Sudden Sharp Pain Near the Left Chest and Armpit - Pulmonology

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Cramping pain near the left chest close to the armpit?


Hello doctor, I have a question.
Recently, I've been experiencing sudden sharp pain near my left chest close to the armpit.
It feels like a stabbing sensation that lasts about 5-10 seconds and has been occurring intermittently for the past three to four days.
Today, the pain is located above my heart.
Is this related to chest tightness (lung) or is it a heart issue? Besides the stabbing pain, I need to take deep breaths to relieve the pain when it occurs, but I have no discomfort at other times.
What could this be? Which specialist should I see? Thank you for your response.

S, 30~39 year old female. Ask Date: 2018/01/13

Dr. Yang Wenda reply Pulmonology


Hello: If there is no difficulty in breathing and it feels more like nerve pain, slow breathing can help alleviate it.
Trying to relieve life stress can help reduce its occurrence.
If it continues to happen, it is recommended to see a pulmonologist for a chest X-ray evaluation!

Reply Date: 2018/01/13

More Info


The sudden sharp pain you are experiencing near the left chest and armpit can be concerning, especially given its location and nature. Based on your description, it seems that the pain is brief, lasting only 5-10 seconds, and occurs intermittently over the past few days. This type of pain can be attributed to several potential causes, and it is important to consider both musculoskeletal and cardiac origins.

Firstly, the pain you describe could be related to musculoskeletal issues, such as muscle strain or spasms. The muscles in the chest and upper back can become tense or strained due to various activities, poor posture, or even stress. This can lead to sharp, stabbing pains that may feel like they are radiating to nearby areas, including the armpit. If you have recently engaged in physical activities that involve lifting, reaching, or even prolonged sitting in a poor posture, this could be a contributing factor.

Another possibility is that the pain is related to nerve irritation or compression. The intercostal nerves, which run between the ribs, can become irritated due to inflammation or injury, leading to sharp, localized pain. This could explain the sudden onset of pain that you experience, especially if it is triggered by certain movements or positions.

However, given the location of the pain near the heart, it is crucial to rule out any cardiac issues. While your pain is brief and you report no other symptoms such as shortness of breath, dizziness, or palpitations, it is still advisable to take any chest pain seriously. Conditions such as angina or even more serious cardiac events can present with atypical symptoms, particularly in women. Therefore, if you have any risk factors for heart disease (such as a family history, smoking, high blood pressure, or high cholesterol), it would be prudent to consult a healthcare professional.

In terms of what to do next, I recommend that you see a primary care physician or a cardiologist. They can perform a thorough evaluation, which may include a physical examination, an electrocardiogram (ECG), and possibly imaging studies like a chest X-ray or echocardiogram to assess your heart and lungs. If musculoskeletal issues are suspected, a referral to a physical therapist or an orthopedic specialist may be beneficial.

In the meantime, you can try some self-care measures to alleviate the pain. Gentle stretching exercises for the chest and upper back can help relieve muscle tension. Applying heat or cold to the affected area may also provide relief. Additionally, practicing deep breathing exercises can help manage any discomfort and promote relaxation.

In summary, while the sharp pain you are experiencing could be related to musculoskeletal issues, it is essential to rule out any cardiac concerns. Consulting with a healthcare professional will provide you with the best course of action and peace of mind. Remember to monitor your symptoms closely and seek immediate medical attention if you experience any worsening or new symptoms.

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