Breast muscle spasm. Breast Vibration: Causes, Concerns, and Medical Insights

24.04.197426.09.2021 by alexxlab

What causes breast vibration. Is breast vibration a sign of cancer. How common is breast vibration. Can breast vibration be treated. When should you see a doctor for breast vibration.

Содержание

Understanding Breast Vibration: An Unusual Sensation

Breast vibration is an intriguing and often perplexing sensation that many women experience. It’s described as a feeling similar to a cell phone vibrating within the breast tissue. While this phenomenon can be alarming, it’s essential to understand that in most cases, it’s not a cause for immediate concern.

The sensation of breast vibration has sparked numerous discussions among women, with many seeking answers about its potential causes and implications. Let’s delve into this topic to provide a comprehensive understanding of breast vibration, its possible causes, and when it might warrant medical attention.

Potential Causes of Breast Vibration

There are several potential explanations for the sensation of breast vibration. While no definitive cause has been established, medical professionals and researchers have proposed several theories:

Fasciculation: This refers to small, involuntary muscle contractions. In the breast, these tiny twitches can create a vibrating sensation.
Milk duct muscle contractions: The small muscles surrounding milk ducts may contract, potentially due to a temporarily blocked duct.
Blood vessel spasms: Tiny blood vessels in the breast tissue might experience spasms, leading to a vibrating sensation.
Chest wall muscle activity: The pectoral muscles behind the breast tissue could contract or spasm, causing a vibration-like feeling.

It’s important to note that these are theories, and the exact cause can vary from person to person. Many women report that the sensation often subsides after several weeks without any intervention.

Is Breast Vibration a Sign of Cancer?

One of the most pressing concerns for women experiencing breast vibration is whether it could be a sign of breast cancer. According to Dr. Martee L. Hensley, a medical oncologist at Memorial Sloan-Kettering Cancer Center in New York, breast vibration is not typically associated with any serious condition, including breast cancer.

While two readers in the original article reported discovering cancer in their vibrating breast, it’s crucial to understand that correlation does not imply causation. In fact, one of these readers noted that her oncologist stated the vibration was unrelated to her cancer diagnosis.

Responsible sources that track and report breast cancer symptoms do not list breast vibration as a typical sign of the disease. However, this doesn’t mean you should ignore persistent or concerning breast changes. Always consult with a healthcare professional if you’re worried about any new or unusual breast sensations.

Medical Conditions Associated with Breast Vibration

While breast vibration itself is not typically a cause for alarm, some women have reported underlying medical conditions that may contribute to this sensation:

Multiple Sclerosis: This neurological condition can cause various unusual sensations throughout the body.
Obesity: Excess weight can sometimes lead to changes in how sensations are perceived in breast tissue.
Acid Reflux Syndrome: In some cases, this digestive issue may cause referred sensations in the chest area.
Poor Posture: Misalignment of the spine and shoulders can affect muscle function in the chest area.
Chiropractic Issues: Spinal misalignments may impact nerve function, potentially leading to unusual sensations.
Vitamin Deficiencies: Some women have reported links between breast vibration and deficiencies in vitamins B12 and B6.

It’s important to note that these associations are based on anecdotal reports and may not represent a direct causal relationship. If you’re experiencing breast vibration along with other symptoms, it’s advisable to consult with a healthcare provider for a comprehensive evaluation.

When to Seek Medical Attention for Breast Vibration

While breast vibration is often harmless, there are instances where it’s prudent to consult a medical professional:

Persistent Symptoms: If the vibration persists for an extended period (e.g., several weeks) without improvement.
Accompanying Pain: If the vibration is accompanied by pain, discomfort, or other unusual sensations.
Visual Changes: If you notice any visible changes in your breast, such as dimpling, redness, or swelling.
Personal History: If you have a personal or family history of breast cancer or other breast conditions.
Interference with Daily Life: If the sensation is severe enough to disrupt your sleep or daily activities.

A healthcare provider can perform a thorough examination and, if necessary, order additional tests to rule out any underlying conditions. This may include a physical exam, imaging studies like mammograms or ultrasounds, or blood tests to check for vitamin deficiencies or other systemic issues.

Treating and Managing Breast Vibration

For many women, breast vibration resolves on its own without any specific treatment. However, if the sensation is persistent or bothersome, there are several approaches that may help:

Stress Reduction: Since stress and anxiety can exacerbate muscle tension, relaxation techniques like deep breathing, meditation, or yoga may help.
Posture Improvement: Working on proper posture, especially if you spend long hours at a desk, may alleviate chest muscle tension.
Dietary Changes: Some women report improvement after reducing caffeine intake or addressing vitamin deficiencies under medical supervision.
Physical Therapy: Targeted exercises to strengthen and relax chest muscles may be beneficial in some cases.
Massage: Gentle self-massage or professional massage therapy might help relieve muscle tension in the chest area.

It’s important to remember that these are general suggestions, and what works for one person may not work for another. Always consult with a healthcare provider before starting any new treatment regimen, especially if you have underlying health conditions.

Breast Vibration in Breast Cancer Survivors

For breast cancer survivors, the experience of breast vibration can be particularly anxiety-inducing. It’s natural to worry that any new breast sensation could be a sign of recurrence. However, it’s important to remember that breast vibration alone is not typically associated with cancer recurrence.

If you’re a breast cancer survivor experiencing breast vibration, consider the following:

Follow-up Care: Maintain your regular follow-up appointments with your oncologist or breast specialist.
Open Communication: Don’t hesitate to discuss new sensations or concerns with your healthcare team.
Self-Exams: Continue performing regular breast self-exams as recommended by your doctor.
Emotional Support: If anxiety about recurrence is affecting your quality of life, consider speaking with a therapist or joining a support group for cancer survivors.

Remember, while it’s important to be vigilant about your health as a cancer survivor, it’s equally important not to let every new sensation cause undue stress. Your healthcare team is there to address your concerns and provide appropriate care and reassurance.

Unusual Explanations and Theories for Breast Vibration

While medical professionals focus on physiological explanations for breast vibration, some individuals have proposed more unconventional theories. These are not scientifically proven but represent the diverse ways people try to make sense of this unusual sensation:

Electromagnetic Fields: One reader in the original article suggested that the vibration might be related to the magnetic/electronic field of laptop computers.
Post-Biopsy Effects: Some women have reported vibrations as a possible reaction to titanium clips used in guided biopsies.
Shingles Aftermath: At least one doctor reportedly suggested that breast vibration could be an after-effect of shingles.
Hematoma: In some cases, a hematoma (a collection of blood outside blood vessels) has been proposed as a potential cause.

While these explanations are intriguing, it’s important to approach them with skepticism. Scientific evidence supporting these theories is lacking, and they should not be considered as definitive explanations for breast vibration.

The Role of Individual Perception in Breast Vibration

It’s worth noting that the perception of breast vibration can be highly subjective. Factors that might influence how an individual experiences and interprets this sensation include:

Heightened Body Awareness: Some people are naturally more attuned to subtle bodily sensations.
Anxiety and Stress: Psychological factors can sometimes amplify physical sensations or make them more noticeable.
Previous Experiences: Past medical history or knowledge about breast health issues might color how one interprets new sensations.
Cultural and Social Factors: Beliefs and discussions about breast health in one’s community can influence perceptions.

Understanding these factors can help contextualize the experience of breast vibration and potentially alleviate some of the anxiety surrounding it.

Research and Future Directions in Understanding Breast Vibration

Given the prevalence of breast vibration experiences reported by women, one might wonder why there isn’t more scientific research on this topic. There are several reasons for this:

Transient Nature: The often temporary nature of breast vibration makes it challenging to study systematically.
Lack of Serious Health Implications: Since breast vibration is not typically associated with serious health conditions, it may not receive priority in research funding.
Difficulty in Objective Measurement: The subjective nature of the sensation makes it hard to measure and quantify for research purposes.

However, as more women come forward with their experiences, there may be increased interest in studying this phenomenon. Future research directions could include:

Large-scale surveys to better understand the prevalence and characteristics of breast vibration.
Imaging studies to investigate potential physiological correlates of the sensation.
Exploration of potential links between breast vibration and hormonal fluctuations.
Investigation of any possible connections to broader neuromuscular conditions.

As our understanding of breast health continues to evolve, it’s possible that breast vibration may receive more attention from the medical and research communities in the future.

The Importance of Open Dialogue About Breast Health

The widespread interest in breast vibration highlights the importance of open dialogue about breast health. Many women feel embarrassed or hesitant to discuss unusual breast sensations, which can lead to unnecessary anxiety or delayed medical consultations.

Encouraging open conversations about breast health can have several benefits:

Reduced Stigma: Normalizing discussions about breast sensations can help reduce stigma and embarrassment.
Increased Awareness: Open dialogue can help women become more aware of what’s normal for their bodies and what might warrant medical attention.
Early Detection: When women feel comfortable discussing breast changes, it can lead to earlier detection of potential issues.
Improved Research: More open discussions can highlight areas where further research is needed, potentially leading to improved understanding and care.

Healthcare providers, educators, and public health officials play a crucial role in fostering these conversations and providing accurate, up-to-date information about breast health.

Coping with Anxiety Related to Breast Vibration

For many women, experiencing breast vibration can be a source of significant anxiety, especially given the heightened awareness of breast cancer in our society. While it’s important to be vigilant about breast health, it’s equally important to manage anxiety in a healthy way. Here are some strategies that may help:

Education: Learning about the various benign causes of breast vibration can help alleviate fears.
Mindfulness Practices: Techniques like meditation or deep breathing can help manage anxiety in the moment.
Regular Check-ups: Keeping up with recommended breast screenings can provide peace of mind.
Support Groups: Connecting with others who have similar experiences can be comforting and informative.
Professional Help: If anxiety about breast health is significantly impacting quality of life, consider speaking with a mental health professional.

Remember, while it’s natural to feel concerned about new bodily sensations, excessive worry can be counterproductive. Balancing vigilance with a rational, informed approach is key to maintaining both physical and mental well-being.

The Role of Technology in Breast Health Awareness

In the digital age, technology plays an increasingly important role in breast health awareness and education. While this can be beneficial, it also presents challenges:

Online Resources: Websites and apps can provide valuable information about breast health, but it’s crucial to ensure the sources are reputable.
Telemedicine: Virtual consultations can make it easier for women to discuss breast concerns with healthcare providers, especially in remote areas.
Social Media: Platforms like Instagram and Twitter can raise awareness about breast health issues, but can also spread misinformation if not carefully moderated.
Wearable Tech: Some companies are developing smart bras or patches that claim to detect breast abnormalities, though these technologies are still in early stages and require further validation.

While technology can be a powerful tool for breast health education and awareness, it’s important to use it judiciously and in conjunction with, not as a replacement for, professional medical advice.

Breast Vibration in the Context of Overall Breast Health

While breast vibration can be a concerning sensation, it’s important to view it within the broader context of breast health. Maintaining overall breast health involves a combination of self-awareness, preventive measures, and professional care:

Regular Self-Exams: Familiarize yourself with how your breasts normally look and feel, so you can more easily detect changes.
Mammograms: Follow recommended guidelines for mammogram screenings based on your age and risk factors.
Healthy Lifestyle: Maintaining a healthy weight, limiting alcohol consumption, and regular exercise can contribute to breast health.
Breastfeeding: For mothers, breastfeeding has been associated with reduced breast cancer risk.
Hormone Therapy Awareness: If considering hormone replacement therapy, discuss the risks and benefits with your healthcare provider.

Remember, breast vibration is just one of many sensations you might experience in your breasts over time. While it’s important to be aware of changes, it’s equally important not to let every sensation cause undue alarm. A balanced approach to breast health, combining self-awareness with professional medical care, is the best strategy for long-term well-being.

Cultural Perspectives on Breast Health and Sensations

It’s worth noting that perceptions and discussions about breast health can vary significantly across different cultures. This can impact how women interpret and respond to sensations like breast vibration:

Taboos: In some cultures, discussing breast-related issues may be considered taboo, leading to underreporting of symptoms.
Traditional Medicine: Some cultures may have traditional explanations or remedies for breast sensations that differ from Western medical perspectives.
Body Image: Cultural attitudes towards breasts and body image can influence how women perceive and report breast changes.
Healthcare Access: Cultural and socioeconomic factors can affect access to breast health education and medical care.

Healthcare providers and public health initiatives need to be culturally sensitive when addressing breast health issues, ensuring that information and care are accessible and relevant to women from diverse backgrounds.

Breast Vibration: Could It Mean Cancer?

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Strange, my left breast “vibrates” every so often, sort of like a cell phone that’s on vibrate! For the last three days my left breast has this strange vibration. At first I thought I was imagining it but it continues! It doesn’t hurt… just feels weird. Could it be a symptom of breast cancer? — Joni

Of the thousands of questions readers have asked here on this site, very few have proved as engaging as this one.

Hundreds of readers have written of their own vibrating breast experience. Some report underlying medical conditions from multiple sclerosis, to obesity, to acid reflux syndrome, poor posture, chiropractic issues, vitamin B12 and vitamin B6 deficiency. Some worry that, being a breast cancer survivor, vibration is a sign of recurrence.

Some have reported consulting a doctor, and have gotten these responses:

It’s an after-effect of shingles. The result of a hematoma. A reaction to the titanium clip used in a guided biopsy.

Two readers note that they later discovered cancer in their vibrating breast. One added that her oncologist said the vibration had nothing to do with her cancer.

One reader is sure the vibration is related to the magnetic/electronic field of laptop computers.

What’s the story here? Is there a good explanation for this puzzling condition?

Not so far as anyone knows. Just like research around a cure for cancer, there are lots of possibilities, but no definitive answer.

I’ve done extensive online research, and have come up with the following, which at least seem like reasonable possibilities:

Fasciculation – a tiny twitching of the muscles, this can be the result of motor neuron disease. But it can also occur in healthy people, the result of too much caffeine, exercise, fatigue, or stress.

Contractions of the tiny muscles surrounding the milk ducts in the breast. Cause unknown, though the theory is they could be due to a temporarily blocked duct.

Spasms of the tiny blood vessels in the breast. Again, cause unknown.

Martee L. Hensley, M.D., a medical oncologist at Memorial Sloan-Kettering Cancer Center in New York, writes about breast vibration as follows:

“While feeling vibrations in the breast is a rather uncommon complaint, these sensations have not been associated with any serious condition. It is sometimes hard to pinpoint an exact cause… [but it’s] highly unlikely that there is cause for alarm, whatever the specific explanation.

“Some possible causes may include muscle twitching – breast tissue does have a small amount of muscle in it, and these muscles may involuntarily contract, like a muscle spasm you might feel in a larger muscle. The chest-wall muscles behind the breast tissue might also contract or spasm.”

Judging by reader feedback, the vibration often goes away after several weeks. And your vibrating breast, though annoying, isn’t a breast cancer symptom – at least according to any of the responsible sources that track and report breast cancer symptoms.

Meet Our Writer

PJ Hamel

PJ Hamel is senior digital content editor and food writer at King Arthur Flour, and a James Beard award-winning author. A 16-year breast cancer survivor, her passion is helping women through this devastating disease. She manages a large and active online survivor support network based at her local hospital and shares her wisdom and experience with the greater community via HealthCentral.com.

Hyperspasticity After Partial Neurectomy for Treatment of Myospasms Following Subpectoral Breast Reconstruction

Plast Reconstr Surg Glob Open. 2019 May; 7(5): e2278.

Lena F. Carstensen

From the ^*Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark

^†Department of Surgery, Section of Breast surgery, Hospital of Southwest Jutland, Esbjerg, Denmark.

From the ^*Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark

^†Department of Surgery, Section of Breast surgery, Hospital of Southwest Jutland, Esbjerg, Denmark.

Corresponding author.Frederik P. Mamsen, MS, University of Copenhagen – Panum, Blegdamsvej 3B, København 2200 DK, Denmark, E-mail: moc.liamtoh@nesmamf

Received 2019 Feb 8; Accepted 2019 Apr 9.

Summary:

Breast reconstruction using tissue expander is a frequently used method of reconstruction after mastectomy. We describe a rare complication of myospasms after subpectoral tissue expander reconstruction with acellular dermal matrix. The patient gradually developed disturbing pectoral muscle spasms lasting almost a year. Botulinum toxin A was undesired due to its transient effect. Selective denervation of the medial pectoral nerve branches was performed and resulted in worse spasms where the breast bounced at a rapid speed. Complete denervation of the pectoral nerves led to immediate liberation. We recommend a cranial denervation of both medial and lateral pectoral nerves to secure complete denervation leading to permanent relief of involuntary spasms where selective denervation may lead to hyperspasticity.

Pectoralis muscle spasm is a rare complication after breast reconstruction with subpectoral implants. Treatment options include injection of botulinum toxin A (BTX-A) or denervation of the pectoralis major (PM) muscle.^1–5 We describe a case of severe pectoral muscle spasms treated by transection of the medial and lateral pectoral nerves, where previous selective denervation of the medial pectoral nerve (MPN) had been insufficient.

CASE REPORT

A 58-year-old woman, diagnosed with cancer of the right breast, underwent mastectomy, sentinel node biopsy, and subpectoral tissue expander reconstruction with acellular dermal matrix as lower pole support. The expander prosthesis was gradually expanded over 6 weeks to a volume of 380 ml. After a delay period of 4 months, it was replaced with a permanent anatomical implant of 210 ml. A capsulorrhaphy was performed in the lower lateral part to reduce the width of the pocket.

Two weeks postoperatively, the patient complained about small involuntary pectoralis contractions and stinging pain radiating lateral from the cicatrices. There had been no such symptoms during the expansion period. Progressively, the involuntary spasms increased in number and strength, and the patient returned after 11 months (Fig. ). The spasms would occur in any position of the arm and even woke the patient up at night. The patient had tried over-the-counter pain medication and muscle relaxants without effect (chlorzoxazone). The surgeon suggested treatment by BTX-A, but the patient declined, as she did not want to depend on regular treatments. The subcutaneous fatty layer was very thin, and we did not consider pocket change to prepectoral a good option.

The right breast before denervation of the PM. A, The PM is relaxed, and the breast has a natural shape. B, The PM is contracted, which causes distortion of the breast and discomfort.

Because the spasms were located in the lower, lateral part of the PM, which is innervated by the branches of the MPN, a selective denervation of the MPN was scheduled (SDC1 – see video, Supplemental Digital Content , which displays a comparison between pre- and postdenervation of the right PM and shows great results. Tests of range of motion indicate no change, but atrophy of the breast is slightly noticeable, http://links.lww.com/PRSGO/B100).

See video, Supplemental Digital Content 1 which displays a comparison between pre- and postdenervation of the right pectoralis major muscle and shows great results. Tests of range of motion indicate no change, but atrophy of the breast is slightly noticeable. This video is available in the “Related Videos” section of the Full-Text article on PRSGlobalOpen.com or available at http://links.lww.com/PRSGO/B100.

Through the original incision, the surgeon dissected cranially between the capsule and the PM. Four small MPN branches were located and transected using electrocautery. Three of these branches perforated the pectoralis minor muscle and 1 was located lateral to it. The lateral pectoral nerve was spared. During recovery the patient developed even worse contractions, making her breast bounce at a rapid speed without pause. A subacute surgery was performed the following day. The lateral pectoral nerve branches were transected, and a small MPN branch with a very cranial origin lateral to the coracoid process (Fig. ). The result after the second procedure was immediate. Seven months after complete denervation of the PM, the patient is still without any spasms or pain, and she has no subjective changes in shoulder function and has full range of motion (SDC1).

Dissection photograph of the nerves of the right pectoral region of a female cadaver with a similar nerve distribution as our patient. The space between the pectoralis major and minor muscles has been exposed through a wide incision in the inframammary fold. The dissection has been carried through all the way to the muscle attachments to the coracoid process and the clavicle. The PM and the breast are lifted by 2 retractors. The LPN is visible near the thoracoacromial artery on the deep side of the PM. In this specimen, there are 4 branches of the MPN. Two branches pierce the Pm and 2 branches run lateral to the muscle. These branches are not to be confused with the IC. Note that 1 branch emerges just caudal to the muscle attachment to the coracoid process. The dissection was conducted on a deceased adult who, under Danish Legislation (Health Law no. 546, §188), had bequeathed her body to science and education at the Department of Cellular and Molecular Medicine, Panuminstituttet, University of Copenhagen. The study was approved by the head of the Body Donation Program at the Dept. of Cellular and Molecular Medicine. IC, intercostal nerves; LPN, lateral pectoral nerve; Pm, pectoralis minor muscle.

DISCUSSION

We present a case with involuntary muscle spasms after breast reconstruction treated by neurectomy, where partial neurectomy led to hyperspasticity.

Muscle spasm is a known complication after reconstructive surgery using pedicled PM flaps.^6–8 Similar myospasms may occur as a rare complication after cosmetic or reconstructive breast surgery with a subpectoral pocket, but only a handful of cases have been reported (Table ). A similar, yet much more common, side effect of subpectoral implants is breast animation deformity (BAD). Pectoral denervation for BAD had been performed for decades,¹⁰ and some surgeons routinely transect the MPN¹¹ or both nerves¹² for better implant projection. A different approach may be reattachment of pectoral muscle with supportive injection of BTX-A¹³.

Table 1.

Reported Cases of Pectoral Spasms Caused by Subpectoral Implants and Pedicled Pectoralis Major Flaps

As for BAD, there is no standardized treatment for involuntary pectoral spasms. Treatment options include transection of the pectoral nerves, injection of BTX-A or pocket change to prepectoral placement.

The first reported treatment of PM spasticity using denervation was by Mast,⁶ who described pectoral myospasms after sternal wound reconstruction with bilateral PM flaps. Immediately after complete transection of the pectoral nerves, the spasms stopped permanently.

BTX-A is a conservative noninvasive procedure and would be the treatment of choice, if it were not for the transient effect and expected life-long treatment with regular intervals, which may be costly and controlling.¹⁴ No dose-effect study has been published, but several cases have been described with various outcomes (Table ). Only 2 studies report full recovery of PM twitching after breast reconstruction after one single treatment.^5,13 Other studies describe less effect after repeated treatments, which eventually led to surgical denervation.^3–5,9

Wong presented a complicated case, where neither BTX-A injections nor denervation was enough to treat myospasms after subpectoral implant reconstruction. Explantation eventually led to relief of spasms.⁹ The unsuccessful neurectomy in this case may be due to residual MPN branches. The location and number of MPN branches in the interpectoral space is very variable,¹¹ and it is important to release all its branches for complete PM denervation. In our case, denervation was successful after the second procedure where all the remaining nerves were transected.

The cause of muscle spasticity is unknown. The fact that muscle twitching has never been described in free flap surgery but is well known in pedicled flaps⁸ suggests that the remaining innervation is the cause of spasms. The hyperspasticity found in our case after partial neurectomy has not been described before. During the initial procedure, we divided the MPN to the lower part of the PM, which resulted in postoperative spasms involving the entire muscle, including the part innervated by the lateral pectoral nerve. We decided on a second procedure because spontaneous regression was unlikely, and the result was immediate.

CONCLUSIONS

Denervation of PM is an effective, permanent treatment of involuntary muscle contractions after subpectoral breast reconstruction if performed properly. The nerve anatomy is variable, and all nerve branches must be divided to avoid hyperspasticity or lack of effect. It is, however, an irreversible paralyzation of the muscle, which will eventually atrophy and become fibrotic. This treatment should be restricted to patients with severe, disabling spasms.

ACKNOWLEDGEMENTS

We would like to thank Dr. Jørgen Tranum-Jensen for anatomical guidance and Dr. Michael Mølmer, Johnny Grandt and Lars-Bo Nielsen for technical assistance preparing the torso for dissection.

This study was conducted in accordance with the Declaration of Helsinki.

Footnotes

Published online 21 May 2019.

The dissection was conducted on a deceased adult who, under Danish Legislation (Health Law no. 546, §188), had bequeathed her body to science and education at the Department of Cellular and Molecular Medicine, Panuminstituttet, University of Copenhagen. The study was approved by the head of the Body Donation Program at the Dept. of Cellular and Molecular Medicine.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Supplemental digital content is available for this article. Clickable URL citations appear in the text.

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Neurectomy for breast reconstruction-related spasms of the pectoralis major muscle

Case Reports

J Plast Reconstr Aesthet Surg
. 2014 Feb;67(2):257-9.

doi: 10.1016/j.bjps.2013.06.025.

Epub 2013 Jun 20.

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Affiliations

¹ Department of Surgery, Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, PA, USA. Electronic address: [email protected].
² Drexel University College of Medicine, Philadelphia, PA, USA.
³ Department of Surgery, Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, PA, USA.

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Joshua M Adkinson et al.

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J Plast Reconstr Aesthet Surg
. 2014 Feb;67(2):257-9.

doi: 10.1016/j.bjps.2013.06.025.

Epub 2013 Jun 20.

Affiliations

¹ Department of Surgery, Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, PA, USA. Electronic address: [email protected].
² Drexel University College of Medicine, Philadelphia, PA, USA.
³ Department of Surgery, Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, PA, USA.

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Abstract

Tissue expander-based breast reconstruction is the most commonly utilized technique in the U.S. This modality, however, may be associated with significant pain related to pectoralis myospasms. Spasms of the pectoralis major likely result from trauma to the pectoral nerves during muscle elevation. In a subset of patients, Botox(®) therapy may be inadequate for long-term relief. We describe a patient with intractable pectoralis myospasms after breast reconstruction. Upon failing Botox(®) therapy, medial and lateral pectoral neurectomies were performed. Nine months after the procedure, the patient noted dramatic improvement in both symptoms and cosmesis with no musculoskeletal sequelae. We recommend medial and lateral pectoral neurectomy as an alternative in patients with intractable pectoral myospasms after tissue expander reconstruction.

Keywords:

Botox; Breast; Chronic pain; Muscle spasm; Neurectomy; Reconstruction.

Cited by

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de Paula TG, Vale TC, Pedroso JL, Barsottini OGP.
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Sobti N, et al.
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MeSH terms

Mammaplasty / adverse effects*
Pectoralis Muscles / innervation*
Pectoralis Muscles / physiopathology
Peripheral Nerves / surgery*

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Your Good Health: Fluttery feeling can be twitch in chest muscle

Dear Dr. Roach: I am a 70-year-old woman in reasonably good health. For the past 18 months or so, I have had a vibration or fluttering in my chest.

It happens only upon awakening — in the morning, middle of the night or after a nap. I’ve had an EKG and worn a Holter monitor for 24 hours. My doctor seemed to think the results were normal, except for one short episode of a heart rate of 120. I don’t want to sound like a hypochondriac, but it’s somewhat disconcerting, since it keeps happening.

Should I be concerned or pursue it further?

A.E.H.

Fluttering sensations in the chest are very common at all ages. Your doctor quite reasonably worried about an abnormal heart rhythm (arrhythmia), and a Holter monitor measures every heartbeat for 24 hours.

If you had the sensation while wearing the Holter monitor, and at the time of the symptoms you had a normal heart rhythm, that’s very good evidence that the sensation is not being caused by your heart rhythm.

Sometimes, if a person has no symptoms during the 24 hours, the doctor might order an event monitor, which is like a Holter that you wear for a month, and records only if you tell it to or if it recognizes an abnormality.

So, if you had symptoms during your Holter, I would be reassured that it’s not a heart-rhythm problem. If not, you should speak with your doctor about an event monitor.

Not all fluttering is caused by heart-rhythm issues. Muscle twitching (called fasciculations) in the chest muscles causes similar symptoms.

Dear Dr. Roach: When I sit and take a meal or drink coffee, my eyes slowly close. But I’m not asleep. My daughter or son-in-law will speak my name or bump my foot to get me to open my eyes.

I was having coffee the other day and actually dropped my cup. I am getting worried.

I’m 80 years old and in good health.

Anon.

The most concerning condition that comes to mind would be myasthenia gravis. It’s caused by antibodies at the site where the nerve tells the muscle what to do (called the neuromuscular junction).

The eyelids are the classic involved body site, with more than 50 per cent of people affected predominantly in the eyelids. Double vision also is common in this condition.

Early on, myasthenia gravis has intermittent symptoms, but over time they become more persistent. I would recommend that you visit a neurologist. Physical exam, blood tests and sometimes an EMG (a test of nerve and muscle activity) and a trial of medication in the office make the diagnosis.

Early symptoms of myasthenia gravis can be subtle, and it’s entirely possible that what you have is something much simpler.

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to [email protected]

Coronary Spasm: Symptoms, Treatments

Overview

What is coronary spasm?

Chest pain is a common symptom of coronary artery disease. However, people without fixed, severe coronary blockages also can have chest pain due coronary spasm.

Spasm

During coronary spasm, the coronary arteries constrict or spasm on and off, causing temporary lack of blood supply to the heart muscle (ischemia).

Coronary artery disease causes narrowing in one or more of the coronary arteries. You can have coronary spasm even without significant disease. However, most patients with coronary spasm have at least mild coronary artery disease.

Symptoms and Causes

Symptoms of coronary spasm

Symptoms of typical coronary artery disease include pain, tightness, burning or pressure in the chest due to a major blockage in one or more arteries. Pain typically occurs during exertion (physical activity, eating, extreme stress, exposure to cold).

However, with coronary spasm (also called “variant angina” or “Prinzmetal angina”), angina is not as typical. It usually occurs while you’re resting and can wake you from sleep. The pain also can occur with exertion and be severe. You may pass out during pain.

Episodes usually last less than 15 minutes. They can occur a few times yearly, a few times daily or with variable frequency.

Diagnosis and Tests

Diagnosis of coronary Spasm

To diagnose coronary spasm, you may need to wear an ambulatory monitor for up to 48 hours. The monitor records your heart’s electrical impulses, even during sleep. If you have chest pain in the middle of the night, for example, we may be able to see changes on the electrocardiogram (EKG) that indicate coronary spasm. However, not all patients show EKG changes during every episode.

To diagnose coronary spasm, doctors may prescribe a special type of stress test called an ergonovine stress test. Ergonovine is a drug that is injected through an IV, usually during a cardiac catheterization. It can trigger coronary spasm, usually within minutes, at which point the doctor visualizes the coronary arteries, and then injects another medication into the coronary artery to relieve the spasm. Your EKG is recorded before, during and after the test. If you have a coronary spasm, the doctor can see it on your EKG as well as an angiogram.

We began performing ergonovine tests for coronary spasm in the Cardiac Labs at Cleveland Clinic in 1973.

Management and Treatment

Treatment of Coronary Spasm

The goal of treatment for coronary spasm is to control chest pain, prevent a heart attack, and prevent or limit future episodes.

Nitroglycerin is a medicine that is prescribed to relieve chest pain during coronary spasm. For some, long-acting nitroglycerin can even help prevent attacks.

To prevent future episodes of coronary spasm, calcium blockers are prescribed. It is important to note that the type of calcium blocker used and dosage is individualized to the patient. In many cases, larger-than-normal doses may be needed or a combination of different types of calcium blockers may be required. The doctor and patient need to work together to manage the symptoms of coronary spasm versus the side effects of the medications. Side effects of calcium blockers may include leg swelling and low pulse, but your doctor can help you manage them.

In addition to medications, it is also important to control your risk factors for heart disease and avoid the triggers of coronary spasm.

Coronary Spasm and Heart Attack

A coronary spasm can cause a heart attack but it is pretty rare if the patient is taking calcium channel blockers.

Forty percent of patients with coronary spasm have syncope (passing out) with angina. In these people, a serious abnormal heart rhythm occurs with the spasm.

If a coronary artery spasm persists for a long time, a heart attack can occur. Call 911 and get to an emergency room immediately if:

Your chest pain does not go away after taking two doses of nitroglycerin
You are having other heart attack symptoms
You feel like you’re going to pass out

Prevention

Risk factors for coronary spasm

Most patients with coronary spasm are between ages 40 and 60. The condition has been linked to:

Spasm in other arteries, causing conditions such as migraine or Raynaud’s syndrome
Thyrotoxicosis (excessive thyroid hormone)
Chronic allergic conditions such as Samter’s Triad (asthma, nasal polyps and aspirin allergy)
Smoking
Drinking large amounts of alcohol
Menstrual cycles
Some chemotherapy drugs
Low magnesium

Living With

Center for Complex Coronary Interventions

Cleveland Clinic’s Center for Complex Interventions offers comprehensive treatment for patients with complex coronary artery disease.

Specialists from interventional cardiology tailor individual approaches for their patients.

When you come to Cleveland Clinic’s Center for Complex Interventions, you will receive care from some of the leading specialists in the world. Many of our physicians participate in the research and development of the newest treatments.

Doctors vary in quality due to differences in training and experience; hospitals differ in the number of services available. The more complex your medical problem, the greater these differences in quality become and the more they matter.

Clearly, the doctor and hospital that you choose for complex, specialized medical care will have a direct impact on how well you do. To help you make this choice, please review our Miller Family Heart, Vascular & Thoracic Institute Outcomes.

Cleveland Clinic Heart, Vascular & Thoracic Institute Cardiologists and Surgeons

Choosing a doctor to treat your coronary artery disease depends on where you are in your diagnosis and treatment.

Click on the following links to learn more about Sections and Departments treat patients with Coronary Artery Disease:

Cardiothoracic Surgery Department

The Miller Family Heart, Vascular & Thoracic Institute offers specialty centers and clinics for patients whose treatment requires the expertise of a group of doctors and surgeons who focus on a specific condition.

See: About Us to learn more about the Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute.

Resources

Contact

If you need more information, click here to contact us, chat online with a nurse or call the Miller Family Heart, Vascular & Thoracic Institute Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.

Becoming a Patient

Treatment Options

Treatment Guides

Diagnostic Tests

Diagnostic tests are used to diagnose coronary artery disease and the most effective treatment method.

Anatomy

Webchats

Our webchats and video chats give patients and visitors another opportunity to ask questions and interact with our physicians.

Videos

Interactive Tools

Additional information and resources

*A new browser window will open with this link. The inclusion of links to other websites does not imply any endorsement of the material on those websites nor any association with their operators.

Why choose Cleveland Clinic for your care?

Our outcomes speak for themselves. Please review our facts and figures and if you have any questions don’t hesitate to ask.

Leg Cramps

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Leg cramps happen involuntarily when a tightening, spasm, or contraction occurs in your muscles. Leg cramps (also known as a charley horse) can be painful and may temporarily reduce your ability to use the affected leg. Leg cramps often happen just as you’re falling asleep or just as you’re waking up. The cramps happen most often in the calf muscle. Leg cramps are very common and many people have them after overworking a muscle or not moving for a long time. Dehydration; pregnancy; low blood sugar, calcium, or potassium levels; alcohol use; neuromuscular disorders such as Parkinson’s disease; and certain medicines also can cause leg cramps.

The following treatments for breast cancer can cause leg cramps:

Managing leg cramps

If you’re having a leg cramp, try the following to ease it:

Walk around. Using the affected leg may stretch the muscle and make it stop contracting.

Massage the muscle to relieve the spasm.

Straighten your leg and flex your foot back toward your body to stretch the calf muscle.

Place a cold pack on the cramping muscle to help ease the pain.

A hot bath can relax muscles and stop the cramping.

To help prevent leg cramps:

Change positions often when you’re sitting or lying in bed for long periods of time.

Drink a lot of water throughout the day to stay hydrated.

Stretch your leg muscles before bed by bending and straightening your legs.

Add more potassium to your diet by eating potassium-rich foods such as bananas, dried apricots, raw avocados, cantaloupe, nectarines, raisins, plain yogurt, and cooked spinach.

Talk to your doctor about prescribing a muscle relaxant if your cramps are severe or frequent.

Tell your doctor if your leg cramps are frequent, severe, last more than 6 to 8 hours, or if your leg becomes red, swollen, or hot.

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Last modified on April 23, 2019 at 2:24 PM

Muscle Pain (Myalgia)

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Muscle pain, also known as myalgia, can be described in two different ways:

a deep, dull, and steady ache

a quick, random, and sharp ache

The pain may be focused in a specific area or it may be all over your body. The pain may range from mild and manageable to severe and debilitating. Muscle pain is often accompanied by joint pain. Muscle pain can cause fatigue and can sometimes lead to depression if the pain is constant.

The following breast cancer treatments may cause muscle pain:

chemotherapy:

radiation therapy

hormonal therapy:

some targeted therapies:

Bisphosphonates, medicines that are used to protect bones during breast cancer treatment, also may cause muscle pain and stiffness.

Managing muscle pain

Use warm compresses to help ease discomfort in a specific area.

Take warm baths to soothe all-over muscle pain.

Consider massage or acupuncture to relieve muscle aches.

Talk to your doctor about muscle relaxants to that may help ease your muscle pain.

Try to do strengthening and flexibility exercises.

Yoga can help stretch and strengthen muscles. Make sure the exercise is at a mild to moderate level so you don’t make the muscle pain worse.

Try bed rest for a few days to let your muscles relax and recover.

Keep a pain diary that records the severity of the pain, when and where the pain happens, and any pain medications you take. Write down as many details as you can. This will help your doctor find the best treatment for you.

Try to avoid becoming constipated. If your muscles are in pain, you may be less active, which can lead to constipation. Drink plenty of fluids and make sure you’re eating enough fiber.

Hang in there. Most muscle pain caused by breast cancer treatment medication goes away after you stop taking the medication.

Call your doctor immediately if you have:

numbness and tingling in your legs

new or increasing back pain

loss of bowel and bladder control

unusual pain that wraps around your waist or chest area

These could be signs of a serious medical condition.

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Last modified on December 18, 2020 at 9:16 AM

Pectoralis minor syndrome: symptoms and treatment of the disease in Moscow, make an appointment

Small pectoral muscle syndrome

The syndrome of the pectoralis minor is that this muscle infringes on the nerves and vessels located next to it.

Pectoralis minor syndrome is also called Wright syndrome, Wright-Mendlovich syndrome, or hyperabduction syndrome. It was described in 1945 by two American doctors, Wright and Mendlovich, independently of each other.The word “hyperabduction” means a significant extension of the arm to the side.

The pectoralis minor muscle is located on the ribs, just below the collarbone. It has the shape of an elongated triangle, the apex of which is directed towards the shoulder joint, and the base towards the sternum. Nerves and blood vessels pass directly under the muscle, more precisely, between the muscle and the ribs. They run from the cervical spine to the arm to provide innervation and blood supply to the arm. This arrangement of the neurovascular bundle, when it lies on the ribs, and is covered with muscle on top, resembles a tunnel.With a spasm or shortening of the pectoralis minor muscle, in this tunnel, between the muscle and the ribs, an infringement of the neurovascular bundle occurs – this is the pectoralis minor syndrome or Wright Mendlovich syndrome. And at its core, this is a tunnel syndrome. It can occur with prolonged abduction of the arm to the side, when the muscle stretches and presses the bundle to the ribs. This is possible during surgery, drip, deep sleep, or during certain types of work that require this hand position. Significant abduction of the arm – hyperabduction – gave another name to this syndrome – hyperabduction syndrome.

Symptoms of the pectoralis minor syndrome

The symptoms of pectoralis minor syndrome are caused by two things – pain in the muscle itself and compression of the nerves and blood vessels under the muscle. Let’s analyze each one separately.

Symptoms of the pectoralis minor syndrome, caused by compression of nerves and blood vessels, are manifested by numbness of the hand, feeling of “needles” and “goosebumps” in it; paleness and swelling of the fingers, decreased pulse in the radial artery.

Muscle pain symptoms of pectoralis minor syndrome are most often caused by myofascial pectoral muscle syndrome. Myofascial syndrome is a pathology in which small altered areas appear in the muscle – trigger points. Trigger points in the pectoralis minor muscle can exist latently for a long time – in a dormant mode. But as soon as they are activated, pain immediately arises. Physical overload, sudden movement, uncomfortable posture, hypothermia and stress can activate the trigger point.

For myofascial syndrome of the pectoral muscles, pain in the chest, shoulder joint and on the back of the hand is characteristic – sometimes from the shoulder to the fingers of the hand, inclusive. These painful symptoms of pectoralis syndrome are often confused with intercostal neuralgia, breast disease, and heart attack. You can use nitroglycerin to distinguish a heart attack from muscle pain. It will relieve a heart attack, but not muscle pain. A completely reliable way to diagnose Wright-Mendlovich syndrome is the Wright test.For this, the palm must be placed on the back of the head, and the elbow, as much as possible, must be taken to the side. The test is considered positive if after half a minute or a minute the pain and other symptoms intensify. However, do not forget that any self-diagnosis and self-medication is unreliable. Therefore, it is better to trust the professionals.

Treatment of pectoralis syndrome

Treatment of pectoralis minor syndrome is divided into main and auxiliary. The main one is soft manual therapy.It is fundamentally different from conventional manual therapy not only in its safety and higher efficiency. Its main advantage is that it perfectly copes with muscle clamps. With the help of special muscle-fascial techniques, gentle manual therapy relaxes tense muscles and eliminates not only the symptoms, but also the very cause of pectoralis syndrome.

Treatment of the pectoralis syndrome is carried out by a chiropractor. Better if it is a chiropractor-neurologist.He will be able to better and more thoroughly examine, diagnose and treat your problem. Moreover, advanced and chronic cases may require additional prescription of drugs, physiotherapy or exercise therapy. In general, the tactics of treatment and the timing of recovery largely depend on whether we are dealing with a “fresh” or chronic case of pectoralis minor syndrome. Keep this in mind, do not run and take care of yourself.

Treatment of muscle spasms in St. Petersburg

Muscle spasms are usually distinguished by the area of their appearance into limited (arising in a separate part of the body) and widespread – simultaneously manifested in different areas.Most often, doctors observe the following types of the syndrome:

Neck muscle spasm

It is characterized by one-sided pain in the neck of a sharp and shooting type, accompanied by stiffness of the neck, hardening of the muscles. In this case, the patient’s head movements are significantly limited, depending on the intensity of the syndrome, breathing difficulties may be observed;

Spasm of the muscles of the back

This is a very common form of the disease, accompanied by impaired sensitivity, the appearance of “goose bumps” on the skin and is characterized by sharp and acute pain in the dorsal region.Migration of pain in the legs, hips and buttocks is possible. The syndrome significantly constrains the movement of the patient, often the treatment of muscle spasms of this type requires the appointment of strong anesthetic drugs;

Leg muscle spasm

The main factor for their appearance is sedentary work and activities that prevent the normal relaxation of the muscles of the lower extremities. Along with this, a spasm of the thigh muscles can cause hypothermia, a lack of vitamins and minerals, damage to the spinal nerve, a violation of the blood supply to the lower extremities;

Pectoral muscle spasm

The trigger for its appearance is stress, nervous disorders, neurological pathologies.Difficulty breathing, swallowing may occur;

Psoas spasm

In its symptoms, it is similar to spasms of the neck and back, expressed in a feeling of numbness, decreased or loss of sensitivity in the lower back, the appearance of a sharp shooting pain that impedes movement and performance of daily duties. On palpation of the lumbar spine, there is a pronounced tightness and fossilization of the muscles;

Spasms of the muscles of the head and face

In this syndrome, there is a fossilization of the neck, chin, mouth, cheeks, accompanied by periodic twitching.You may also experience a feeling of discomfort in the corners of the lips, stuttering, damage to the ear muscles, pain in the eyelids or forehead. The syndrome often goes away on its own, but with its frequent and prolonged manifestations, clinical treatment of muscle spasm is required;

Spasm of the eye muscles

They are characterized by a feeling of cutting and burning in the eyes, pain in the temporal part of the head, visual impairment, increased irritability and fatigue;

Abdominal muscle spasm

The syndrome often provokes such manifestations as flatulence, nausea, bloating, general discomfort in the abdomen.

Arm muscle spasm

They can occur in healthy people (benign spasms, often occurring at night), patients undergoing high physical activity and patients with various pathologies. In particular, hand cramps can be the result of a stroke.

90,000 Treatment of myositis of the chest in Kiev – consultation price from 450 UAH

Chest myositis is an inflammatory disease that affects the muscles of the same name, accompanied by painful sensations, as well as compaction in the muscles.The disease makes itself felt with acute pain in the chest area and can be caused by various reasons – from hypothermia to infection in the body. This disease often affects women in their fifties and older.

Body movements and sharp turns aggravate pain, the pain radiates to the upper limbs, neck, shoulders. Usually this ailment is chronic and can lead to atrophy of the chest muscles.

Symptoms of this type of myositis can also occur with hypothermia, as a result of being in a draft, injury or excessive physical exertion.

Symptoms and manifestations of myositis of the chest

Quite often, the cause of the disease is a variety of infectious diseases – influenza, ARVI, that is, diseases that were carried by a person “on his feet”, and then gave complications in the form of an illness. Sometimes this type of myositis develops under the influence of toxic substances or as a result of parasitic exposure. However, such cases are rare.

In rare cases, this type of myositis is caused by local muscle infection.Then the disease turns into a purulent form of myositis. It is one of the most severe forms. This can happen if an infection has got into a deep wound or specific medical procedures were carried out without observing hygiene rules.

Traditionally, myositis is a “occupational” disease of PC operators, athletes, drivers – all those who have to be in the same position for a long time. Only a qualified vertebrologist can correctly diagnose “chest myositis”.However, this disease has a number of symptoms that may indicate it:

the site affected by myositis swells slightly, may become edematous;
the skin of the chest turns red;
temperature rises;
severe forms are accompanied by inflammation of the muscles of the larynx, pharynx;
headache appears;
cough and shortness of breath;
increasing the sensitivity of the skin;
body turns, tilts are accompanied by pain;
pain worsens in cold weather;
Chest muscles do not stop hurting even after rest.

Usually myositis is manifested by local pains, their strength and intensity gradually increase. When moving, due to the contraction of the affected muscles, the pain increases. Also, discomfort increases with palpation of muscles, especially nodules that have formed as a result of myositis.

Causes of chest myositis

For correct treatment, it is very important to establish the causes of each specific disease. In particular, chest myositis can result from:

toxic effects on the body;

90,086 traumas suffered;

90,086 parasitic infections;

90,086 infectious diseases;

90,086 occupational diseases.

Types and stages of development of chest myositis

The stages of the disease can be distinguished only conditionally, since the development of acute myositis may indicate that the disease has developed to a chronic form. That is why it is so important to carry out diagnostics at the first visible manifestations of the disease. This will avoid many possible problems in the treatment of the disease at an advanced stage. In the clinic “Omega-Kiev” qualified doctors-vertebrologists will help to detect the problem at the earliest stage of development.

Three main stages of chest myositis can be conventionally distinguished:

The disease usually manifests itself as an acute form. The patient experiences a sharp pain in the chest area, it is difficult for him to bend, turn the body. The site of the lesion is characterized by an increase in temperature, and an increase in the general body temperature is also possible.
The disease often becomes chronic. The affected area hurts on palpation, nodules form on the muscles, which also hurt when pressed.In the chronic form of myositis of the chest, muscle pain occurs with regularity. Painful sensations do not disappear even after a period of complete rest, intensifying at night.
Chronic myositis of the muscles of the chest leads to restriction of movement of the patient. Soreness and muscle tension gradually causes their partial atrophy. In some cases, complete atrophy of the affected muscles is possible.

Also, two forms of the disease should be noted – namely, dermatomyositis and polymyositis.

“Diseases of the spine: pain in the chest and between the shoulder blades”

Dr. Ivanov on slouching as a result of an inferiority complex and low self-esteem

Many people are familiar with pain in the thoracic spine and between the shoulder blades. Especially for those who lead a predominantly sedentary lifestyle. This unpleasant, tedious, pulling sensation from the spine to the shoulder blade makes you want to stretch, move this area. An aesthetic defect – constant hunched over and stooped back can be no less disturbing.This is especially true for teenagers. Dr. Alexander Ivanov in his new article talks about where these problems come from and how to solve them.

Many people are familiar with pain in the thoracic spine and between the shoulder blades. Especially for those who lead a predominantly sedentary lifestyle
Photo: “BUSINESS Online”

CASE FROM MY PRACTICE

Once a young woman of 30 came to see me with characteristic complaints: pain in the spine, radiating to the shoulder blade, a feeling of stiffness between the shoulder blades.Disturbed by the stoop and the feeling of a growing “hump”. She also noted lung problems and dry cough. The patient’s emotional state was depressed, I would describe it as follows: sadness, despair associated with the fear of loneliness, lack of support from loved ones. It turned out that the girl works as a nail service master and is in a forced position for 8-10 hours, constantly holding the muscles of the shoulder girdle and thoracic spine in tension. On examination, I found a pronounced spasm and muscle tension in the area of the shoulder blades and chest, limited mobility of the thoracic vertebrae and ribs, subluxation, oblique pelvis and fixation of the sacrum.Fortunately, I did not reveal any disturbances in sensitivity and reflexes in her.

I have performed work on soft tissues for several sessions in order to remove blocks of vertebrae and ribs. This brought the girl relief, she literally breathed deeply. Of course, in order to cure this ailment, it is not enough to work only with the body; psychological help is also required, aimed at working out fears. Ergonomics of the workplace and occupational health are also important – every 30–45 minutes a break from work and the performance of dynamic exercises and stretching.

CHEST PAIN FROM THE POINT OF VIEW OF NEUROLOGY

From the point of view of vertebral neurology (a branch of neurology that studies diseases of the spine), pain in the thoracic spine can be caused by various reasons: osteoarthritis of the spine, bursitis, radiculopathy, facet syndrome, muscle spasm (myogenic pain), and so on. Most often, such back pain is a consequence of muscle dysfunction (tension of the spinal muscles), which is caused by overloading the back muscles, prolonged exposure to a forced posture, and eventually leads to poor posture.

From the point of view of osteopathy (the science of body biomechanics), pain in the thoracic spine is a consequence of a violation of the biomechanics of the entire spine and body
Photo: pixabay.com

CHEST PAIN FROM THE POINT OF VIEW OF OSTEOPATHY

From the point of view of osteopathy (the science of body biomechanics), pain in the thoracic spine is a consequence of a violation of the biomechanics of the entire spine and body. Pain is an alarm signal, the body seems to say: “Pay attention to me, I’m not comfortable!” If this signal is ignored, muffled by pills, then the problem moves to another level – internal organs suffer.

In case of dysfunction (health problems) of the thoracic spine, the following health problems may occur: heart failure, arrhythmia; bronchial asthma, chronic bronchitis, coughing fits; poor skin condition; stomach diseases in the form of gastritis and dyspepsia; impaired renal function; numbness and pain in the hands; heaviness in the right hypochondrium caused by gallbladder dyskinesia; swelling.

CHEST PAIN AND HAPPENING FROM THE POINT OF VIEW OF PSYCHOSOMATICS

From the point of view of psychosomatics (a branch of medicine that studies the relationship between diseases of the body and human emotions), pain in the thoracic region appears in people in a state of uncertainty, depression, even despair.A person is afraid of losing support in life. In adolescents, stoop can be associated with an inferiority complex, low self-esteem, and an unwillingness to meet the external and internal requirements of life.

In my opinion, “cat” is one of the most effective exercises for the prevention of chest pain.
Photo: “BUSINESS Online”

EXERCISE “CAT” FOR CHEST PAIN AND JOINING

Many of you are familiar with an exercise from the yoga asana system called “cat”.In my opinion, “cat” is one of the most effective exercises for the prevention of chest pain.

Starting position: knee-elbow position. While inhaling, we bend as much as possible in the thoracic spine, bringing the chin to the chest, hold our breath for 3-5 seconds. On exhalation, we unbend, throwing our head back. Depending on the position of the elbows, we can consistently work out the entire thoracic spine – the further the elbows are from the knees, the more the overlying thoracic vertebrae are loaded.We perform the exercise 3-5 times.

Regular exercise “cat” will help improve mobility in the thoracic spine, relax muscles, relieve tension and pain at the end of the working day. I always recommend the “cat” to patients with thoracic spine problems and see excellent results.

Sincerely yours,
Ivanov Alexander Alexandrovich – Candidate of Medical Sciences, osteopath, neurologist, naturopath, member of the Russian osteopathic association, popularizer of a healthy lifestyle and a conscious approach to health.

The opinion of the author may not coincide with the position of the editorial board

Preview photo courtesy of Alexander Ivanov.
The views of the blog authors do not necessarily reflect the views of the editors

90,000 Muscle overexertion: symptoms and treatment

REMAINED TO THE END OF THE PROMOTION:

Remember! It is obligatory to pre-register for a treatment session and diagnostics of the spine.

Main reasons

Muscle overstrain occurs due to the fact that the muscle fibers of certain muscle groups are severely overworked. This process leads to:

Prolonged stay in one static position (in the car, at the computer).
Stress (shoulders lift involuntarily and muscle spasm occurs).
Mental fatigue.
Insufficient training (weak muscles are susceptible to overstrain even with minor loads).
Hypothermia.
Incorrect posture.

People who lead an active – sporty lifestyle are not by hearsay familiar with the symptoms of muscle fatigue. Such an internal state negatively affects the emotional, physical background, and causes considerable harm to the body.

Symptoms of muscle strain

The main symptom of muscle muscles is pain syndrome, including spasm, a feeling of fatigue.Manifestations of the disease can bother a person for three months. Also symptoms of muscle strain are:

Pain in one side of the body.
Unpleasant sensations on palpation of tense muscles, numbness in the muscles.
Dependence on weather.
Insomnia, migraine.
Severe fatigue.
Intestinal irritation.
Feeling of muscle swelling.

The intensity of the manifestation of signs depends on the mental and emotional state.

What is dangerous?

It is important to see a doctor right away if you experience muscle pain or discomfort. After all, these symptoms can be a sign of concomitant diseases of the muscles and the skeletal system. In addition, the most dangerous complication of constant muscle tension is muscle atrophy.

Treatment of muscle strain

First of all, muscle strain treatment is aimed at relaxing the muscle fibers. The therapeutic massage shows itself well. In the Osteopathic Clinic, various massage techniques are used that have an analgesic effect, increase blood circulation and tone the body.We will do our best to restore your working capacity and normal life activity as soon as possible.

An individual approach is implemented in our clinic. The specialist, with whom you will be observed, taking into account the slightest characteristics of the body, will develop a treatment plan for you. Physical therapy, physiotherapy, acupuncture, and more may be prescribed. Osteopathy is very effective, since the osteopathic doctor, by means of gentle but targeted influences, tones the entire body, as a result of which:

Spasms are relieved.
The aching pains pass.
Mood improves, energy and strength appear.

Any doctor of the clinic is a competent and multidisciplinary specialist. Therefore, the doctor will be able to accurately identify concomitant diseases and other possible causes of muscle overstrain and prescribe an appropriate treatment for the situation.

Methods of treatment in an osteopathic clinic

All methods of treatment in the center of osteopathy

Doctors of our Osteopathic Spine Clinic

Lazareva Natalya Gennadievna

Head of the clinic
Doctor of the highest category
Leading pediatric osteopath of St. Petersburg and Russia
Neurologist

Lazarev Vladimir Alexandrovich

Neurologist, osteopath, reflexologist, chiropractor, hirudotherapist, podiatrist, physiotherapist

Krivosheeva Tatiana Gennadievna

Neurologist of the highest category,
Doctor of Medical Sciences
Homeopath

Lazarev Vladimir Alexandrovich

Neurologist, osteopath, reflexologist, chiropractor, hirudotherapist, podiatrist, physiotherapist

Krivosheeva Tatiana Gennadievna

Neurologist of the highest category,
Doctor of Medical Sciences
Homeopath

Months Sergei Olegovich

Osteopath, family doctor, masseur

Panova Elena Mikhailovna

Psychologist

Troitskaya Tatiana Evgenevna

Hirudotherapist, physiotherapist

Morozova Galina Vasilievna

Senior nurse of the highest qualification category

Dudareva Alexandra Viktorovna

Reflexologist, homeopath

Mikhailov Alexander Yurievich

All doctors of the center

How to become healthy and live without pain?

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Come to the initial appointment

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Complete the entire course of treatment

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Spasms in the chest: causes, ways of removing

With thoracalgia, pain in the chest, 22-24% of people face.Almost 30% of patients who seek help complain of cardialgia – spasms and discomfort on the left side of the body. Cramps in the sternum can be the result of a banal overwork or a symptom of a serious illness, including a heart attack, so it is very important to be able to distinguish angina pectoris from neuralgia and seek help in a timely manner.

What are spasms in the chest

Spasms are an involuntary and sharp contraction of muscle fibers.The pectoral muscles seem to stiffen and lose their mobility. In most cases, seizures are accompanied by pains of varying nature and intensity. The attacks last from a few seconds to a few minutes or even hours.

Spasms can be:

localized – affect 1-2 small muscles;
extensive – extends to large muscle groups.

Convulsions are not only accompanied by pain. They can cause breathing problems, heart palpitations, dizziness, tingling and numbness in the upper and lower extremities, weakness in the legs, asthma attacks, panic attacks, and even loss of consciousness.

With mild spasms, there is a pulling pain and muscle twitching. With strong contractions, muscle fibers are injured, which leads to an inflammatory process that persists for a long time.

Spasms are episodic and cyclical. Episodic seizures occur rarely and at long intervals. In some patients, muscle fiber contraction is a single phenomenon that repeats no more than 1-2 times in a lifetime.

Cyclical spasms are paroxysmal in nature.They subside and repeat several times a day. The duration of the break between muscle contractions varies from 30-40 seconds to 2-6 minutes or hours.

Convulsions are localized in different parts of the chest: in the middle, on the left or right side, in front or behind. Spasms can affect the lower or upper part of the thoracic region, as well as other internal and external organs located near the affected area.

Why does a healthy person have spasms?

Cramps in the chest are the result of a violation of the contractile function of the muscles.The exact causes of the pathology are not fully understood, but doctors believe that it can also occur in a completely healthy person under the influence of external factors.

Mechanical injuries

Contusions of the chest and back can cause pinching of the spinal or peripheral nerves. This leads to a contraction of the muscle corset and the occurrence of pain.

Pinching of nerve endings occurs immediately after injury or after a certain time. For example, after a load on a bruised area, an incorrect posture, or an abrupt movement of the body.

Spasms caused by bruises and pinched nerves are accompanied by acute pain. It increases with inhalation and exhalation, with pressure on the injured area.

Muscle fatigue

Chest cramps appear after intense training and hard physical work. In the muscles, due to heavy loads, the metabolism slows down, and toxins accumulate, which are formed as a result of the body’s metabolic processes.

Decomposition products lead to the contraction of muscle fibers.The process is accompanied by a feeling of fatigue, weakness and pain.

Electrolytic imbalance

Tension and contraction of muscle fibers provokes a deficiency of micro- and macroelements:

calcium;
potassium;
phosphorus.

Electrolytic imbalance occurs due to improper nutrition, the use of alcoholic and narcotic substances, as well as due to dehydration of the body as a result of diarrhea, vomiting, increased sweating and / or non-compliance with the drinking regime.

With a deficiency of minerals, spasms can occur not only in the chest, but also in other parts of the body. A severe lack of nutrients leads to tachycardia, arrhythmias, muscle weakness and circulatory problems.

Stressful situations

In stressful situations, the body produces hormones that provoke compression of blood vessels and muscle fibers. The process is accompanied by pain, muscle twitching, sometimes – dizziness, shortness of breath, tingling sensation and cold in the limbs, panic attacks.

Muscle spasms of the chest occur only against the background of strong emotional upheaval. The impetus for the appearance of seizures can be both a bad event and a good one. With frequent stress, the contraction of muscle fibers and blood vessels becomes chronic, which leads to health problems and limited mobility.

Temperature changes

Spasms in the chest are also caused by a sharp change in temperature. For example, a contrast shower, a jump into a cold pool after a bath or sauna, a draft, or a transition from a warmer room to a cooler one and vice versa.

Temperature changes can also lead to an inflammatory process in the chest area, which is accompanied by frequent weak or severe cramps, pain, fever and symptoms of general intoxication of the body.

Hypovitaminosis

Spasms behind the breastbone also occur due to the low concentration of B vitamins: pantothenic acid and thiamine. The causes of hypovitaminosis include long-term use of antibiotics, a lack of fat and protein, an excess of simple carbohydrates and sugar, poor absorption of nutrients due to diseases of the digestive tract.

Deficiency of vitamins B1 and B5 is fraught with respiratory and heart failure, problems with the nervous system. At a low concentration of thiamine and pantothenic acid, cramps in the sternum may be accompanied by numbness of the fingers, physical weakness, a feeling of “creeping”, headaches and muscle pains.

Sternum cramps and health problems

Frequent contractions of the pectoral muscles are a reason for a full examination. Spasms and pain syndrome can indicate serious pathologies of the internal organs and the nervous system.

Diseases of the stomach

If the cramps are constantly located in the middle of the chest or near the center, a consultation with a gastroenterologist is necessary. Spasms that occur at a certain time or after certain actions can indicate a stomach ulcer, as well as pathology of the gall or bladder.

In diseases of the digestive organs, the muscles begin to contract after eating. Heartburn, nausea or even vomiting are added to the standard symptoms.

Pancreatitis is another cause of a spasm in the chest in the middle.Signs of the acute stage of the disease are similar to those of a heart attack: severe pain, nausea and vomiting. It is very difficult to distinguish one pathology from another at home. An accurate diagnosis can be made only after a full diagnosis.

Not superfluous with muscle contractions will be a consultation with a surgeon. Pain and spasms in the center of the chest occur with a diaphragmatic hernia. The main feature of the pathology is that the symptoms appear mainly at night. They increase with a change in body position and do not respond to analgesics.The only way to relieve cramps is to lie flat and lie still on your back.

Pathologies from the nervous system

Cardioneurosis, a psychosomatic disease, leads to frequent convulsions that are localized in the heart area. Pathology develops against the background of chronic fatigue, depression, mental and physical stress, constant conflicts.

Spasms in cardioneurosis are of two types:

weak and prolonged, accompanied by aching dull pain;
intense, short-term, similar to signs of angina pectoris.

Convulsions in cardioneurosis begin with a feeling of anxiety or panic attack. They are accompanied by redness or blanching of the skin, cold sweats, weakness, mood swings, tachycardia, and shortness of breath.

Diseases of the spinal region

Neuralgia and osteochondrosis of the cervicothoracic region lead to spasmodic pains and contractions of muscle fibers.

The characteristic signs of neuralgia are:

intense and pressing pain behind the sternum, which increases with physical exertion, sneezing, coughing, as well as inhaling and exhaling;
numbness of the skin in the area of spasms;
increased sweating;
Pallor or redness of the skin over the area of pinched nerve endings.

The characteristic signs of osteochondrosis include:

uncomfortable sensations that can descend to the diaphragm;
Creeping sensation in the chest region;
Girdle spasmodic pains.

Convulsions in osteochondrosis are aggravated by a sudden movement of the trunk or an attempt to raise the arm, and are reduced by deep breaths.

Scoliosis and kyphosis, musculoskeletal thoracalgia, Tietze syndrome and spinal hernias also lead to spasms in the lower part or center of the sternum.All pathologies have similar symptoms, so only a surgeon or neurosurgeon can make an accurate diagnosis.

Other diseases

Cramps in the thoracic region can occur due to hormonal disruptions, infectious and inflammatory diseases, cirrhosis of the liver and disruptions in the endocrine system.

Coronary artery disease is a common cause of mid-chest cramps. Severe pain and squeezing occurs in patients mainly in the morning, immediately after waking up.The symptoms are often accompanied by shortness of breath. A horizontal position and relaxation of all muscles helps to reduce spasms in ischemic disease.

How to distinguish cramps in the sternum from a heart attack

Angina, a harbinger of myocardial infarction, has several characteristic features:

pain occurs only during physical or emotional stress;
pain syndrome is pressing or constricting in nature;
discomfort is localized closer to the center of the sternum;
Heart rate becomes irregular, heart rate increases;
Pain disappears with physical and emotional rest or after taking nitrates.

Symptoms of spasms are similar to angina pectoris, but they have several differences:

in the area of convulsions on palpation, you can find a seal;
Heart rate increases with anxiety and panic attack;
pain syndrome in most cases is relieved by analgesics.

Only a doctor can make an accurate diagnosis. The specialist should do an ECG, conduct a visual and manual examination of the patient, and, if necessary, prescribe a chest x-ray.

How to relieve spasm

In case of cramps in the sternum it is recommended:

Lie on a flat surface and put your arms straight behind your head. The horizontal position promotes muscle relaxation.
Take a warm shower or bath, apply a warm compress to the painful area. High temperatures improve blood circulation, reduce muscle spasm and pain. Prolonged use of heat can provoke inflammation and swelling, so warming up should not last more than 3-5 minutes.
Apply a local anesthetic with anti-inflammatory properties: Indomethacin, Diclofenac. It is also allowed to use a solution of novocaine (0.25 – 0.5%).
Take oral antispasmodic: “Papaverine”, “Nimesil”, “Galidor”, “Drotaverin”.
In the absence of medicines for internal and external use, you can use folk recipes: rub the juice of horseradish or black radish into the painful area, apply gruel from geranium leaves.

As a prophylaxis of seizures it is worth:

drink at least 2 liters of water to maintain electrolyte balance;
take a course of acupuncture or manual therapy;
to consume vitamin complexes with thiamine and pantothenic acid;
take relaxing baths with sea salt and sage;
with frequent stress, drink decoctions of chamomile, lemon balm or valerian.

Patients are also advised to avoid heavy physical exertion, but to regularly perform special exercises to strengthen the muscular system of the chest and back.

Additionally, it is worth undergoing examinations by a cardiologist, endocrinologist, gastroenterologist and surgeon to find out the cause of frequent spasms. In the presence of diseases, it is imperative to undergo a course of medication, physiotherapy or surgical treatment.

Muscle clamp or spasm.4 reasons, treatment

2. Working with breathing.

Breathwork – copes very well with muscle tension of a psychosomatic nature.

By consciously controlling the depth and beginning of our breathing, we can control the state of the whole body.

Remember the rule:

“The higher the breath arises, the more restless the state of the person.”

3. Physical activity.

First, muscle tension during exercise “restarts” it and removes chronic tension and spasm that have accumulated there.That is why, if you start actively training after a long break, you can feel that everything hurts.

Secondly, the body is very smart and therefore “lazy”.

He perceives any non-working muscle as a burden, therefore he fixes it in place with the help of a spasm.

If for some reason he considers the core muscles to be inactive, he will not use them and fix them.

If he can walk like a robot without moving anything, he will do so, because it is technically possible.

Therefore, it is ideal to do exercises on all muscle groups in order to include them in the brain map. Then, with normal daily movement, they will also turn on.

4. Rest and relaxation

Allocate at least a day in the week when you will do something only for yourself:

– do a pleasant thing

– give gifts to yourself

– take time for the health and beauty of your body, you have one thing and must be protected.

5. Specialists.

If you cannot cope with the problems yourself, you can contact the specialists:

Everyone in childhood had falls, injuries, bruises. Now no one remembers them anymore. Or birth trauma that people usually don’t even know about. Over the years, they change the body, and therefore all the load that you now take on yourself is unevenly distributed.

An osteopath can balance this load, and also helps the brain understand how to control the limbs evenly, how to relax.

There are cases when people do not understand that they are tense until they are in the hands of a specialist. This phenomenon is explained by the fact that the brain easily cuts off from its perception that which is not beneficial for it (for example, tense muscles).

Massages are good when everything costs exactly

Massage does not take into account that muscle tension can be caused by compensation of some other damage in the body.

Very often, after surgery, a scar appears in the anterior abdominal wall.Tension appears in other muscles to compensate for the tension from the scar. It is in these muscles that a person feels pain and goes to a masseur to relax it.

Breast muscle spasm. Breast Vibration: Causes, Concerns, and Medical Insights

Understanding Breast Vibration: An Unusual Sensation

Potential Causes of Breast Vibration

Is Breast Vibration a Sign of Cancer?

Medical Conditions Associated with Breast Vibration

When to Seek Medical Attention for Breast Vibration

Treating and Managing Breast Vibration

Breast Vibration in Breast Cancer Survivors

Unusual Explanations and Theories for Breast Vibration

The Role of Individual Perception in Breast Vibration

Research and Future Directions in Understanding Breast Vibration

The Importance of Open Dialogue About Breast Health

Coping with Anxiety Related to Breast Vibration

The Role of Technology in Breast Health Awareness

Breast Vibration in the Context of Overall Breast Health

Cultural Perspectives on Breast Health and Sensations

Breast Vibration: Could It Mean Cancer?

Hyperspasticity After Partial Neurectomy for Treatment of Myospasms Following Subpectoral Breast Reconstruction

Lena F. Carstensen

Summary:

CASE REPORT

DISCUSSION

Table 1.

CONCLUSIONS

ACKNOWLEDGEMENTS

Footnotes

REFERENCES

Neurectomy for breast reconstruction-related spasms of the pectoralis major muscle

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