Does Mitral Valve Prolapse Cause Back Pain? Your Symptoms

Q: Does Mitral Valve Prolapse Cause Back Pain? Your Symptoms

Hello： Patients with mitral valve prolapse often have a high incidence of autonomic nervous system dysfunction symptoms. <br>It is advisable to avoid a diet high in caffeine, refrain from staying up late or sleeping too late, and not to overexert oneself. <br>You may be approachi

Can mitral valve issues cause back pain (specifically in the area directly behind the heart)?

Hello, I was diagnosed with mitral valve prolapse at the age of 16.
When I was younger, I only experienced mild discomfort during cold weather, but in recent years, my symptoms have increased significantly.
In addition to shortness of breath, chest pain, and fatigue, my blood pressure is consistently low, around the 50s over 80s (diastolic and systolic).
The pain has also shifted from the front of my chest to my back, to the point where it feels so intense that I want to hit my head against a wall.
However, when I seek medical attention, doctors often dismiss my concerns about the mitral valve, either telling me there's no need for further evaluation or prescribing a topical pain relief cream, suggesting it's nerve pain, without even arranging for an echocardiogram.
These symptoms have severely impacted my daily life, and I would like to know how I should handle this situation.
Thank you!

Ms. Zhang, 40~49 year old female. Ask Date: 2015/11/13

Dr. Lin Jixiong reply Cardiology

Hello: Patients with mitral valve prolapse often have a high incidence of autonomic nervous system dysfunction symptoms.
It is advisable to avoid a diet high in caffeine, refrain from staying up late or sleeping too late, and not to overexert oneself.
You may be approaching the age when clinical symptoms of perimenopause are more prevalent, so please pay attention to the aforementioned recommendations and see if they help.
Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/13

More Info

Mitral Valve Prolapse (MVP) is a condition where the two flaps of the mitral valve do not close properly, which can lead to various symptoms. While MVP itself is primarily a cardiac issue, it can indeed manifest with symptoms that may be perceived as back pain or discomfort. However, it is essential to understand that the relationship between MVP and back pain is not straightforward and can be influenced by several factors.

Firstly, the symptoms you describe, including chest pain, shortness of breath, fatigue, and low blood pressure, are concerning and warrant further investigation. MVP can sometimes lead to complications such as mitral regurgitation, where blood leaks backward into the left atrium, potentially causing heart-related symptoms. The pain you feel radiating from the front of your chest to your back could be related to referred pain from the heart or could be due to anxiety, which is common in individuals with MVP. Anxiety can lead to muscle tension and pain in various parts of the body, including the back.

Your experience of severe pain that feels like it could drive you to "bang your head against the wall" is particularly alarming. This level of discomfort should not be dismissed, and it is crucial to seek a thorough evaluation from a healthcare provider who takes your symptoms seriously. If your current physician is not addressing your concerns adequately, consider seeking a second opinion from a cardiologist or a specialist in internal medicine. They may recommend further diagnostic tests, such as an echocardiogram, to assess the function of your mitral valve and rule out any significant complications.

In addition to cardiac evaluations, it may be beneficial to explore other potential causes of your back pain. Conditions such as musculoskeletal issues, nerve compression, or even gastrointestinal problems can manifest as back pain. A comprehensive approach that includes a physical examination, imaging studies (like X-rays or MRIs), and possibly referrals to specialists in pain management or physical therapy may be warranted.

Moreover, lifestyle modifications can also play a role in managing your symptoms. Regular exercise, maintaining a healthy weight, and practicing stress-reduction techniques such as yoga or meditation can help alleviate some discomfort associated with MVP and its symptoms. If anxiety is a significant factor in your experience of pain, cognitive-behavioral therapy (CBT) or counseling may provide additional support.

In summary, while Mitral Valve Prolapse can be associated with various symptoms, including chest and potentially back pain, it is essential to approach your situation holistically. Seek further evaluation from a healthcare provider who will take your symptoms seriously and provide a comprehensive assessment. Do not hesitate to advocate for yourself in the healthcare system, as your quality of life is paramount.

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