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Non-Threatening Chest Pain? | Heart | Andrew Weil, M.D. Costochondritis causes chest pain that occasionally can be so severe that it might be mistaken for a (which then has to be ruled out with an electrocardiogram and blood tests). Fortunately, this condition is relatively harmless. It stems from an inflammation of the cartilage that connects a rib to the breastbone (sternum).

The pain tends to worsen when you take a deep breath, cough, change position, or raise an arm over your head. Costochondritis usually has no apparent cause. although in some cases it can result from an injury such as a blow to the chest or physical strain due to heavy lifting, strenuous exercise and, less commonly, after severe coughing.

Other joint ailments such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis or a rib joint infection also may trigger the pain. Costochondritis occurs most often in women and in people older than 40. Costochondritis usually doesn’t last long, but while it does, you will likely need pain relief.

Conventional medicine treats this condition with nonsteroidal anti-inflammatory drugs such as ibuprofen. You can try applying hot compresses or a heating pad over the painful area. If heat doesn’t work, try ice. If these approaches don’t help, a steroid injection or local anesthetic may be recommended.

If infection is present, costochondritis is treated initially with intravenous antibiotics, followed by oral antibiotics. Rarely, surgery may be recommended to remove the inflamed cartilage. Other remedies to try are and topical applications of DMSO (dimethyl sulfoxide), a chemical made from wood pulp that penetrates the skin and promotes healing of pockets of inflammation.

(get it online as a 70-percent solution or gel and apply it three times a day for three days; after that, discontinue if it doesn’t help; if it does, cut down to twice a day for three more days then once a day for a final three days.) You also could try natural anti-inflammatory agents such as turmeric (follow directions on the product, available in health food stores) or boswellin, an extract of the herb (follow directions on the product).

Both are effective but have to be used regularly for four to six weeks to produce full benefits. Andrew Weil, M.D. Source: Jessica A. Schumann, Tanuj Sood and John J. Parente, “Costochondritis,” StatPearls Publishing, July 10, 2020 : Non-Threatening Chest Pain? | Heart | Andrew Weil, M.D.

When I raise my hand my chest hurts?

Costochondritis: Causes, Symptoms, Pain Locations Medically Reviewed by Jennifer Robinson, MD on January 04, 2023 Costochondritis is when the cartilage (connective tissue) that joins your ribs to your breastbone is inflamed. Doctors call this area of your body the costochondral joint.

If you press on your upper ribs and it feels tender, or if your chest hurts when you move around, you may have it. The pain can start suddenly or gradually. One study found that 30% of people complaining of chest pain had costochondritis. The condition affects both children and adults, but is more common in people 40 and over.

It’s more likely to affect women and people of Hispanic origin. Is costochondritis dangerous? This condition is mostly harmless. But if you have sudden chest pain, always have it checked out by a doctor to make sure your heart is healthy. Unlike costochondritis, a heart attack often causes widespread pain along with symptoms like sweating, nausea, and a hard time breathing.

• Injury, physical strain, respiratory infection, or psoriatic arthritis, chest wall infections, tumors, or rare conditions like relapsing polychondritis may also cause chest pain.
• There isn’t a single known cause of costochondritis.
• Doctors aren’t sure how your costochondral joint gets inflamed.
• But they do know that inflammation is one way your body responds to injury or infection.

The condition has been linked to:

Strain due to exercise or exertion Chest injury Lots of coughing Infection, such as respiratory infections Intravenous (IV) drug use

When your costochondral joint becomes inflamed, it results in chest pain and tenderness. Most people describe the pain as sharp, achy, and pressure-like. When you press on your chest, it feels tender and painful. The pain usually gets worse when you move around, breathe deeply, or sneeze.

• Some people have pain when they wear a seatbelt, hug someone, or lie down.
• Costochondritis pain locations,
• You usually first feel pain on the front left side of your breastbone.
• It often affects more than one rib.
• It may spread to the rest of your chest, and even affect your arms and shoulders.
• Your doctor will do a physical exam, pressing on your chest to check for areas of tenderness.

They will also take a look at your range of motion and listen to your breathing. If you’re over 35, at risk for coronary artery disease or a blood clot, or you recently had a respiratory infection, your doctor may order more tests, like a chest X-ray and EKG, to rule out more serious problems.

Taking over-the-counter (OTC) pain relievers like aspirin or ibuprofen 2-3 times a day (making sure to follow the directions on the label carefully) Using hot compresses or heating pads in the painful area Avoiding activities, like strenuous exercise or reaching up, that make the pain worse

Talk to your doctor before taking OTC pain medications if you have:

High blood pressure Kidney disease Liver disease Past stomach ulcers or internal bleeding.

If your chest pain won’t go away or gets worse, see your doctor. They can give you a shot of a powerful anti-inflammatory medicine called a corticosteroid to reduce pain and swelling. They’ll inject the corticosteroid into the area where you’re feeling pain.

1. But because having too much of a corticosteroid can damage your costochondral joint, you can only have this treatment once every few months.
2. Your doctor might also try a procedure called transcutaneous electrical nerve stimulation, or TENS.
3. A doctor or nurse puts adhesive patches on your skin near where you’re feeling pain.

They use a device to send a weak electrical current into your skin through the patches. It’s thought to work by stopping pain signals from reaching your brain. Your doctor can also give you information on how to improve your posture and fix any muscle imbalances.

• If necessary, they can refer you to a specialist called a rheumatologist, who treats diseases of the joints, muscles, and bones.
• Costochondritis isn’t a permanent condition.
• Most of the time, your chest pain will go away within a couple of weeks.
• But in some cases, symptoms can linger for months.
• And sometimes it comes back again after it heals.

About a third of those with costochondritis will have it for about a year. © 2022 WebMD, LLC. All rights reserved. : Costochondritis: Causes, Symptoms, Pain Locations

Why does my chest hurt when I raise my shoulders?

Other chest pain causes – For chest pain conditions that aren’t related to your heart or coronary arteries, you doctor may prescribe:

acid suppressing drugs to reduce acid reflux antidepressants or therapy to help control panic attacks

Pain in your chest and shoulder can have many causes. Some of the most common include angina or other heart conditions, gallstones, pericarditis, pleurisy, or pancreatitis. Unexplained pain that occurs in both your chest and shoulder should always be checked out by your doctor.

Why does it hurt to lift my arms above my head?

Causes of shoulder impingement – When you lift your arm, the rotator cuff tendon passes through a narrow space at the top of your shoulder, known as the subacromial space. Shoulder impingement happens when the tendon rubs or catches on the bone at the top of this space, called the acromion. This can be caused by:

the tendon becoming swollen, thickened or torn – this can be due to an injury, overuse of the shoulder (for example, from sports such as swimming or tennis) or “wear and tear” with agethe fluid-filled sac (bursa) found between the tendon and acromion becoming irritated and inflamed ( bursitis ) – this can also be caused by an injury or overuse of the shoulderthe acromion being curved or hooked, rather than flat – this tends to be something you’re born withbony growths (spurs) on the acromion – these can develop as you get older

Page last reviewed: 29 April 2020 Next review due: 29 April 2023

Why does my chest hurt when I move my arms forward?

Pulmonary embolism treatment – Treatment for a pulmonary embolism involves preventing the blood clots from getting larger and preventing new ones from forming. The most common treatment involves blood thinners, which doctors usually prescribe for at least 3 months if the blood clot is “provoked.” If the clot is “unprovoked” or “recurrent,” then a person may need a longer course of blood thinners.

Since blood thinners increase the risk of bleeding, people taking them may need to exercise certain precautions. For example, they may need to take medication to protect their stomach and minimize the risk of gastrointestinal bleeding. They may also need to be careful about certain activities, such as skiing or mountain biking, which may increase their risk of trauma and bleeding.

If an individual has a life threatening blood clot, a doctor may administer a clot dissolver, known as a thrombolytic. A healthcare professional could also thread a thin, flexible tube through the blood vessels to remove it. Learn more about pulmonary embolisms here.

Someone with chest pain should seek immediate medical attention, as it could indicate life threatening conditions such as a pulmonary embolism or serious heart issues. Prompt treatment may prevent complications and fatal outcomes. Even if chest pain is due to heartburn, it is best to consult a doctor, as frequent episodes can damage the esophagus.

At the same time, healthcare professionals may need to exclude other serious diagnoses. People with heartburn or a pulmonary embolism may experience worsening chest pain when bending forward. In addition, chest pain from heartburn may increase after eating or when lying down, while chest pain from pulmonary embolisms may increase during deep breathing or stooping.

Why does my chest feel tight when I raise my arms?

Tightness in the chest can be caused by multiple issues. Reasons include infection, injury, anxiety, cardiovascular conditions, lung conditions, and digestive issues. If you feel like your chest is tightening, you may worry that you’re having a heart attack.

Why does my heart hurt when I move my shoulders?

Pleurisy is inflammation of the sheet-like layers that cover the lungs (the pleura). The most common symptom of pleurisy is a sharp chest pain when breathing deeply. Sometimes the pain is also felt in the shoulder. The pain may be worse when you cough, sneeze or move around, and it may be relieved by taking shallow breaths.

Why does my heart hurt when I move my arm?

Angina is chest pain or discomfort that occurs if an area of your heart muscle does not get enough oxygen-rich blood. It is a common symptom of coronary heart disease, which limits or cuts off blood flow to the heart. There are several types of angina, and the symptoms depend on which type you have.

Angina chest pain, called an angina event, can happen when your heart is working hard. It can go away when you stop to rest again, or it can happen at rest. This pain can feel like pressure or squeezing in your chest. It also can spread to your shoulders, arms, neck, jaw, or back, just like a heart attack.

Angina pain can even feel like an upset stomach. Symptoms can be different for women and men. To diagnose angina, your doctor will ask you about your signs and symptoms and may run blood tests, take an X-ray, or order tests, such as an electrocardiogram (EKG), an exercise stress test, or cardiac catheterization, to determine how well your heart is working.

When I lift my arms they hurt?

One of the most common causes of shoulder pain when lifting your arm is osteoarthritis. This pain is felt deep in the joint and at the front of the shoulder. When osteoarthritis occurs, degeneration of the joint’s cartilage and bones leads to inflammation within the joint, which causes stiffness.

Why does my deltoid hurt when I lift my arm above my head?

What Conditions Cause Deltoid Muscle Pain? – Deltoid muscle pain or rear shoulder pain can be caused by a variety of conditions or injuries, but they generally all involve overuse of the deltoid muscle. Depending on the cause, you may experience deltoid pain in the back of your shoulder, medial deltoid pain or pain in the middle of the shoulder, or lateral deltoid pain which is the term used for pain that extends from side to side across the deltoid muscle (or further).

One typical source of pain in the deltoid muscle is deltoid tendonitis, which is an inflammation of your rotator cuff and the surrounding muscles and tendons. Deltoid tendonitis can range from mild to severe, and it is a repetitive stress injury common in athletes and people who work extremely physical jobs.

Shoulder impingement or swimmer’s shoulder is another possible cause of deltoid pain; impingement of the shoulder occurs when tendons in your shoulder get pinched by the bones, causing pain in the general shoulder area including the deltoids. Another common repetitive stress shoulder injury is shoulder bursitis, which occurs when the bursa sacs (the sacs of fluid that pad the bones, ligaments, and tendons in the shoulder and allow everything to run smoothly) become swollen and inflamed.

Is it normal for your chest to hurt when you move?

Symptoms that mean it’s not a heart attack – Sometimes, chest pain doesn’t signal a heart attack. A study of emergency room visits found that less than 6% of people arriving with chest pain had a life-threatening heart issue. That doesn’t necessarily mean there’s no cause for alarm, but there are ways to exclude a heart attack if you’re not at high risk for having one.

1. Your pain or discomfort is momentary.
2. Your pain is isolated to one small area.
3. Your pain gets worse or better when you reposition your body.

If you have sudden, sharp, momentary chest discomfort that lasts fewer than a couple minutes, it could result from:

• An injury such as broken or bruised ribs,
• A pulled muscle in your chest wall.
• Inflammation in your rib cartilage.
• Fibromyalgia,
• Shingles,

If you have a piercing pain in your chest that gets worse when you move around or take deep breaths, it’s not likely a heart attack, but it could be a lung-related issue caused by a number of conditions, including:

• Pneumonia or some other infection.
• Inflammation in the lining of your lungs ( pleurisy ).
• A blood clot in your lungs.
• An asthma attack.

And while these lung issues aren’t heart attacks, they’re concerning enough to warrant a call to a healthcare provider or a visit to an emergency room if symptoms don’t go away on their own or grow worse.

Why does my sternum hurt when I move my shoulders forward?

Many conditions can cause pain in the sternum, including injuries, pneumonia, bronchitis, and costochondritis. Gastrointestinal problems, such as acid reflux, can cause pain behind the sternum. People may believe that their sternum pain is a heart attack symptom.

1. However, it is possible to differentiate the two.
2. In this article, learn about the causes of sternum pain and the differences between sternum pain and heart problems.
3. The sternum is a flat T-shaped bone that sits at the front of the chest and connects to the ribs with cartilage.
4. It forms part of the rib cage, a series of bones that protects the heart and lungs from injuries.

People often refer to the sternum as the breastbone. Sternum pain can result from problems with muscles and bones near the sternum, as well as the sternum itself. Substernal pain is discomfort occurring behind or below the sternum. It often results from gastrointestinal conditions,

costochondritissternum fracture sternoclavicular joint injurycollarbone injuriesmuscular strain or bruise hernia acid reflux pleurisybronchitispneumonia

Costochondritis is inflammation of the cartilage between the sternum and ribs. The medical term for this area is the costochondral joint. The symptoms of costochondritis include:

sharp pain on the side of the sternum areapain that worsens with a deep breath or a coughdiscomfort in the ribs

Inflammation in the costochondral joint may occur due to injury, infection, or irritation. A person may experience costochondritis due to:

impact traumarespiratory tract infectionssevere coughingphysical strains

Learn more about costochondritis here, Like fractures in other parts of the body, sternum fractures can cause a lot of pain. Sternum fractures usually occur as a direct result of trauma, such as a car accident or sports injury. People who believe they may have a sternum fracture should seek immediate medical attention in case of additional damage to the heart and lungs.

pain during inhaling or coughingswelling over the sternumdifficulty breathing

Learn more about fractures here, The sternoclavicular joint connects the top of the sternum to the collarbone. Injuries to this joint generally cause pain and discomfort at the top of the sternum in the upper chest area. People experiencing sternum pain due to a sternoclavicular joint injury will often experience the following:

mild pain or swelling in the upper chest areadifficulty or pain when moving the shoulderpopping or clicking around the joint

The collarbone connects to the top corners of the sternum by cartilage. Due to the direct connection between the two structures, injuries to the collarbone may cause pain in the sternum area.

Why does my chest hurt when I stretch my arms back?

What Is a Strained Chest Muscle? – A strained chest muscle occurs when you tear or stretch a muscle in your chest. This is also known as a pulled muscle or muscle strain, or more specifically, an intercostal muscle strain. When a chest muscle becomes strained, it can cause a sudden, sharp pain that radiates throughout the chest area.

Why do I feel pain in my chest when I get up?

Waking up with chest pain can be unsettling. The pain might be caused by a minor problem, such as stress or indigestion, The pain might also be caused by a serious problem, such as a heart attack or a pulmonary embolism, Chest pain should always be taken seriously.

Heart attack, When an artery supplying oxygen to your heart muscle is blocked, you’re having a heart attack. This blockage is often due to a blood clot, Angina. Angina is chest pain caused by reduced blood flow to your heart. It’s often caused by plaque buildup in the arteries that carry blood to your heart. Pericarditis. Inflammation in the sac surrounding your heart is called pericarditis. It commonly causes pain that worsens when you take a breath or lie down. Myocarditis. If your heart muscle (myocardium) becomes inflamed, it can cause rapid or abnormal heart rhythms called arrhythmias. Aortic dissection or rupture. This life-threatening condition occurs when the inner layers of the aorta — the main artery leading from your heart — separate and the aorta tears.

Heartburn, A symptom of acid reflux or gastroesophageal reflux disease (GERD), heartburn is caused by stomach acid moving back up into the tube that connects your throat to your stomach ( esophagus ). This irritates the lining and causes a burning sensation in your chest. Dysphagia, A term for swallowing disorders, dysphagia commonly affects the top of the throat or farther down the esophagus, making swallowing difficult and painful. Pancreatitis, When your pancreas — a large gland located behind your stomach — becomes inflamed it can result in upper abdominal pain that can radiate to the chest. Gallstones, Gallstones and inflammation of your gallbladder can cause abdominal pain that extends to your chest.

Pulmonary embolism, When a blood clot gets lodged in an artery in one of your lungs and blocks blood flow to lung tissue, it’s called a pulmonary embolism. It commonly causes chest tightness and pain that feels like a heart attack. Pleurisy, When the pleura — the membrane that surrounds your lungs and lines the inner wall of your chest cavity — becomes inflamed, it can cause chest pain that increases when you cough or inhale. Pulmonary hypertension, High blood pressure is called hypertension. High blood pressure in the pulmonary arteries — blood vessels that carry blood to the lungs — is called pulmonary hypertension. It can result in a tight feeling in your chest along with a racing heartbeat. Lung cancer, Lung cancer is abnormal cell growth in your lungs that interferes with the healthy functioning of your lungs. Lung cancer commonly causes chest pain that increases with deep breathing or coughing. Collapsed lung, Also called pneumothorax, a collapsed lung occurs when air leaks into the space between your lung and your chest wall keeping your lung from expanding when you breathe in.

Costochondritis, When the cartilage of your rib cage becomes inflamed, it’s called costochondritis. This condition can cause pain that is similar to a heart attack, particularly when the inflammation is in cartilage that joins your ribs to your breastbone. Panic attack, You might be experiencing a panic attack if you have chest pain combined with a racing heartbeat, rapid breathing, and profuse sweating. Panic attacks also often include dizziness, nausea, and feelings of intense fear. Injury, An injury such as muscle strain or a broken rib can cause chest pain. When you’re sleeping, movement such as twisting or turning your upper body can intensify the discomfort, resulting in waking up with chest pain.

If you wake up with chest pain, your first consideration should be whether or not it’s from a known source. For example, if you have a broken rib or have been diagnosed with pancreatitis, chances are the discomfort is related to an existing condition that’s being treated.

Why does it hurt when I stretch my chest?

What Is a Strained Chest Muscle? – A strained chest muscle occurs when you tear or stretch a muscle in your chest. This is also known as a pulled muscle or muscle strain, or more specifically, an intercostal muscle strain. When a chest muscle becomes strained, it can cause a sudden, sharp pain that radiates throughout the chest area.

Why does my chest hurt when I bend over to pick something up?

Pain in the middle of the chest when bending down is a sign of what disease? This is an automatically translated article. Ask Hello doctor, I have pain in the middle of my chest, especially when I bend down, it hurts more. The doctor told me that pain in the middle of the chest when bending down is a sign of what disease? Do you have any heart disease? I thank you doctor.

Nguyen Thi Thuy Trang (2008) Answer Answered by Master, Doctor Dao Kim Phuong – Cardiologist and Echocardiographer – Department of Examination – Vinmec Times City International General Hospital. Hello, With the question “What is the pain in the middle of the chest when bending down?, the doctor’s answer is as follows: Pain in the center of the chest when bending down does not appear to be a sign of heart disease, may be related to the chest wall such as costochondritis, sternum, pleurisy or pneumonia, or Gastrointestinal pathologies such as gastroesophageal reflux disease, gastric hiatal hernia more.

DO YOU HAVE SHOULDER PAIN WHEN YOU LIFT YOUR ARM?

Depending on whether you have other symptoms, you will decide which specialist to see. As with cough, shortness of breath, pain in deep breathing, go to a Respiratory doctor; If belching, bloating, heartburn, meal-related epigastric pain, pain accompanied by a burning sensation in the chest, consult a Gastroenterologist.

If you still have questions about pain in the middle of your chest, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health. Best regards! Please dial for more information or register for an appointment,

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