What is non-cardiac chest pain. How does it differ from cardiac chest pain. What are the common causes of non-cardiac chest pain. How is non-cardiac chest pain diagnosed and treated. Who is at risk for experiencing non-cardiac chest pain. When should you seek medical attention for chest pain.

Understanding Non-Cardiac Chest Pain: Definition and Prevalence

Non-cardiac chest pain refers to discomfort in the chest area that is not related to heart disease or a heart attack. This condition is surprisingly common, affecting up to 25% of adults in the United States at some point in their lives. Despite its prevalence, many people are unaware of what non-cardiac chest pain entails and how it differs from heart-related issues.

Non-cardiac chest pain can be a perplexing and frightening experience for those who encounter it. The sensation often mimics the symptoms of angina or a heart attack, leading many individuals to seek emergency medical attention. While it’s always advisable to err on the side of caution when experiencing chest pain, understanding the nature of non-cardiac chest pain can help alleviate some anxiety and guide appropriate treatment.

Key characteristics of non-cardiac chest pain:

• Often described as a pressure or squeezing sensation behind the breastbone
• May spread to the neck, left arm, or back
• Can last for a few minutes or persist for hours
• Not directly related to heart disease or heart attacks
• May be associated with other symptoms such as heartburn or a bitter taste in the mouth

Common Causes of Non-Cardiac Chest Pain: Beyond the Heart

While the heart is often the first suspect when chest pain occurs, numerous other factors can contribute to non-cardiac chest pain. Understanding these potential causes is crucial for proper diagnosis and treatment.

Gastroesophageal Reflux Disease (GERD)

GERD is the most prevalent cause of non-cardiac chest pain, accounting for 22 to 66 percent of cases. This condition occurs when stomach acid flows back into the esophagus, causing irritation and discomfort. Why is GERD so commonly associated with chest pain? The proximity of the esophagus to the heart can lead to sensations that mimic cardiac issues, making it challenging to distinguish between the two without proper medical evaluation.

Esophageal Motility Disorders

Abnormalities in esophageal muscle function can also result in non-cardiac chest pain. These disorders include:

• Esophageal spasm: Uncoordinated muscle contractions in the esophagus
• Nutcracker esophagus: High-pressure contractions or squeezing of the esophagus
• Achalasia: Missing contractions due to nerve loss in the esophagus

Each of these conditions can disrupt the normal movement of food through the esophagus, potentially leading to chest discomfort.

Visceral or Esophageal Hypersensitivity

Some individuals experience an heightened sensitivity to pressure changes or small amounts of stomach acid in the esophagus. This hypersensitivity can trigger significant pain in response to stimuli that wouldn’t typically cause discomfort in others. The underlying mechanisms of this increased sensitivity remain unclear, highlighting the complexity of non-cardiac chest pain.

Less Common Causes of Non-Cardiac Chest Pain

While esophageal issues are the primary culprits behind non-cardiac chest pain, several other conditions can manifest as chest discomfort. These less frequent causes include:

1. Musculoskeletal problems in the chest, chest wall, or spine
2. Lung conditions or diseases, including disorders of the pleura
3. Stomach ulcers
4. Psychological factors such as stress, anxiety, or depression

The diverse range of potential causes underscores the importance of a comprehensive medical evaluation when experiencing chest pain. Accurately identifying the underlying issue is crucial for implementing effective treatment strategies.

Diagnosing Non-Cardiac Chest Pain: A Process of Elimination

Determining whether chest pain is cardiac or non-cardiac in nature requires a systematic approach. How do medical professionals differentiate between these two types of chest pain? The diagnostic process typically involves several key steps:

Initial Emergency Room Assessment

When a patient presents with unexplained chest pain, the first priority is to rule out life-threatening cardiac conditions. This initial evaluation includes:

• A complete physical examination
• Measurement of vital signs (temperature, blood pressure, heart rate)
• Electrocardiogram (ECG) to assess heart activity
• Blood tests to check for cardiac markers

Ruling Out Cardiac Causes

If the initial tests indicate that the heart is functioning normally and there’s no evidence of a heart attack, the chest pain is classified as non-cardiac. However, this diagnosis is often one of exclusion, meaning that cardiac causes must be definitively ruled out before exploring other possibilities.

Further Diagnostic Tests

Once cardiac causes have been eliminated, additional tests may be conducted to identify the specific cause of the non-cardiac chest pain. These may include:

• Endoscopy to examine the esophagus and stomach
• Esophageal manometry to assess muscle function in the esophagus
• pH monitoring to detect acid reflux
• Imaging studies such as chest X-rays or CT scans

The comprehensive nature of this diagnostic process highlights the complexity of non-cardiac chest pain and the importance of thorough medical evaluation.

Treatment Options for Non-Cardiac Chest Pain

Managing non-cardiac chest pain effectively requires a tailored approach based on the underlying cause. What are the primary treatment strategies for addressing this condition?

Medication-Based Treatments

Depending on the specific cause of the non-cardiac chest pain, various medications may be prescribed:

• Proton pump inhibitors or H2 blockers for GERD
• Antispasmodics for esophageal motility disorders
• Low-dose antidepressants to address visceral hypersensitivity
• Pain relievers for musculoskeletal causes

Lifestyle Modifications

In many cases, simple lifestyle changes can significantly alleviate non-cardiac chest pain:

• Dietary adjustments to reduce acid reflux
• Stress management techniques
• Weight loss if obesity is a contributing factor
• Avoiding trigger foods or activities

Psychological Interventions

For individuals whose non-cardiac chest pain is associated with stress, anxiety, or depression, psychological interventions may be beneficial:

• Cognitive-behavioral therapy
• Relaxation techniques
• Biofeedback

The multifaceted nature of these treatment options reflects the diverse causes of non-cardiac chest pain and the need for personalized care.

When to Seek Medical Attention for Chest Pain

Given the potential seriousness of chest pain, it’s crucial to know when to seek immediate medical attention. How can one determine if chest pain warrants a trip to the emergency room?

Red Flags for Immediate Medical Evaluation

• Sudden, severe chest pain
• Pain accompanied by shortness of breath, sweating, or nausea
• Chest pain that radiates to the jaw, left arm, or back
• Any chest pain in individuals with a history of heart disease or high cardiac risk factors

It’s important to remember that distinguishing between cardiac and non-cardiac chest pain without proper medical evaluation is challenging and potentially dangerous. When in doubt, it’s always best to seek professional medical advice.

Living with Non-Cardiac Chest Pain: Coping Strategies and Long-Term Management

For many individuals, non-cardiac chest pain can be a chronic or recurring issue. How can those affected manage their symptoms and improve their quality of life?

Education and Reassurance

Understanding the benign nature of non-cardiac chest pain can significantly reduce anxiety and improve overall well-being. Healthcare providers play a crucial role in educating patients about their condition and providing reassurance about its non-life-threatening nature.

Developing a Management Plan

Working closely with healthcare providers to develop a comprehensive management plan is essential. This plan may include:

• Regular follow-up appointments
• Strategies for managing acute episodes of pain
• Long-term lifestyle modifications
• Psychological support if needed

Support Groups and Resources

Connecting with others who experience non-cardiac chest pain can provide valuable emotional support and practical advice. Support groups, online forums, and educational resources can help individuals feel less isolated and more empowered in managing their condition.

By adopting a proactive approach to managing non-cardiac chest pain, many individuals can significantly reduce the impact of this condition on their daily lives and overall well-being.

Advances in Research and Future Directions in Non-Cardiac Chest Pain

As our understanding of non-cardiac chest pain continues to evolve, researchers are exploring new avenues for diagnosis and treatment. What are some of the promising developments in this field?

Improved Diagnostic Techniques

Emerging technologies are enhancing our ability to diagnose non-cardiac chest pain more accurately and efficiently. These include:

• Advanced imaging techniques for visualizing esophageal function
• Genetic markers for identifying individuals at higher risk for certain esophageal disorders
• Artificial intelligence algorithms for analyzing symptoms and test results

Novel Treatment Approaches

Researchers are investigating innovative treatment strategies for non-cardiac chest pain, including:

• Targeted neuromodulation techniques for managing esophageal hypersensitivity
• Personalized medicine approaches based on genetic and molecular profiles
• Advanced endoscopic procedures for treating esophageal motility disorders

Interdisciplinary Approaches

Recognizing the complex nature of non-cardiac chest pain, there is a growing emphasis on interdisciplinary care models that integrate expertise from various medical specialties, including cardiology, gastroenterology, pain management, and psychology.

These advancements hold promise for improving the diagnosis, treatment, and overall management of non-cardiac chest pain, potentially leading to better outcomes and quality of life for affected individuals.

Non-cardiac chest pain remains a challenging and often misunderstood condition. However, with ongoing research and a growing awareness of its diverse causes and manifestations, healthcare providers are better equipped than ever to help patients navigate this complex issue. By combining medical expertise with patient education and empowerment, the outlook for those experiencing non-cardiac chest pain continues to improve.

Non-Cardiac Chest Pain

Overview

What is non-cardiac chest pain?

Non-cardiac chest pain is the term that is used to describe pain in the chest that is not caused by heart disease or a heart attack.

What does non-cardiac chest pain feel like?

Non-cardiac chest pain is often described as feeling like angina, the chest pain caused by heart disease. The patient feels a pressure or squeezing pain behind the breast bone. Some people also report the pain spreads to the neck, left arm, or back. The pain can last for a few minutes or for hours.

Who gets non-cardiac chest pain?

An episode of non-cardiac chest pain has occurred in as many as 25 percent of adults in the United States. No risk factors have been identified that make a person more likely to get non-cardiac chest pain.

Symptoms and Causes

What causes non-cardiac chest pain?

In most people, non-cardiac chest is related to a problem with the esophagus, the tube that connects the mouth with the stomach. There are several different esophagus problems that can cause non-cardiac chest pain.

Gastroesophageal reflux disease (GERD) is the most common cause of non-cardiac chest pain. Also called acid reflux, this condition causes 22 to 66 percent of non-cardiac chest pain.

Other, less common esophagus problems that can cause chest pain include:

• Muscle problems, also called esophageal motility disorders. In people with these problems, abnormal muscle activity in the esophagus prevents food from moving through the esophagus normally. Esophagus muscle problems include uncoordinated muscle contractions (esophageal spasm), high-pressure contractions or squeezing of the esophagus (nutcracker esophagus), and missing contractions caused by nerve loss (achalasia).
• Visceral or esophageal hypersensitivity. People with this condition have a lot of pain when there is a very small pressure change in the esophagus or a small amount of stomach acid comes up into the esophagus. People with a normal esophagus would not feel anything from the pressure change or the presence of acid. The reason why some people have this extra sensitivity (hypersensitivity) to pressure or acid is not known.

What other problems can cause non-cardiac chest pain?

Some less-common problems that can cause non-cardiac chest pain include:

• Muscle or bone problems in the chest, chest wall, or spine (back)
• Lung conditions or diseases, including diseases of the pleura, the tissue that covers the lungs
• Stomach problems, such as ulcers
• Stress, anxiety, or depression

Do people with non-cardiac chest pain have other symptoms?

Patients with non-cardiac chest pain also may have heartburn or a bitter taste in the mouth due to stomach fluid “coming up.” In some patients, non-cardiac chest pain occurs after eating. For some patients, non-cardiac chest pain is associated with stress, anxiety, or depression.

Diagnosis and Tests

How is non-cardiac chest pain diagnosed?

The person having chest pain cannot know whether it is heart related or is non-cardiac chest pain. A person having unexplained chest pain should go to the emergency room.

The emergency room doctor first will give the patient a complete physical exam that includes temperature, blood pressure, and heart rate. Next the doctor will test the patient for heart disease or heart attack. These tests include an electrocardiogram (a noninvasive test that records the heart’s electrical activity) and blood tests. The heart releases certain proteins when a heart attack occurs that will show up in a blood test.

If these tests show that the heart is fine and the pain is not from a heart attack, the pain is called non-cardiac chest pain.

Management and Treatment

What kind of doctor treats non-cardiac chest pain?

The first time a person has non-cardiac chest pain, he or she usually goes to the emergency room, thinking he or she is having a heart attack. The first thing the emergency room doctor will do is make sure the pain is not a heart attack or due to heart disease.

If it truly is non-cardiac chest pain, the emergency room doctor usually refers the patient to a gastroenterologist, a doctor who specializes in digestive system disorders, for more testing and treatment.

Some people who have had several episodes of non-cardiac chest pain go to their primary care physician or a heart doctor (cardiologist) instead of the emergency room. The doctor will follow the same steps to make sure the pain is not heart-related, then refer the person to a gastroenterologist.

How is non-cardiac chest pain treated?

Although non-cardiac chest pain can be a scary event because it feels like heart pain, it usually can be treated successfully once the doctor identifies the cause of the pain. With the right treatment, the symptoms go away for most patients.

Proton-pump inhibitors (PPI) are the most common treatment for non-cardiac chest pain caused by GERD. Several different PPIs are available. Treatment usually begins with a high dose of a PPI. After GERD symptoms lessen, the dose of the PPI is reduced to the lowest amount that control symptoms. Two or more months of drug treatment may be needed to control symptoms.

What treatments are available for non-cardiac chest pain that is not caused by GERD?

The most common and effective treatment for other health problems that cause non-cardiac chest pain is a medicine that blocks the pain signals. Tricyclic antidepressants (TCAs), used in a low dose, are the most commonly used medicines. A low dose of other types of anti-depression medicine can be used if the patient has side effects from the TCAs.

When non-cardiac chest pain is caused by a muscle problem, simple treatments, such as a heating pad, stretching exercises, or over-the-counter pain relievers like ibuprofen, can relieve the pain.

Non-cardiac chest pain can be due to stress, anxiety, or depression. A psychologist can help patients with these problems work through them so they do not cause chest pain. Talk therapy that teaches the patient how to change or eliminate thought patterns that cause stress can reduce the frequency of chest pain episodes.

Outlook / Prognosis

What is the prognosis (long-term outlook) for people with non-cardiac chest pain?

Most non-cardiac chest pain is caused by GERD. People who follow their doctor’s instructions for managing GERD usually do not have further problems with non-cardiac chest pain.

Non-Cardiac Chest Pain

Overview

What is non-cardiac chest pain?

Non-cardiac chest pain is the term that is used to describe pain in the chest that is not caused by heart disease or a heart attack.

What does non-cardiac chest pain feel like?

Non-cardiac chest pain is often described as feeling like angina, the chest pain caused by heart disease. The patient feels a pressure or squeezing pain behind the breast bone. Some people also report the pain spreads to the neck, left arm, or back. The pain can last for a few minutes or for hours.

Who gets non-cardiac chest pain?

An episode of non-cardiac chest pain has occurred in as many as 25 percent of adults in the United States. No risk factors have been identified that make a person more likely to get non-cardiac chest pain.

Symptoms and Causes

What causes non-cardiac chest pain?

In most people, non-cardiac chest is related to a problem with the esophagus, the tube that connects the mouth with the stomach. There are several different esophagus problems that can cause non-cardiac chest pain.

Gastroesophageal reflux disease (GERD) is the most common cause of non-cardiac chest pain. Also called acid reflux, this condition causes 22 to 66 percent of non-cardiac chest pain.

Other, less common esophagus problems that can cause chest pain include:

• Muscle problems, also called esophageal motility disorders. In people with these problems, abnormal muscle activity in the esophagus prevents food from moving through the esophagus normally. Esophagus muscle problems include uncoordinated muscle contractions (esophageal spasm), high-pressure contractions or squeezing of the esophagus (nutcracker esophagus), and missing contractions caused by nerve loss (achalasia).
• Visceral or esophageal hypersensitivity. People with this condition have a lot of pain when there is a very small pressure change in the esophagus or a small amount of stomach acid comes up into the esophagus. People with a normal esophagus would not feel anything from the pressure change or the presence of acid. The reason why some people have this extra sensitivity (hypersensitivity) to pressure or acid is not known.

What other problems can cause non-cardiac chest pain?

Some less-common problems that can cause non-cardiac chest pain include:

• Muscle or bone problems in the chest, chest wall, or spine (back)
• Lung conditions or diseases, including diseases of the pleura, the tissue that covers the lungs
• Stomach problems, such as ulcers
• Stress, anxiety, or depression

Do people with non-cardiac chest pain have other symptoms?

Patients with non-cardiac chest pain also may have heartburn or a bitter taste in the mouth due to stomach fluid “coming up.” In some patients, non-cardiac chest pain occurs after eating. For some patients, non-cardiac chest pain is associated with stress, anxiety, or depression.

Diagnosis and Tests

How is non-cardiac chest pain diagnosed?

The person having chest pain cannot know whether it is heart related or is non-cardiac chest pain. A person having unexplained chest pain should go to the emergency room.

The emergency room doctor first will give the patient a complete physical exam that includes temperature, blood pressure, and heart rate. Next the doctor will test the patient for heart disease or heart attack. These tests include an electrocardiogram (a noninvasive test that records the heart’s electrical activity) and blood tests. The heart releases certain proteins when a heart attack occurs that will show up in a blood test.

If these tests show that the heart is fine and the pain is not from a heart attack, the pain is called non-cardiac chest pain.

Management and Treatment

What kind of doctor treats non-cardiac chest pain?

The first time a person has non-cardiac chest pain, he or she usually goes to the emergency room, thinking he or she is having a heart attack. The first thing the emergency room doctor will do is make sure the pain is not a heart attack or due to heart disease.

If it truly is non-cardiac chest pain, the emergency room doctor usually refers the patient to a gastroenterologist, a doctor who specializes in digestive system disorders, for more testing and treatment.

Some people who have had several episodes of non-cardiac chest pain go to their primary care physician or a heart doctor (cardiologist) instead of the emergency room. The doctor will follow the same steps to make sure the pain is not heart-related, then refer the person to a gastroenterologist.

How is non-cardiac chest pain treated?

Although non-cardiac chest pain can be a scary event because it feels like heart pain, it usually can be treated successfully once the doctor identifies the cause of the pain. With the right treatment, the symptoms go away for most patients.

Proton-pump inhibitors (PPI) are the most common treatment for non-cardiac chest pain caused by GERD. Several different PPIs are available. Treatment usually begins with a high dose of a PPI. After GERD symptoms lessen, the dose of the PPI is reduced to the lowest amount that control symptoms. Two or more months of drug treatment may be needed to control symptoms.

What treatments are available for non-cardiac chest pain that is not caused by GERD?

The most common and effective treatment for other health problems that cause non-cardiac chest pain is a medicine that blocks the pain signals. Tricyclic antidepressants (TCAs), used in a low dose, are the most commonly used medicines. A low dose of other types of anti-depression medicine can be used if the patient has side effects from the TCAs.

When non-cardiac chest pain is caused by a muscle problem, simple treatments, such as a heating pad, stretching exercises, or over-the-counter pain relievers like ibuprofen, can relieve the pain.

Non-cardiac chest pain can be due to stress, anxiety, or depression. A psychologist can help patients with these problems work through them so they do not cause chest pain. Talk therapy that teaches the patient how to change or eliminate thought patterns that cause stress can reduce the frequency of chest pain episodes.

Outlook / Prognosis

What is the prognosis (long-term outlook) for people with non-cardiac chest pain?

Most non-cardiac chest pain is caused by GERD. People who follow their doctor’s instructions for managing GERD usually do not have further problems with non-cardiac chest pain.

Non-Cardiac Chest Pain

Overview

What is non-cardiac chest pain?

Non-cardiac chest pain is the term that is used to describe pain in the chest that is not caused by heart disease or a heart attack.

What does non-cardiac chest pain feel like?

Non-cardiac chest pain is often described as feeling like angina, the chest pain caused by heart disease. The patient feels a pressure or squeezing pain behind the breast bone. Some people also report the pain spreads to the neck, left arm, or back. The pain can last for a few minutes or for hours.

Who gets non-cardiac chest pain?

An episode of non-cardiac chest pain has occurred in as many as 25 percent of adults in the United States. No risk factors have been identified that make a person more likely to get non-cardiac chest pain.

Symptoms and Causes

What causes non-cardiac chest pain?

In most people, non-cardiac chest is related to a problem with the esophagus, the tube that connects the mouth with the stomach. There are several different esophagus problems that can cause non-cardiac chest pain.

Gastroesophageal reflux disease (GERD) is the most common cause of non-cardiac chest pain. Also called acid reflux, this condition causes 22 to 66 percent of non-cardiac chest pain.

Other, less common esophagus problems that can cause chest pain include:

• Muscle problems, also called esophageal motility disorders. In people with these problems, abnormal muscle activity in the esophagus prevents food from moving through the esophagus normally. Esophagus muscle problems include uncoordinated muscle contractions (esophageal spasm), high-pressure contractions or squeezing of the esophagus (nutcracker esophagus), and missing contractions caused by nerve loss (achalasia).
• Visceral or esophageal hypersensitivity. People with this condition have a lot of pain when there is a very small pressure change in the esophagus or a small amount of stomach acid comes up into the esophagus. People with a normal esophagus would not feel anything from the pressure change or the presence of acid. The reason why some people have this extra sensitivity (hypersensitivity) to pressure or acid is not known.

What other problems can cause non-cardiac chest pain?

Some less-common problems that can cause non-cardiac chest pain include:

• Muscle or bone problems in the chest, chest wall, or spine (back)
• Lung conditions or diseases, including diseases of the pleura, the tissue that covers the lungs
• Stomach problems, such as ulcers
• Stress, anxiety, or depression

Do people with non-cardiac chest pain have other symptoms?

Patients with non-cardiac chest pain also may have heartburn or a bitter taste in the mouth due to stomach fluid “coming up.” In some patients, non-cardiac chest pain occurs after eating. For some patients, non-cardiac chest pain is associated with stress, anxiety, or depression.

Diagnosis and Tests

How is non-cardiac chest pain diagnosed?

The person having chest pain cannot know whether it is heart related or is non-cardiac chest pain. A person having unexplained chest pain should go to the emergency room.

The emergency room doctor first will give the patient a complete physical exam that includes temperature, blood pressure, and heart rate. Next the doctor will test the patient for heart disease or heart attack. These tests include an electrocardiogram (a noninvasive test that records the heart’s electrical activity) and blood tests. The heart releases certain proteins when a heart attack occurs that will show up in a blood test.

If these tests show that the heart is fine and the pain is not from a heart attack, the pain is called non-cardiac chest pain.

Management and Treatment

What kind of doctor treats non-cardiac chest pain?

The first time a person has non-cardiac chest pain, he or she usually goes to the emergency room, thinking he or she is having a heart attack. The first thing the emergency room doctor will do is make sure the pain is not a heart attack or due to heart disease.

If it truly is non-cardiac chest pain, the emergency room doctor usually refers the patient to a gastroenterologist, a doctor who specializes in digestive system disorders, for more testing and treatment.

Some people who have had several episodes of non-cardiac chest pain go to their primary care physician or a heart doctor (cardiologist) instead of the emergency room. The doctor will follow the same steps to make sure the pain is not heart-related, then refer the person to a gastroenterologist.

How is non-cardiac chest pain treated?

Although non-cardiac chest pain can be a scary event because it feels like heart pain, it usually can be treated successfully once the doctor identifies the cause of the pain. With the right treatment, the symptoms go away for most patients.

Proton-pump inhibitors (PPI) are the most common treatment for non-cardiac chest pain caused by GERD. Several different PPIs are available. Treatment usually begins with a high dose of a PPI. After GERD symptoms lessen, the dose of the PPI is reduced to the lowest amount that control symptoms. Two or more months of drug treatment may be needed to control symptoms.

What treatments are available for non-cardiac chest pain that is not caused by GERD?

The most common and effective treatment for other health problems that cause non-cardiac chest pain is a medicine that blocks the pain signals. Tricyclic antidepressants (TCAs), used in a low dose, are the most commonly used medicines. A low dose of other types of anti-depression medicine can be used if the patient has side effects from the TCAs.

When non-cardiac chest pain is caused by a muscle problem, simple treatments, such as a heating pad, stretching exercises, or over-the-counter pain relievers like ibuprofen, can relieve the pain.

Non-cardiac chest pain can be due to stress, anxiety, or depression. A psychologist can help patients with these problems work through them so they do not cause chest pain. Talk therapy that teaches the patient how to change or eliminate thought patterns that cause stress can reduce the frequency of chest pain episodes.

Outlook / Prognosis

What is the prognosis (long-term outlook) for people with non-cardiac chest pain?

Most non-cardiac chest pain is caused by GERD. People who follow their doctor’s instructions for managing GERD usually do not have further problems with non-cardiac chest pain.

GERD and chest pain: Heartburn or heart attack?

Chest pain can be a sign that a person is having a heart attack. However, chest pain is also a common symptom of other, less serious conditions, such as gastroesophageal reflux disease.

Doctors refer to pain from heart attacks and other conditions that affect the cardiovascular system as cardiac chest pain. Pain that does not come from the cardiovascular system is called noncardiac chest pain.

Gastroesophageal reflux disease (GERD) can cause heartburn, which is a common type of noncardiac chest pain.

While heart attacks are a life-threatening medical emergency, heartburn is not. Therefore, being able to recognize the difference between cardiac and noncardiac chest pain is essential.

In this article, we discuss the symptoms of GERD and heart attacks along with the differences between cardiac and noncardiac chest pain. We also cover other causes of both types of chest pain.

Acid reflux occurs when acid from the stomach leaks up into the food pipe, or esophagus. One of the most common symptoms of acid reflux is heartburn, which is a painful burning sensation in the center of the chest just behind the breastbone, or sternum.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person who experiences acid reflux more than twice a week for a few weeks may have GERD. Close to 20 percent of people in the United States have GERD.

Other symptoms of acid reflux and GERD can include:

People with persistent symptoms of acid reflux or GERD should see a doctor.

Heart attacks occur when the blood supply to the heart muscles becomes completely blocked. If a person does not receive immediate treatment, part of the heart muscle can die.

A common symptom of a heart attack is pain or discomfort that typically occurs in the center or left side of the chest. This pain may come and go, and its severity can range from mild to severe. It can also sometimes feel like heartburn or indigestion.

However, not everyone who has a heart attack experiences chest pain. The symptoms of a heart attack can vary considerably from person to person, and they may come on slowly or very suddenly.

Other symptoms of a heart attack might include:

• intense pressure or tightness in the center of the chest
• a feeling of heaviness or weakness in one or both arms
• pain, numbness, or a tingling sensation in the arms, neck, jaw, lips, or stomach
• difficulty breathing or shortness of breath
• nausea and vomiting
• dizziness or lightheadedness
• fatigue
• breaking out in a cold sweat

Anyone who suspects that they or someone else is having a heart attack should immediately call 911 or go to the emergency room.

Share on PinterestA person experiencing recurring or severe chest pain should speak to a doctor.

When trying to distinguish between cardiac and noncardiac chest pain, a person needs to consider the following three factors:

• the location of the pain
• how the pain feels
• the accompanying symptoms

We discuss each of these in more detail below:

Location of chest pain

Both cardiac and noncardiac chest pain can occur in the center of the chest behind the breastbone.

However, cardiac chest pain can spread across the chest and even affect other parts of the body, such as the:

• arms
• back
• shoulders
• neck or throat
• jaw
• teeth

Noncardiac chest pain, such as heartburn, tends to remain localized, meaning that it does not spread to other areas. Heartburn typically develops behind or underneath the breastbone.

How the pain feels

Some of the words that people use to describe cardiac chest pain are:

• pressure
• squeezing
• heaviness
• fullness
• tightening
• aching
• burning

In contrast, noncardiac chest pain tends to feel like an intense stabbing or burning sensation just beneath the surface of the skin.

Coughing, breathing, or moving can affect the intensity of noncardiac chest pain, while the severity of cardiac chest pain usually remains stable, even when resting.

Accompanying symptoms

The symptoms accompanying chest pain can be an important indication of whether it is cardiac or noncardiac.

The symptoms that can occur along with cardiac chest pain may include:

• shortness of breath
• irregular heartbeat
• dizziness or lightheadedness
• numbness
• pain or discomfort in other parts of the body, such as the arms, neck, jaw, shoulders, and back

Symptoms that indicate that the chest pain is from heartburn or GERD can include:

Causes of cardiac chest pain can include:

Angina

Coronary artery disease (CAD), also called ischemic heart disease or coronary heart disease, occurs when fatty deposits build up in the arteries that supply blood to the heart muscle.

Over time, these deposits can restrict blood flow, which can cause a type of chest pain called angina. CAD can also lead to heart attacks and heart failure.

People often describe angina as a feeling of pressure, squeezing, burning, or tightness behind the breastbone. This pain can spread to other parts of the body, including the arms, jaw, neck, and shoulders.

Angina often occurs during physical activity, and stress can also bring it on. If the pain continues after rest, this can be a sign of a heart attack.

People who are unsure whether they are experiencing angina or a heart attack should call 911 immediately or go to the emergency room.

Myocarditis

Myocarditis is a rare form of cardiovascular disease that causes inflammation of the heart muscle. This inflammation can lead to chest pain, heart failure, or sudden death.

According to the National Organization for Rare Disorders, myocarditis commonly develops without an identifiable cause. However, doctors often diagnose people with myocarditis following a viral or bacterial infection.

Myocarditis produces symptoms similar to those of other heart conditions, such as chest tightness and fatigue. Leaning forward can help relieve chest pain resulting from myocarditis.

Other symptoms of myocarditis include:

• slow heart rate
• irregular heartbeat
• dizziness or lightheadedness
• loss of consciousness

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a thickening of the muscle wall in the heart.

People can inherit genes from their parents that increase their risk of developing HCM. However, HCM can also occur as a result of high blood pressure, diabetes, or thyroid disease.

The symptoms of HCM include:

• chest pain that often results from exercise
• shortness of breath
• fainting
• fluttering heartbeat or heart palpitations

Pulmonary hypertension

Pulmonary hypertension refers to high blood pressure in the arteries that supply the lungs.

Common symptoms include shortness of breath and chest pain, which may occur or worsen with physical activity. Over time, symptoms may become more frequent as the disease progresses.

People with pulmonary hypertension may also experience:

• fatigue and weakness
• fainting, lightheadedness, or dizziness
• irregular heartbeat
• a dry cough that may bring up blood
• swelling of the legs or feet that results from fluid buildup

Causes of noncardiac chest pain can include:

Pneumonia

Pneumonia is a chest infection that causes the tiny air sacs inside the lungs to become inflamed and fill with fluid.

A common symptom of pneumonia is chest pain that typically worsens when a person inhales deeply or coughs. The chest pain can range from mild to severe.

Other symptoms of pneumonia can include:

Peptic ulcer

A peptic ulcer is an open sore in the lining of the stomach or small intestine. Bacterial infections and long-term use of nonsteroidal anti-inflammatory drugs can lead to peptic ulcers.

Peptic ulcers can cause a painful burning sensation that starts in the abdomen and extends to the chest. This pain can come and go and may get better when a person eats or takes an antacid.

Other symptoms of peptic ulcers can include:

• bloating
• belching
• nausea and vomiting
• dark stools
• unexplained weight loss
• loss of appetite
• lightheadedness

However, not everyone with peptic ulcers experiences symptoms.

Costochondritis

Costochondritis is an inflammation of the cartilage around the breastbone. This inflammation can cause tenderness and sharp chest pain that may feel similar to the pain of a heart attack.

The pain from costochondritis usually affects the left side of the chest, but it can sometimes affect both sides. Deep breathing, coughing, and physical activity may make the pain worse.

Possible causes of costochondritis include severe coughing, chest injuries, infections, and overexertion.

Esophageal spasms

Involuntary spasms or contractions of the food pipe can cause intense chest pain. These spasms can come on suddenly and sometimes last for several hours.

Other symptoms of esophageal spasms may include:

• intense pain or tightness in the chest
• feeling as though something has become stuck in the throat
• stomach contents coming up the food pipe
• difficulty swallowing

It is not always clear why esophageal spasms occur, but risk factors include GERD, anxiety, and high blood pressure.

Panic attack

A panic attack refers to a sudden attack of intense anxiety and fear. These attacks can last for between a few minutes and several hours, and a person may feel as though they are having a heart attack.

Symptoms of a panic attack can include:

• chest pain
• pounding, rapid, or irregular heartbeat
• trembling or shaking
• shortness of breath
• a sensation of choking or suffocating
• nausea
• dizziness or lightheadedness
• numbness
• sweating
• feelings of doom, loss of control, or unreality

A person may have a panic attack in response to a stressful event, but an attack can also occur unexpectedly. Recurrent panic attacks are a symptom of panic disorder.

Heartburn is a symptom of acid reflux and GERD that causes a painful burning sensation in the center of the chest. This sensation can sometimes feel similar to the chest pain that people experience during a heart attack or attacks of angina.

A heart attack is a medical emergency, so being able to tell the difference between heartburn and cardiac chest pain is crucial. If chest pain spreads to other areas of the body, such as the arms or jaw, or occurs alongside symptoms such as shortness of breath and a feeling of tightness in the chest, it might be a sign of a heart attack. If chest pain lasts for more than a few minutes, call 911 immediately.

A person who suspects that they or someone else is having a heart attack should immediately call 911 or go straight to the emergency room. It is also advisable to see a doctor about any unexplained chest pain, even if it goes away on its own.

GERD and chest pain: Heartburn or heart attack?

Chest pain can be a sign that a person is having a heart attack. However, chest pain is also a common symptom of other, less serious conditions, such as gastroesophageal reflux disease.

Doctors refer to pain from heart attacks and other conditions that affect the cardiovascular system as cardiac chest pain. Pain that does not come from the cardiovascular system is called noncardiac chest pain.

Gastroesophageal reflux disease (GERD) can cause heartburn, which is a common type of noncardiac chest pain.

While heart attacks are a life-threatening medical emergency, heartburn is not. Therefore, being able to recognize the difference between cardiac and noncardiac chest pain is essential.

In this article, we discuss the symptoms of GERD and heart attacks along with the differences between cardiac and noncardiac chest pain. We also cover other causes of both types of chest pain.

Acid reflux occurs when acid from the stomach leaks up into the food pipe, or esophagus. One of the most common symptoms of acid reflux is heartburn, which is a painful burning sensation in the center of the chest just behind the breastbone, or sternum.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person who experiences acid reflux more than twice a week for a few weeks may have GERD. Close to 20 percent of people in the United States have GERD.

Other symptoms of acid reflux and GERD can include:

People with persistent symptoms of acid reflux or GERD should see a doctor.

Heart attacks occur when the blood supply to the heart muscles becomes completely blocked. If a person does not receive immediate treatment, part of the heart muscle can die.

A common symptom of a heart attack is pain or discomfort that typically occurs in the center or left side of the chest. This pain may come and go, and its severity can range from mild to severe. It can also sometimes feel like heartburn or indigestion.

However, not everyone who has a heart attack experiences chest pain. The symptoms of a heart attack can vary considerably from person to person, and they may come on slowly or very suddenly.

Other symptoms of a heart attack might include:

• intense pressure or tightness in the center of the chest
• a feeling of heaviness or weakness in one or both arms
• pain, numbness, or a tingling sensation in the arms, neck, jaw, lips, or stomach
• difficulty breathing or shortness of breath
• nausea and vomiting
• dizziness or lightheadedness
• fatigue
• breaking out in a cold sweat

Anyone who suspects that they or someone else is having a heart attack should immediately call 911 or go to the emergency room.

Share on PinterestA person experiencing recurring or severe chest pain should speak to a doctor.

When trying to distinguish between cardiac and noncardiac chest pain, a person needs to consider the following three factors:

• the location of the pain
• how the pain feels
• the accompanying symptoms

We discuss each of these in more detail below:

Location of chest pain

Both cardiac and noncardiac chest pain can occur in the center of the chest behind the breastbone.

However, cardiac chest pain can spread across the chest and even affect other parts of the body, such as the:

• arms
• back
• shoulders
• neck or throat
• jaw
• teeth

Noncardiac chest pain, such as heartburn, tends to remain localized, meaning that it does not spread to other areas. Heartburn typically develops behind or underneath the breastbone.

How the pain feels

Some of the words that people use to describe cardiac chest pain are:

• pressure
• squeezing
• heaviness
• fullness
• tightening
• aching
• burning

In contrast, noncardiac chest pain tends to feel like an intense stabbing or burning sensation just beneath the surface of the skin.

Coughing, breathing, or moving can affect the intensity of noncardiac chest pain, while the severity of cardiac chest pain usually remains stable, even when resting.

Accompanying symptoms

The symptoms accompanying chest pain can be an important indication of whether it is cardiac or noncardiac.

The symptoms that can occur along with cardiac chest pain may include:

• shortness of breath
• irregular heartbeat
• dizziness or lightheadedness
• numbness
• pain or discomfort in other parts of the body, such as the arms, neck, jaw, shoulders, and back

Symptoms that indicate that the chest pain is from heartburn or GERD can include:

Causes of cardiac chest pain can include:

Angina

Coronary artery disease (CAD), also called ischemic heart disease or coronary heart disease, occurs when fatty deposits build up in the arteries that supply blood to the heart muscle.

Over time, these deposits can restrict blood flow, which can cause a type of chest pain called angina. CAD can also lead to heart attacks and heart failure.

People often describe angina as a feeling of pressure, squeezing, burning, or tightness behind the breastbone. This pain can spread to other parts of the body, including the arms, jaw, neck, and shoulders.

Angina often occurs during physical activity, and stress can also bring it on. If the pain continues after rest, this can be a sign of a heart attack.

People who are unsure whether they are experiencing angina or a heart attack should call 911 immediately or go to the emergency room.

Myocarditis

Myocarditis is a rare form of cardiovascular disease that causes inflammation of the heart muscle. This inflammation can lead to chest pain, heart failure, or sudden death.

According to the National Organization for Rare Disorders, myocarditis commonly develops without an identifiable cause. However, doctors often diagnose people with myocarditis following a viral or bacterial infection.

Myocarditis produces symptoms similar to those of other heart conditions, such as chest tightness and fatigue. Leaning forward can help relieve chest pain resulting from myocarditis.

Other symptoms of myocarditis include:

• slow heart rate
• irregular heartbeat
• dizziness or lightheadedness
• loss of consciousness

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a thickening of the muscle wall in the heart.

People can inherit genes from their parents that increase their risk of developing HCM. However, HCM can also occur as a result of high blood pressure, diabetes, or thyroid disease.

The symptoms of HCM include:

• chest pain that often results from exercise
• shortness of breath
• fainting
• fluttering heartbeat or heart palpitations

Pulmonary hypertension

Pulmonary hypertension refers to high blood pressure in the arteries that supply the lungs.

Common symptoms include shortness of breath and chest pain, which may occur or worsen with physical activity. Over time, symptoms may become more frequent as the disease progresses.

People with pulmonary hypertension may also experience:

• fatigue and weakness
• fainting, lightheadedness, or dizziness
• irregular heartbeat
• a dry cough that may bring up blood
• swelling of the legs or feet that results from fluid buildup

Causes of noncardiac chest pain can include:

Pneumonia

Pneumonia is a chest infection that causes the tiny air sacs inside the lungs to become inflamed and fill with fluid.

A common symptom of pneumonia is chest pain that typically worsens when a person inhales deeply or coughs. The chest pain can range from mild to severe.

Other symptoms of pneumonia can include:

Peptic ulcer

A peptic ulcer is an open sore in the lining of the stomach or small intestine. Bacterial infections and long-term use of nonsteroidal anti-inflammatory drugs can lead to peptic ulcers.

Peptic ulcers can cause a painful burning sensation that starts in the abdomen and extends to the chest. This pain can come and go and may get better when a person eats or takes an antacid.

Other symptoms of peptic ulcers can include:

• bloating
• belching
• nausea and vomiting
• dark stools
• unexplained weight loss
• loss of appetite
• lightheadedness

However, not everyone with peptic ulcers experiences symptoms.

Costochondritis

Costochondritis is an inflammation of the cartilage around the breastbone. This inflammation can cause tenderness and sharp chest pain that may feel similar to the pain of a heart attack.

The pain from costochondritis usually affects the left side of the chest, but it can sometimes affect both sides. Deep breathing, coughing, and physical activity may make the pain worse.

Possible causes of costochondritis include severe coughing, chest injuries, infections, and overexertion.

Esophageal spasms

Involuntary spasms or contractions of the food pipe can cause intense chest pain. These spasms can come on suddenly and sometimes last for several hours.

Other symptoms of esophageal spasms may include:

• intense pain or tightness in the chest
• feeling as though something has become stuck in the throat
• stomach contents coming up the food pipe
• difficulty swallowing

It is not always clear why esophageal spasms occur, but risk factors include GERD, anxiety, and high blood pressure.

Panic attack

A panic attack refers to a sudden attack of intense anxiety and fear. These attacks can last for between a few minutes and several hours, and a person may feel as though they are having a heart attack.

Symptoms of a panic attack can include:

• chest pain
• pounding, rapid, or irregular heartbeat
• trembling or shaking
• shortness of breath
• a sensation of choking or suffocating
• nausea
• dizziness or lightheadedness
• numbness
• sweating
• feelings of doom, loss of control, or unreality

A person may have a panic attack in response to a stressful event, but an attack can also occur unexpectedly. Recurrent panic attacks are a symptom of panic disorder.

Heartburn is a symptom of acid reflux and GERD that causes a painful burning sensation in the center of the chest. This sensation can sometimes feel similar to the chest pain that people experience during a heart attack or attacks of angina.

A heart attack is a medical emergency, so being able to tell the difference between heartburn and cardiac chest pain is crucial. If chest pain spreads to other areas of the body, such as the arms or jaw, or occurs alongside symptoms such as shortness of breath and a feeling of tightness in the chest, it might be a sign of a heart attack. If chest pain lasts for more than a few minutes, call 911 immediately.

A person who suspects that they or someone else is having a heart attack should immediately call 911 or go straight to the emergency room. It is also advisable to see a doctor about any unexplained chest pain, even if it goes away on its own.

GERD and chest pain: Heartburn or heart attack?

Chest pain can be a sign that a person is having a heart attack. However, chest pain is also a common symptom of other, less serious conditions, such as gastroesophageal reflux disease.

Doctors refer to pain from heart attacks and other conditions that affect the cardiovascular system as cardiac chest pain. Pain that does not come from the cardiovascular system is called noncardiac chest pain.

Gastroesophageal reflux disease (GERD) can cause heartburn, which is a common type of noncardiac chest pain.

While heart attacks are a life-threatening medical emergency, heartburn is not. Therefore, being able to recognize the difference between cardiac and noncardiac chest pain is essential.

In this article, we discuss the symptoms of GERD and heart attacks along with the differences between cardiac and noncardiac chest pain. We also cover other causes of both types of chest pain.

Acid reflux occurs when acid from the stomach leaks up into the food pipe, or esophagus. One of the most common symptoms of acid reflux is heartburn, which is a painful burning sensation in the center of the chest just behind the breastbone, or sternum.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person who experiences acid reflux more than twice a week for a few weeks may have GERD. Close to 20 percent of people in the United States have GERD.

Other symptoms of acid reflux and GERD can include:

People with persistent symptoms of acid reflux or GERD should see a doctor.

Heart attacks occur when the blood supply to the heart muscles becomes completely blocked. If a person does not receive immediate treatment, part of the heart muscle can die.

A common symptom of a heart attack is pain or discomfort that typically occurs in the center or left side of the chest. This pain may come and go, and its severity can range from mild to severe. It can also sometimes feel like heartburn or indigestion.

However, not everyone who has a heart attack experiences chest pain. The symptoms of a heart attack can vary considerably from person to person, and they may come on slowly or very suddenly.

Other symptoms of a heart attack might include:

• intense pressure or tightness in the center of the chest
• a feeling of heaviness or weakness in one or both arms
• pain, numbness, or a tingling sensation in the arms, neck, jaw, lips, or stomach
• difficulty breathing or shortness of breath
• nausea and vomiting
• dizziness or lightheadedness
• fatigue
• breaking out in a cold sweat

Anyone who suspects that they or someone else is having a heart attack should immediately call 911 or go to the emergency room.

Share on PinterestA person experiencing recurring or severe chest pain should speak to a doctor.

When trying to distinguish between cardiac and noncardiac chest pain, a person needs to consider the following three factors:

• the location of the pain
• how the pain feels
• the accompanying symptoms

We discuss each of these in more detail below:

Location of chest pain

Both cardiac and noncardiac chest pain can occur in the center of the chest behind the breastbone.

However, cardiac chest pain can spread across the chest and even affect other parts of the body, such as the:

• arms
• back
• shoulders
• neck or throat
• jaw
• teeth

Noncardiac chest pain, such as heartburn, tends to remain localized, meaning that it does not spread to other areas. Heartburn typically develops behind or underneath the breastbone.

How the pain feels

Some of the words that people use to describe cardiac chest pain are:

• pressure
• squeezing
• heaviness
• fullness
• tightening
• aching
• burning

In contrast, noncardiac chest pain tends to feel like an intense stabbing or burning sensation just beneath the surface of the skin.

Coughing, breathing, or moving can affect the intensity of noncardiac chest pain, while the severity of cardiac chest pain usually remains stable, even when resting.

Accompanying symptoms

The symptoms accompanying chest pain can be an important indication of whether it is cardiac or noncardiac.

The symptoms that can occur along with cardiac chest pain may include:

• shortness of breath
• irregular heartbeat
• dizziness or lightheadedness
• numbness
• pain or discomfort in other parts of the body, such as the arms, neck, jaw, shoulders, and back

Symptoms that indicate that the chest pain is from heartburn or GERD can include:

Causes of cardiac chest pain can include:

Angina

Coronary artery disease (CAD), also called ischemic heart disease or coronary heart disease, occurs when fatty deposits build up in the arteries that supply blood to the heart muscle.

Over time, these deposits can restrict blood flow, which can cause a type of chest pain called angina. CAD can also lead to heart attacks and heart failure.

People often describe angina as a feeling of pressure, squeezing, burning, or tightness behind the breastbone. This pain can spread to other parts of the body, including the arms, jaw, neck, and shoulders.

Angina often occurs during physical activity, and stress can also bring it on. If the pain continues after rest, this can be a sign of a heart attack.

People who are unsure whether they are experiencing angina or a heart attack should call 911 immediately or go to the emergency room.

Myocarditis

Myocarditis is a rare form of cardiovascular disease that causes inflammation of the heart muscle. This inflammation can lead to chest pain, heart failure, or sudden death.

According to the National Organization for Rare Disorders, myocarditis commonly develops without an identifiable cause. However, doctors often diagnose people with myocarditis following a viral or bacterial infection.

Myocarditis produces symptoms similar to those of other heart conditions, such as chest tightness and fatigue. Leaning forward can help relieve chest pain resulting from myocarditis.

Other symptoms of myocarditis include:

• slow heart rate
• irregular heartbeat
• dizziness or lightheadedness
• loss of consciousness

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a thickening of the muscle wall in the heart.

People can inherit genes from their parents that increase their risk of developing HCM. However, HCM can also occur as a result of high blood pressure, diabetes, or thyroid disease.

The symptoms of HCM include:

• chest pain that often results from exercise
• shortness of breath
• fainting
• fluttering heartbeat or heart palpitations

Pulmonary hypertension

Pulmonary hypertension refers to high blood pressure in the arteries that supply the lungs.

Common symptoms include shortness of breath and chest pain, which may occur or worsen with physical activity. Over time, symptoms may become more frequent as the disease progresses.

People with pulmonary hypertension may also experience:

• fatigue and weakness
• fainting, lightheadedness, or dizziness
• irregular heartbeat
• a dry cough that may bring up blood
• swelling of the legs or feet that results from fluid buildup

Causes of noncardiac chest pain can include:

Pneumonia

Pneumonia is a chest infection that causes the tiny air sacs inside the lungs to become inflamed and fill with fluid.

A common symptom of pneumonia is chest pain that typically worsens when a person inhales deeply or coughs. The chest pain can range from mild to severe.

Other symptoms of pneumonia can include:

Peptic ulcer

A peptic ulcer is an open sore in the lining of the stomach or small intestine. Bacterial infections and long-term use of nonsteroidal anti-inflammatory drugs can lead to peptic ulcers.

Peptic ulcers can cause a painful burning sensation that starts in the abdomen and extends to the chest. This pain can come and go and may get better when a person eats or takes an antacid.

Other symptoms of peptic ulcers can include:

• bloating
• belching
• nausea and vomiting
• dark stools
• unexplained weight loss
• loss of appetite
• lightheadedness

However, not everyone with peptic ulcers experiences symptoms.

Costochondritis

Costochondritis is an inflammation of the cartilage around the breastbone. This inflammation can cause tenderness and sharp chest pain that may feel similar to the pain of a heart attack.

The pain from costochondritis usually affects the left side of the chest, but it can sometimes affect both sides. Deep breathing, coughing, and physical activity may make the pain worse.

Possible causes of costochondritis include severe coughing, chest injuries, infections, and overexertion.

Esophageal spasms

Involuntary spasms or contractions of the food pipe can cause intense chest pain. These spasms can come on suddenly and sometimes last for several hours.

Other symptoms of esophageal spasms may include:

• intense pain or tightness in the chest
• feeling as though something has become stuck in the throat
• stomach contents coming up the food pipe
• difficulty swallowing

It is not always clear why esophageal spasms occur, but risk factors include GERD, anxiety, and high blood pressure.

Panic attack

A panic attack refers to a sudden attack of intense anxiety and fear. These attacks can last for between a few minutes and several hours, and a person may feel as though they are having a heart attack.

Symptoms of a panic attack can include:

• chest pain
• pounding, rapid, or irregular heartbeat
• trembling or shaking
• shortness of breath
• a sensation of choking or suffocating
• nausea
• dizziness or lightheadedness
• numbness
• sweating
• feelings of doom, loss of control, or unreality

A person may have a panic attack in response to a stressful event, but an attack can also occur unexpectedly. Recurrent panic attacks are a symptom of panic disorder.

Heartburn is a symptom of acid reflux and GERD that causes a painful burning sensation in the center of the chest. This sensation can sometimes feel similar to the chest pain that people experience during a heart attack or attacks of angina.

A heart attack is a medical emergency, so being able to tell the difference between heartburn and cardiac chest pain is crucial. If chest pain spreads to other areas of the body, such as the arms or jaw, or occurs alongside symptoms such as shortness of breath and a feeling of tightness in the chest, it might be a sign of a heart attack. If chest pain lasts for more than a few minutes, call 911 immediately.

A person who suspects that they or someone else is having a heart attack should immediately call 911 or go straight to the emergency room. It is also advisable to see a doctor about any unexplained chest pain, even if it goes away on its own.

GERD and chest pain: Heartburn or heart attack?

Chest pain can be a sign that a person is having a heart attack. However, chest pain is also a common symptom of other, less serious conditions, such as gastroesophageal reflux disease.

Doctors refer to pain from heart attacks and other conditions that affect the cardiovascular system as cardiac chest pain. Pain that does not come from the cardiovascular system is called noncardiac chest pain.

Gastroesophageal reflux disease (GERD) can cause heartburn, which is a common type of noncardiac chest pain.

While heart attacks are a life-threatening medical emergency, heartburn is not. Therefore, being able to recognize the difference between cardiac and noncardiac chest pain is essential.

In this article, we discuss the symptoms of GERD and heart attacks along with the differences between cardiac and noncardiac chest pain. We also cover other causes of both types of chest pain.

Acid reflux occurs when acid from the stomach leaks up into the food pipe, or esophagus. One of the most common symptoms of acid reflux is heartburn, which is a painful burning sensation in the center of the chest just behind the breastbone, or sternum.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person who experiences acid reflux more than twice a week for a few weeks may have GERD. Close to 20 percent of people in the United States have GERD.

Other symptoms of acid reflux and GERD can include:

People with persistent symptoms of acid reflux or GERD should see a doctor.

Heart attacks occur when the blood supply to the heart muscles becomes completely blocked. If a person does not receive immediate treatment, part of the heart muscle can die.

A common symptom of a heart attack is pain or discomfort that typically occurs in the center or left side of the chest. This pain may come and go, and its severity can range from mild to severe. It can also sometimes feel like heartburn or indigestion.

However, not everyone who has a heart attack experiences chest pain. The symptoms of a heart attack can vary considerably from person to person, and they may come on slowly or very suddenly.

Other symptoms of a heart attack might include:

• intense pressure or tightness in the center of the chest
• a feeling of heaviness or weakness in one or both arms
• pain, numbness, or a tingling sensation in the arms, neck, jaw, lips, or stomach
• difficulty breathing or shortness of breath
• nausea and vomiting
• dizziness or lightheadedness
• fatigue
• breaking out in a cold sweat

Anyone who suspects that they or someone else is having a heart attack should immediately call 911 or go to the emergency room.

Share on PinterestA person experiencing recurring or severe chest pain should speak to a doctor.

When trying to distinguish between cardiac and noncardiac chest pain, a person needs to consider the following three factors:

• the location of the pain
• how the pain feels
• the accompanying symptoms

We discuss each of these in more detail below:

Location of chest pain

Both cardiac and noncardiac chest pain can occur in the center of the chest behind the breastbone.

However, cardiac chest pain can spread across the chest and even affect other parts of the body, such as the:

• arms
• back
• shoulders
• neck or throat
• jaw
• teeth

Noncardiac chest pain, such as heartburn, tends to remain localized, meaning that it does not spread to other areas. Heartburn typically develops behind or underneath the breastbone.

How the pain feels

Some of the words that people use to describe cardiac chest pain are:

• pressure
• squeezing
• heaviness
• fullness
• tightening
• aching
• burning

In contrast, noncardiac chest pain tends to feel like an intense stabbing or burning sensation just beneath the surface of the skin.

Coughing, breathing, or moving can affect the intensity of noncardiac chest pain, while the severity of cardiac chest pain usually remains stable, even when resting.

Accompanying symptoms

The symptoms accompanying chest pain can be an important indication of whether it is cardiac or noncardiac.

The symptoms that can occur along with cardiac chest pain may include:

• shortness of breath
• irregular heartbeat
• dizziness or lightheadedness
• numbness
• pain or discomfort in other parts of the body, such as the arms, neck, jaw, shoulders, and back

Symptoms that indicate that the chest pain is from heartburn or GERD can include:

Causes of cardiac chest pain can include:

Angina

Coronary artery disease (CAD), also called ischemic heart disease or coronary heart disease, occurs when fatty deposits build up in the arteries that supply blood to the heart muscle.

Over time, these deposits can restrict blood flow, which can cause a type of chest pain called angina. CAD can also lead to heart attacks and heart failure.

People often describe angina as a feeling of pressure, squeezing, burning, or tightness behind the breastbone. This pain can spread to other parts of the body, including the arms, jaw, neck, and shoulders.

Angina often occurs during physical activity, and stress can also bring it on. If the pain continues after rest, this can be a sign of a heart attack.

People who are unsure whether they are experiencing angina or a heart attack should call 911 immediately or go to the emergency room.

Myocarditis

Myocarditis is a rare form of cardiovascular disease that causes inflammation of the heart muscle. This inflammation can lead to chest pain, heart failure, or sudden death.

According to the National Organization for Rare Disorders, myocarditis commonly develops without an identifiable cause. However, doctors often diagnose people with myocarditis following a viral or bacterial infection.

Myocarditis produces symptoms similar to those of other heart conditions, such as chest tightness and fatigue. Leaning forward can help relieve chest pain resulting from myocarditis.

Other symptoms of myocarditis include:

• slow heart rate
• irregular heartbeat
• dizziness or lightheadedness
• loss of consciousness

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a thickening of the muscle wall in the heart.

People can inherit genes from their parents that increase their risk of developing HCM. However, HCM can also occur as a result of high blood pressure, diabetes, or thyroid disease.

The symptoms of HCM include:

• chest pain that often results from exercise
• shortness of breath
• fainting
• fluttering heartbeat or heart palpitations

Pulmonary hypertension

Pulmonary hypertension refers to high blood pressure in the arteries that supply the lungs.

Common symptoms include shortness of breath and chest pain, which may occur or worsen with physical activity. Over time, symptoms may become more frequent as the disease progresses.

People with pulmonary hypertension may also experience:

• fatigue and weakness
• fainting, lightheadedness, or dizziness
• irregular heartbeat
• a dry cough that may bring up blood
• swelling of the legs or feet that results from fluid buildup

Causes of noncardiac chest pain can include:

Pneumonia

Pneumonia is a chest infection that causes the tiny air sacs inside the lungs to become inflamed and fill with fluid.

A common symptom of pneumonia is chest pain that typically worsens when a person inhales deeply or coughs. The chest pain can range from mild to severe.

Other symptoms of pneumonia can include:

Peptic ulcer

A peptic ulcer is an open sore in the lining of the stomach or small intestine. Bacterial infections and long-term use of nonsteroidal anti-inflammatory drugs can lead to peptic ulcers.

Peptic ulcers can cause a painful burning sensation that starts in the abdomen and extends to the chest. This pain can come and go and may get better when a person eats or takes an antacid.

Other symptoms of peptic ulcers can include:

• bloating
• belching
• nausea and vomiting
• dark stools
• unexplained weight loss
• loss of appetite
• lightheadedness

However, not everyone with peptic ulcers experiences symptoms.

Costochondritis

Costochondritis is an inflammation of the cartilage around the breastbone. This inflammation can cause tenderness and sharp chest pain that may feel similar to the pain of a heart attack.

The pain from costochondritis usually affects the left side of the chest, but it can sometimes affect both sides. Deep breathing, coughing, and physical activity may make the pain worse.

Possible causes of costochondritis include severe coughing, chest injuries, infections, and overexertion.

Esophageal spasms

Involuntary spasms or contractions of the food pipe can cause intense chest pain. These spasms can come on suddenly and sometimes last for several hours.

Other symptoms of esophageal spasms may include:

• intense pain or tightness in the chest
• feeling as though something has become stuck in the throat
• stomach contents coming up the food pipe
• difficulty swallowing

It is not always clear why esophageal spasms occur, but risk factors include GERD, anxiety, and high blood pressure.

Panic attack

A panic attack refers to a sudden attack of intense anxiety and fear. These attacks can last for between a few minutes and several hours, and a person may feel as though they are having a heart attack.

Symptoms of a panic attack can include:

• chest pain
• pounding, rapid, or irregular heartbeat
• trembling or shaking
• shortness of breath
• a sensation of choking or suffocating
• nausea
• dizziness or lightheadedness
• numbness
• sweating
• feelings of doom, loss of control, or unreality

A person may have a panic attack in response to a stressful event, but an attack can also occur unexpectedly. Recurrent panic attacks are a symptom of panic disorder.

Heartburn is a symptom of acid reflux and GERD that causes a painful burning sensation in the center of the chest. This sensation can sometimes feel similar to the chest pain that people experience during a heart attack or attacks of angina.

A heart attack is a medical emergency, so being able to tell the difference between heartburn and cardiac chest pain is crucial. If chest pain spreads to other areas of the body, such as the arms or jaw, or occurs alongside symptoms such as shortness of breath and a feeling of tightness in the chest, it might be a sign of a heart attack. If chest pain lasts for more than a few minutes, call 911 immediately.

A person who suspects that they or someone else is having a heart attack should immediately call 911 or go straight to the emergency room. It is also advisable to see a doctor about any unexplained chest pain, even if it goes away on its own.

90,000 Pain in the hands

Pain in the arms: sources of the problem, symptoms, complications

Unpleasant sensations in the area from the wrist to the shoulder are commonly called “pain in the arm.” The source that the hand hurts is an infection or injury to bone, muscle tissue, tendon-ligamentous apparatus, arteries, veins, nerve endings. Long-term discomfort requires a visit to the doctor to determine the cause of the pain syndrome.

Sources of discomfort

The root cause of pain in the hand is considered to be trauma, infection, degenerative, neurological pathologies:

• elbow dislocation;
• fractures, bruises, wounds;
• rupture, stretching of the ligamentous-muscle tissues;
• infected wounds, osteomyelitis, septic arthritis;
• bursitis, stenosis of the spinal canal;
• compression of nerve endings;
• Osteoarthritis, peripheral nephropathy, tendonitis;
• benign, malignant neoplasms;
• myocardial infarction.

The arm can hurt due to damage to the nerve tissue as a result of blunt trauma to the upper limb.

Clinical signs

In addition to the main symptom of pain in the arm, secondary manifestations may occur. Additional signs of the pathological process are presented:

• discomfort in the cervical, shoulder, back;
• burning sensation in the upper limb;

90,013 sleep problems;

• fever, sore throat, cough, headache;
• soreness in the articular apparatus, muscle spasm, loss of sensitivity;
• decrease in the range of motion in the elbow;
• the appearance of hematomas and inflammations on the skin;
• a sharp decrease in body weight for no apparent reason.

There are a number of symptoms that require immediate medical attention. Their appearance signals serious problems, up to and including a threat to the patient’s life. These include:

• deformity of the upper limb;
• a change in the shade of the mucous membrane or skin to a bluish tint – the deviation is better seen on the lips and under the nail plates;
• fainting, lack of an adequate response to external stimuli;
• non-standard behavior – a state of delusion, hallucinations, falling into lethargy;
• pain syndrome in the retrosternal space radiating to the left side – limb, cervical, shoulder, lower jaw;
• critical body temperature – more than 38-39 degrees;
• problems with movement of the upper limb;
• extraneous sound at the time of hand injury;
• ruptured capillaries around the site of damage;
• problems with the work of the respiratory center – increasing shortness of breath, extraneous whistling when inhaling, sudden cessation of breathing.

Weakness that does not go away for several days, increasing apathy requires a doctor’s consultation and a complete diagnostic examination at a medical center. The hand cannot hurt without a reason.

Potential consequences

Ignoring unpleasant symptoms becomes the cause of the development of complications. Common consequences of prolonged arm pain include:

• loss of mobility of the upper limb;
• chronic pain syndrome;
• self-service problems;
• irreversible damage to nerve fibers.

The further spread of an infectious or inflammatory process can cause the development of gangrene and the need for amputation of the upper limb. Without certain reasons, there will be no pain in the arm area – there is always the possibility of the rapid development of any disease.

A timely visit to the medical center will eliminate the risk of complications, and good specialists will help solve the problem of pain in the hand in the shortest possible time.Correctly prescribed treatment will help to quickly restore the performance of the upper limb, relieve insomnia and obsessive discomfort.

90,000 Arm pain turned out to be a symptom of a life-threatening disease

neurologist, reflexologist, the first qualification category in the specialty “neurology”

Extensive experience and clinical thinking allows us to make a diagnosis with a high level of accuracy based on anamnesis and interpretation of the results of diagnostic measures, including decoding, radiographs of the skull and spine, MRI and CT, electroencephalograms, results of electroradiography, ultrasound examinations (US) of the vessels of the head and neck, conclusions of ophthalmologists …

He is proficient in the methods of therapeutic blockades, as well as kinesiological taping in the treatment of injuries – sprains and hematomas, muscle pains, edema. Is engaged in acupuncture. He is a member of the Republican Neurological Society. Active participant of conferences and symposia on neurology

“Neurology is a broad specialization. Many people come to us, mistaking neurologists for psychiatrists, I think that neurologists are dealing with issues of a weakened psyche, including increased irritability, irascibility, aggressiveness, etc.In fact, neurologists deal with pathologies of the central and peripheral nervous system. These are the brain, back brain, nerve roots, peripheral nerves, muscles. Many pathologies and diseases are associated with this. Among the symptoms that can alert you and lead to a neurologist are the following: frequent headaches, dizziness, back pain, muscle pain, weakness in the limbs, fatigue. In addition, disorders of vision, speech, memory, sleep. All this is done by a neurologist. ”

Nadezhda Sergeevna Evseeva, a neurologist at the Medservice clinic, talks about the types of stroke, the causes of development, and the symptoms.Self-diagnosis or diagnosis of a loved one. Why is it important to recognize and provide assistance in time.

Now, during the period of self-isolation, when elderly people suffering from chronic diseases, including hypertension, diabetes mellitus, very often remain at home alone.
Therefore, it is very important to keep in touch with your family online. Nadezhda Evseeva tells in detail how you can suspect signs of a stroke in your loved ones, even during online communication (through audio-video broadcasts).

Pain in the arm | Directory of the Kuntsevo treatment and rehabilitation center

Hand pain is a symptom that appears due to various reasons. Discomfort can differ in sensation. In addition, it is able to localize itself throughout the arm or in one area. The pain appears both gradually and abruptly.

Species

Hand discomfort may vary as pain is different:

• Burning.There is discomfort and burning, often – a feeling of “goose bumps”.

• Aching. Periodically intensify and weaken, it can be 20-30 minutes.

• Sharp. With them, mobility decreases, muscle weakness and discomfort appear.

• Backache. They arise abruptly, last 2-3 minutes. Such pain is also called “cutting”.

Whichever type of pain is felt, it causes a lot of inconvenience.Therefore, it is important to consult a specialist in a timely manner in order not only to eliminate unpleasant symptoms, but also to prevent negative consequences.

Causes of

Pain in the hands appears due to:

• broken bones;

• damage to the ligaments;

• trauma;

• strong physical exertion;

• long stay in an uncomfortable position;

• diseases of the musculoskeletal system;

• lesions of the nerve trunks;

• diseases of the heart, blood vessels;

• inflammation of the tendons;

• diseases of the joints of the hands.

With arthritis, pain appears in the early morning. Even during rest, the discomfort does not go away. There may also be edema, hyperemia, fever. With osteoarthritis, the cartilage of the joints becomes thin over time and leads to pain during physical exertion, crunching, and difficulty in movement.

If the cause is bursitis, then the pain manifests itself in the elbows, where swelling appears. The temperature also rises, skin redness. With rheumatoid arthritis, pain appears in small joints, morning stiffness of movements.

Which doctor is treating?

In case of incomprehensible pain in the arm, you should consult a neurologist. Who will deal with the treatment depends on the cause of the disease. You can immediately contact a traumatologist.

Pain in the arm, regardless of the nature of the pain syndrome (burning, acute, aching or cutting) requires careful research and close supervision of a specialist.

IMPORTANT! A person cannot ignore this symptom or self-medicate, because the cause of pain in the hand can be associated with both muscle pathology and an inflammatory process that urgently needs to be stopped.

Sign up for a consultation with a neurologist or traumatologist at the Kuntsevo Medical and Rehabilitation Center to determine the causes of the unpleasant symptom and eliminate it.

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Treatment methods

In our center you can undergo diagnostics – MRI, ultrasound. Studies are performed after determining the location and nature of the pain. If necessary, additional blood tests are required to establish whether there are infectious and inflammatory ailments in the body.

The method of therapy depends on the disease or injury that caused the pain. In the clinic, specialists prescribe the following treatment methods:

What procedures will be performed should be decided by the doctor. Sometimes, with pain in the arms, you need to carry out several activities in combination. Experienced neurologists use effective therapies. Patients, without leaving the clinic, can perform diagnostics, undergo diagnostics and treatment.

Results

If the treatment is completed in the clinic, it will be possible to improve the well-being of a person.Timely treatment shows excellent results. Mobility of the hands improves, pain and other unpleasant symptoms disappear. The person can again lead the usual way of life.

Rehabilitation and Lifestyle Recovery

After treatment, patients need to recover. This is accomplished with:

• maintaining moderate physical activity;

• balanced nutrition;

• observance of the regime of work and rest;

• taking vitamin and mineral complexes;

• maintaining correct posture;

• protection against hypothermia of joints and stress;

• correction of deformed joints;

• disinfection of wounds, scratches and abrasions;

• rejection of monotonous and monotonous work;

• timely treatment of infectious ailments;

• limiting alcohol intake.

Hand Pain Lifestyle

A healthy lifestyle is necessary, which consists in the absence of bad habits. For this, it is important to give up alcohol and cigarettes. Nutrition should be monitored. The menu should not include fried, salty, spicy foods. Drink more clean water and avoid coffee.

Moderate exercise is required. And you can choose running, exercising or swimming. Yoga is also good.Only with the right lifestyle can you maintain your health at a normal level. By contacting us, patients will be able to successfully undergo treatment and rehabilitation in one place.

90,000 Shoulder pain: causes, symptoms and diagnosis

Even mild pain in the arm brings discomfort and anxiety. And if the leading hand hurts, there are even more troubles. When the pain in the shoulder joint is so severe that the arms cannot move comfortably, treatment is urgently needed.But who should you go to and what should you check first? Let’s talk about everything in order.

Why can a shoulder hurt?

The main factors that provoke shoulder discomfort are:

• Untreated joint injuries . The damaged tendon or cartilage continues to experience stress, which leads to even greater tissue destruction;
• Long heavy load on one side . Due to constant tension, inflammation in the tendon can begin;
• Incorrect posture .The spine is bent, the vertebrae and the shoulder joint can be deformed, in advanced cases, inflammation of the nerve fibers begins;
• Sedentary lifestyle . The blood circulation around the joint is impaired, which can lead to destruction of the cartilage entering it.

Because of them, unpleasant sensations can appear even in a healthy person. However, pain can be caused not only by mechanical damage, but also by infections, inflammation and swelling. Pain in the shoulder joints is often indicative of the following conditions:

903 Bur sieves

Osteochondrosis of the cervical spine	Due to a pathologically altered spine, nerves are compressed and disrupt their work
Arthritis	Inflammation itself brings pain, and in the case of a joint	Osteoarthritis	Due to the destruction of cartilage, the structure of the joint is disturbed, which leads to inflammation and pain during movement
Tendonitis	A pathological condition in which the tendons and other soft tissue structures surrounding the shoulder joint become inflamed
Capsulitis	Tendons and bones are constantly exposed to the inflamed area of ​​the joint capsule
Brachial nerve neuritis	Inflammation in the nerve causes acute pain and disturbs the sensitivity of the hand
Inflammation around the joint causes discomfort when moving.The synovial bag is most often affected. It fulfills an important function: it protects muscles and articular cartilage from damage due to improper load or overload. Prolonged irritation of the synovial bags leads to their inflammation
Tumors	Neoplasms limit mobility, inflammation spreads to neighboring areas and requires early diagnosis
Hereditary pathologies	joints) lead to the destruction of cartilage, inflammation of the joints and, as a result, acute pain
Infectious diseases	Dangerous microorganisms through the blood enter the joint, where they provoke inflammation and suppuration, especially in case of injuries

Symptoms possible diseases

Injuries – bruises, fractures – are the easiest to identify.In addition to being preceded by injury (for example, a fall), they have a rather characteristic pain: sharp, aggravated by movement. In the event of a fracture, the arm completely loses its ability to move.

With osteochondrosis , the pain is at first aching and weak, but if untreated, it will intensify. It can spread to the entire arm, numbness and tingling of the fingers begin.

Arthritis is an inflammation of the joint. It is often observed on both shoulders at the same time, but it can develop on one side as well.The diseased area swells, becomes inactive. The pain is sharp, almost unbearable.

Osteoarthritis usually occurs in the elderly. Cartilage is destroyed, which leads to disruption of the structure of the entire joint, inflammation of the synovial fluid and weakening of the ligaments. Shoulder pain increases with heavy lifting or active movement. Also, the patient feels discomfort with pressure on the collarbone or scapula.

Tendonitis – inflammation of the tendons – occurs with excessive stress on the limb.For example, with regular sports. The pain can be both aching and sharp. The main symptom is the suddenness of each attack. Hand mobility is also reduced.

Inflammation of the joint capsule – capsule – a very rare disease. With it, severe aching pain is felt not only in the shoulder, but also in the neck and upper back. The sensations are so acute that the hand cannot be raised or brought back.

With neuritis of the brachial nerve, the patient experiences acute sudden pain that passes through the entire shoulder.It can be confused with arthritis or tendinitis, but the joints themselves are completely healthy: the problem is in the inflamed nerve.

Constant pain that does not go away for several weeks is a symptom of bursitis . This inflammation of the periarticular bursa is a dangerous process that can become chronic without treatment.

With infections pains resemble arthritis: the joint begins to become inflamed and destroyed. And do not forget that pain from internal organs can be given to the shoulder: with coronary heart disease, pancreatitis, pneumonia.

Diagnostics. Who can help relieve shoulder pain?

It depends primarily on the cause of the disease. If you have a bruised or dislocated shoulder, see a traumatologist. Neuritis and osteochondrosis are diagnosed and treated by a neurologist. Joint and tendon problems – arthritis, tendonitis, arthrosis – are treated by a surgeon and a rheumatologist.

Well, if you are worried about not only shoulder pain, but also a general worsening of the condition, visit:

• therapist – he will determine the circle of specialists who should be contacted first.This will allow you to diagnose faster;
• oncologist – the cause of pain may be a malignant neoplasm;
• cardiologist – in case of heart disease;
• gastroenterologist – if pain from the gastrointestinal tract passes into the shoulder.

Most likely, you will have to go through several doctors in order to accurately establish a diagnosis. Moreover, depending on the disease, you may be prescribed:

If everything is in order with the joint, and the shoulder hurts due to pathologies, then, depending on the reason, you will be sent to:

• ECG,
• gastroscopy,
• fluorography,
• blood tests for genital infections.

Why is the cause of pain worth fighting?

Even if it seems to you that now the pain is not strong and does not worsen your well-being, remember that the absence of treatment always leads to bad consequences. And since in this case the pain can have many different reasons, it is impossible to predict what exactly awaits you in a few years.

For example, a bruise will go away on its own, without outside help. But more severe injuries cannot be healed without a specialist. All pathological processes of the joints will lead to a complete loss of movement and can eventually spread to the entire body.Heart and lung diseases have severe complications that greatly shorten life expectancy. And oncology is still being successfully treated and only at the initial stages. Remember that seeing a doctor on time can save you from the consequences.

And do not forget about simple prevention, which we regularly talk about: an active lifestyle, correct posture, no hypothermia, a comfortable sleeping place. These simple rules will save you not only from joint pain, but also from many other unpleasant diseases.

90,000 Arm pain: main causes, treatment and diagnosis

Everyone has encountered this unpleasant phenomenon. The pain in the hands is sharp and aching, aggravated by stress or under the influence of cold. It can cover the entire limb, or be localized in a limited area. Such a variety of symptoms is explained by many reasons that can cause pain in the arm – the portal medaboutme.ru tells about them.

Pain can be muscle, neurological, or associated with bones, joints and periarticular tissues.The true cause of the pain may lie in a completely different part of the body. That is why it is unacceptable to self-medicate, simply eliminating the pain syndrome. So you can miss the signs of a serious illness that requires timely treatment.

Any arm pain lasting more than 3 days requires medical attention.

Main causes of arm pain

• Injuries. This may be a contusion, sprain, dislocation, or fracture. The pain from a bruise disappears in a few days, with sprains, dislocations and fractures, you should consult a traumatologist.Serious injury is evidenced by constant severe pain, severe swelling, inability to make movements, as well as a change in the shape of the hand and its parts.
• Overvoltage. It can be caused by short-term severe overexertion, or constant stress on the same muscle groups and ligaments. This type includes tunnel syndrome – a disease that affects people who constantly work with a computer mouse when the workplace is not properly organized. Overvoltage can also cause other occupational hand injuries.
• Diseases of the spine. In osteochondrosis, protrusions and hernias of intervertebral discs, compression of the nerves connecting the spinal cord and limbs often occurs. A pinched nerve can cause severe hand pain, muscle numbness, and motor impairment.
• Diseases of the joints: arthrosis or arthritis, bursitis, tendonitis, etc. Arthritis can be caused by psoriasis, infectious diseases or age-related changes in the joints. Sometimes these diseases begin when metabolic processes change during pregnancy.Bursitis is an inflammation of the joint capsule and the accumulation of fluid in it.
• Gout. Although gout usually affects the joints of the lower extremities, sometimes it also affects the joints of the hands. With gout, the affected joint swells, becomes red and hot. The pain is very strong, literally unbearable. The attack usually begins at night.
• Neuritis. This disease causes numbness of the hand or part of it, aching pain along the nerve, dysfunction of the limb.
• Heart disease. Dull, pulling, or burning pain in the left arm may be a symptom of a heart attack or worsening heart disease. It is especially dangerous if at the same time the patient is nauseous, his face becomes pale, a strong inexplicable fear may appear. These symptoms may indicate myocardial infarction.

Hand Pain Treatment

Foto: Shutterstock

It is impossible to determine the causes of the pain syndrome without a thorough examination.Trying to numb the pain with home remedies or medication can be wasting time and triggering a serious illness – the true cause of the pain.

It is better not to wait for the weather by the sea, but to go to the doctor. You may need to do a number of tests, undergo computed or magnetic resonance imaging, x-rays or myelography. After determining the cause of the unpleasant symptoms, the doctor will prescribe treatment. As a rule, therapy is complex, including drug treatment, physiotherapy procedures, and special exercises.Many diseases require adherence to a special therapeutic diet.

90,000 Arm hurts what to do – reasons if your arms ache from the elbow to the hand when pulling the left or right

Arm pains are muscle, articular, or neurogenic. Articular pains of the hands are caused by inflammation of the articular or surrounding tissues or their degenerative-dystrophic changes.

It can be very difficult to independently figure out the reason why a hand hurts, so self-medication in this case is dangerous.

Hands hurt. What to do?

When asked what to do if your hands hurt, especially if the pains are chronic, constant or regular, it is unambiguous to seek help from a medical specialist so that he can prescribe an appropriate examination and treatment. After all, pain in the hand can be a sign of not only a local problem, but also a systemic disorder of the body or a symptom of a dangerous disease.

Does your left arm hurt? Here you need to understand the reasons. For example, pain in the left arm can be a symptom of heart disease, including myocardial infarction.If the right hand hurts, especially in combination with numbness of the fingers, this may be a symptom of a herniated disc, which, if left untreated, often causes disability.

or call:

+7 495 781-57-57 (Moscow)
+7 812 643-20-70 (St. Petersburg)

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Diagnostics

Ultrasound, MRI, laboratory

research (by appointment)

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Why do your hands hurt?

The main reasons why the arm hurts are injuries (sprains, ruptures of tendons, muscles, ligaments, fractures), diseases of the joints (arthritis, arthrosis), periarticular tissues (bursitis, tendinitis, epicondylitis, periarthritis), tunnel syndromes associated with pinched nerves as well as muscle pain caused by myositis, spasms or overstrain of the arm muscles.

A specialist of our clinic will accurately determine what caused the pain in the arm, why the arm is pulling, and will carry out optimal treatment to eliminate the problem and restore the quality of life and performance.

Cervical osteochondrosis, intervertebral hernia

Pain in the right arm or left arm from the outside are associated with a problem of the spine – cervical osteochondrosis or its complication, protrusion or herniated disc. This disease consists in drying out, deformation and destruction of the discs separating adjacent vertebrae, as a result of which the height of the gaps between them decreases, the discs protrude beyond the vertebral column, or the disc nucleus falls out.Each of these processes can cause pinching of a nerve that extends from the spinal cord and is responsible for the innervation of the hand. As a result, pain occurs along the nerve, which is felt throughout the arm as a lumbago from the shoulder to the fingers.

Treatment in this case will be aimed at eliminating its root cause. With the help of acupressure, acupuncture, osteopathy, manual therapy and, if necessary, other procedures, the doctor of our clinic will eliminate muscle spasms, release the pinched nerve, relieve the cervicothoracic spine and increase the height of the gaps between the vertebrae.

In addition, treatment with the methods of Tibetan medicine stimulates the process of the restoration of the intervertebral discs. Thanks to this, not only pain symptoms are eliminated, but also complications of osteochondrosis are prevented.

Styloiditis, tendinitis, epicondylitis

Pain in the arm, aches may occur due to inflammation of the tendon – styloiditis or tendinitis. The first occurs at the point where the tendon and bone meet, the second is inflammation of the tendon itself.

What to do if the arm hurts from the elbow to the hand?
In particular, if the left or right arm hurts, it can be radial styloiditis (pain in the wrist joint) or ulnar styloiditis (pain in the elbow).Likewise, tendonitis can cause pain in different joints.

Feel that your right arm hurts from shoulder to hand? With styloiditis, severe pain in the arm, aching, aching, aggravated by physical exertion, may be accompanied by weakness of the hand. With tendinitis, pain is most often felt in the middle of the arm, elbow, or shoulder, and is accompanied by limited joint mobility, localized redness, and swelling.

Epicondylitis is an inflammatory process at the site of muscle attachment to the bone in the elbow joint.As a result, the elbows of the hands hurt, which is accompanied by physical weakness of the hand. With the extension of the fingers and movements of the hand, the pain intensifies (the pain can be given to the palm).

How to treat such pain? The successful treatment of these diseases in our clinic is based on a combination of oriental medicine methods (acupuncture, acupressure) with shock wave therapy, which stimulates local blood circulation and has anti-inflammatory and analgesic effects. Thanks to this treatment, pain symptoms are significantly reduced or completely disappear, and the motor activity of the hand is restored.

Arthritis

Treatment depends not only on the localization of the pain syndrome, but also on its cause – inflammation or degenerative-dystrophic changes in tissues associated with metabolic disorders. In the presence of an inflammatory process, we are talking about arthritis, in which pain in the hand is usually accompanied by redness, swelling, and a local increase in temperature in the joint area.

In this case, the treatment begins with the elimination of the inflammatory process, which makes it possible to relieve the pain syndrome relatively quickly.For this, acupuncture pharmacopuncture is used. After that, with the help of acupressure and other procedures in combination with herbal medicine, metabolic processes are improved, the outflow of fluid accumulated in the joint is stimulated, edema is removed, and local immunity is increased.

Osteoarthritis

In contrast to the inflammatory process, arthritis, osteoarthritis of the joints of the hands is a thinning and gradual destruction of the cartilage tissue of the joints. The main cause of this disease is a violation of metabolic processes, a deterioration in the production of collagen, the main building material of articular cartilage, a violation of local blood circulation, a lack of synovial fluid necessary for lubricating joints.

If the hand is aching due to arthrosis, then this is usually accompanied by difficulty in movement, crunching. With movements and physical exertion, pain symptoms intensify.

Treatment for arthrosis consists not only in eliminating pain syndrome, but also in improving blood supply and nutrition of joint tissues, normalizing the functioning of internal organs, the whole body as a whole to improve the balance of metabolic processes and stimulate collagen synthesis. Thanks to this complex effect, the pain in the arm associated with arthrosis is significantly reduced or completely disappears.

Bursitis

Pain in the elbows of the hands, if accompanied by significant swelling, is most likely caused by inflammation of the periarticular synovial bag – bursitis. This inflammatory disease is characterized by the accumulation of fluid in the periarticular sac – exudate, which is the cause of edema.

In our clinics in Moscow and St. Petersburg, effective methods of treating elbow and shoulder bursitis are used, the success of which is based on the complex application of the methods of Tibetan medicine.With their help, the outflow of exudate from the periarticular bag is achieved, inflammation and pain are eliminated, local immunity is increased and metabolic processes in the joint and periarticular tissues are improved. Thanks to this, a permanent elimination of pain in the hand caused by bursitis is achieved.

Tunnel syndrome

Tunneling syndromes are associated with pinching of nerves by surrounding tissues, which causes pain in the arm. Such diseases, first of all, include carpal tunnel syndrome, in which pain is accompanied by weakness and impaired functional activity of the hand.Tunnel syndrome can also occur in the area of ​​the elbow joint when the radial, ulnar or median nerves are pinched. For example, the right hand often hurts when using a computer mouse for too long.

Our center offers such treatment by methods of Tibetan medicine, which allows you to effectively eliminate pain and other symptoms of tunnel syndromes using acupuncture and acupressure, which relieve tissue swelling and at the same time improve the passage of nerve impulses, have a relaxing effect, eliminating muscle spasms.

Anterior scalene muscle syndrome

The main cause of arm pain in this disease is muscle spasm associated with cervical osteochondrosis and irritation of the C6-C7 nerve roots. Elbow pain with scalene anterior syndrome is accompanied by neck pain, muscle weakness, pallor and coldness of the hand. Arms wrinkles, pain syndrome worsens with deep breaths, abduction of the arm to the side, tilting the head, and also at night.

Effective treatment of pain caused by anterior muscle syndrome is provided by the combined use of acupuncture, acupressure and other procedures.In addition, a therapeutic effect is exerted on the cervical spine to eliminate osteochondrosis.

Chondrocalcinosis

With chondrocalcinosis, pain in the hands is caused by the deposition of calcium salts in the joints. In this disease, treatment with methods of oriental medicine shows particularly good results in combination with shock wave therapy.

In addition to calcium salts, uric acid salts and urates can also be deposited in the joints. In this case, treatment will be aimed at eliminating the underlying disease – gout.

Rheumatoid arthritis

Rheumatoid arthritis is a systemic disease and may be one of the answers to the question of why the hands in the hands hurt. In this case, the pains are symmetrical and affect the small joints. One of the first symptoms of the disease is usually morning joint stiffness.

From the standpoint of Tibetan medicine, the main cause of rheumatoid arthritis is an imbalance of the immune system, or the regulatory system of Bad Kan. For its treatment, our clinic uses complex techniques based on the joint therapeutic effect of acupuncture, acupressure, moxibustion and other procedures, in combination with anti-inflammatory and immunomodulating phytopreparations.

Ulnar nerve neuritis

Aching pains in the elbows of the hands associated with ulnar neuritis, as a rule, are accompanied by numbness of the fingers and impaired functional activity of the hand. Optimal results in this disease are achieved with the help of acupuncture, pharmacopuncture and acupressure of Tibetan medicine. Thanks to these procedures, pain and other symptoms of neuritis disappear.

or call:

+7 495 781-57-57 (Moscow)
+7 812 643-20-70 (St. Petersburg)

Free consultation

Interrogation, inspection,

pulse diagnostics

from 30 minutes

Diagnostics

Ultrasound, MRI, laboratory

research (by appointment)

Treatment

Individual

plan

Arm hurts from shoulder to elbow

Myositis is an inflammatory disease that, in this case, involves the muscles of the upper
shoulder girdle.A provoking factor for the appearance of this disease can be a long stay on
draft or hypothermia.

Often, myositis is an occupational disease when a person is in an unsatisfactory climate (too cold
temperature, high humidity or prolonged contact with cold water) is in a forced
an uncomfortable position with emphasis on the hands or parts of them.The main symptom of muscle inflammation is sharp pain,
aggravated by movement and weakened by rest.

The pain syndrome is sometimes so pronounced that it does not allow any active movements that require participation
the affected muscle. On examination, the skin over the pathological focus may turn red, the volume of the hand increases due to
edema.On palpation of the biceps or triceps, the patient notes severe pain. Also when probing
you can find small dense nodules in the thickness of the muscle fibers (these are spasmodic due to inflammation of the group
myocytes). Therefore, if the muscles of the arm from the shoulder to the elbow hurt, it makes sense to think about their inflammation.

If you have certain symptoms, we advise you to seek advice from
specialist.