Chest Pain After Basketball Injury: When to Seek Further Medical Help - Pulmonology

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While playing basketball, I was elbowed in the left chest area where the heart is located?


Hello, Doctor.
Last Friday evening, I was elbowed while exercising, which caused some difficulty in breathing at that moment.
After resting for a while, I was able to breathe normally.
As of now (Tuesday), I experience mild pain when touching the left side of my chest and the lower left chest area, as well as during deep breaths.
However, the pain is gradually decreasing.
Sneezing, on the other hand, causes significant pain.
I visited an orthopedic clinic on Monday evening, where the doctor assessed it as a possible fascia or cartilage/soft tissue injury.
They performed an X-ray, and the doctor confirmed that there was no bone injury, indicating a significant likelihood of fascia or cartilage/soft tissue damage.
They prescribed pain relievers and muscle relaxants.
I would like to ask how to proceed if the pain persists.
I am uncertain whether to follow up with orthopedics, pulmonology, or another specialty, so I am inquiring about this.
Thank you, Doctor.

Tsuna, 20~29 year old female. Ask Date: 2022/03/22

Dr. Wang Lanfeng reply Pulmonology


Hello: Based on your description, your symptoms do indeed resemble those caused by a fascia, muscle, or soft tissue strain.
Additionally, the chest X-ray shows no significant abnormalities.
It is recommended that you continue with your current treatment, as pain from fascia or soft tissue strains can sometimes persist for a while.
If your symptoms worsen, it is advisable to visit an orthopedic clinic.
Thank you.

Reply Date: 2022/03/22

More Info


Chest pain following a basketball injury can be concerning, especially when it involves trauma to the chest area. Based on your description, it seems that you experienced a direct impact to your chest, which has resulted in pain that varies with movement and certain actions like sneezing. Given that you have already consulted with an orthopedic specialist who ruled out bone fractures through X-ray imaging, it is likely that your pain is due to soft tissue injuries, such as muscle strains, ligament sprains, or injuries to the fascia or cartilage in the chest area.


When to Seek Further Medical Help
1. Persistent Pain: If the pain continues to worsen or does not improve over the next few days, it is advisable to seek further medical evaluation. Persistent pain could indicate a more significant injury that may require additional imaging or intervention.

2. Difficulty Breathing: If you experience any worsening of your breathing difficulties, such as shortness of breath, wheezing, or a feeling of tightness in the chest, you should seek immediate medical attention. These symptoms could indicate a more serious condition, such as a pneumothorax (collapsed lung) or other respiratory issues.

3. New Symptoms: If you develop new symptoms such as fever, chills, or any signs of infection (like redness or swelling around the injury site), it is essential to consult a healthcare provider.

4. Pain with Other Activities: If you notice that the pain radiates to other areas, such as your arm, neck, or jaw, or if it becomes associated with other symptoms like sweating or nausea, these could be signs of a cardiac issue, and you should seek emergency care.


Follow-Up Care
Since your initial evaluation indicated soft tissue injury, here are some steps you can take for recovery:
1. Rest and Activity Modification: Avoid activities that exacerbate the pain, particularly those that involve heavy lifting or strenuous movements. Allow your body time to heal.

2. Pain Management: Continue taking the prescribed pain medications and muscle relaxants as directed by your physician. Over-the-counter pain relievers like ibuprofen or acetaminophen can also be helpful, but consult your doctor before combining medications.

3. Ice Therapy: Applying ice to the affected area can help reduce inflammation and pain. Use ice packs for 15-20 minutes every few hours, especially in the first 48 hours after the injury.

4. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises may help restore mobility and prevent stiffness. Consult with a physical therapist for a tailored rehabilitation program.

5. Follow-Up Appointments: Keep your follow-up appointments with your healthcare provider to monitor your recovery. If symptoms persist or worsen, further imaging studies, such as an MRI or CT scan, may be necessary to assess the extent of the injury.


Conclusion
In summary, while it is reassuring that your X-ray results were normal, it is crucial to monitor your symptoms closely. If you experience any worsening pain, difficulty breathing, or new symptoms, do not hesitate to seek further medical evaluation. Soft tissue injuries can take time to heal, and following a structured recovery plan will help you return to your normal activities, including basketball, safely. Always communicate openly with your healthcare provider about your symptoms and concerns to ensure the best possible care.

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