Chest Edge Pain: Causes and Concerns for Women - Breast and Thyroid

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Pain at the edge of the chest?


Hello doctor, I have been experiencing sharp pain along the edges of my chest, and I can feel my ribs when I press down.
My menstrual period is also coming to an end.
I haven't had this issue before, and I would like to know what might be causing this.

Ning Ning, 20~29 year old female. Ask Date: 2016/01/06

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Ning Ning: Chest pain or breast pain can sometimes be difficult to differentiate.
The most common cause is engorgement of the mammary ducts, while other causes may include muscle pain or nerve pain.
If the pain is severe, it is advisable to take analgesics for symptomatic relief.
For general breast pain, it is recommended to: 1.
Reduce high-fat dietary intake 2.
Decrease consumption of caffeine-containing foods 3.
Avoid smoking, staying up late, insomnia, and excessive fatigue 4.
Minimize emotional and stress fluctuations 5.
Reduce exposure to potential environmental hormones, which can help alleviate breast pain.

Reply Date: 2016/01/06

More Info


Chest edge pain, particularly in women, can be a concerning symptom that warrants careful evaluation. The pain you describe, which occurs at the edge of the chest and is associated with the ribs, can have several potential causes. Given that you mentioned this pain has recently started and coincides with your menstrual cycle, it is essential to consider both musculoskeletal and hormonal factors.

One common cause of chest edge pain is musculoskeletal strain. This can occur due to activities that involve heavy lifting, awkward movements, or even prolonged poor posture. The ribs are connected to muscles and ligaments that can become strained, leading to localized pain. If you have recently engaged in any physical activities that could have contributed to this strain, it may explain the discomfort.

Another possibility is costochondritis, which is the inflammation of the cartilage that connects the ribs to the sternum. This condition can cause sharp pain that may worsen with certain movements or pressure on the affected area. Costochondritis is often benign and can resolve with rest and anti-inflammatory medications.

Hormonal changes associated with your menstrual cycle can also play a role in chest pain. Many women experience breast tenderness or pain due to fluctuations in estrogen and progesterone levels during their menstrual cycle. This hormonal influence can lead to swelling and sensitivity in breast tissue, which might be perceived as pain near the chest edge.

Additionally, it is important to consider the possibility of referred pain from other areas of the body. For instance, issues related to the spine, such as herniated discs or muscle spasms in the upper back, can sometimes manifest as pain in the chest area. Similarly, gastrointestinal issues, such as acid reflux or esophageal spasms, can cause discomfort that may be felt in the chest.

While the pain you are experiencing may not seem severe, it is crucial to monitor any changes in intensity, duration, or associated symptoms. If the pain persists, worsens, or is accompanied by other concerning symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, it is essential to seek medical attention promptly. These could be signs of more serious conditions, including cardiac issues, which require immediate evaluation.

In summary, the chest edge pain you are experiencing could be due to a variety of factors, including musculoskeletal strain, costochondritis, hormonal changes, or referred pain from other areas. It is advisable to consult with a healthcare provider for a thorough evaluation, especially if the pain continues or if you have any additional symptoms. They may recommend imaging studies or other diagnostic tests to determine the underlying cause and provide appropriate treatment options. Remember, early intervention can significantly improve outcomes and alleviate discomfort.

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