Right Chest Numbness and Anxiety Symptoms - Neurology

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Numbness in the right chest and a feeling of tightness in the chest?


Last month, I experienced insomnia and poor sleep quality, along with noticeable anxiety and palpitations (I have mitral valve prolapse, which usually causes mild palpitations).
About two weeks ago, I also started experiencing occasional numbness in my right chest, feeling like a slight electric current passing from my back to my front and side chest.
The numbness occurs when I am still at night, about 1-2 times every two days, lasting around 1-2 seconds each time.
While my insomnia has improved over the past two weeks, the numbness in my right chest has become more frequent in the last couple of days, and I occasionally feel numbness while walking.
I would like to know what this issue might be and which medical specialty I should consult.

CC, 20~29 year old female. Ask Date: 2022/08/07

Dr. Cai Zongzhang reply Neurology


Hello CC: The symptoms mentioned above are suspected to be caused by cervical nerve root compression.
It is recommended to visit a neurology outpatient clinic for examination.

Reply Date: 2022/08/07

More Info


Experiencing right chest numbness alongside anxiety symptoms can be concerning, especially given your history of mitral valve prolapse and previous episodes of palpitations. It's essential to approach this situation with a comprehensive understanding of both the physiological and psychological aspects involved.


Understanding the Symptoms
1. Chest Numbness: The sensation of numbness or tingling in the chest can be attributed to various factors. In your case, the description of the sensation as "like fine electric currents" suggests a possible nerve-related issue. This could stem from anxiety-induced hyperventilation, which can lead to temporary changes in blood flow and nerve function. Anxiety can cause muscle tension, particularly in the neck and upper back, which may compress nerves and lead to sensations of numbness or tingling.

2. Anxiety Symptoms: Anxiety can manifest in numerous physical symptoms, including palpitations, shortness of breath, and chest discomfort. The connection between anxiety and physical symptoms is well-documented; the body's stress response can lead to increased heart rate and muscle tension, which may exacerbate feelings of discomfort in the chest area.

3. Mitral Valve Prolapse: This condition can sometimes lead to palpitations and anxiety-like symptoms. While it is generally benign, it can cause sensations that might be mistaken for more serious cardiac issues. However, the absence of severe symptoms such as syncope (fainting), severe chest pain, or significant shortness of breath is reassuring.


When to Seek Medical Attention
Given your symptoms, it is advisable to consult with a healthcare professional. You may want to consider seeing a cardiologist to evaluate your heart condition further, especially since you have a history of mitral valve prolapse. They may recommend an echocardiogram or Holter monitor to assess your heart's function and rhythm during episodes of symptoms.

Additionally, a visit to a neurologist may be warranted if the numbness persists or worsens. They can evaluate for any potential nerve issues or other neurological conditions that might be contributing to your symptoms.


Management Strategies
1. Anxiety Management: Since anxiety appears to be a significant factor in your symptoms, consider engaging in cognitive-behavioral therapy (CBT) or other forms of psychotherapy. These approaches can help you develop coping strategies for managing anxiety and its physical manifestations.

2. Relaxation Techniques: Incorporating relaxation techniques such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation can help alleviate anxiety symptoms and potentially reduce the frequency of your chest numbness.

3. Lifestyle Modifications: Regular physical activity, a balanced diet, and adequate sleep can significantly impact anxiety levels and overall well-being. Avoiding stimulants such as caffeine and nicotine may also help reduce anxiety symptoms.

4. Medication: If your anxiety symptoms are significantly impacting your quality of life, discussing medication options with your healthcare provider may be beneficial. Medications such as SSRIs or benzodiazepines can be effective in managing anxiety, but they should be used under medical supervision.


Conclusion
In summary, while your symptoms of right chest numbness and anxiety may be interconnected, it is crucial to approach them holistically. Consulting with appropriate specialists, managing anxiety through therapy and lifestyle changes, and monitoring your heart condition will provide a comprehensive strategy for addressing your health concerns. Remember, it is always better to err on the side of caution and seek medical advice when experiencing new or concerning symptoms.

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