Chest Pain and Breathing Issues After Sports Injury - Pulmonology

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Hello: I had a strong collision in the chest during a basketball game yesterday, and I immediately felt short of breath, needing to take deep breaths to get air, which lasted for several minutes before gradually easing.
Later, when I went back to play, I felt discomfort in my breathing again after running for a while.
Now, when I lightly press on the center of my chest, I feel a slight pain, and there is also discomfort on both sides of my throat.
What could this condition be?

Nemo, 20~29 year old female. Ask Date: 2006/12/11

Dr. Zhuang Ziyi reply Pulmonology


Hello, for the muscle contusion caused by chest impact, please visit the thoracic surgery outpatient clinic to have a chest X-ray to confirm that there are no fractures or pneumothorax.
Sincerely, Dr.
Zhuang Ziyi, Internal Medicine.

Reply Date: 2006/12/11

More Info


Experiencing chest pain and breathing difficulties after a sports injury, such as a collision during a basketball game, can be concerning and warrants careful consideration. Based on your description, it seems that you may have sustained a soft tissue injury, such as a muscle strain or contusion, particularly affecting the muscles around the chest and possibly the ribs. The immediate onset of breathing difficulties and pain upon impact suggests that the injury could involve the intercostal muscles (the muscles between the ribs) or the pectoral muscles (the chest muscles).

When you experienced difficulty breathing, it could have been due to pain-induced shallow breathing. Pain in the chest area can lead to a protective response where individuals avoid deep breaths, which can exacerbate feelings of breathlessness. The fact that you felt better after a few minutes indicates that the initial shock of the injury may have subsided, but the underlying issue likely remains.

The tenderness you feel when pressing on the center of your chest could indicate inflammation or strain in the muscles or connective tissues in that area. Additionally, the discomfort in your throat could be a referred pain from the chest area, as the body often interprets pain in one region as originating from another.

In terms of recovery, it is crucial to allow your body time to heal. Here are some recommendations:
1. Rest: Avoid activities that exacerbate your symptoms, especially high-impact sports or movements that involve the upper body. Resting will help reduce inflammation and allow the muscles to recover.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes every few hours can help reduce swelling and alleviate pain. Make sure to use a cloth or towel to protect your skin from direct contact with ice.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Always follow the recommended dosage and consult a healthcare professional if you have any concerns.

4. Gentle Stretching and Breathing Exercises: Once the acute pain subsides, gentle stretching of the chest and shoulder muscles can help restore flexibility. Breathing exercises can also be beneficial to gradually improve your lung capacity and comfort with deep breaths.

5. Medical Evaluation: If your symptoms persist or worsen, it is essential to seek medical attention. A healthcare provider may recommend imaging studies, such as an X-ray, to rule out any fractures or more serious injuries like pneumothorax (collapsed lung) or rib fractures.

6. Physical Therapy: If pain continues, a referral to a physical therapist may be beneficial. They can provide tailored exercises and treatments to facilitate recovery and prevent future injuries.

In summary, while your symptoms may indicate a soft tissue injury, it is essential to monitor your condition closely. If you experience increased pain, difficulty breathing, or any other concerning symptoms, do not hesitate to seek medical attention. Recovery time can vary based on the severity of the injury, but with appropriate care, many individuals can expect to return to their normal activities within a few weeks. Always prioritize your health and well-being, and give your body the time it needs to heal properly.

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