Chest Muscle Pain, Swelling, and Numbness After Strenuous Activity - Rehabilitation

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Chest wall muscle soreness, swelling, and hand numbness?


Hello Doctor: A few days ago, I was practicing riding a motorcycle.
Due to the summer break and possibly not exercising for a while, I experienced swelling and slight soreness in the muscles of my left hand and left thorax after exerting myself while pulling the heavy motorcycle.
The swollen area is located near the upper part of my armpit, where it connects to my arm.
I'm not sure if I might have strained something, and I also wonder if I may have compressed a nerve, as my entire left hand feels a bit numb.
It's not severe and doesn't hurt, but there is a slight tingling sensation.
Currently, I have been applying anti-inflammatory medication and using pain relief patches to help alleviate the discomfort.
I would like to know if this numbness is a normal phenomenon.

Kaiti, 10~19 year old female. Ask Date: 2022/07/27

Dr. Huang Weiqing reply Rehabilitation


Hello, a medical examination is necessary to confirm the diagnosis and treatment.
Based on the current symptoms, it is not possible to determine the location of nerve compression.
Generally, there is no significant trauma, and it may be a mild compression that could resolve on its own.
If symptoms persist without improvement or worsen, you may seek care from a neurologist, neurosurgeon, or rehabilitation specialist.
Thank you.

Reply Date: 2022/07/27

More Info


Hello! Thank you for your question regarding the chest muscle pain, swelling, and numbness you experienced after strenuous activity. It sounds like you may have strained some muscles in your chest and shoulder area while handling a heavy motorcycle, which can lead to localized swelling and discomfort. Let’s break down your symptoms and provide some insights into what might be happening.


Understanding Your Symptoms
1. Muscle Strain: The swelling and soreness you feel in the muscles near your left chest and armpit area could be indicative of a muscle strain. This occurs when the muscle fibers are overstretched or torn, often due to lifting heavy objects or sudden movements. Given that you mentioned using significant force while handling a heavy motorcycle, this is a plausible explanation for your symptoms.

2. Nerve Compression: The numbness in your left hand could suggest some degree of nerve compression. This can happen if there is swelling in the surrounding tissues that puts pressure on nearby nerves, particularly in the brachial plexus area, which is responsible for the sensation and movement in your arm. The location of your swelling, near the armpit, raises the possibility of this type of nerve involvement.

3. Inflammation: The use of anti-inflammatory medication and topical patches is a good approach to managing inflammation and pain. These treatments can help reduce swelling and alleviate discomfort, allowing for better mobility and function.


Is the Numbness Normal?
While some degree of numbness can occur after a muscle strain due to inflammation or nerve compression, it’s essential to monitor the situation. If the numbness persists, worsens, or is accompanied by other symptoms such as severe pain, weakness, or changes in coordination, it would be advisable to seek medical attention. Persistent numbness could indicate a more significant issue, such as a pinched nerve or other neurological concerns.


Recommendations for Management
1. Rest: Allow your body time to heal. Avoid activities that exacerbate the pain or numbness, especially heavy lifting or strenuous movements.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numbness. Use ice packs for 15-20 minutes several times a day, especially in the first 48 hours after the injury.

3. Gentle Stretching: Once the acute pain subsides, gentle stretching of the chest and shoulder muscles can help restore flexibility and prevent stiffness. However, avoid any movements that cause pain.

4. Physical Therapy: If symptoms persist, consider consulting a physical therapist. They can provide tailored exercises and treatments to strengthen the affected muscles and improve nerve function.

5. Follow-Up: If the numbness does not improve or if you experience additional symptoms, follow up with a healthcare provider. They may recommend imaging studies, such as an MRI or ultrasound, to assess for any underlying issues.


Conclusion
In summary, your symptoms of swelling and numbness following strenuous activity could be due to a muscle strain and possible nerve compression. While some numbness can be normal in this context, it’s crucial to monitor your symptoms and seek medical advice if they persist or worsen. Taking appropriate measures such as rest, ice therapy, and gentle stretching can aid in your recovery. If you have any further questions or concerns, don’t hesitate to reach out for more personalized advice. Wishing you a speedy recovery!

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