Left Chest Muscle Pain: Causes and Treatment Options - Rehabilitation

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Left chest muscle pain?


Hello Director Chen: I occasionally experience muscle cramps and sometimes sharp pain near the last two ribs below my left chest, close to the heart.
I haven't had any collisions or injuries.
Could you please advise what might be wrong? Thank you! Koso

Koso, 30~39 year old female. Ask Date: 2007/03/10

Dr. Chen Xianchang reply Rehabilitation


There are three main possibilities: 1.
It could be intercostal neuralgia, for which analgesics can be taken, and rehabilitation with laser therapy is recommended, along with performing exercises that involve raising both arms upward.
2.
It may be a thoracic disc herniation; in this case, you should consult an experienced and qualified physician for chiropractic treatment or visit a rehabilitation department for heat therapy and electrical stimulation.
3.
It could be related to heart or coronary artery issues, in which case you should see a cardiologist.

Reply Date: 2007/03/10

More Info


Understanding left chest muscle pain can be complex, as it may stem from various causes, some of which are benign while others could indicate more serious underlying conditions. Based on the information provided, there are three primary possibilities for the pain you are experiencing near the lower left side of your chest, close to the ribs.

1. Intercostal Neuralgia: This condition involves irritation or injury to the intercostal nerves, which run between the ribs. Symptoms often include sharp, stabbing pain that can be exacerbated by movement, deep breathing, or coughing. Treatment typically involves pain management strategies such as over-the-counter analgesics (like ibuprofen or acetaminophen), physical therapy, and exercises to strengthen the surrounding muscles. Stretching and mobility exercises can also help alleviate discomfort.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized pain that may mimic heart-related issues. Costochondritis is often treated with anti-inflammatory medications, physical therapy, and sometimes corticosteroid injections if the pain is severe. Gentle stretching and avoiding activities that exacerbate the pain can also be beneficial.

3. Cardiac Issues: While less likely given your description, it’s crucial to consider potential heart-related problems, especially if the pain is accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw. Conditions like angina or a heart attack can present with chest pain, and it is essential to seek immediate medical attention if you suspect a cardiac issue.

Given your symptoms of occasional sharp and stabbing pain without any trauma, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies such as X-rays or an MRI to rule out any structural issues or injuries. Additionally, a physical examination can help determine if the pain is musculoskeletal or if further investigation into cardiac health is warranted.

In the meantime, you can manage your symptoms through rest, applying heat or ice to the affected area, and avoiding activities that worsen the pain. Gentle stretching exercises may also help relieve tension in the chest muscles. If the pain persists or worsens, or if you experience any concerning symptoms, do not hesitate to seek medical attention.

In summary, while left chest muscle pain can arise from various causes, it is essential to approach it with caution. Understanding the potential underlying issues and seeking appropriate medical advice can help ensure that you receive the correct diagnosis and treatment. Always prioritize your health and well-being, and do not ignore symptoms that could indicate a more serious condition.

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