Can Chest Pain from Muscle Injury Heal on Its Own? - Internal Medicine

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Excluding heart and lung issues, the chest muscle is injured?


Hello Doctor, I am the inquirer with ID 161912.
Thank you very much for your response.
I would like to ask if, after ruling out heart and lung issues, the sensation of chest tightness and pain is indeed caused by a muscle injury, can it heal on its own? Or is it necessary to see a doctor and take medication? If I need to see a doctor and take medication, which specialty should I consult? Traditional Chinese Medicine, Western Medicine, or a large hospital? Thank you very much for your response.
🙏

Tochia, 20~29 year old female. Ask Date: 2020/10/22

Dr. Hong Yuanbin reply Internal Medicine


Hello, your condition does seem more like a muscle strain.
Typically, it's advisable to rest the injured area and consider using topical analgesic ointments.
If the pain persists, you may want to consult an orthopedic specialist or a family medicine physician.
If a Western medicine assessment confirms it's purely a muscle strain, whether to take traditional Chinese medicine or Western medication depends on your personal preference; there is no absolute right or wrong.
Thank you for your inquiry.

Reply Date: 2020/10/22

More Info


Chest pain can indeed be a concerning symptom, and it’s wise to approach it with caution. If you have already ruled out serious conditions related to the heart and lungs, such as myocardial infarction or pulmonary issues, it is possible that the pain you are experiencing is due to a muscular injury, such as a strain or sprain of the chest muscles.
Muscle injuries can often heal on their own, given time and appropriate care. The body has a remarkable ability to repair itself, and many mild to moderate muscle strains will improve with rest, ice, compression, and elevation (often referred to as the RICE method). Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help alleviate pain and reduce inflammation. However, if the pain persists or worsens, it is advisable to seek medical attention.

If you decide to see a doctor, you would typically start with a primary care physician or a general practitioner. They can evaluate your symptoms, perform a physical examination, and determine if further imaging studies, such as an X-ray or MRI, are necessary to rule out other potential issues. If your primary care physician suspects a muscular injury, they may recommend physical therapy, which can be beneficial for rehabilitation and recovery.

In terms of whether to see a Western or Eastern medicine practitioner, it largely depends on your personal preference and the healthcare options available to you. Western medicine typically focuses on evidence-based treatments and may provide you with medications and physical therapy options. On the other hand, traditional Chinese medicine (TCM) may offer alternative treatments such as acupuncture, herbal remedies, and massage therapy, which some patients find helpful for muscle pain and recovery.

Regardless of the path you choose, it is essential to listen to your body. If the pain is severe, persistent, or accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain, you should seek immediate medical attention.
In summary, while muscle injuries can often heal on their own, it is crucial to monitor your symptoms closely. If you experience persistent pain, consider consulting a healthcare professional for a thorough evaluation and appropriate treatment options. Whether you choose Western or Eastern medicine, the goal is to ensure your recovery and return to normal activities as soon as possible.

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