Chest pain and back pain?
Hello Doctor: I am a software engineer, so I often have to sit in front of the computer for long periods at work.
Recently, I have been experiencing pain in the left side of my back, specifically in the scapular area, which starts in the afternoon and is accompanied by sharp pain in my left chest.
Could the pain in the scapular area potentially lead to chest pain? I have previously had a chest X-ray that showed no issues, and a cardiologist performed a standard electrocardiogram and echocardiogram, which also showed no problems.
Thank you, Doctor.
Jack, 30~39 year old female. Ask Date: 2017/09/08
Dr. Yin Xinbei reply Rehabilitation
Myofascial pain syndrome can present the symptoms you described, and it is recommended to seek treatment promptly.
However, it does not completely rule out cardiac issues, so if there is no improvement with treatment, it is advisable to undergo a stress electrocardiogram.
Reply Date: 2017/09/08
More Info
Chest and back pain can be concerning, especially for someone like you, a software engineer, who spends long hours sitting at a computer. Your symptoms of left back pain accompanied by left chest pain can indeed be related, and understanding the underlying causes is essential for effective management.
First, it’s important to note that musculoskeletal issues are common among individuals who spend extended periods in sedentary positions, such as at a desk. Poor posture, prolonged sitting, and repetitive movements can lead to muscle strain, tension, and discomfort in the back and chest areas. The left side of the back, particularly around the shoulder blade (scapula), can become tight and painful due to muscle overuse or strain. This discomfort can sometimes radiate to the chest, leading to sensations of tightness or pain, which can understandably be alarming.
Given that you have undergone chest X-rays and cardiac evaluations (including an electrocardiogram and echocardiogram) without any significant findings, it is reassuring that there are no immediate cardiac concerns. However, it’s crucial to continue monitoring your symptoms and consult with a healthcare provider if they worsen or change in nature.
Here are some potential explanations for your symptoms:
1. Muscle Strain: The muscles in your back and chest can become strained from poor posture or repetitive movements. This strain can lead to localized pain that may feel like it’s radiating to other areas, including the chest.
2. Nerve Compression: Sometimes, nerve roots in the cervical or thoracic spine can become compressed due to poor posture or muscle tension, leading to pain that radiates to the chest area.
3. Referred Pain: Pain in one area of the body can sometimes be felt in another area. For instance, tension in the muscles of the upper back can lead to referred pain in the chest.
4. Anxiety and Stress: As a software engineer, you may experience stress or anxiety related to work, which can manifest as physical symptoms, including chest tightness or pain.
To manage your symptoms effectively, consider the following strategies:
- Posture Correction: Ensure that your workstation is ergonomically set up. Your chair should support your lower back, and your monitor should be at eye level to prevent neck strain. Regularly check your posture and make adjustments as needed.
- Regular Breaks: Take frequent breaks to stand, stretch, and move around. This can help alleviate muscle tension and improve circulation.
- Stretching and Strengthening Exercises: Incorporate exercises that target the muscles of the back, shoulders, and chest. Stretching can help relieve tension, while strengthening exercises can improve muscle support and stability.
- Heat Therapy: Applying heat to the affected area can help relax tight muscles and alleviate pain.
- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce stress and tension, which may contribute to your symptoms.
- Consult a Physical Therapist: If your symptoms persist, consider consulting a physical therapist. They can provide personalized exercises and strategies to address your specific issues.
In conclusion, while your symptoms may be related to musculoskeletal strain or tension, it’s essential to continue monitoring them and seek medical advice if necessary. Maintaining good posture, taking regular breaks, and incorporating stretching and strengthening exercises into your routine can significantly help alleviate discomfort. If the pain persists or worsens, further evaluation by a healthcare professional may be warranted to rule out any underlying conditions.
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