professional before taking any medication, especially if you have underlying health conditions.

5. Heat Therapy: After the initial inflammation has decreased (usually after 48 hours), applying heat can help relax and soothe the muscles. Use a warm compress or heating pad for 15-20 minutes.

6. Physical Therapy: If the pain persists beyond a few weeks, consider seeking physical therapy. A physical therapist can provide tailored exercises and treatments to aid recovery.


When to Seek Medical Attention
While muscle strain is often manageable at home, certain symptoms warrant medical evaluation. If you experience:
- Severe or worsening pain
- Pain that radiates to the arm, neck, or jaw
- Difficulty breathing or chest tightness
- Symptoms that do not improve with home treatment
These could be signs of a more serious condition, such as a cardiac issue, and require immediate medical attention.


Conclusion
In summary, your symptoms suggest a muscle strain likely related to your weightlifting activities. Continuing with ice therapy, resting, and gently stretching as tolerated should aid in your recovery. If symptoms persist or worsen, it is advisable to seek medical evaluation when possible. Remember to listen to your body and avoid pushing through pain, as this can lead to further injury.

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