Pain around the sternum. Sternum Pain: Causes, Symptoms, and When to Seek Medical Attention
What causes sternum pain. How to identify symptoms of costochondritis. When should you see a doctor for chest discomfort. What are the signs of a sternoclavicular joint injury. How to recognize a collarbone trauma. What are the symptoms of a sternum fracture. How does acid reflux relate to sternum pain.
Understanding Sternum Pain: An Overview
Sternum pain, also known as breastbone discomfort, can be a concerning symptom for many individuals. The sternum, a flat bone located in the center of the chest, plays a crucial role in protecting vital organs and connecting the rib cage. While chest pain often raises alarm bells about potential heart issues, sternum pain can stem from various causes, many of which are not cardiac-related.
Sternum pain may result from inflammation, joint or collarbone injuries, digestive issues, or in some cases, more serious conditions. Understanding the underlying causes and recognizing associated symptoms can help individuals determine when to seek medical attention.
Costochondritis: A Common Culprit of Sternum Pain
Costochondritis is the most frequent cause of sternum pain. This condition occurs when the cartilage connecting the ribs to the sternum becomes inflamed. Symptoms of costochondritis include:
- Sharp pains or aches on the side of the sternum area
- Pain or discomfort in one or more ribs
- Increased pain when coughing or breathing deeply
Costochondritis can result from chest injuries, physical strain, or joint conditions like osteoarthritis. While it’s generally not a serious condition, persistent pain or additional symptoms may warrant a visit to the doctor.
Identifying Costochondritis vs. Heart Attack Symptoms
Can costochondritis be mistaken for a heart attack? While both conditions can cause chest pain, there are key differences. Costochondritis pain typically worsens with movement or pressure on the chest wall, while heart attack pain is often accompanied by shortness of breath, nausea, and radiating pain to the arms or jaw. If you’re unsure about the cause of your chest pain, especially if you have risk factors for heart disease, it’s crucial to seek immediate medical attention.
Musculoskeletal Causes of Sternum Pain
Various conditions affecting the muscles and bones around the sternum can lead to pain in this area. Some common musculoskeletal causes include:
- Sternoclavicular joint injury
- Collarbone trauma
- Sternum fractures
- Muscle strains
- Hernias
Each of these conditions has unique symptoms and requires different treatment approaches. Understanding the specific characteristics of each can help in identifying the root cause of sternum pain.
Sternoclavicular Joint Injury: Symptoms and Identification
The sternoclavicular (SC) joint connects the top of the sternum with the collarbone. Injury to this joint can cause significant discomfort in the upper chest area. Common symptoms of an SC joint injury include:
- Mild pain or aching around the upper chest and collarbone area
- Popping or clicking sounds in the joint
- Stiffness and limited shoulder movement
How can you differentiate between an SC joint injury and other causes of sternum pain? SC joint injuries often result in localized pain at the junction of the collarbone and sternum, which may worsen with arm movements. Unlike costochondritis, the pain is typically confined to this specific area rather than spreading across the chest.
Collarbone Trauma: A Source of Radiating Sternum Pain
The collarbone’s direct connection to the sternum means that any trauma to this bone can affect the sternum area. Collarbone injuries can result from falls, sports accidents, or other types of impact. Symptoms of collarbone trauma include:
- Bruising or bumps around the collarbone area
- Intense pain when moving the arm upward
- Swelling or tenderness
- Abnormal sagging of the shoulder
Why does collarbone trauma often cause pain in the sternum area? The close anatomical relationship between the collarbone and sternum means that forces applied to the collarbone can be transmitted to the sternum, resulting in pain and discomfort that extends beyond the immediate site of injury.
Sternum Fractures: Recognizing Serious Chest Injuries
A fractured sternum is a serious injury often resulting from significant blunt force trauma to the chest. Common causes include car accidents, contact sports injuries, or falls. Symptoms of a sternum fracture include:
- Pain when breathing or coughing
- Difficulty breathing
- Grinding or clicking sensations with arm movements
- Swelling and tenderness over the sternum
How urgent is medical attention for a suspected sternum fracture? Given the proximity of the sternum to vital organs, any suspicion of a sternum fracture requires immediate medical evaluation. Complications can include damage to the heart or lungs, making prompt diagnosis and treatment crucial.
Digestive Issues: An Unexpected Source of Sternum Pain
The sternum’s position in front of several digestive organs means that gastrointestinal conditions can manifest as sternum pain. Common digestive causes include:
- Heartburn
- Acid reflux
- Hiatal hernia
These conditions can cause discomfort that may be mistaken for sternum pain due to the close proximity of the affected organs to the breastbone.
Heartburn and Acid Reflux: Mimicking Sternum Pain
Heartburn occurs when stomach acid leaks into the esophagus, causing a burning sensation in the chest. This discomfort can often be mistaken for sternum pain. Symptoms of heartburn and acid reflux include:
- Burning sensation in the chest, often after meals
- Difficulty swallowing
- Regurgitation of food or sour liquid
- Chronic cough or sore throat
Why does acid reflux sometimes feel like sternum pain? The esophagus runs behind the sternum, so when stomach acid irritates its lining, the resulting pain can be felt in the chest area, often radiating to the sternum. This sensation can be particularly pronounced when lying down or bending over.
When to Seek Medical Attention for Sternum Pain
While many causes of sternum pain are benign, certain symptoms warrant immediate medical attention. Seek emergency care if you experience:
- Severe, crushing chest pain
- Pain radiating to the jaw, neck, or arms
- Shortness of breath or difficulty breathing
- Nausea, sweating, or lightheadedness accompanying chest pain
- Fever or chills along with sternum pain
These symptoms could indicate more serious conditions, including heart attacks or infections, which require prompt medical intervention.
Differentiating Between Serious and Benign Causes of Sternum Pain
How can you tell if your sternum pain is serious or just a minor issue? While a definitive diagnosis requires medical evaluation, some general guidelines can help:
- Pain that worsens with movement or pressure on the chest wall is more likely to be musculoskeletal in nature.
- Pain accompanied by digestive symptoms like heartburn or regurgitation may indicate gastrointestinal causes.
- Sudden, severe pain, especially if accompanied by shortness of breath or radiating pain, requires immediate medical attention.
Remember, when in doubt, it’s always better to err on the side of caution and seek medical advice.
Diagnostic Approaches for Sternum Pain
When evaluating sternum pain, healthcare providers may use various diagnostic tools and techniques to determine the underlying cause. These may include:
- Physical examination
- Medical history review
- Imaging studies (X-rays, CT scans, or MRI)
- Blood tests
- Electrocardiogram (ECG)
The specific diagnostic approach will depend on the suspected cause of pain and the presence of other symptoms.
The Role of Imaging in Diagnosing Sternum Pain
Why are imaging studies often necessary for diagnosing sternum pain? Imaging techniques provide valuable information about the structure of the sternum and surrounding tissues. X-rays can reveal fractures or dislocations, while CT scans and MRIs offer more detailed views of soft tissues, helping to identify inflammation, tumors, or other abnormalities that may be causing pain.
Treatment Options for Sternum Pain
The treatment for sternum pain varies depending on the underlying cause. Common approaches include:
- Rest and activity modification
- Pain relief medications (NSAIDs, acetaminophen)
- Ice or heat therapy
- Physical therapy
- Antacids or proton pump inhibitors for digestive causes
- Surgery in severe cases (e.g., for hernias or certain fractures)
Your healthcare provider will recommend a treatment plan tailored to your specific condition and symptoms.
Non-Invasive Treatments for Musculoskeletal Sternum Pain
What are some effective non-invasive treatments for sternum pain caused by musculoskeletal issues? For conditions like costochondritis or minor injuries, the following approaches can be helpful:
- Gentle stretching exercises
- Posture correction techniques
- Stress reduction methods (e.g., deep breathing exercises, meditation)
- Topical pain relief creams or patches
These methods can often provide significant relief without the need for more invasive interventions.
Preventing Sternum Pain: Lifestyle and Ergonomic Considerations
While not all causes of sternum pain are preventable, certain lifestyle changes and ergonomic adjustments can reduce the risk of developing pain in this area. Consider the following strategies:
- Maintain good posture, especially when sitting for long periods
- Practice proper lifting techniques to avoid straining chest muscles
- Engage in regular, low-impact exercises to strengthen chest and back muscles
- Avoid smoking and excessive alcohol consumption, which can exacerbate acid reflux
- Manage stress through relaxation techniques and regular exercise
Implementing these practices can help maintain chest health and reduce the likelihood of experiencing sternum pain.
Ergonomic Tips for Desk Workers to Prevent Sternum Discomfort
How can individuals who spend long hours at a desk protect their sternum and chest area? Consider these ergonomic tips:
- Adjust your chair and desk height to maintain proper posture
- Use a keyboard tray to keep your arms at a comfortable angle
- Take regular breaks to stand, stretch, and move around
- Consider using a standing desk for part of the day
- Ensure your computer screen is at eye level to prevent neck strain
These adjustments can significantly reduce the risk of developing musculoskeletal issues that may lead to sternum pain.
Long-Term Management of Chronic Sternum Pain
For individuals experiencing chronic sternum pain, long-term management strategies are essential. These may include:
- Regular follow-ups with healthcare providers
- Ongoing physical therapy or exercise programs
- Lifestyle modifications to address underlying causes
- Pain management techniques, including mindfulness and relaxation methods
- Support groups or counseling to address the emotional impact of chronic pain
Developing a comprehensive management plan in collaboration with healthcare professionals can significantly improve quality of life for those dealing with persistent sternum pain.
Psychological Aspects of Chronic Sternum Pain
How does chronic sternum pain affect mental health, and what can be done to address these impacts? Chronic pain of any kind, including sternum pain, can lead to anxiety, depression, and reduced quality of life. Strategies to address the psychological aspects of chronic pain include:
- Cognitive-behavioral therapy to develop coping mechanisms
- Mindfulness practices to manage pain perception
- Joining support groups to connect with others experiencing similar challenges
- Engaging in enjoyable activities to maintain a positive outlook
Addressing both the physical and psychological aspects of chronic sternum pain is crucial for comprehensive management and improved overall well-being.
Sternum Pain: What Is It?
Pain in your sternum, or breastbone, may be caused by a number of things, including inflammation, a joint or collarbone injury, and acid reflux. Pain in your sternum may also happen with a heart attack, but this is more likely if you’re over the age of 40 and have heart disease.
Your sternum, or breastbone, connects the two sides of your rib cage together. It sits in front of many major organs located in your chest and gut, including your heart, lungs, and stomach. As a result, many conditions that don’t necessarily have anything to do with your sternum may cause pain in your sternum and the surrounding area.
Your first reaction to chest pain, especially severe or consistent chest pain, may be to think it’s a heart attack. But in many cases, chest pain has nothing to do with your heart. This is especially true if you’re under age 40 and don’t have any serious health issues or existing conditions.
Sternum pain is actually more likely caused by conditions that have to do with your muscles, your bones, or your digestive tract than with your heart or the sternum itself.
Keep reading to learn the most common reasons for sternum pain and when you should see your doctor.
The most common cause of sternum pain is a condition called costochondritis. This occurs when the cartilage that connects your ribs to your sternum becomes inflamed.
Symptoms of costochondritis include:
- sharp pains or aches on the side of your sternum area
- pain or discomfort in one or more ribs
- pain or discomfort that gets worse when you cough or breathe in deeply
Costochondritis doesn’t always have a specific cause, but it’s most often a result of a chest injury, strain from physical activity, or joint conditions like osteoarthritis. Costochondritis isn’t a serious condition and shouldn’t cause you to be concerned.
See your doctor if the pain persists or if you have other symptoms that might indicate a more serious underlying condition.
Conditions or injuries to the muscles and bones around your sternum can also cause sternum pain.
This includes:
- joint injury
- collarbone (clavicle) injury
- fractures
- hernias
- surgery on the sternum (such as open heart surgery)
These aren’t the only musculoskeletal conditions that may make your sternum hurt, but they’re among the most common.
Sternoclavicular joint injury
The sternoclavicular joint (SC joint) connects the top of your sternum with your collarbone (clavicle). Injury to this joint can cause pain and discomfort in your sternum and in the area in your upper chest where this joint exists.
Common symptoms of injury to this joint include:
- feeling mild pain or having aching and swelling around your upper chest and collarbone area
- hearing pops or clicks in the joint area
- feeling stiff around the joint or not being able to fully move your shoulder
Collarbone trauma
The collarbone is directly connected to your sternum, so injuries, dislocation, fractures, or other trauma to the collarbone can affect the sternum.
Common symptoms of collarbone trauma include:
- bruises or bumps around area of collarbone injury
- intense pain when you try to move your arm upwards
- swelling or tenderness around collarbone area
- pops, clicks, or grinding noises when you lift your arm
- abnormal frontward sagging of your shoulder
Sternum fracture
Fracturing your sternum can cause a lot of pain, because your sternum is involved in many of your upper body movements. This type of injury is often caused by blunt force injuries to your chest. Examples of this include your seat belt tightening in a car accident or your chest getting hit while you’re playing sports or doing other high-impact physical activity.
Common symptoms include:
- pain when you breathe in or cough
- difficulty breathing
- pops, clicks, or grinding noises when you move your arms
- swelling and tenderness over the sternum
Muscle strain or hernia
Pulling or straining a muscle in your chest can cause pain around your sternum.
Common symptoms of a pulled muscle include:
- pain around the pulled muscle
- discomfort when using the affected muscle
- bruising or tenderness around the affected muscle
A hernia can also cause sternum pain. A hernia happens when an organ is pushed or pulled from the area where it normally sits into a nearby part of the body.
The most common kind is a hiatal hernia. This happens when your stomach moves up past your diaphragm into your chest cavity.
Common symptoms of a hiatal hernia include:
- frequent burping
- heartburn
- having trouble swallowing
- feeling like you ate too much
- throwing up blood
- having black-colored stool
Check out: Muscle strain treatment »
Your sternum sits right in front of several major digestive organs. Conditions that affect your esophagus, stomach, and intestines can all cause sternum pain. Having heartburn or acid reflux after a meal are the most common gastrointestinal causes for sternum pain.
Heartburn
Heartburn happens when acid from your stomach leaks into your esophagus and causes chest pain. It’s common to get right after you eat. Pain usually gets worse when you lie down or bend forward.
Heartburn usually goes away without treatment after a short time.
Check out: Post-meal tips to ease heartburn »
Acid reflux
Acid reflux is similar to heartburn, but happens when stomach acid or even what’s in your stomach starts to bother or wear away the lining of your esophagus. It can be part of a chronic condition called gastroesophageal reflux disease.
Symptoms of acid reflux include:
- burning in your chest
- abnormal bitter taste in your mouth
- difficulty swallowing
- coughing
- throat soreness or hoarseness
- feeling like you have a lump in your throat
Learn more: How to prevent acid reflux and heartburn »
Conditions that affect your lungs, windpipe (trachea), and other parts of your body that help you breathe can cause sternum pain.
Pleurisy
Pleurisy happens when your pleura gets inflamed. The pleura is made up of tissue within your chest cavity and around your lungs. In some cases, fluid can build up around this tissue. This is called pleural effusion.
Common symptoms include:
- sharp pain when you breathe in, sneeze, or cough
- feeling like you can’t get enough air
- an abnormal cough
- fever (in rare cases)
Bronchitis
Bronchitis happens when the bronchial tubes that bring air into your lungs become inflamed. It often happens when you get the flu or a cold.
Bronchitis pain can also make your sternum hurt as you breathe in and out. It can last only briefly (acute bronchitis) or become a long-term condition (chronic bronchitis) due to smoking or infections.
Common bronchitis symptoms include:
- persistent wet cough that causes you to spit up mucus
- wheezing
- difficulty breathing
- pain or discomfort in your chest
Flu or cold symptoms that can go along with bronchitis include:
- high fever
- exhaustion
- runny nose
- diarrhea
- vomiting
Check out: 7 home remedies for bronchitis »
Pneumonia
Pneumonia happens when your lungs get infected by a virus or bacteria.
Common symptoms of pneumonia include:
- difficulty breathing
- high fever
- persistent cough
Other conditions that affect your gastrointestinal tract or your chest muscles can cause sternum pain.
Stomach ulcer
A stomach ulcer (peptic ulcer) happens when you get a sore on the lining of your stomach or at the bottom of your esophagus.
Symptoms of a stomach ulcer include:
- stomach pain, especially on an empty stomach, that responds to antacids
- feeling bloated
- nausea
- lack of appetite
Panic attack
A panic attack happens when you suddenly feel fear, as if something dangerous or threatening is happening, with no actual reason to be afraid. It’s often a result of stress or a symptom of mental health conditions, such as generalized anxiety disorder or depression.
Symptoms of a panic attack include:
- feeling like something bad is about to happen
- feeling dizzy or lightheaded
- having trouble breathing or swallowing
- sweating
- feeling alternately hot and cold
- stomach cramps
- chest pain
Check out: 11 ways to stop a panic attack »
Sternum pain can sometimes be the result of a heart attack. This is much less likely if you’re under age 40 or are in overall good health. They’re more likely to happen if you’re over 40 and have an existing condition, such as heart disease.
A heart attack is life-threatening. You should go to the emergency room right away if you have any symptoms besides sternum pain that may indicate a heart attack, especially if they appear without any obvious cause or if you’ve had a heart attack before.
Symptoms of a heart attack include:
- chest pain in the middle or left side of your chest
- pain or discomfort in your upper body, including your arms, shoulder, and jaw
- feeling dizzy or lightheaded
- having trouble breathing
- sweating
- nausea
The more of these symptoms you have, the more likely that you’re having a heart attack.
See your doctor right away if you have heart attack symptoms or symptoms that cause you sharp, consistent pain that gets in the way of your daily life.
You should also see your doctor if you have any of the following symptoms:
- sternum and general chest pain that has no obvious cause
- sweating, dizziness, or nausea with no specific cause
- trouble breathing
- pain that spreads from your chest throughout your upper body
- chest tightness
If you’re experiencing other symptoms and they last for more than a few days, talk to your doctor.
You can find a primary care doctor near you through the Healthline FindCare tool.
Your next steps depend on what condition might be causing your sternum pain and how severe the condition is.
You may just need to take over-the-counter pain medication or change your diet. But you may need long-term treatment if the underlying condition is more serious. In some cases, you may need surgery to treat a heart or gastrointestinal condition.
Once your doctor diagnoses the cause, they can develop a treatment plan that can help relieve the symptoms and causes of your sternum pain.
Causes and when to see a doctor
Many conditions can cause pain in the sternum, including injuries, pneumonia, bronchitis, and costochondritis. Gastrointestinal problems, such as acid reflux, can cause pain behind the sternum.
People may believe that their sternum pain is a heart attack symptom. However, it is possible to differentiate the two.
In this article, learn about the causes of sternum pain and the differences between sternum pain and heart problems.
The sternum is a flat T-shaped bone that sits at the front of the chest and connects to the ribs with cartilage. It forms part of the rib cage, a series of bones that protects the heart and lungs from injuries.
People often refer to the sternum as the breastbone.
Sternum pain can result from problems with muscles and bones near the sternum, as well as the sternum itself.
Substernal pain is discomfort occurring behind or below the sternum. It often results from gastrointestinal conditions.
Some of the most common causes of sternum and substernal pain are:
- costochondritis
- sternum fracture
- sternoclavicular joint injury
- collarbone injuries
- muscular strain or bruise
- hernia
- acid reflux
- pleurisy
- bronchitis
- pneumonia
Costochondritis is inflammation of the cartilage between the sternum and ribs. The medical term for this area is the costochondral joint.
The symptoms of costochondritis include:
- sharp pain on the side of the sternum area
- pain that worsens with a deep breath or a cough
- discomfort in the ribs
Inflammation in the costochondral joint may occur due to injury, infection, or irritation. A person may experience costochondritis due to:
- impact trauma
- respiratory tract infections
- severe coughing
- physical strains
Learn more about costochondritis here.
Like fractures in other parts of the body, sternum fractures can cause a lot of pain. Sternum fractures usually occur as a direct result of trauma, such as a car accident or sports injury.
People who believe they may have a sternum fracture should seek immediate medical attention in case of additional damage to the heart and lungs.
Symptoms of a sternum fracture include:
- pain during inhaling or coughing
- swelling over the sternum
- difficulty breathing
Learn more about fractures here.
The sternoclavicular joint connects the top of the sternum to the collarbone. Injuries to this joint generally cause pain and discomfort at the top of the sternum in the upper chest area.
People experiencing sternum pain due to a sternoclavicular joint injury will often experience the following:
- mild pain or swelling in the upper chest area
- difficulty or pain when moving the shoulder
- popping or clicking around the joint
The collarbone connects to the top corners of the sternum by cartilage. Due to the direct connection between the two structures, injuries to the collarbone may cause pain in the sternum area.
Collarbone trauma
Impact and stress trauma can damage, or even fracture, a person’s collarbone. Collarbone trauma may affect its connection to the sternum and the surrounding musculature. This may mean a person feels pain either in or around their sternum.
Depending on the location of collarbone trauma, other symptoms may include:
- severe pain when raising the arm
- bruising or swelling in the upper chest area
- abnormal positioning or sagging of the shoulder
- clicking and grinding in the shoulder joint
A great many muscles connect to the sternum and ribs. Injuries or trauma can result in bruising these muscles, which may cause them to ache. Strenuous or repetitive movements can also cause strains in these muscles.
Learn more about muscle strains here.
Most hernias occur in the abdomen. However, a hiatal hernia can affect the chest area and cause substernal pain.
A hiatal hernia occurs when the stomach moves past the diaphragm and into the chest. Symptoms of a hiatal hernia include:
- frequent burping
- heartburn
- vomiting blood
- a feeling of fullness
- trouble swallowing
People with substernal pain and symptoms of a hiatal hernia should see a doctor for prompt treatment.
Learn more about hernias here.
Acid reflux happens when stomach acid wears away the lining of the windpipe (esophagus). This happens primarily in people with gastroesophageal reflux disease (GERD).
Acid reflux may cause substernal pain and discomfort in the chest.
Pain in this region can also result from inflammation or a spasm of the windpipe. People with GERD should talk with their doctor about preventing further damage to this area.
Learn the difference between heartburn, acid reflux, and GERD here.
Pleura are sheets of tissue between the lungs and ribcage. Inflammation to these tissues is pleurisy.
Pleurisy can cause a sharp, stabbing pain at the site of irritation, which may worsen if a person breathes deeply, coughs, or wheezes.
If inflammation occurs toward the upper middle chest, pleurisy may cause substernal pain.
Learn more about pleurisy here.
Bronchitis is the inflammation of the primary airways of the lungs. The condition can cause:
- chest pain
- severe coughing spells
- shortness of breath
- wheezing
Inflammation of the primary airways may cause substernal pain.
Learn more about bronchitis here.
Pneumonia is a common lung infection that causes air sacs in the lungs to inflame and fill with fluid. The medical term for these air sacs is alveoli.
Pneumonia can cause sharp chest pains, which a person may feel behind their sternum.
Other symptoms of pneumonia include.
- severe coughing
- shortness of breath
- fever
- sweating
- nausea and vomiting
- loss of appetite
- confusion
Infectious bacteria, viruses and fungi can cause pneumonia.
Learn more about pneumonia here.
Symptoms of sternum pain vary depending on the cause. The most common symptom is discomfort and pain in the center of the chest, which is the location of the sternum.
Other associated symptoms may include:
- pain or discomfort in the ribs
- pain that worsens during deep breathing or coughing
- mild, aching pain in the upper chest
- swelling in the upper chest
- stiffness in the shoulder joints
- severe pain when raising the arms
- signs of collarbone trauma, such as bruising or swelling
- difficulty breathing
- grinding or popping sensation in joints near the sternum
- frequent belching
- heartburn
- feeling too full
- throwing up blood
People experiencing chest pain may worry they are having a heart attack. However, sternum pain differs from heart attack pain.
People who are having a heart attack experience specific signs before the heart attack itself, whereas most sternum pain starts suddenly.
A heart attack often occurs with the following symptoms:
- pressure, squeezing, or fullness in the center of the chest
- sweating
- nausea
- shortness of breath
- lightheadedness
However, anyone who thinks they are having a heart attack should seek immediate medical attention.
While sternum pain is not usually serious, there are some causes of sternum pain that require immediate medical attention.
A person should seek emergency medical attention if the pain:
- started as a result of direct trauma
- is accompanied by heart attack symptoms
- is persistent and does not improve over time
- is accompanied by intense vomiting or vomiting blood
A person should also speak to a doctor if the pain in their sternum gets worse or does not improve over time.
Physical trauma, costochondritis, and muscle strains are common causes of sternum pain.
Conditions such as pneumonia, pleurisy and GERD can also cause pain in nearby tissue that people may mistake for sternum pain.
Read the article in Spanish.
Girdle pain in the chest area: causes, treatment
Any person can face a sharp, acute or aching girdle pain under the chest – from a child of preschool age to a pensioner. Often such a condition – especially if it arose suddenly, recurs on a regular basis, causes physical and psychological discomfort, deprives freedom of movement – makes you nervous. If this ailment is not a consequence, for example, of an injury received while playing sports, then you should not hope that the girdle pain in the chest area will go away by itself. Be sure to see a doctor.
Girdle chest pain: causes
A competent specialist will definitely identify what provoked the problem, focusing on the symptoms you indicated, as well as on the results of some studies (examinations, tests, etc.). As a rule, girdle pain, localized under the breast, can indicate a number of diseases. Sometimes it is easy to identify them, while in other cases it takes a lot of time to make a diagnosis. Since the clinical picture and symptoms of each disease are different, it is worth considering in more detail each cause.
Spinal problems
Pathologies associated with the spine are the most common cause of girdle pain in the chest. In addition to scoliosis, a disease that is now observed in more than half of the population of Russia, the causes can also be various kinds of hernias, protrusions, neuralgia, osteochondrosis, which affect the back, but often go to the chest area or under the ribs. Depending on the disease, not only the chest can hurt. The pain syndrome can radiate to the arm and shoulder blade, if there is a hernia, the back hurts, and when coughing, the pain intensifies.
Diseases of the gastrointestinal tract
Girdle pain that appears in the chest area is often included in the symptoms of diseases of the digestive system, which are located in the upper left and right quadrants of the abdominal cavity. This includes the intestines, stomach and pancreas, liver. Depending on the disease – rupture of the esophagus, pancreatitis, renal colic, ulcers and other pathologies – in addition to chest pain, the back or stomach area may hurt, heartburn, nausea and other unpleasant symptoms are noted
Diseases and pathologies of the heart
Acute girdle chest pain, observed at the level of the heart or around it, often signals ailments that develop in one of the main organs of our body. It can be angina pectoris, myocardial infarction, pericarditis and other heart diseases. Almost all of these conditions pose a huge threat to life, especially for older patients. Urgently see a specialist, delay can cost you dearly!
Respiratory diseases
Pleurisy, pulmonary tuberculosis, pneumonia – because of these diseases, it is not only difficult for a person to breathe: in the vast majority of cases, the symptoms expand, and pathological mucous, purulent or bloody discharge from the respiratory tract is noted, and girdle pain occurs under the chest.
Oncological diseases
Malignant tumors located in the lungs, liver, stomach and other organs adjacent to the chest, as well as metastases formed here, provoke burning, piercing pains under the breasts. Symptoms are typical for stage 2-4 cancer, when only chemotherapy or strong painkillers can help.
Injuries
Usually they are “earned” by professional athletes, but ordinary people are not immune from accidents. At risk are pensioners, postmenopausal women (the amount of calcium in the body decreases), patients with osteoporosis, newborns and children of primary preschool age.
Gestational period
The aching nature of girdle pain at the level of the chest is a frequent companion of the third trimester of pregnancy, when the fetus becomes so large that it presses on the organs adjacent to the enlarged uterus, and its movements cause discomfort to the woman.
How to relieve pain. First Aid
Almost all specialists who are directly or indirectly related to medicine will recommend that you first consult a doctor or call an ambulance team. But what to do if there is no such opportunity at the moment? Any anesthetic that suits you will help relieve an attack of girdle pain in the chest area. Among the most common are Ibuprofen (Nurofen) or Paracetamol, Drotaverine (No-Shpa). Remember that a number of diseases do not tolerate delay: for example, if you suspect a myocardial infarction, you should immediately call an ambulance.
Diagnostics
When you first contact Neurologist , you will be assigned a series of examinations, including a visual examination, palpation, and referrals for blood and urine tests. In addition, any responsible specialist will definitely prescribe an ultrasound, x-ray or MRI to verify their assumptions. In the event that girdle pain under the breast has a physiological cause (during pregnancy) and is not associated with pathologies, medications allowed during the period of bearing a child will be recommended.
Which doctor should I contact?
cardiologists , gastroenterologists , surgeons, oncologists or pulmonologists can deal with this problem. But most likely, therapist will refer you to narrow specialists: it is best to contact him if you do not understand what provoked the occurrence of girdle pain around the chest. The clinic “Energo” employs experienced doctors with many years of experience. These specialists are able to solve even the most complex problems, help patients quickly and with minimal losses to cope with the disease that struck them. Turning to us, you can be sure that assistance will be provided at the highest level and without delay. This is especially important in cases where the pathological condition threatens normal life. Call – we will be glad to accept you in our clinic, we will write you down for any convenient date and time.
“Extra-cardiac” causes of chest pain
“Extra-cardiac” causes of chest pain – Polyclinic news
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January 22, 2021
If there is chest pain, the first thing we suspect is that it hurts the heart. However, not only the heart muscle is located in the chest. Other organs can also signal problems with chest pains.
- Intercostal neuralgia – irritation or inflammation of the intercostal nerves. Such pain is most often mistaken for a heartache. This is a sharp or shooting pain, aggravated by any movement and tension of the chest, for example, sneezing, coughing. Most often, this is how osteochondrosis manifests itself – degenerative-dystrophic changes in the spine.
- Bone pain is similar to neurological and muscle pain. It is caused by trauma, tumors or inflammatory lesions in the bones.
- Diseases of the bronchi, lungs are manifested by pain in the chest. Pain on the one hand, become stronger when inhaling, during movement. An additional symptom of pulmonary diseases is a cough.
- Inflammation of the trachea causes sore pain in the middle of the chest. Characteristic cough.
- Diseases of the esophagus and stomach can also be manifested by pain and burning behind the sternum and in the region of the heart.