Left Chest Pain: Is It Heart-Related or Neck Issues? - Cardiology

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Left chest pain?


I previously underwent chest X-rays, electrocardiograms (ECGs), 24-hour Holter monitoring, exercise stress tests, and blood tests at two hospitals, all of which indicated that my heart is healthy.
I live in a fifth-floor apartment, and I don't feel excessively breathless when climbing from the first to the fifth floor, although it might be due to my body getting used to it.
However, I still experience intermittent pain in the lower left side of my chest, which radiates to the area behind my back.
Sometimes, I also feel pain when I burp or stretch, and pressing on the painful area in my chest also causes discomfort.
Before the Lunar New Year, I consulted a neurosurgeon and had a cervical MRI, which revealed a herniated cervical disc with nerve compression.
I have been receiving treatment in the rehabilitation department, including heat therapy for my neck, far-infrared heat therapy for my chest, electrical stimulation, and cervical traction.
Could my chest pain be related to my neck issues, or could it be due to heart problems or other conditions? Thank you.

Nìngmíng, 20~29 year old female. Ask Date: 2023/02/07

Dr. He Dongjin reply Cardiology


Hello, the chest pain issue is likely caused by the neck in a young male.
Given that the X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test results are all normal, and there is no shortness of breath when climbing from the first to the fifth floor, the probability of heart disease is very low.
The pain upon pressing the chest is mostly related to musculoskeletal or nerve issues.
Please don't worry; Changhua Hospital cares about your well-being.

Reply Date: 2023/02/07

More Info


Understanding left chest pain can be quite complex, especially when considering the various potential causes, including cardiac issues, musculoskeletal problems, and nerve-related conditions. Based on your detailed description, it appears that you have undergone a comprehensive evaluation, including chest X-rays, electrocardiograms (ECGs), and blood tests, all of which have indicated that your heart is functioning normally. This is a reassuring sign, as it significantly reduces the likelihood of your chest pain being directly related to a cardiac condition.

Given your history of neck issues, particularly the diagnosis of cervical disc herniation with nerve compression, it is plausible that your left chest pain could be referred pain from your neck. The cervical spine can influence pain sensations in the upper body, including the chest and back, due to the interconnected nature of the nervous system. When a nerve is compressed or irritated in the cervical region, it can lead to pain that radiates to areas such as the chest, shoulder, and upper back. This phenomenon is known as referred pain.

You mentioned that your pain occurs intermittently and is exacerbated by certain movements, such as stretching or even during activities like burping. This pattern is consistent with musculoskeletal pain, which can be influenced by posture, muscle strain, or nerve irritation. The fact that you experience tenderness upon pressing certain areas of your chest further supports the idea that your pain may be related to musculoskeletal issues rather than a primary cardiac problem.

Additionally, the treatments you have received, including physical therapy modalities like heat therapy and traction, are appropriate for addressing symptoms related to cervical disc issues. These interventions can help alleviate nerve compression and improve overall function, potentially reducing the referred pain you are experiencing in your chest.

It is also important to consider other non-cardiac causes of chest pain, such as anxiety or stress, which can manifest physically and lead to muscle tension and discomfort. If you find that your pain is associated with feelings of anxiety or stress, addressing these underlying factors may also be beneficial.

In conclusion, while your left chest pain could be concerning, the extensive evaluations you have undergone suggest that it is unlikely to be heart-related, especially given your normal cardiac assessments. The connection to your cervical spine issues is a more plausible explanation for your symptoms. However, if your pain persists or worsens, or if you develop new symptoms such as shortness of breath, dizziness, or significant changes in your health, it is crucial to seek further medical evaluation. Consulting with a neurologist or a pain specialist may provide additional insights and treatment options tailored to your specific condition. Always prioritize open communication with your healthcare providers to ensure that all aspects of your health are being addressed.

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