Chest Pain After a Chest Injury: Causes and Concerns - Pulmonology

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Chest contusion, sharp pain in the chest?


Hello, doctor.
A few days ago, I accidentally hit my chest hard for some reason.
It hurt for a moment and then stopped, but in the following days, I feel a sharp pain whenever I move (even when I breathe), especially when I exert myself.
What could be the cause?

13-nian-ji de nanhai, 10~19 year old female. Ask Date: 2020/05/02

Dr. Zhou Ziguang reply Pulmonology


Hello: The likelihood of a muscle strain (contusion) is high, but it is still necessary to seek medical attention.
Please visit a nearby healthcare provider.

Reply Date: 2020/05/02

More Info


Chest pain following an injury can be concerning, especially if it persists or worsens with movement or breathing. Based on your description, it seems that you may be experiencing a soft tissue injury, such as a muscle strain or a contusion, rather than a fracture or serious internal injury, especially if the pain is localized and associated with specific movements.

When you exert force on your chest, you may be aggravating the injured area, leading to sharp pain. This could be due to several factors:
1. Muscle Strain: The muscles in the chest, including the pectoral muscles, can be strained from sudden movements or excessive force. This strain can cause pain that worsens with movement or deep breathing.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized chest pain that may be sharp and worsen with certain movements or deep breaths.

3. Rib Contusion: If you hit your chest hard enough, you might have bruised the ribs or the surrounding soft tissue. This can lead to pain that is exacerbated by movement, coughing, or deep breathing.

4. Intercostal Muscle Injury: The intercostal muscles, which are located between the ribs, can also be strained or injured, leading to pain during movement or when taking deep breaths.

5. Nerve Irritation: Sometimes, an injury can irritate the nerves in the area, leading to pain that feels sharp or stabbing, especially with movement.

Given that your pain increases with movement and deep breathing, it is essential to monitor your symptoms closely. Here are some recommendations:
- Rest: Avoid activities that exacerbate the pain. Allowing your body to heal is crucial.


- Ice Application: Applying ice to the affected area can help reduce inflammation and numb the pain. Do this for 15-20 minutes every few hours as needed.

- Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

- Gentle Stretching: Once the acute pain subsides, gentle stretching and mobility exercises may help restore function and reduce stiffness.

- Seek Medical Attention: If the pain persists, worsens, or is accompanied by other symptoms such as difficulty breathing, dizziness, or radiating pain to the arm or jaw, it is crucial to seek medical attention immediately. A healthcare provider may perform a physical examination and possibly imaging studies (like X-rays) to rule out any serious injuries.

In summary, while your symptoms may suggest a soft tissue injury, it is essential to remain vigilant. If your pain does not improve with conservative measures or if you experience any alarming symptoms, please consult a healthcare professional for a thorough evaluation and appropriate management.

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