Is it chest pain or another issue?
Hello, doctor.
Since July, I have been doing some light weight resistance exercises at home.
During this time, I noticed a painful sensation in the middle part of my left chest.
It feels painful when I take deep breaths using diaphragmatic breathing, twist my torso to the left while sitting, puff out my chest, depress my shoulders, or bend forward with straight legs to touch the ground during stretching.
However, I don't seem to feel pain at other times.
I notice it more during upper body workouts.
I took a break from exercising for the past two weeks due to other commitments, but resting hasn't improved the pain.
I would like to know if this could be due to a strain from exercising or if there might be another issue.
Do you think it's necessary for me to see a doctor? Thank you.
Mo Zai Yang, 20~29 year old female. Ask Date: 2021/09/13
Dr. Zhou Ziguang reply Pulmonology
Hello: It is possible to have a strain, but it is still recommended to visit a pulmonologist for evaluation and treatment by a physician.
Reply Date: 2021/09/13
More Info
Chest pain can be a concerning symptom, and it's important to approach it with caution. Based on your description, it seems that the pain is localized to the left side of your chest and is triggered by specific movements, such as twisting, deep breathing, or stretching. This pattern of pain is often associated with musculoskeletal issues, such as muscle strain or rib dysfunction, rather than serious cardiac problems. However, it's crucial to consider all possibilities.
Muscle strains can occur during physical activities, especially if the body is not adequately warmed up or if the movements are performed with improper form. Given that you mentioned engaging in light weight training, it's possible that you may have strained a muscle in your chest or upper back. The muscles in the chest, including the pectoralis major and minor, can become strained from activities that involve pushing or pulling motions, which are common in weight training. Additionally, the intercostal muscles, which are located between the ribs, can also be a source of pain if they are overworked or injured.
Another possibility is that the pain could be related to the rib cage itself. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can cause localized chest pain that may worsen with certain movements or deep breathing. This condition is typically benign and can often be managed with rest, ice, and over-the-counter anti-inflammatory medications.
While the symptoms you describe lean towards a musculoskeletal origin, it is essential to rule out any serious conditions, especially if the pain persists or worsens. Cardiac issues, although less likely given your age and the nature of the pain, should not be completely dismissed. Symptoms such as shortness of breath, radiating pain to the arm or jaw, or any associated symptoms like dizziness or sweating would warrant immediate medical attention.
If the pain has not improved with rest and self-care measures, or if you have any concerns about the nature of the pain, it would be advisable to consult a healthcare professional. A thorough evaluation, which may include a physical examination and possibly imaging studies, can help determine the exact cause of your pain. In the meantime, consider avoiding activities that exacerbate the pain, applying ice to the affected area, and using over-the-counter pain relievers as needed.
In summary, while it is likely that your chest pain is due to a muscle strain or related musculoskeletal issue, it is important to monitor your symptoms closely. If you experience any new or worsening symptoms, do not hesitate to seek medical attention. Your health and peace of mind are paramount, and a healthcare provider can help ensure that you receive the appropriate care and guidance.
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