Chest Pain: When to Seek Medical Attention - Rehabilitation

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Chest pain in the center?


Hello, Dr.
Wang.
Over the past two days, I have experienced sudden pain in the center of my chest, slightly偏左 (to the left).
I have not engaged in any physical activity or experienced any trauma.
There is a noticeable tender point, and the pain becomes quite pronounced when I rotate my upper body to the left, while there is no pain when I turn to the right.
I also feel some discomfort in my back, close to the shoulder blade area.
The pain intensifies when I wake up and is slightly present during deep breaths.
If I remain still or avoid large movements, the pain is not as noticeable.
I would like to ask the doctor what this condition might be and whether it is serious enough to warrant a visit to the clinic.
Thank you, doctor.

Dan, 20~29 year old female. Ask Date: 2020/10/26

Dr. Wang Zhaomin reply Rehabilitation


Musculoskeletal or neurological disorders can lead to discomfort symptoms.
Online consultations cannot replace an actual clinical evaluation of your condition.
Please visit a neurology, orthopedic, or rehabilitation specialist for an accurate diagnosis and appropriate follow-up treatment.

Reply Date: 2020/10/26

More Info


Chest pain can be a concerning symptom, and understanding its potential causes is crucial for determining whether medical attention is necessary. Based on your description, the pain you are experiencing is localized to the left side of your chest, with notable tenderness upon palpation, and it seems to worsen with certain movements and deep breathing. This pattern of pain can suggest several possibilities, some of which may require further evaluation.

First, it's important to consider musculoskeletal causes of chest pain, such as costochondritis or muscle strain. Costochondritis is an inflammation of the cartilage that connects a rib to the sternum, often resulting in localized pain that can be exacerbated by movement or palpation. Muscle strains, particularly in the chest or upper back, can also lead to discomfort that may mimic cardiac pain but is typically related to specific movements or positions.

Another possibility is that the pain could be related to gastrointestinal issues, such as gastroesophageal reflux disease (GERD) or esophageal spasms. These conditions can cause chest pain that may be mistaken for heart-related issues, especially if the pain is accompanied by symptoms like heartburn or difficulty swallowing.

However, given that you mentioned the pain is located in the chest and is associated with deep breathing, it is essential to rule out more serious conditions, including cardiac issues. While your pain seems to be positional and not associated with exertion, it is still important to consider the possibility of angina or other cardiac-related conditions, especially if there are risk factors present (such as a family history of heart disease, smoking, high blood pressure, or high cholesterol).

In your case, the fact that the pain is aggravated by certain movements and is associated with tenderness suggests a musculoskeletal origin, but it is crucial to remain vigilant. If the pain persists, worsens, or is accompanied by other symptoms such as shortness of breath, dizziness, sweating, or radiating pain to the arm, neck, or jaw, you should seek immediate medical attention. These symptoms could indicate a more serious condition that requires prompt evaluation.

Given your current symptoms, it may be wise to consult with a healthcare provider, especially if the pain does not improve or if you have any concerns about its nature. A thorough examination, including a physical assessment and possibly imaging studies (like an X-ray or MRI), may be warranted to rule out any underlying issues. Your healthcare provider may also consider performing an electrocardiogram (ECG) to assess your heart's electrical activity and rule out any cardiac concerns.

In summary, while your symptoms may suggest a musculoskeletal issue, it is essential to approach chest pain with caution. If you have any doubts or if the pain changes in character or intensity, do not hesitate to seek medical attention. Early evaluation can provide peace of mind and ensure that any serious conditions are addressed promptly.

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