Left Chest Pain: Causes and When to Seek Help

Left chest pain?

Previously, while my dad was riding a motorcycle with me, I suddenly experienced a cramp on the left side of my chest due to carrying a backpack.
Since we were in motion, I didn't dare to move much and managed to hold on until we stopped at a red light, which eased the cramping.
For a few days, there were no significant issues, but recently I've noticed intermittent sharp pain on the left side of my chest.
It also hurts when I take a deep breath, and gently pressing on the lower left side of my chest causes pain.
Could this be a strain? Thank you.

Niming, 20~29 year old female. Ask Date: 2022/01/05

Dr. Wang Zhaomin reply Rehabilitation

It is possible that riding a motorcycle while carrying a backpack may cause improper force application due to the need to maintain balance, leading to a strain.
However, an accurate assessment of the situation requires an actual medical consultation.
In the meantime, applying heat and performing gentle stretching exercises may help alleviate symptoms.
If there is no improvement, it is advisable to promptly visit an orthopedic or rehabilitation specialist for a proper diagnosis and appropriate treatment.

Reply Date: 2022/01/05

More Info

Left chest pain can be a concerning symptom, and understanding its potential causes is crucial for determining when to seek medical help. Based on your description, it seems that you experienced sudden left chest pain while riding a motorcycle, which has since evolved into intermittent pain that worsens with deep breathing and pressure.
There are several potential causes for left chest pain, ranging from benign musculoskeletal issues to more serious cardiac conditions. Here are some common causes:
1. Musculoskeletal Issues: Given that you mentioned carrying a backpack and experiencing sudden pain, it is possible that you may have strained a muscle in your chest wall or rib cage. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum) or muscle strain can cause localized pain that worsens with movement, deep breathing, or pressure.

2. Nerve Compression or Irritation: Sometimes, nerve issues, such as a pinched nerve in the neck or thoracic spine, can lead to referred pain in the chest area. This type of pain can be sharp and may be exacerbated by certain movements or positions.

3. Cardiac Issues: While less likely given your age and the nature of the pain, it is important to consider cardiac causes, especially if the pain is accompanied by other symptoms such as shortness of breath, sweating, nausea, or radiating pain to the arm, jaw, or back. Conditions like angina or even a heart attack can present with chest pain, though they typically have additional warning signs.

4. Pulmonary Issues: Conditions affecting the lungs, such as pleuritis (inflammation of the pleura), pulmonary embolism, or pneumonia, can also cause chest pain that worsens with deep breaths. If you experience any difficulty breathing or a persistent cough, these possibilities should be evaluated.

5. Gastrointestinal Issues: Sometimes, gastrointestinal problems like acid reflux or esophageal spasms can mimic chest pain. This type of pain may be related to eating or certain positions.

Given that your pain has persisted and is associated with specific movements and deep breathing, it would be wise to consult a healthcare professional for a thorough evaluation. A physical examination can help determine if the pain is musculoskeletal in nature. Depending on the findings, your doctor may recommend imaging studies, such as an X-ray or MRI, to rule out any underlying structural issues.

In summary, while your symptoms may suggest a musculoskeletal origin, it is essential to rule out more serious conditions. If you experience any worsening of symptoms, such as increased pain, difficulty breathing, or any other concerning signs, seek medical attention promptly. Early intervention can help address any underlying issues and provide peace of mind.

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