What are the common causes of pain in chest, back, neck, and shoulders. How to identify symptoms of heart attack, angina, and other conditions. When should you seek medical attention for chest and upper body pain.

Understanding the Complexity of Upper Body Pain

Pain in the chest, back, neck, and shoulders can be alarming and often indicates a complex interplay of various bodily systems. This type of discomfort can stem from cardiovascular issues, musculoskeletal problems, or even digestive disorders. Understanding the potential causes and their associated symptoms is crucial for proper diagnosis and treatment.

Heart-Related Causes of Chest and Upper Back Pain

Heart Attack: A Medical Emergency

A heart attack occurs when blood flow to the heart muscle is blocked, typically by a blood clot. This serious condition can cause pain that radiates from the chest to the back, neck, and shoulders. How can you recognize a heart attack? Key symptoms include:

• Intense pressure or tightness in the chest
• Cold sweats
• Shortness of breath
• Lightheadedness or fainting
• Nausea

It’s important to note that women may experience heart attack symptoms differently than men. They’re more likely to feel pain in the back or jaw. Some individuals may have very mild symptoms or none at all, making it crucial to be aware of any unusual sensations in the upper body.

Angina: When Your Heart Lacks Oxygen

Angina is a condition characterized by chest pain due to reduced blood flow to the heart muscle. It’s often associated with coronary artery disease and typically occurs during physical exertion. How does angina differ from a heart attack? While the symptoms can be similar, angina pain usually subsides with rest. Additional symptoms may include:

• Fatigue or weakness
• Shortness of breath
• Sweating
• Lightheadedness
• Nausea

Women may experience angina differently, often feeling pain in the back, neck, or abdomen in addition to or instead of chest pain.

Digestive Issues Causing Chest and Back Pain

Heartburn: More Than Just Indigestion

Heartburn, despite its name, is not related to the heart. It occurs when stomach acid flows back into the esophagus, causing a burning sensation in the chest that can sometimes be felt in the back. What triggers heartburn? Common culprits include:

• Spicy foods
• Citrus fruits
• Fatty meals
• Large meals
• Lying down shortly after eating

Pregnancy, obesity, and certain medications can increase the risk of experiencing heartburn. The pain often worsens after meals or in the evening and may be accompanied by an acidic taste in the mouth.

Gallstones: Small Stones, Big Pain

Gallstones form when bile in the gallbladder hardens into small, stone-like deposits. These can cause intense pain in various areas, including:

• The upper right abdomen
• Just below the breastbone
• Between the shoulder blades
• In the right shoulder

Gallstone pain, also known as biliary colic, can last from a few minutes to several hours. It may be accompanied by nausea or vomiting. Who is at higher risk for gallstones? Factors include being female, pregnancy, and obesity.

Respiratory Conditions and Chest-Back Pain

Pleurisy: When Breathing Hurts

Pleurisy is the inflammation of the membranes that surround the lungs and line the chest cavity. This condition causes sharp chest pain that worsens with deep breathing or coughing. The pain can radiate to the shoulders and back. What causes pleurisy? Common culprits include:

• Viral or bacterial infections
• Autoimmune conditions
• Certain cancers

Additional symptoms of pleurisy may include coughing, shortness of breath, fever, chills, and unexplained weight loss. The pain’s intensity often increases with respiratory movements, making it distinct from other types of chest pain.

Cardiovascular Conditions Beyond Heart Attacks

Pericarditis: Inflammation Around the Heart

Pericarditis is the inflammation of the pericardium, the protective sac surrounding the heart. This condition causes sharp chest pain that may extend to the left shoulder, back, or neck. How can you differentiate pericarditis pain? It often:

• Worsens when breathing deeply or lying down
• Improves when sitting up and leaning forward
• May be accompanied by a dry cough and fever

Pericarditis can result from infections, autoimmune conditions, or as a complication following a heart attack or heart surgery. In some cases, it may lead to anxiety and difficulty breathing when lying down.

Aortic Aneurysm: A Silent Threat

An aortic aneurysm occurs when a section of the aorta, the body’s largest artery, weakens and bulges. While many aortic aneurysms develop without symptoms, some people may experience pain or tenderness in the chest, back, or abdomen. Why is an aortic aneurysm dangerous? If the weakened area tears (aortic dissection), it can cause life-threatening internal bleeding.

Risk factors for aortic aneurysms include:

• High blood pressure
• Smoking
• Age (more common in people over 65)
• Family history of aneurysms

Regular check-ups and screenings are crucial for individuals at high risk, as early detection can be lifesaving.

Musculoskeletal Causes of Upper Body Pain

Overuse and Strain: When Your Muscles Protest

Muscular problems can often cause pain in the chest, upper back, neck, and shoulders. This type of pain is typically related to repetitive movements or overuse of multiple muscle groups. What activities commonly lead to musculoskeletal pain in these areas?

• Rowing
• Swimming
• Heavy lifting
• Poor posture during desk work

Symptoms of musculoskeletal pain may include muscle stiffness, twitching, and fatigue. Unlike cardiac-related pain, musculoskeletal discomfort often changes with movement and position.

When to Seek Medical Attention for Chest and Upper Body Pain

While some causes of chest, back, neck, and shoulder pain are not emergencies, others require immediate medical attention. When should you call 911 or go to the emergency room?

• Sudden, severe chest pain lasting more than a few minutes
• Chest pain accompanied by shortness of breath, sweating, and nausea
• Pain that spreads to the jaw, left arm, or back
• Chest pain with a sense of impending doom
• Loss of consciousness

Even if symptoms are mild, it’s always better to err on the side of caution when it comes to chest pain. Many heart attacks start slowly, with mild pain or discomfort, so don’t wait to get help if you’re unsure.

Diagnostic Approaches for Upper Body Pain

Determining the cause of pain in the chest, back, neck, and shoulders often requires a comprehensive diagnostic approach. What methods do healthcare providers use to identify the source of the pain?

• Physical examination
• Medical history review
• Electrocardiogram (ECG)
• Blood tests
• Imaging studies (X-rays, CT scans, MRI)
• Stress tests

The specific tests ordered will depend on the suspected cause of the pain and the patient’s overall health profile. In some cases, multiple tests may be necessary to rule out serious conditions and pinpoint the exact cause of the discomfort.

The Importance of Accurate Diagnosis

Given the wide range of potential causes for pain in the chest, back, neck, and shoulders, accurate diagnosis is crucial for effective treatment. Why is a precise diagnosis so important? It ensures that:

• Life-threatening conditions are identified and addressed promptly
• Appropriate treatment plans are developed
• Unnecessary treatments and their potential side effects are avoided
• Patients receive proper guidance for managing their condition

Healthcare providers must consider the patient’s full medical history, lifestyle factors, and symptom presentation to arrive at an accurate diagnosis.

Treatment Approaches for Upper Body Pain

Treatment for pain in the chest, back, neck, and shoulders varies widely depending on the underlying cause. What are some common treatment approaches for different conditions?

Cardiovascular Conditions

• Medications (e.g., blood thinners, beta-blockers, nitroglycerin)
• Lifestyle changes (diet, exercise, stress management)
• Surgical interventions (angioplasty, bypass surgery)

Digestive Issues

• Antacids or proton pump inhibitors for heartburn
• Dietary modifications
• Gallbladder removal for severe gallstone cases

Respiratory Conditions

• Antibiotics for bacterial infections
• Anti-inflammatory medications
• Pain management techniques

Musculoskeletal Problems

• Physical therapy
• Pain relief medications
• Ergonomic adjustments
• Stretching and strengthening exercises

The effectiveness of treatment often depends on early intervention and adherence to the prescribed regimen. In many cases, a combination of treatments may be necessary to address all aspects of the condition.

Preventive Measures and Lifestyle Changes

While not all causes of chest, back, neck, and shoulder pain are preventable, certain lifestyle changes can reduce the risk of developing many of these conditions. What steps can individuals take to promote upper body health?

• Maintain a healthy weight
• Engage in regular physical activity
• Practice good posture
• Manage stress through relaxation techniques
• Avoid smoking and excessive alcohol consumption
• Eat a balanced diet rich in fruits, vegetables, and whole grains
• Stay hydrated
• Get regular check-ups and screenings

Implementing these lifestyle changes not only helps prevent many causes of upper body pain but also contributes to overall health and well-being.

The Role of Stress Management

Stress can exacerbate many conditions that cause pain in the chest, back, neck, and shoulders. How does stress management contribute to pain prevention and management?

• Reduces muscle tension
• Lowers blood pressure
• Improves sleep quality
• Enhances overall body awareness
• Boosts immune function

Incorporating stress-reduction techniques such as meditation, deep breathing exercises, or yoga into daily routines can significantly impact upper body health and pain management.

The Importance of Patient Education and Self-Advocacy

Understanding the potential causes and symptoms of chest, back, neck, and shoulder pain empowers individuals to take an active role in their health care. Why is patient education crucial in managing upper body pain?

• Enables early recognition of warning signs
• Facilitates better communication with healthcare providers
• Improves adherence to treatment plans
• Reduces anxiety associated with unexplained symptoms
• Promotes proactive health management

Patients should feel comfortable discussing their symptoms, concerns, and treatment preferences with their healthcare providers. This collaborative approach often leads to more effective and personalized care strategies.

The Role of Support Systems

Dealing with chronic or recurrent upper body pain can be challenging both physically and emotionally. How can support systems help individuals cope with these conditions?

• Provide emotional support and understanding
• Assist with daily tasks during flare-ups
• Encourage adherence to treatment plans
• Offer companionship during medical appointments
• Help research and understand the condition

Family members, friends, support groups, and mental health professionals can all play vital roles in an individual’s support network, contributing to better overall management of upper body pain conditions.

Emerging Research and Future Directions

The field of medicine is constantly evolving, with new research shedding light on the causes, prevention, and treatment of upper body pain. What are some promising areas of research in this field?

• Advanced imaging techniques for earlier detection of cardiovascular issues
• Gene therapy for hereditary heart conditions
• Novel pain management approaches using nanotechnology
• Personalized medicine based on genetic profiles
• Artificial intelligence for faster, more accurate diagnoses

These advancements hold the potential to revolutionize how we understand, diagnose, and treat pain in the chest, back, neck, and shoulders. As research progresses, patients may benefit from more targeted, effective, and less invasive treatment options.

The Promise of Integrative Medicine

Integrative medicine, which combines conventional medical treatments with evidence-based complementary therapies, is gaining traction in the management of upper body pain. How might integrative approaches benefit patients?

• Addressing physical symptoms and emotional well-being simultaneously
• Reducing reliance on pain medications
• Improving overall quality of life
• Enhancing the body’s natural healing processes
• Providing a more holistic approach to health and wellness

As research in integrative medicine continues to grow, patients may have access to a wider range of treatment options that address both the symptoms and underlying causes of their upper body pain.

10 Causes, Treatments, and More

Several different conditions may cause chest and upper back pain together. Causes can be related to the heart, digestive tract, and other parts of the body.

While some causes of chest and upper back pain aren’t emergencies, others are. You should always seek emergency medical attention if you have sudden or unexplained chest pain that lasts more than a few minutes.

Read on to learn more about the causes of upper back and chest pain, how they’re treated, and when to see a doctor.

Here are 10 potential causes of upper back and chest pain.

1. Heart attack

A heart attack happens when the blood supply to the muscles of your heart is blocked. Because of this, people having a heart attack may experience chest pain that can spread into the neck, shoulders, and back.

Other symptoms to look out for include:

• sensations of pressure or tightness in the chest
• cold sweats
• shortness of breath
• feeling lightheaded or faint
• nausea

Women are more likely than men to experience heart attack pain involving the back or jaw. It’s also important to note that some people having a heart attack may experience very few symptoms or none at all.

2. Angina

Angina is pain that occurs when your heart tissue isn’t getting enough blood. It can commonly occur in people with coronary artery disease. It often happens while you’re exerting yourself.

Similar to pain from a heart attack, angina pain can spread to the shoulders, back, and neck.

Angina symptoms can vary between men and women. Women may feel pain in the back, neck, or abdomen in addition to or instead of chest pain.

Other angina symptoms can include:

• feeling fatigued or weak
• shortness of breath
• sweating
• feeling lightheaded or faint
• nausea

3. Heartburn

Heartburn happens when the acid or contents of your stomach comes back up into your esophagus. This causes a painful, burning sensation in your chest, behind your breastbone. It may also sometimes be felt in your back or abdomen.

Heartburn tends to be worse after eating a meal or in the evening. You may also notice an acidic taste in your mouth or pain that gets worse while lying down or bending over.

Being pregnant, overweight, or obese can also increase your risk of developing heartburn. Some foods can also trigger the condition, including spicy foods, citrus, and fatty foods.

4. Pleurisy

Pleurisy happens when the membranes that line your lungs and your chest cavity become inflamed.

Normally, these membranes move smoothly past each other. When they’re inflamed, they can rub against each other, which leads to pain.

Pleurisy can be caused by a variety of things, including infections, autoimmune conditions, and cancers.

The pain of pleurisy gets worse as you breathe in deeply or cough. It can also spread to your shoulders and back.

Other symptoms that can occur include:

• coughing
• shortness of breath
• fever
• chills
• unexplained weight loss

5.

Gallstones

Your gallbladder is a small organ that stores a digestive fluid called bile. Gallstones occur when this fluid hardens inside your gallbladder, forming stones.

Gallstones may cause pain to occur in several different places, including:

• the upper right area of your abdomen
• right below your breastbone
• between your shoulder blades
• in your right shoulder

The amount of time you experience pain from gallstones can last for a few minutes to several hours. You may also experience symptoms such as nausea or vomiting.

There are several risk factors that may increase your risk of gallstones, including being female, being pregnant, and being overweight or obese.

6. Pericarditis

The pericardium lines the surface of your heart. Pericarditis happens when the pericardium becomes inflamed. It can be caused by an infection or autoimmune condition. It can also happen after a heart attack or heart surgery.

Pericarditis causes sharp chest pain. This pain may become worse while breathing deeply, lying down, or swallowing. The pain from pericarditis may also be felt as pain in the left shoulder, back, or neck.

Other symptoms to be aware of include:

• dry cough
• feelings of fatigue
• anxiety
• difficulty breathing when lying down
• swelling in your lower extremities

7. Musculoskeletal pain

Sometimes muscular problems may cause pain in the chest and upper back. Repetitive use or overuse of multiple muscle groups, for example through activities such as rowing, can lead to aching pain in the chest, back, or chest wall.

Other symptoms you may experience include muscle stiffness, muscle twitching, and feelings of fatigue.

8. Aortic aneurysm

Your aorta is the largest artery in your body. An aortic aneurysm happens when part of the aorta becomes weakened. In some cases, this weakened area may tear, which can lead to life-threatening bleeding. This is called aortic dissection.

Many times, an aortic aneurysm will develop with very little or no symptoms. However, some people may feel pain or tenderness in their chest. In some cases, pain may also occur in your back.

Other symptoms to look out for include:

• shortness of breath
• cough
• feeling hoarse

9. Spinal problems

In some cases, a pinched nerve in the upper part of the spine may cause pain to radiate to the area of the chest and possibly to the extremities.

In addition to pain, other symptoms you may experience include muscle spasms and stiffness in the affected area of the spine, which may restrict movement.

Additionally, there are some case studies in which a herniated disc in the upper portion of the spine has caused pain in the chest or chest wall.

10. Lung cancer

Chest and back pain can also occur as a symptom of lung cancer. Although chest pain is a common symptom, the Dana-Farber Cancer Institute reports that 25 percent of people with lung cancer reported back pain as a symptom.

Back pain from lung cancer can happen when a tumor in the lungs begins to put pressure on the spine. Pain from lung cancer may feel worse when you breathe deeply, laugh, or cough.

In addition to chest and back pain, other signs of lung cancer can include:

• persistent cough, which may include coughing up blood
• feeling hoarse
• shortness of breath or wheezing
• feeling weak or fatigued
• unexplained weight loss
• recurrent lung infections, such as pneumonia

The treatment for your upper back and chest pain will depend on the underlying cause.

Heart attack

Some treatments for heart attack are typically given immediately. These can include aspirin to limit blood clotting, nitroglycerin to improve blood flow, and oxygen therapy. Clot-busting medications, which help to break up any blood clots, may then be given.

A procedure called percutaneous coronary intervention (PCI) can help open up any arteries that are found to be narrowed or blocked. This procedure uses a small balloon attached to a catheter to compress plaque or clotted blood against the wall of the affected artery and restore blood flow.

Other potential treatments can include:

• medications to help prevent another heart attack, such as ACE inhibitors, blood thinners, or beta-blockers
• heart bypass surgery
• lifestyle changes such as eating a heart-healthy diet, increasing physical activity, and managing stress

Angina

A variety of medications can be prescribed to help manage angina. These medications may prevent blood clots, reduce angina pain, or widen blood vessels. Examples of angina medications include:

• beta-blockers
• calcium channel blockers
• blood thinners
• nitrates
• statins

Heart-healthy lifestyle changes will also be recommended as part of your treatment plan. If medications and lifestyle changes can’t successfully manage the condition, procedures like PCI and heart bypass surgery may be necessary.

Heartburn

Several over-the-counter (OTC) medications can be used to relieve heartburn. These can include antacids, h3 blockers, and proton pump inhibitors. If OTC medications aren’t helping to relieve your symptoms, your doctor may prescribe you stronger medications.

Pleurisy

Pleurisy can be treated through addressing the underlying condition that may be causing it. Medications may also help relieve symptoms, including acetaminophen or NSAIDs for pain, and cough syrups to ease cough.

In some cases, fluid may need to be removed from the affected area. This can help to prevent lung collapse.

Gallstones

Many times, gallstones don’t require treatment. In some cases, your doctor may prescribe medication to help dissolve the gallstones. People with recurring gallstones may have their gallbladder removed.

Pericarditis

Pericarditis can be managed with treatments that relieve inflammation and pain, such as NSAIDs. If these aren’t effective, your doctor may prescribe a stronger anti-inflammatory medication.

If an infection is causing your condition, an antibiotic or antifungal medication will also be prescribed.

In some cases, you may need a procedure to drain fluid. This can help reduce pressure on your heart.

Musculoskeletal pain

Muscle issues that result in upper back and chest pain may be treated with rest and medications that relieve pain and inflammation, such as NSAIDs.

Applying heat to the affected area may also help. In more severe cases, physical therapy may be recommended.

Aortic aneurysm

In some cases, your doctor will recommend monitoring of your aneurysm using imaging technology such as CT scan or MRI scan. Additionally, your doctor may prescribe medications such as beta-blockers, angiotensin II receptor blockers, and statins to help lower blood pressure or cholesterol levels.

People with larger aortic aneurysms may require repair surgery. This can be performed via open-chest surgery or endovascular surgery. Emergency surgery is required for an aortic aneurysm that has ruptured.

Spinal problems

Treatment for spinal problems depends on their severity. It can include reducing your activity level and taking medications such as NSAIDs and muscle relaxers to help with pain or inflammation. Physical therapy exercises may also be recommended.

More severe cases may require surgical intervention to repair them.

Lung cancer

Several therapies can help treat lung cancer. Which type is used depends on the type of lung cancer and how far the cancer has spread. Your doctor will work with you to create a treatment plan that’s right for you.

Treatment options can include chemotherapy, radiation therapy, and targeted therapy. Additionally, surgery may be recommended to remove the cancer tissue.

Here are some good rules of thumb for preventing many of the causes of upper back and chest pain:

• Eat a heart-healthy diet.
• Make sure that you get enough exercise.
• Maintain a healthy weight.
• Avoid smoking and secondhand smoke.
• Limit alcohol consumption.
• Manage your stress levels.
• Stay on top of your routine physical appointments and be sure to see your doctor if new or worrisome symptoms appear.

Some additional tips include:

• Limit foods that may trigger heartburn, such as spicy foods, fatty foods, or acidic foods.
• Try not to lay down right after eating to prevent heartburn symptoms.
• Avoid eating late or large meals to help prevent gallstones.
• Stretch properly before engaging in exercise or sports to avoid muscle injury or strain.

You should always take chest pain seriously, as sometimes it may be an indicator of a serious health condition, like a heart attack.

Always seek emergency medical attention if you have unexplained or sudden chest pain, especially if you have difficulty breathing or the pain has spread to other areas like the arm or jaw.

You should also make a doctor’s appointment for any condition that isn’t relieved using OTC medications or has symptoms that recur, are persistent, or begin to worsen.

You can connect to a physician in your area using the Healthline FindCare tool.

There are several things that can cause upper back pain and chest pain to occur together. Some of the causes of this type of pain aren’t serious, but it’s always important to take chest pain seriously.

Chest pain can be a sign of a potentially life-threatening condition, such as a heart attack. If you have unexplained chest pain that comes on suddenly or is severe, seek emergency medical assistance.

10 Causes, Treatments, and More

Several different conditions may cause chest and upper back pain together. Causes can be related to the heart, digestive tract, and other parts of the body.

While some causes of chest and upper back pain aren’t emergencies, others are. You should always seek emergency medical attention if you have sudden or unexplained chest pain that lasts more than a few minutes.

Read on to learn more about the causes of upper back and chest pain, how they’re treated, and when to see a doctor.

Here are 10 potential causes of upper back and chest pain.

1. Heart attack

A heart attack happens when the blood supply to the muscles of your heart is blocked. Because of this, people having a heart attack may experience chest pain that can spread into the neck, shoulders, and back.

Other symptoms to look out for include:

• sensations of pressure or tightness in the chest
• cold sweats
• shortness of breath
• feeling lightheaded or faint
• nausea

Women are more likely than men to experience heart attack pain involving the back or jaw. It’s also important to note that some people having a heart attack may experience very few symptoms or none at all.

2. Angina

Angina is pain that occurs when your heart tissue isn’t getting enough blood. It can commonly occur in people with coronary artery disease. It often happens while you’re exerting yourself.

Similar to pain from a heart attack, angina pain can spread to the shoulders, back, and neck.

Angina symptoms can vary between men and women. Women may feel pain in the back, neck, or abdomen in addition to or instead of chest pain.

Other angina symptoms can include:

• feeling fatigued or weak
• shortness of breath
• sweating
• feeling lightheaded or faint
• nausea

3. Heartburn

Heartburn happens when the acid or contents of your stomach comes back up into your esophagus. This causes a painful, burning sensation in your chest, behind your breastbone. It may also sometimes be felt in your back or abdomen.

Heartburn tends to be worse after eating a meal or in the evening. You may also notice an acidic taste in your mouth or pain that gets worse while lying down or bending over.

Being pregnant, overweight, or obese can also increase your risk of developing heartburn. Some foods can also trigger the condition, including spicy foods, citrus, and fatty foods.

4. Pleurisy

Pleurisy happens when the membranes that line your lungs and your chest cavity become inflamed.

Normally, these membranes move smoothly past each other. When they’re inflamed, they can rub against each other, which leads to pain.

Pleurisy can be caused by a variety of things, including infections, autoimmune conditions, and cancers.

The pain of pleurisy gets worse as you breathe in deeply or cough. It can also spread to your shoulders and back.

Other symptoms that can occur include:

• coughing
• shortness of breath
• fever
• chills
• unexplained weight loss

5. Gallstones

Your gallbladder is a small organ that stores a digestive fluid called bile. Gallstones occur when this fluid hardens inside your gallbladder, forming stones.

Gallstones may cause pain to occur in several different places, including:

• the upper right area of your abdomen
• right below your breastbone
• between your shoulder blades
• in your right shoulder

The amount of time you experience pain from gallstones can last for a few minutes to several hours. You may also experience symptoms such as nausea or vomiting.

There are several risk factors that may increase your risk of gallstones, including being female, being pregnant, and being overweight or obese.

6. Pericarditis

The pericardium lines the surface of your heart. Pericarditis happens when the pericardium becomes inflamed. It can be caused by an infection or autoimmune condition. It can also happen after a heart attack or heart surgery.

Pericarditis causes sharp chest pain. This pain may become worse while breathing deeply, lying down, or swallowing. The pain from pericarditis may also be felt as pain in the left shoulder, back, or neck.

Other symptoms to be aware of include:

• dry cough
• feelings of fatigue
• anxiety
• difficulty breathing when lying down
• swelling in your lower extremities

7. Musculoskeletal pain

Sometimes muscular problems may cause pain in the chest and upper back. Repetitive use or overuse of multiple muscle groups, for example through activities such as rowing, can lead to aching pain in the chest, back, or chest wall.

Other symptoms you may experience include muscle stiffness, muscle twitching, and feelings of fatigue.

8. Aortic aneurysm

Your aorta is the largest artery in your body. An aortic aneurysm happens when part of the aorta becomes weakened. In some cases, this weakened area may tear, which can lead to life-threatening bleeding. This is called aortic dissection.

Many times, an aortic aneurysm will develop with very little or no symptoms. However, some people may feel pain or tenderness in their chest. In some cases, pain may also occur in your back.

Other symptoms to look out for include:

• shortness of breath
• cough
• feeling hoarse

9. Spinal problems

In some cases, a pinched nerve in the upper part of the spine may cause pain to radiate to the area of the chest and possibly to the extremities.

In addition to pain, other symptoms you may experience include muscle spasms and stiffness in the affected area of the spine, which may restrict movement.

Additionally, there are some case studies in which a herniated disc in the upper portion of the spine has caused pain in the chest or chest wall.

10. Lung cancer

Chest and back pain can also occur as a symptom of lung cancer. Although chest pain is a common symptom, the Dana-Farber Cancer Institute reports that 25 percent of people with lung cancer reported back pain as a symptom.

Back pain from lung cancer can happen when a tumor in the lungs begins to put pressure on the spine. Pain from lung cancer may feel worse when you breathe deeply, laugh, or cough.

In addition to chest and back pain, other signs of lung cancer can include:

• persistent cough, which may include coughing up blood
• feeling hoarse
• shortness of breath or wheezing
• feeling weak or fatigued
• unexplained weight loss
• recurrent lung infections, such as pneumonia

The treatment for your upper back and chest pain will depend on the underlying cause.

Heart attack

Some treatments for heart attack are typically given immediately. These can include aspirin to limit blood clotting, nitroglycerin to improve blood flow, and oxygen therapy. Clot-busting medications, which help to break up any blood clots, may then be given.

A procedure called percutaneous coronary intervention (PCI) can help open up any arteries that are found to be narrowed or blocked. This procedure uses a small balloon attached to a catheter to compress plaque or clotted blood against the wall of the affected artery and restore blood flow.

Other potential treatments can include:

• medications to help prevent another heart attack, such as ACE inhibitors, blood thinners, or beta-blockers
• heart bypass surgery
• lifestyle changes such as eating a heart-healthy diet, increasing physical activity, and managing stress

Angina

A variety of medications can be prescribed to help manage angina. These medications may prevent blood clots, reduce angina pain, or widen blood vessels. Examples of angina medications include:

• beta-blockers
• calcium channel blockers
• blood thinners
• nitrates
• statins

Heart-healthy lifestyle changes will also be recommended as part of your treatment plan. If medications and lifestyle changes can’t successfully manage the condition, procedures like PCI and heart bypass surgery may be necessary.

Heartburn

Several over-the-counter (OTC) medications can be used to relieve heartburn. These can include antacids, h3 blockers, and proton pump inhibitors. If OTC medications aren’t helping to relieve your symptoms, your doctor may prescribe you stronger medications.

Pleurisy

Pleurisy can be treated through addressing the underlying condition that may be causing it. Medications may also help relieve symptoms, including acetaminophen or NSAIDs for pain, and cough syrups to ease cough.

In some cases, fluid may need to be removed from the affected area. This can help to prevent lung collapse.

Gallstones

Many times, gallstones don’t require treatment. In some cases, your doctor may prescribe medication to help dissolve the gallstones. People with recurring gallstones may have their gallbladder removed.

Pericarditis

Pericarditis can be managed with treatments that relieve inflammation and pain, such as NSAIDs. If these aren’t effective, your doctor may prescribe a stronger anti-inflammatory medication.

If an infection is causing your condition, an antibiotic or antifungal medication will also be prescribed.

In some cases, you may need a procedure to drain fluid. This can help reduce pressure on your heart.

Musculoskeletal pain

Muscle issues that result in upper back and chest pain may be treated with rest and medications that relieve pain and inflammation, such as NSAIDs.

Applying heat to the affected area may also help. In more severe cases, physical therapy may be recommended.

Aortic aneurysm

In some cases, your doctor will recommend monitoring of your aneurysm using imaging technology such as CT scan or MRI scan. Additionally, your doctor may prescribe medications such as beta-blockers, angiotensin II receptor blockers, and statins to help lower blood pressure or cholesterol levels.

People with larger aortic aneurysms may require repair surgery. This can be performed via open-chest surgery or endovascular surgery. Emergency surgery is required for an aortic aneurysm that has ruptured.

Spinal problems

Treatment for spinal problems depends on their severity. It can include reducing your activity level and taking medications such as NSAIDs and muscle relaxers to help with pain or inflammation. Physical therapy exercises may also be recommended.

More severe cases may require surgical intervention to repair them.

Lung cancer

Several therapies can help treat lung cancer. Which type is used depends on the type of lung cancer and how far the cancer has spread. Your doctor will work with you to create a treatment plan that’s right for you.

Treatment options can include chemotherapy, radiation therapy, and targeted therapy. Additionally, surgery may be recommended to remove the cancer tissue.

Here are some good rules of thumb for preventing many of the causes of upper back and chest pain:

• Eat a heart-healthy diet.
• Make sure that you get enough exercise.
• Maintain a healthy weight.
• Avoid smoking and secondhand smoke.
• Limit alcohol consumption.
• Manage your stress levels.
• Stay on top of your routine physical appointments and be sure to see your doctor if new or worrisome symptoms appear.

Some additional tips include:

• Limit foods that may trigger heartburn, such as spicy foods, fatty foods, or acidic foods.
• Try not to lay down right after eating to prevent heartburn symptoms.
• Avoid eating late or large meals to help prevent gallstones.
• Stretch properly before engaging in exercise or sports to avoid muscle injury or strain.

You should always take chest pain seriously, as sometimes it may be an indicator of a serious health condition, like a heart attack.

Always seek emergency medical attention if you have unexplained or sudden chest pain, especially if you have difficulty breathing or the pain has spread to other areas like the arm or jaw.

You should also make a doctor’s appointment for any condition that isn’t relieved using OTC medications or has symptoms that recur, are persistent, or begin to worsen.

You can connect to a physician in your area using the Healthline FindCare tool.

There are several things that can cause upper back pain and chest pain to occur together. Some of the causes of this type of pain aren’t serious, but it’s always important to take chest pain seriously.

Chest pain can be a sign of a potentially life-threatening condition, such as a heart attack. If you have unexplained chest pain that comes on suddenly or is severe, seek emergency medical assistance.

Pain in the thoracic spine

I completely trusted and the results were not long in coming!

I turned to Igor Nikolaevich with acute severe pain in the cervical spine. Since I live in Germany, I first looked for help there, but unfortunately I didn’t get a result, and my good friend, who has been treated with him for many years, said that I need to go to him, he cured her hernia. I came with an MRI, the doctor studied the history, examined, said that I have chondrosis of the cervical spine, that this causes a lot of problems: pinched nerves, blood vessels are out of order. He prescribed therapy according to his own method, 14 sessions in total, which included osteopathy, which takes about an hour, electrophoresis, injections and gravitational therapy, I liked it the most, I felt like an astronaut. After the third session, I already felt an improvement, that the pains were gradually released, a bright consciousness appeared, my head felt better. I have not seen such a technique, but I have met a person who “flies”
after this technique, this is my friend, and she completely trusted and really the results were not long in coming.

Marina from Germany

Attending physician: Yarukhin I. N.

We solved the problem in 3 sessions!

Just a month ago I faced a problem – my back began to hurt. I have been looking for a way to get rid of this problem for a very long time. I went to a neurologist, because at first they thought that I had something with my nerves. After many attempts to help, she sent me to a vertebrologist. This was the first time we heard of such a specialist. Then we learned about the medical center “Palikha”, as we were purposefully looking for a vertebrologist, he was not in our city and we found him here in Moscow. My specialist’s name is Novichkov Evgeny Nikolaevich, I was very lucky with him, because after three sessions I felt much better. Initially, a course of three sessions was prescribed, but I was very lucky and felt better in three.

Olga

Attending physician: Novichkov E.N.

There was a hernia. Within a month the pain was gone!

I live in the Moscow region, in the city of Elektrostal. I have already climbed to the top for 70 years, and from this peak you can see a lot, but diseases also come. In September 2019, I felt very severe pain in my left shoulder blade and left arm. I did an MRI – it turned out that this was due to a vertebral hernia. Went to the clinic at the place of residence. The doctor prescribed injections and pills. For two weeks of their use, the pain did not go away, the result left much to be desired. I signed up for another doctor, everything was the same, injections, pills, and so for another two weeks, but the pain still tormented me. I remembered that a few years ago I applied to the Palikha clinic in Moscow on the issue of pressure. And there I saw a stand on which it was written that Dr. Igor Nikolayevich Yarukhin treats vertebral hernias according to his method, that as a result of this complex treatment, a hernia decreases by 2 times in a year and cartilaginous tissues grow in the intervertebral discs. I turned to Igor Nikolaevich, we started a course of treatment. A month later, the pain disappeared, I felt like a completely healthy person, but I continue the course of treatment so far. Today is already February, soon 23, and I can say that over the past month I have not experienced any pain, I feel like a completely healthy person, I can only say that Igor Nikolayevich is a great merit in this. So today I came for another procedure. In 3 months I will come for a follow-up examination. There is already hope that my health has returned, I don’t feel pain, I do exercises with 5 kg dumbbells, and everything is fine. Thanks to Igor Nikolaevich.

Viktor Semenovich, 70 years old

Attending physician: Yarukhin I.N.

I had a problem with my back. At the end of the course, I do not feel any problems!

I had a problem with my back. My good friend, a work colleague, advised Novichkov Evgeny Nikolaevich. Called, made an appointment, came by appointment. Evgeniy Nikolayevich took a look and prescribed a course of manual procedures. I did not argue with the doctor, the entire course that was prescribed passed. In general, at the end of the course, the problem went away, I don’t feel the problem, everything is fine, the back works, moves. Conducted field tests in the country – withstood, everything is fine. There are no restrictions on loads, everything is possible. I highly recommend the doctor, highly recommended. Even among my acquaintances, several people are being treated by him. Impressions are only positive. Professionally. Correctly. Politely. I recommend both the clinic and the doctor to everyone.

Maxim, 32 years old

Attending physician: Novichkov E.N.

After the second procedure the discomfort disappeared!

I turned to Dr. Novichkov on the recommendation of a neurologist from a clinic in the city of Korolev. I have had a problem with my back for a long time – an intervertebral hernia. After the MRI, the neurologist advised me to take a course of osteopathy and manual therapy with Dr. Novichkov. She advised him as a knowledgeable, competent specialist in this particular problem. I underwent a course of osteopathy and an injection of the chondroprotector GiarRepair to moisturize the intervertebral discs. After the second procedure, I felt that my body became more obedient to me, there were no difficulties when turning the neck, when bending the body, and I no longer experienced other unpleasant sensations.

Elena

Attending physician: Novichkov E.N.

It became easy to breathe, the spine became soft and mobile!

I came to the medical center with my back problems. I have a hernia, my back hurt, not much, but it bothered me. I visited many neurologists, went to the state polyclinic, they could not help me there, the pain does not go away, I sleep badly. My friend suggested that I turn to Palikha specifically to Igor Nikolaevich Yarukhin. He received me, looked at me very well, all the pictures, x-rays. Interrogated from and to. We started treatment, osteopathic procedures, electrophoresis. And I want to say that after about 4 procedures I felt better. I realized that it became so easy for me to breathe, the spine became soft and more mobile. I like it. I began to sleep well, sound sleep. If earlier I could not sleep soundly, twisted, rolled over, worried about my back, now I sleep and feel good. I advise, if someone needs help in this regard, contact Igor Nikolaevich, they will definitely help.

Irina, 55 years old

Attending physician: Yarukhin I.N.

Thanks to Igor Nikolaevich for a new opportunity to a full life!

I went to the clinic when they were talking about an operation – replacement of the vertebrae. Came in for a consultation on the recommendation of a friend. The doctors said that if Yarukhin does not take it, then it will definitely be an operation. I came to Igor Nikolaevich. He said, “No operation! Will be working!”. I didn’t believe it, because I could hardly walk, there was already swelling of the bone marrow, one leg was pulling the other. When people passed by, it seemed to me that they were birds that fly, and I was lined. A month later, I started walking, after two or three months the pain went away, and now I don’t have a single hernia. I remember that pain, and I am glad that I can walk. I am very grateful to the Palikha medical center and Igor Nikolaevich for giving me a new opportunity to a full life, thank you very much! Very nice staff, always helpful and helpful.

Irina Zolotareva

Attending physician: Yarukhin I.N.

Evgeniy Nikolaevich set me on my feet with his procedures!

An age-related problem of urban sedentary life that also covered me – lower back pain. Since I already went to the clinic for hirudotherapy, I saw information about other services of the clinic, I decided to do manual therapy and massage. Luckily, I managed to see a clinic doctor even during an acute period, and what is especially pleasant, during the winter holidays. He helped me a lot, literally put me on my feet with his procedures, because I could not even stand for 2-3 minutes near the sink – I immediately felt drawn to my side. I have had manual therapy sessions. Went in for a massage and manual therapy. Of course, I can’t say that everything went well for me, but the situation is under control and I already know how to behave, whom to contact, how to optimize the load so as not to fall out of active life at all. I recommend Evgeny Nikolayevich Novichkov to all those who suffer with pain in the back, neck and other places, because he is a very attentive, sensitive therapist who uses techniques aimingly, and proceeding not from the method but from the patient’s condition, always in dialogue and able to understand those problems, that this particular sufferer has and help in their resolution. Only positive feedback.

Galina Lyubimova, 64 years old

Attending physician: Novichkov E.N.

Life seems to be getting better!

I have osteochondrosis of the cervical vertebrae, hernia of the cervical vertebrae, protrusion of the cervical vertebrae, and even swelling of the (spinal) cord in these vertebrae. Unfortunately, what neuropathologists offered – classical methods did not help me very much. After I got dizzy, it was even hard to walk. After I turned to Igor Nikolayevich at the Palikha clinic, I was given a course of osteopathy, electrophoresis, injections, which significantly changed the situation. Pain in the vertebrae subsided, dizziness significantly decreased, confidence appeared when walking, no swaying. Life seems to be getting better. In general, I am satisfied, I can advise. In my opinion, in such a situation, the best treatment is osteopathy, manual therapy and electrophoresis.

Viktor Ivanovich

Attending physician: Yarukhin I.N.

Condition improved by 90%!

With my problem of cervicothoracic osteochondrosis, I went to the Palikha clinic to Igor Nikolaevich Yarukhin, having found information on the Internet. He helped me a lot by conducting 10 sessions of manual therapy and electrophoresis. My condition has improved by 90%, for which I am grateful to the clinic. The result exceeded all expectations, especially considering that my age has already exceeded 80 years.

Evgenia, 82 years old

Attending physician: Yarukhin I.N.

The doctor deals with my problem individually!

I had a series of osteopathic sessions with Dr. Yarukhin. I turned to the Palikha clinic, as I always had problems with my back. I was tormented by osteochondrosis, pain for a long time, 2 years ago there was a serious attack. After that, she began to do gymnastics and look for a solution to the problem. I came to the clinic with an MRI, I liked that the doctor got acquainted with the pictures, and during the sessions I noticed that the doctor deals individually with my problems of my spine. At the 1st session, I still felt severe stiffness and stiffness in the lumbosacral region on the right side, where my muscles and tendons have always been tightened. After 3-4 sessions, I felt that I could take the positions that the doctor recommended, the muscles became stretched. I received very valuable advice on maintaining health, which I follow at home. I plan to have several massage sessions and return to Dr. Yarukhin for another course of osteopathy and supplement it with electrophoresis. Now my condition and general mood is much better. I saw positive dynamics and hope to put my spine in order. I recommend everyone who has back problems to contact this clinic, which I had the best impression of.

Marina Vladimirovna

Attending physician: Yarukhin I.N.

Back and chest pain at the same time: reasons for what to do

Back pain can occur for a variety of reasons. We have a lot of large nerves and their plexuses on our back, so any problem related to the spine or internal organ systems immediately gives back pain.

Causes of back and chest pain

The reasons why a person has pain in both the chest and back are divided into those associated with problems with the spine, and those that arise due to diseases of the internal organs.

Pathologies and diseases of the spine

Below are the most common pathological conditions and diseases of the spine, accompanied by pain in the back and chest.

Osteochondrosis

Osteochondrosis, primarily chest, is characterized by severe pain (especially on inspiration) and symptoms such as backache, radiating to the shoulder or scapular region, discomfort in the region of the ribs and hypochondrium, aggravated by coughing, sneezing or laughing. The following reasons lead to osteochondrosis (thoracic, cervical, lumbar): constant presence in the same position, serious physical exertion (work or sports), injuries, age, sedentary lifestyle.

Intercostal neuralgia

With intercostal neuralgia, the chest and back hurt between the shoulder blades or in the middle. Acute pain in these areas is a characteristic sign of neuralgia. Discomfort is caused by hypothermia or lifting heavy things. This is perhaps the only disease that does not pose a particular danger to the body, but causes serious discomfort.

Scoliosis

Curvature of the spine due to scoliosis occurs most often in childhood, at school age, and only progresses over time if treatment is not started on time. Scoliosis not only makes our posture ugly, but also creates serious discomfort. Pain in the chest in the middle and back appears with 3 or 4 degrees of scoliosis. Strongly compressed vertebrae and the load give off a sharp pain in the sternum or back.

Injuries

Any injuries (spine, thoracic or other parts of the body) cause pain in the chest (thorax) or back, which can appear alternately here and there, or give to both areas at the same time. Injuries occur due to accidents, falls, physical injuries, etc. In such cases, it is better for a person not to move, he cannot be moved, if possible, since with serious injuries and injuries there is a high risk of internal bleeding.

Cardiovascular diseases

The appearance of any pain in the chest should alert, because here are our most important organs – the heart and lungs. Pain, depending on the disease, can be constant or intermittent, long-term or short-term, accompanied by other symptoms. With problems with the stomach or pancreas, pain often radiates to the lower thoracic region. Pain syndrome occurs with myocardial infarction, angina pectoris, pneumonia, bronchitis, diaphragmatic hernia, gastric ulcer, oncology, etc.

Myocardial infarction

With myocardial infarction, the chest and back between the shoulder blades begin to hurt, while the pain can radiate to the left arm or shoulder, as well as to the jaw on the left side.

Angina

With angina pectoris, a characteristic pressing pain and burning sensation in the sternum appears, and sometimes radiates to the area of ​​​​the shoulder blades.

Pericarditis

It is manifested by a sharp change in body temperature, inflammatory processes in the region of the heart and pain on the left side of the chest.

Myocarditis

The disease is characterized by penetrating, aching pain in the chest, as well as gradually appearing weakness throughout the body and shortness of breath.

Diseases of the respiratory system

Usually, with pathologies of the respiratory system, pain appears in the middle of the chest, but it can also radiate to other areas. Most often, pain is caused by such diseases as pleurisy (the lining of the lungs becomes inflamed), tracheitis, bronchitis, and tuberculosis. All diseases are united by one symptom – a strong cough, which, as a rule, causes pain during each attack.

Pathologies of the gastrointestinal tract

Any problems with the gastrointestinal tract cause a complex blow to the body. In diseases of the digestive system, pain often appears in the middle of the chest, in the back, and sometimes has a girdle character. When the patient complains in these areas, esophageal rupture, pancreatitis, colic, ulcers, and inflammation of the gallbladder are often diagnosed.

Oncological diseases

In oncological diseases, pain appears in different areas of the body and can change location, regardless of the location of the tumors. Usually, pain appears in the later stages, when the pathology has spread widely and caused serious harm to a person. The entire chest can hurt with lung cancer, with the pain being worse when coughing or breathing fast. Another symptom of lung cancer can be coughing up blood. In women with breast cancer, it hurts in the chest and radiates to the back.

Diagnosis

Since pain in the back and chest can be a sign of a large number of diseases and pathologies at the same time, it is possible to make an accurate diagnosis only after conducting examinations and passing the necessary tests. The list of diagnostic measures is compiled by the doctor. It is impossible to engage in self-diagnosis and self-treatment. What may be included in the diagnostics when a patient addresses such complaints:

FEGDS and gastroscopy are prescribed for problems with the gastrointestinal tract.