What are the common causes of sternum pain. How can you differentiate between sternum pain and heart problems. When should you see a doctor for chest discomfort. What are the symptoms of costochondritis and other conditions affecting the sternum.

Understanding Sternum Pain: Anatomy and Common Causes

The sternum, often referred to as the breastbone, is a T-shaped bone at the front of the chest that connects to the ribs with cartilage. It plays a crucial role in protecting vital organs such as the heart and lungs. Sternum pain can arise from issues with the bone itself or the surrounding muscles and tissues.

Common causes of sternum pain include:

• Costochondritis
• Sternum fractures
• Sternoclavicular joint injuries
• Collarbone injuries
• Muscular strain or bruising
• Hiatal hernia
• Acid reflux
• Pleurisy
• Bronchitis
• Pneumonia

Understanding these causes can help individuals identify the potential source of their discomfort and determine when to seek medical attention.

Costochondritis: A Leading Cause of Sternum Pain

Costochondritis is inflammation of the cartilage connecting the sternum to the ribs. This condition is a frequent source of sternum pain and can be quite uncomfortable.

What are the symptoms of costochondritis?

• Sharp pain on the side of the sternum area
• Pain that worsens with deep breathing or coughing
• Discomfort in the ribs

Costochondritis may occur due to various factors, including:

• Impact trauma
• Respiratory tract infections
• Severe coughing
• Physical strain

If you experience persistent chest pain, it’s essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Sternum Fractures: Recognizing the Signs of a Serious Injury

Sternum fractures are often the result of significant trauma, such as car accidents or sports injuries. These fractures can be extremely painful and may indicate more severe underlying damage to the chest area.

What symptoms might indicate a sternum fracture?

• Intense pain during inhalation or coughing
• Swelling over the sternum
• Difficulty breathing

If you suspect a sternum fracture, seek immediate medical attention. Prompt evaluation is crucial to rule out potential damage to the heart and lungs, which could be life-threatening.

Sternoclavicular Joint and Collarbone Injuries: Understanding Upper Chest Pain

The sternoclavicular joint connects the top of the sternum to the collarbone. Injuries to this joint or the collarbone itself can cause pain in the upper chest area, often mistaken for sternum pain.

Symptoms of sternoclavicular joint injuries may include:

• Mild pain or swelling in the upper chest area
• Difficulty or pain when moving the shoulder
• Popping or clicking around the joint

Collarbone injuries, such as fractures or trauma, can also affect the sternum area due to their close proximity. Symptoms of collarbone trauma 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

Both sternoclavicular joint and collarbone injuries require medical evaluation to ensure proper diagnosis and treatment.

Muscular Strains and Bruises: Often Overlooked Causes of Chest Discomfort

Many muscles connect to the sternum and ribs, and injuries or overuse of these muscles can lead to pain that mimics sternum discomfort. Muscular strains and bruises in the chest area are common, especially among athletes or individuals engaged in strenuous activities.

How can you differentiate muscular pain from other types of chest discomfort?

• Pain typically worsens with movement or pressure on the affected area
• Visible bruising may be present in cases of impact injuries
• Discomfort often improves with rest and over-the-counter pain relievers

While muscular strains and bruises are generally not serious, persistent or severe pain should be evaluated by a healthcare professional to rule out more serious conditions.

Gastrointestinal Issues: When Digestive Problems Cause Chest Pain

Certain gastrointestinal conditions can cause pain that may be mistaken for sternum discomfort. Two common culprits are hiatal hernias and acid reflux.

Hiatal Hernia

A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity. This can lead to various symptoms, including chest discomfort.

What are the signs of a hiatal hernia?

• Frequent burping
• Heartburn
• Vomiting blood (in severe cases)
• Feeling of fullness
• Trouble swallowing

Acid Reflux and GERD

Acid reflux, particularly in people with gastroesophageal reflux disease (GERD), can cause substernal pain and discomfort in the chest. This occurs when stomach acid irritates the lining of the esophagus.

How can you distinguish acid reflux pain from other types of chest discomfort?

• Pain often worsens after eating or when lying down
• Burning sensation in the chest or throat
• Regurgitation of food or sour liquid
• Difficulty swallowing

If you experience persistent symptoms of acid reflux or suspect a hiatal hernia, consult a healthcare provider for proper diagnosis and treatment options.

Respiratory Conditions: When Breathing Causes Chest Pain

Several respiratory conditions can cause pain in the chest area, including the sternum region. Three common respiratory issues that may lead to chest discomfort are pleurisy, bronchitis, and pneumonia.

Pleurisy

Pleurisy is inflammation of the pleura, the tissues that line the lungs and chest cavity. This condition can cause sharp, stabbing pain in the chest, which may worsen with breathing.

What are the characteristic symptoms of pleurisy?

• Sharp chest pain that worsens with breathing or coughing
• Shortness of breath
• Cough
• Fever (in some cases)

Bronchitis

Bronchitis, an inflammation of the airways in the lungs, can cause chest discomfort and a persistent cough. This condition can be acute (short-term) or chronic (long-term).

How does bronchitis contribute to chest pain?

• Inflammation and irritation of the airways can cause chest discomfort
• Persistent coughing may lead to soreness in the chest muscles
• In severe cases, coughing can cause strain on the rib cage and sternum

Pneumonia

Pneumonia, an infection that inflames the air sacs in one or both lungs, can cause various symptoms, including chest pain.

What are the signs that chest pain might be due to pneumonia?

• Chest pain that worsens when breathing or coughing
• High fever
• Cough with phlegm
• Shortness of breath
• Fatigue and weakness

If you experience persistent respiratory symptoms or chest pain, it’s crucial to seek medical attention for proper diagnosis and treatment.

Differentiating Sternum Pain from Heart Problems

One of the most critical aspects of experiencing chest pain is distinguishing between benign causes, such as sternum pain, and potentially life-threatening conditions like heart attacks. While it’s always best to err on the side of caution and seek immediate medical attention for any severe or concerning chest pain, there are some general differences between sternum pain and heart-related discomfort.

How can you differentiate between sternum pain and heart attack symptoms?

• Location: Sternum pain is typically localized to the breastbone area, while heart attack pain may radiate to the arm, jaw, or back.
• Quality of pain: Sternum pain is often sharp and may worsen with movement or pressure, while heart attack pain is often described as a heavy, squeezing sensation.
• Associated symptoms: Heart attacks often come with additional symptoms such as shortness of breath, nausea, lightheadedness, and cold sweats, which are less common with sternum pain.
• Duration: Sternum pain may come and go or be constant, while heart attack pain typically lasts for several minutes or more.

It’s important to note that these are general guidelines, and individual experiences may vary. When in doubt, always seek immediate medical attention for chest pain, especially if you have risk factors for heart disease.

When to Seek Medical Attention for Chest Pain

While many causes of sternum pain are not life-threatening, it’s crucial to know when to seek medical attention. Prompt evaluation can help rule out serious conditions and ensure appropriate treatment.

When should you see a doctor for chest pain?

• Sudden, severe chest pain
• Chest pain accompanied by shortness of breath, sweating, or nausea
• Pain that radiates to the arm, jaw, or back
• Persistent pain lasting more than a few days
• Chest pain associated with fever or cough
• Any chest pain if you have a history of heart disease or are at high risk for heart problems

Remember, it’s always better to be cautious when it comes to chest pain. If you’re unsure about the severity of your symptoms, don’t hesitate to seek medical advice.

Diagnosis and Treatment of Sternum Pain

Diagnosing the cause of sternum pain typically involves a thorough medical history, physical examination, and possibly additional tests. The specific diagnostic approach will depend on the suspected cause of the pain.

What diagnostic methods might a doctor use to evaluate sternum pain?

• Physical examination
• Chest X-ray
• CT scan
• Electrocardiogram (ECG)
• Blood tests

Treatment for sternum pain varies depending on the underlying cause. Some common treatment approaches include:

• Rest and ice for minor injuries or strains
• Pain relief medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs)
• Physical therapy for musculoskeletal issues
• Antibiotics for bacterial infections like pneumonia
• Antacids or proton pump inhibitors for acid reflux
• Surgery in cases of severe fractures or hernias

Your healthcare provider will recommend the most appropriate treatment plan based on the specific cause of your sternum pain.

Preventing Sternum Pain: Tips for Chest Health

While not all causes of sternum pain are preventable, there are steps you can take to reduce your risk of developing chest discomfort.

How can you maintain good chest health and prevent sternum pain?

• Practice good posture to reduce strain on chest muscles and joints
• Use proper form when exercising or lifting heavy objects
• Wear protective gear during contact sports or activities with a high risk of chest injury
• Manage underlying conditions like GERD or respiratory issues
• Quit smoking and avoid secondhand smoke
• Maintain a healthy weight to reduce pressure on the chest and diaphragm
• Stay hydrated and practice deep breathing exercises to support respiratory health

By incorporating these habits into your daily routine, you can help maintain chest health and potentially reduce the risk of developing sternum pain.

Living with Chronic Sternum Pain: Management Strategies

For some individuals, sternum pain may become a chronic condition. While this can be challenging, there are strategies to manage long-term chest discomfort and improve quality of life.

What approaches can help manage chronic sternum pain?

• Work with a pain management specialist to develop a comprehensive treatment plan
• Explore alternative therapies such as acupuncture or massage
• Practice stress-reduction techniques like meditation or yoga
• Use heat or cold therapy as recommended by your healthcare provider
• Consider cognitive behavioral therapy to address the psychological aspects of chronic pain
• Join a support group for individuals with chronic pain

Remember, managing chronic pain is often a multifaceted approach that may require ongoing adjustments. Work closely with your healthcare team to find the most effective strategies for your specific situation.

Understanding the various causes of sternum pain and knowing when to seek medical attention is crucial for maintaining chest health. By recognizing the symptoms of different conditions and taking proactive steps to prevent injury and manage underlying health issues, you can reduce your risk of experiencing sternum pain. If you do encounter chest discomfort, don’t hesitate to consult a healthcare professional for proper evaluation and treatment. With the right approach, most causes of sternum pain can be effectively managed, allowing you to maintain a healthy, active lifestyle.

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.

Sternal Pain – London Pain Clinic

Introduction

Sternal pain is an acute or chronic pain or discomfort felt in the region of sternum and the associated structures.

The first seven ribs attached to the sternum or the breastbone in the front are known as sternal or true ribs. The sternum or breastbone is a long, flat bone located in the center of the thorax (chest). It connects to the rib bones via cartilage, forming the rib cage with them. It helps to protect the lungs, heart and major blood vessels from physical trauma.

The sternum is composed of vascular cancellous tissue, covered by a thin layer of compact bone, which is thickest in the manubrium between the articular facets for the clavicles.

At times, sternal pain is also accompanied by sensations like a cracking sound.

Conditions and Causes

There are a number of conditions that might lead to sternal pain. Here we briefly list a few amongst them.

A) Sternal Fractures

Fractures of the sternum are relatively uncommon. These normally occur from a trauma, such as when a driver’s chest is forced into the steering column of a car in a car accident.

A sternal fracture is usually a comminuted fracture, implying that it is broken into pieces.

B) Sternoclavicular (SC) Joint Injury

The sternoclavicular joint or the SC joint is the connection of the sternum (breastbone) to the clavicle .i.e. collarbone.

Sternoclavicular joint can also dislocate from its normal position. The clavicle will dislocate either in front (an anterior SC dislocation) or behind (a posterior SC dislocation).

C) Broken collarbone

The collarbone, also known as the clavicle, is the bone at the top of the chest, between the breastbone (sternum) and the shoulder blade (scapula). Clavicle fractures are extremely common and can occur in adolescents, athletes and babies, during accidents, falls or at birth.

D) Costochondritis

This is an inflammation of the junctions where the upper ribs join with the cartilage that holds them to the breastbone or sternum. The condition causes localized chest pain that can be reproduced by pushing on the cartilage in the front of your ribcage.

Tietze Syndrome, an inflammatory condition of the breast area is also another form of costochondritis.

E) Trauma

Sternal pain might also occur because of a fall while running or a similar injury.

Diagnosis and Treatment

A physician will begin the examination of possible causes of sternal pain with an interview about your medical history. The symptoms and events preceding your pain will also be questioned in detail.

This is mostly followed by an x-ray of the affected area (around the sternum) to identify any prominent fractures or similar conditions.

General forms of treatment available for sternal pain include:

· Nonsteroidal anti-inflammatory drugs (NSAIDs)

· Local injections (corticosteroids)

· Rest

Why does it hurt in the chest? Signs and symptoms of angina pectoris

Ischemic heart disease

December 23, 2022
Author: medical adviser of Servier JSC, candidate of medical sciences, Anufrieva Elena Nikolaevna

Chest pain is an alarming symptom, but how to understand what caused it and is it necessary to urgently seek medical help? In such a situation, doctors first of all pay attention to the heart and try to find out as soon as possible whether the pain is associated with coronary heart disease and its frequent manifestation – angina pectoris.

What is IHD and why does it occur?

IHD (ischemic heart disease) occurs due to a violation of blood flow in the coronary arteries: the vessels that deliver blood to the heart muscle – the myocardium, the result of IHD is damage to this muscle.

The risk factors for developing coronary artery disease are well known, the main ones are:

• 1

  increase in the level of cholesterol and its fractions – “good” and “bad” cholesterol;

• 2

  high blood pressure;

• 3

  diabetes mellitus;

• 4

  smoking;

• 5

  low physical activity.

The term IHD itself includes acute transient conditions that occur suddenly and just as quickly pass – unstable angina, myocardial infarction, and also includes chronic conditions – stable angina, vasospastic angina.

In this article, we told in simple terms what happens in the body during coronary artery disease.

Angina pectoris as a manifestation of coronary artery disease

Angina pectoris or “angina pectoris” was first described in the 18th century and is now well understood and treatable.

Stable angina is caused by myocardial ischemia, a condition in which atherosclerotic plaques and narrowing of the coronary arteries cause a lack of oxygen to the heart muscle. Spasms of the coronary vessels are the cause of vasospastic angina.

Myocardial ischemia

Stable angina pectoris not detected and observed by a doctor in time can lead to the development of acute coronary syndromes – myocardial infarction and unstable angina pectoris, which will require coronary interventions, that is, emergency heart operations.

Learn more about the causes and types of angina, as well as the most dangerous manifestations of the disease. Watch the video and find out why it is so important to get an examination and treatment as soon as possible.

Typical manifestations (symptoms) of angina pectoris in men and women

If chest pain is suspected of being related to a heart problem, a few questions should be answered about the nature of the attack, the location of the pain, and the situations in which it comes and goes ¹ .

• 1. Where does the pain appear?

Typical angina is pain behind the sternum, in which a person unconsciously clenches his hand into a fist in front of the sternum. In more rare cases, pain occurs in the left side of the chest, while shifting to the left arm, left shoulder blade and shoulder or lower jaw.

• 2. How would you describe the nature of the pain?

In angina pectoris, the pain is most often described as pressing or squeezing. Sometimes, instead of a typical pain attack, a person is disturbed by such symptoms of angina pectoris as shortness of breath, a feeling of heaviness or burning in the chest.

• 3. How long does the pain last?

Usually angina attacks last from 2 to 5 minutes, sometimes they last longer, but in general they do not exceed 20 minutes.

• 4. When does pain usually occur?

Typically, the onset of pain attacks occurs during, but never after, physical activity: for example, when carrying heavy loads, when walking, when a person tries to walk faster, or when climbing stairs. In some cases, an angina attack develops against a background of stress, emotional stress, or due to a sharp increase in blood pressure.

Provoking factors can be a rich meal, low or, conversely, very high air temperature – especially when it changes abruptly, for example, when going outside in winter or when visiting a sauna.

• 5. When does the pain stop?

Pain stops quickly with 1-2 short-acting nitrate tablets sublingually; 1.5-2 minutes after spraying a spray of nitroglycerin on the oral mucosa, as well as with a decrease or cessation of physical or emotional stress, especially after resting in a sitting position.

If the pain meets at least four of the above characteristics, it is very likely to be angina pectoris ² .

When is a doctor needed?

It is far from always possible to understand what caused it only from the description of a painful attack. Angina pectoris may masquerade as an exacerbation of cholecystitis or gastric ulcer. On the other hand, pain from herniated discs, osteochondrosis and pinched vertebral nerves is not only very similar to angina pectoris, but can also provoke its attack. Therefore, if you have any doubts, incomprehensible or disturbing symptoms, the most correct decision would be to consult a doctor.

Here are the top 7 reasons to see a doctor:

• 1

  pain occurs now on the right, now on the left of the sternum;

• 2

  pain can be described as pinpoint;

• 3

  pain lasts more than 30 minutes;

• 4

  pain not related to exercise but dependent on movement or breathing;

• 5

  pain most often comes on at night or in the morning, or on exposure to cold;

• 6

  pain occurs at rest, poorly relieved by short-acting nitrate;

• 7

  attacks of pain are becoming more frequent.

All of the above may be a manifestation of a special vasospastic (Prinzmetal’s angina) or microvascular form of angina, as well as a sign that the attack was caused by causes not related to disorders in the heart ¹ . Only a cardiologist can clarify the situation, diagnose the disease and understand the cause of seizures.

In some cases, not just a doctor’s consultation, but emergency medical care is required if chest pain occurs due to a life-threatening condition – myocardial infarction, pulmonary embolism, aortic dissection.

• severe pain not relieved by short-acting nitrate;

• increasing pain in response to exercise;

• shortness of breath, rapid breathing;

• fainting, impaired consciousness;

• nausea, vomiting, profuse sweating;

• pallor and blueness of the skin;

• drop in blood pressure, rapid pulse.

If chest discomfort or pain is accompanied by any of the above symptoms, an ambulance should be called immediately.

Non-heart causes

Angina pectoris is not the only cause of chest pain, there are other diseases that are characterized by pain. But the clinical manifestation of non-cardiac pain, as a rule, differs in its characteristics from the classic symptoms of typical angina pectoris and pain in other cardiac pathologies. Let’s look at the causes and characteristics of non-heart pain. ¹

Diseases of the digestive system as a cause of non-cardiac pain

Causes of non-cardiac pain:

• 1

  Diseases of muscles and joints: osteochondrosis, herniated disc, myositis.

• 2

  Diseases of the lungs and respiratory tract: pneumonia, pleurisy, bronchitis.

• 3

  Diseases of the digestive system: stomach ulcer, esophagitis, gastroesophageal reflux disease.

• 4

  Diseases of peripheral nerves: neuralgia, radicular syndrome.

Characteristics of non-cardiac pain:

• While angina is characterized by chest pain, non-cardiac pain is more likely to occur on the right or left side of the chest. Remember that it is not always possible to determine the exact cause of pain without additional examination!

• Non-cardiac pain can most often be described as dull, aching, or sharp (stabbing, cutting), while an attack of angina is usually accompanied by pressure or squeezing pain.

• The duration of non-cardiac pain can vary from a few seconds to several hours or days, while an angina attack lasts from 2 to 5-10 minutes.

• Occurs when moving, changing body position, taking deep breaths, or immediately after eating.

• Disappears after resting in the supine position or in a certain position, when taking painkillers and anti-inflammatory drugs.

If the attacks of pain are repeated again and again, it is better not to risk it and seek the advice of a doctor. In the arsenal of a specialist there are modern methods for diagnosing coronary artery disease, which

will allow you to quickly make the correct diagnosis, confirm or exclude coronary heart disease and prescribe the necessary drug therapy.

Attentive attitude to their condition, timely access to a doctor and careful adherence to recommendations allow patients with coronary artery disease to reduce the frequency of angina attacks, improve quality of life and delay the risk of myocardial infarction for a long time.

References

1. Vertkin AL, Topolyansky AV Diagnostic algorithms: chest pain // BC. – 2016. – No. 14. – P. 913–916.

2. Stable ischemic heart disease. Clinical guidelines 2020. Russian Journal of Cardiology. 2020;25(11):4076. doi:10.15829/1560-4071-2020-4076

Girdle pain in the chest and back: causes and treatments

Contents

• 1 Girdle pain in the chest and back: causes, symptoms and treatment
  • 1.1 Herpes zoster chest and back pain: causes and treatments
    • 1.1.1 What is girdle pain?
    • 1.1.2 Causes of girdle pain in the chest and back
    • 1.1.3 Treatments for girdle pain in the chest and back
  • 1.2 What is girdle pain?
  • 1.3 Common causes of girdle pain
  • 1.4 Girdle pain in the chest: what can be the cause?
  • 1.5 Supporting heading
    • 1.5.1 Girdle pain in the back: possible causes
  • 1.6 What treatments help manage girdle pain in the chest and back?
  • 1. 7 Drug treatment of girdle pain
  • 1.8 Physical therapy for chest and back pain girdle pain
    • 1.8.1 Basic principles of physical therapy
    • 1.8.2 Basic exercises
    • 1.8. 3 Recommendations and contraindications
  • 1.9 Massage as an effective way to deal with girdle pain
    • 1.9.1 What is girdle pain and how is it treated?
    • 1.9.2 Why is massage effective in treating girdle pain?
    • 1.9.3 What is the right way to massage with girdle pain?
    • 1.9.4 How to get a massage for girdle pain?
  • 1.10 Acupuncture for girdling pain
  • 1.11 How to prevent girdling pain?
  • 1.12 When should I seek medical help for chest and back pain?
  • 1.13 Related videos:
  • 1.14 Q&A:
    • • 1.14.0.1 What is chest and back pain?
      • 1.14.0.2 What causes girdle pain in the chest and back?
      • 1.14.0.3 What are the symptoms of girdle pain in the chest and back?
      • 1. 14.0.4 How can girdle pain in the chest and back be treated?
      • 1.14.0.5 Can I try to alleviate chest and back pain on my own?
      • 1.14.0.6 When should I see a doctor if I have chest and back pain around me?

Girdle pain in the chest and back can be a symptom of serious illness. Find out what causes this pain and what treatments are available. Contact your doctor if you experience these symptoms.

Girdle pain in the chest and back is a common condition that can have many causes and present differently in different people. It can occur due to pathological changes in the heart, lungs, spine, muscles, nerves and other organs and systems of the body, as well as a symptom of many diseases.

Sensation of girdle pain occurs in the form of pressure, constriction, burning, sharp or dull pain in the chest or back, spreading to a specific location and having a characteristic combination with other symptoms.

In this article, we look at the most common causes of girdle pain in the chest and back, as well as various treatments for this condition. The information will be useful both for those who encounter these symptoms for the first time, and for those who already have experience in treating this problem.

Girdle pain in the chest and back: causes and treatments

What is girdle pain?

Girdle pain is an uncomfortable sensation of pressure or pain, usually described as the sensation of a band or band around the chest or back. This often occurs in the presence of nerve damage or problems with the spine, such as a herniated disc or scoliosis.

Causes of girdle pain in the chest and back

The most common causes of girdle pain in the chest and back are a herniated disc, spondylosis or scoliosis. Girdle pain in the chest can also be caused by arthrosis of the thoracic spine or deformity of the chest.

Ways to treat girdle pain in the chest and back

Treatment of girdle pain in the chest and back depends on the cause. In most cases, relief can be achieved with minor lifestyle changes. This includes activity restriction, pain medication, physical therapy, massage, and sometimes surgery.

• Pain medications: Pain medications such as ibuprofen and acetaminoprofen can have a strong analgesic effect and reduce girdling pain. However, taking large doses of drugs can have side effects, such as blood changes.
• Physical Therapy: Exercise can strengthen back muscles and reduce stress on the spine, which can help reduce pressure and pain. Physical therapy can also reduce inflammation around damaged nerves.
• Surgery: If the girdle pain is caused by a herniated disc, surgery may be needed to remove the damaged disc and relieve pressure on the nerve endings.

What is girdle pain?

Girdle pain is an unusually sharp, often sharp and pinching pain that radiates across the chest and back around the thighs. It may be accompanied by symptoms such as numbness and skin sensitivity in the area of ​​pain.

Often, pain near the heart and back can be caused by sciatica or spinal nerve neuralgia. In addition, some diseases, such as breast or lung cancer, can also cause girdle pain in the chest and back.

Regardless of the cause of the disease, girdle pain is a serious symptom that requires a long consultation with a doctor. Treatment can range from prescription drugs to electrotherapy and physical therapy.

Common causes of girdle pain

Pain in the chest and back, involving the ribs and lower back, can be caused by various causes. One of the most common is osteochondrosis of the spine, which develops when the intervertebral discs are deformed and leads to a violation of the thoracic or lumbar region.

Girdle pain can also be the result of nerve damage. This often occurs with cervical osteochondrosis, a herniated disc, or chest trauma. In such a case, pain can be described as a sensation of burning or electrical pain radiating through the body.

Cardiac disorders can also cause girdle pain in the chest. It can be expressed as a strong crush or pressure, especially during exercise or stress.

Finally, girdle pain in the chest and back can be caused by advanced cancer. For example, lung or breast cancer can produce similar symptoms that need to be urgently examined and treated by a qualified specialist.

Girdle pain in the chest: what could be the cause?

Girdle pain in the chest is a common symptom that can indicate various diseases or conditions of the body. Pathologies of the cardiovascular system, diseases of the esophagus, hiatal hernia, lung diseases, neurological diseases – all this can cause girdle pain in the chest.

Cardiovascular problems can be very dangerous and require immediate medical attention. The cause of pain can be coronary heart disease, arrhythmia, obstructive lesions of the brachiocephalic arteries, aortic aneurysm and other diseases.

Various neurological conditions can also cause girdle chest pain. For example, sciatica, neuritis of the intercostal nerves, salt deposits – all this can be manifested by pain in the chest, back and neck.

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Girdle pain in the back: possible causes

Girdle pain in the back, as a rule, affects the lumbar region and can be associated with various causes. Consider some of them:

1. Osteochondrosis: is a disease in which degeneration of the intervertebral discs occurs. When a disc herniates or protrudes, the disc can press on adjacent nerves, causing girdle pain in the back.
2. Myofascial pain syndrome: is a condition in which damage occurs to the myofascial tissues, causing characteristic pain that can radiate throughout the body, including the back.
3. Acute muscle spasm: occurs when the muscles are overstressed, such as when lifting weights or in an uncomfortable body position. It is usually treated with antipyretic and anti-inflammatory drugs, as well as special exercises for kneading muscle fibers.
4. Osteoporosis: is a predisposition to bone fractures caused by loss of bone mass. Girdle pain in the back can be one of the signs of osteoporosis.

To accurately determine the cause of girdle pain in the back, you should consult a doctor for a consultation.

What are the treatments for chest and back pain?

Drug therapy. Depending on the cause of the pain, a variety of drugs can be prescribed, from painkillers and anti-inflammatory drugs to muscle relaxants that relieve muscle tension. Pharmaceutical companies also produce specialized products that are effective in treating chronic back pain.

Physiotherapy. Physical therapy methods such as ultrasound, electrical stimulation, and magnetotherapy can help reduce pain and improve blood circulation. Physiotherapy exercises are aimed at strengthening muscles, improving joint mobility and reducing pain.

Alternative medicine. Alternative medicine methods such as massage, acupuncture, and yoga can help relieve pain and tension. However, one should beware of the involvement of unqualified specialists and unofficial methods of treatment.

Surgical intervention. If the cause of girdle pain is a displaced disc or a herniated disc, surgery may be required. In this case, surgeons remove or reposition the affected disc to take pressure off the nerve and relieve pain.

Change your lifestyle. Girdle pain can often occur in connection with bad habits such as smoking, sedentary lifestyle and unhealthy diet. To stop the development of the disease and reduce pain, a change in lifestyle will help – taking physical rehabilitation courses, playing sports and proper nutrition.

Drug treatment of girdling pain

Drug treatment of girdling pain may include the use of analgesics, anti-inflammatory drugs, antidepressants, and drugs that improve circulation.

Drugs that increase circulation in the body can also be used to relieve pain, such as beta-blockers, calcium channel blockers, and angioprotectors, which have various effects.

Antidepressants can be used to control neuropathic pain, which can improve the lives of patients suffering from this disease. To determine which drug is best suited, consultation with a specialist is required.

Physical therapy for chest and back pain girdle pain

Basic principles of physical therapy

Physical therapy aims to reduce pain and restore normal movement function. For the treatment of girdle pain in the chest and back, a set of exercises is used, based on the activation of muscle groups located in the affected area. In the process of training, you must carefully listen to your feelings and not exceed the permissible load, which can worsen the condition.

Core Exercises

Light aerobic exercise, such as walking, cycling or swimming, can help improve circulation to the chest and back. It is also recommended to perform exercises aimed at strengthening the muscles of the near-support groups, such as push-ups, various ligaments and stretching exercises.

Recommendations and contraindications

Consultation with a specialist is necessary before starting physical therapy classes. You should not perform exercises with acute pain in the heart, dizziness and other symptoms that may indicate the presence of a serious pathology. It is important to remember that physical therapy is not a panacea and should be combined with other therapies such as medication and massage.

Massage as an effective way to deal with girdle pain

What is girdle pain and how to treat it?

Girdle pain in the chest and back is an unpleasant condition that can be caused by various causes, such as diseases of the spine, disorders of the heart or lungs, muscle spasm, and much more. Treatment for girdle pain may include medication, physical therapy, and massage.

Why massage is effective in the treatment of girdle pain?

Massage can be very helpful in dealing with girdling pain, as it helps improve blood circulation, relax muscles, reduce inflammation and relieve tension in the body. It can also help reduce pain, improve flexibility and mobility, and speed up the recovery process.

What is the right way to massage with girdle pain?

Massage should be performed by a qualified specialist who knows all the features of such a procedure. During the massage, the massage therapist performs various manipulations, such as rubbing, kneading, shock movements and others, depending on the problem area. He may also use various oils and creams to increase the effect of the massage and improve blood flow.

How to get a massage for girdle pain?

If you have chest or back pain, you can contact a masseur in special rooms or centers that specialize in massage procedures for a massage. It is important to choose certified sites and consult with your doctor to find out if massage is the most effective treatment for you.

Acupuncture for Girdle Pain

Acupuncture is a traditional Chinese medicine method that can help with girdle pain in the chest and back.

You must contact a licensed acupuncturist who will prescribe the number and time of sessions depending on individual needs.

Acupuncture is a safe and effective alternative to conventional medicine and can be used to improve quality of life for chest and back pain.

How to prevent girdle pain?

Prevention of girdle pain is a key task that everyone should solve.

• Avoid physical inactivity: exercise periodically to strengthen muscles, play sports.
• Watch your diet: Eat more fruits, vegetables and healthy protein foods.
• Non-smoking: everyone knows this, but smoking harms the whole body and increases the risk of developing many diseases, including girdle pain.
• Watch your weight: excess weight has a negative impact on the cardiovascular system.
• Sit correctly at the table: the chair should be comfortable, the eyes should be at the level of the screen, the hands on the keyboard should not hang in the air.
• Stress control: avoid situations that can cause you emotional arousal and stress.

Prevention is the best way to deal with chest and back pain. To prevent this disease, you need to pay enough attention to the health of your cardiovascular system, monitor your lifestyle and do not forget about regular medical examinations.

When should I seek medical help for chest and back pain?

Girdle pain in the chest and back can be a sign of a serious illness and requires prompt medical attention.

• If pain persists for 15 minutes or more;
• If the pain is accompanied by difficulty in breathing, loss of consciousness, or other unusual symptoms;
• If chest and back pain recurs or worsens during exercise, stress or during a night’s rest;
• If heart rhythm, heart rate or blood pressure are disturbed;
• If chest and back pain occurs after eating or suddenly and for no apparent reason.

Remember that the absence of chest pain does not mean the absence of heart problems. If necessary, the doctor may prescribe additional examinations to identify the causes of pain and its treatment.

Do not postpone your health for later and be sure to contact a qualified specialist if you experience girdle pain in your chest and back!

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Q&A:

What is chest and back pain?

Girdle pain in the chest and back is a sensation of pain around the trunk, which covers the chest and back. It can be caused by a variety of causes, including problems with the spine, heart, lungs, and digestive system.

What causes girdle pain in the chest and back?

Girdle pain can be caused by many factors, including osteochondrosis, cervical and thoracic sciatica, coronary heart disease, tonsillitis, lung infections, pancreatitis, and gastroesophageal reflux disease.

What are the symptoms of girdle pain in the chest and back?

Symptoms of girdle pain in the chest and back can vary depending on its cause. Usually this is a feeling of heaviness and pressure in the chest, discomfort in the region of the heart, a vague feeling of discomfort in the back and neck. Sometimes associated symptoms may include loss of appetite, nausea, and dizziness.

How can girdle pain in the chest and back be treated?

Treatment of girdle pain in the chest and back depends on its cause. In some cases, in order to eliminate pain, it is necessary to consult doctors of various specialties, including a neurologist, cardiologist, pulmonologist and gastroenterologist, who will conduct the necessary examinations and determine the appropriate treatment. This may include medication, physical therapy, massage, and muscle-strengthening exercises.

Can I try to alleviate chest and back pain on my own?

Yes, there are several ways to help relieve chest and back pain.