Right Chest Pain: Causes and When to Seek Help - Pulmonology

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Right chest pain?


1.
The pain is located in the lower right chest area and feels somewhat like a cramp during deep breathing, but it resolves after 1-2 days of rest.
I experienced a similar condition last month.
2.
This time, there is also soreness in the pectoralis major area (around the pectoralis minor and subscapularis) that feels like muscle soreness from exercise, even though I haven't engaged in any intense physical activity.
Could the pain in this area be related to the heart? Which department should I visit at the hospital for examination?

C, 30~39 year old female. Ask Date: 2023/02/05

Dr. Huang Yiwen reply Pulmonology


Dear C: There are many causes of chest pain.
First, we should rule out cardiac and thoracic causes before considering neuromuscular origins.
Changhua Hospital is concerned about you.

Reply Date: 2023/02/05

More Info


Understanding right chest pain can be quite complex, as it can stem from various causes, some of which may be benign while others could indicate a more serious condition. Based on your description, it seems that you are experiencing discomfort in the lower right chest area, particularly when taking deep breaths, and you have also noted soreness in the chest muscles.
Firstly, it’s important to differentiate between musculoskeletal pain and pain that may be related to the heart or other internal organs. Musculoskeletal pain, which is often described as a sharp or aching sensation that can worsen with movement or palpation, is common and can be caused by muscle strain, overuse, or even poor posture. Given that you mentioned soreness in the chest muscles, it is plausible that your discomfort could be related to muscle strain, especially if you have engaged in any physical activity or have been in a position that puts stress on your chest and shoulder muscles.

On the other hand, chest pain can also be associated with cardiac issues, especially if the pain is accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain to the arm, neck, or jaw. It’s crucial to be aware of these symptoms, as they may indicate a more serious condition such as angina or even a heart attack. However, since you mentioned that the pain has been intermittent and has resolved with rest, it may lean more towards a musculoskeletal issue rather than a cardiac one.

In your case, since you have experienced similar symptoms in the past, it would be wise to consult with a healthcare professional to rule out any underlying conditions. If you decide to seek medical attention, you should consider visiting a primary care physician or a specialist in musculoskeletal disorders, such as an orthopedic doctor or a sports medicine specialist. They can perform a thorough examination, which may include physical assessments and possibly imaging studies like X-rays or MRIs, to determine the exact cause of your pain.

Additionally, if there is any concern regarding your heart, it would be prudent to consult a cardiologist. They can perform tests such as an electrocardiogram (ECG) or stress testing to evaluate your heart's health.
In summary, while your symptoms may suggest a musculoskeletal origin, it is essential to approach chest pain with caution. If the pain persists, worsens, or is accompanied by concerning symptoms, do not hesitate to seek immediate medical attention. Early intervention can help address any potential issues before they escalate. Remember, it’s always better to err on the side of caution when it comes to chest pain.

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