Sunday, February 25, 2024

Back Pain Radiating To Chest

What Are The Causes Of Chest Pain

How to manage back pain radiating to chest and hands? – Dr. Kiran Sundara Murthy

Chest pain can be a symptom of many different conditions, some of which are more serious than others. Its best to seek medical attention for any chest pain in case it is heart-related.

Common non-cardiac causes of chest pain include:

  • indigestion or reflux when stomach acid rises up the food pipe, and causes a burning pain in the chest
  • inflammation where the ribs join the breast bone
  • chest infections such as bronchitis and pneumonia
  • anxiety or panic attack these may also cause dizziness, heart palpitations, sweating and breathlessness and can last for up to 20 minutes.

Common cardiac causes of chest pain include:

  • angina pain caused by poor blood flow to the heart muscle, which usually occurs when the heart needs to work harder than usual. This might be due to exercise, anxiety or emotion, cold weather, or following a large meal. The pain is usually short lived and eases with rest.
  • heart attack when the blood flow to a part of the heart muscle is blocked. Chest pain caused by a heart attack usually does not go away with rest, and urgent medical attention is necessary.

Less common causes of chest pain include:

  • shingles an infection that typically causes pain before a skin rash appears
  • mastitis usually caused by a breast infection related to breastfeeding
  • a pulmonary embolism a blockage in the blood vessel that carries blood from the heart to the lungs. You may have sharp, stabbing chest pain that is worse when you breathe in.

Chest And Back Pain Causes Treatment And More

On its own, back pain is not always a concern, although it can be uncomfortable.

But when back pain and chest pain happen at the same time, it could be a sign of a serious health problem.

Its important to understand when chest and back pain is an emergency and what to do about it, as well as when it may resolve on its own.

Pain Intensifies When You Move

You had a recent fall, but you didnt think your back would hurt this much! If you had a traumatic injury, like a heavy object lands on your back or you slip on the ice and fall with your back striking the edge of a step, you can break a vertebral bone or a rib, notes Dr. Tien. The pain can be moderate to severe, but it will get worse when you move. Talk to your doctor, especially after any bad injury.

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How Is Noncardiac Chest Pain Treated

Effective treatment depends on identifying the cause of your noncardiac chest pain. Some options include:

Acid reflux treatments

If your noncardiac chest pain is, like most peoples, from GERD, treatment is usually simple and effective. Proton-pump inhibitors are the most commonly used medicine to treat GERD. PPIs reduce the amount of stomach acid that your glands secrete, which also allows ulcers and acidic corrosion to heal. Treatment usually begins with a high dosage to control your symptoms, then continues with a low dosage for two to four months. PPIs are about 90% effective in treating GERD and its side effects. If they are ineffective, it probably means that your NCCP is caused by something else.

Pain blockers

The next most common and effective treatment for noncardiac chest pain is a medicine that blocks the pain signals. These are usually from a class of drugs known as tricyclic antidepressants , used in much lower dosages than they are used to treat depression. If side effects prevent you from tolerating TCAs, other categories of antidepressants might work. Selective serotonin reuptake inhibitors have shown some promise in treating NCCP, although they are less well-established than TCAs.

Emotional and behavioral therapies

A note from Cleveland Clinic

Last reviewed by a Cleveland Clinic medical professional on 04/04/2022.


Severe Chest Pain Radiating To The Back

Pin on Nervous System: Brain, Spinal Cord, Nerve Health
  • Balakrishnan Saravanan, senior house officer1,
  • D T Williams, senior lecturer and consultant vascular surgeon1
  • 1Department of Vascular Surgery, Ysbyty Gwynedd, Bangor LL57 2PW
  • A 55 year old man presented to the emergency department with a two hour history of sudden onset chest pain radiating to his back. His past medical problems included hypertension, and he was a smoker.

    Although initial observations were normal, within a few minutes he became drowsy, agitated, and started developing weakness of his left arm. The pulses in his left arm were absent.

    All initial blood investigations, including cardiac enzymes, were within normal limits, with a haemoglobin concentration of 139 g/l. Twelve lead electrocardiography and chest radiography performed on admission were normal. Tests for cardiac enzymes were subsequently repeated, and results remained within normal limits.

    An urgent computed tomogram of the chest and abdomen was performed .

    Coronal reformat of computed tomogram of the chest at the level of aortic arch

    Transverse computed tomogram of the abdomen at the level of L1 vertebrae

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    Treating Chest And Back Pain

    Treatment for your chest and back pain depends on what is causing it. An accurate diagnosis is essential to get relief from your symptoms.

    For digestive conditions, you may need to alter your diet or take medication to help manage symptoms.

    To treat heart conditions, you may need to make lifestyle changes, diet alterations, and take medication.

    For other causes of chest or back pain, your provider will give you clear instructions on how to treat or manage your condition.

    While Waiting For The Ambulance

    Stop any activity and rest while waiting for an ambulance. Dont try to drive yourself to hospital. Loosen any tight clothing, such as collar buttons or ties. Avoid breathing in cigarette smoke. Dont have anything to eat or drink.

    If you have been prescribed angina medicine, sit or lie down and take a dose of this under your tongue. If this doesnt relieve your symptoms in 5 minutes, try taking 2 more doses at 5-minute intervals.

    Chew 300mg aspirin straight away, unless you’re allergic or your doctor has told you not to. Do not give aspirin to anyone under 12 years.

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    What Back Pain Treatment Options Are Available To Me Back Pain Radiating To Chest And Head

    There are many methods for treating back pain at home, but only a few of these have been proven to be effective. The most common treatment is rest and applying ice to the painful area. This treatment is very relaxing and should be used for only 10-20 minutes. It should never be applied while you sleep. Also, exercise and stretching exercises are essential for keeping muscles and supporting tissues flexible. While some of these methods may not seem like they are effective for you, they can help you overcome your back pain.

    Physical therapy is a good option for treating back pain. It will help you improve your posture and strengthen your core muscles. Massage therapy and acupuncture are other options for relieving tension and reducing joint pain. Some people also find that water therapy improves flexibility and balance, while yoga helps them heal faster from injuries. Proper nutrition and lifestyle changes are also important for treating back pain. It is very important to consult a physician if you are experiencing back pain because it will help you avoid more serious conditions later on.

    What To Expect At Your Office Visit

    What causes radiating Chest Pain towards left side? – Dr. Sanjay Panicker

    Your provider may ask questions such as:

    • Is the pain between the shoulder blades? Under the breast bone? Does the pain change location? Is it on one side only?
    • How would you describe the pain?
    • Does it begin suddenly? Does the pain occur at the same time each day?
    • Does the pain get better or worse when you walk or change positions?
    • Can you make the pain happen by pressing on a part of your chest?
    • Is the pain getting worse? How long does the pain last?
    • Does the pain go from your chest into your shoulder, arm, neck, jaw, or back?
    • Is the pain worse when you are breathing deeply, coughing, eating, or bending?
    • Is the pain worse when you are exercising? Is it better after you rest? Does it go away completely, or is there just less pain?
    • Is the pain better after you take nitroglycerin medicine? After you eat or take antacids? After you belch?
    • What other symptoms do you have?

    The types of tests that are done depend on the cause of the pain, and what other medical problems or risk factors you have.

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    What Does Noncardiac Chest Pain Feel Like

    Noncardiac chest pain is often described as feeling like angina, the chest pain caused by heart disease. It feels like a painful squeezing or tightness in your chest, or like pressure or heaviness, particularly behind your sternum. You may feel it on the right side or the left side or in the middle. Sometimes the pain radiates to your neck, left arm or back. You may notice that it occurs after eating, or that it is accompanied by heartburn, a burning sensation in the chest. It can last for a few minutes or a few hours.

    What Causes Back Pain Pain Radiating Over Chest Into Back

    Back pain causes are as diverse as they are common. The most common are muscular, skeletal, and disc problems. Despite their seemingly simple nature, these conditions can be very painful. Some of the most common cause of back pain is improper posture. You should always strive to sit with your shoulders over your hips. This helps to keep your spine in the proper alignment. When you deviate from this position, you put extra pressure on your back muscles, which may lead to muscle spasms and even a spinal stenosis.

    Some of the most common back pain causes are as described above: a dull ache in the back that can radiate to the buttocks or legs. Although not all cases of back pain are as serious, there are a variety of symptoms that can be caused by back issues. A doctor can determine the exact cause of your back pain by asking about your symptoms and performing a physical exam. Sometimes an x-ray will be taken to check whether your bones are aligned properly and to rule out any broken bones. Unfortunately, x-rays cant detect if your disks and nerves have been damaged.

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    Whats The Difference Between Radiating Pain And Referred Pain

    Radiating pain isnt the same as referred pain. With radiating pain, the pain travels from one part of the body to another. The pain literally moves through the body.

    With referred pain, the source of pain doesnt move or get larger. The pain is simply felt in areas other than the source.

    An example is jaw pain during a heart attack. A heart attack doesnt involve the jaw, but the pain can be felt there.

    Pain can radiate from and to many parts of the body. The pain may come and go, depending on the cause.

    If you experience radiating pain, pay attention to how it spreads. This can help your doctor figure out whats going on and whats causing the pain.

    Below are some of the most common causes of radiating pain by body region.

    Pain that travels down either leg may be caused by:

    The Ache Wont Go Away

    Pain between my hip and leg joint, back pain radiating to left buttock ...

    Youve tried the DIY treatments, gotten massages, and maybe even bought a new mattress. If your upper back is persistently hurting, it mayvery rarelybe a sign of a lung tumor. The American Cancer Society points out that advanced lung cancer may contribute to bone pain. Weight loss, chest pain, and weakness are also signs of lung cancer.

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    When Should I Call Triple Zero And Ask For An Ambulance

    If you have any of the symptoms below, call triple zero immediately and ask for an ambulance. If calling triple zero does not work on your mobile phone, try calling 112.

    • your chest pain is severe, or worsening, or has lasted longer than 10 minutes
    • your chest pain feels heavy, crushing or tight
    • you have other symptoms, such as breathlessness, nausea, dizziness or a cold sweat
    • you also feel the pain in your jaw or down your left arm

    When To Go To The Doctor

    You cant always assume the discomfort is no big deal. If pain lingers for more than a few days or requires regular pain medications, you should be evaluated by your physician, says Leda Ghannad, MD, assistant professor of orthopedic surgery and physical medicine and rehabilitation at Rush University Medical Center. Another sign: if the pain limits your abilities in your day-to-day life, like you have to call off work to stay in bed. Following are signs you need to get medical help, pronto.

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    Getting A Diagnosis For Upper Back And Chest Pain

    Any sudden onset of unexplained chest pain that lingers needs to be evaluated by a doctor. When evaluating upper back and chest pain, a doctor typically aims to rule out cardiac causes before checking other potential causes, such as an injury to the muscles, ribs, or spine.

    A trained medical professional can accurately diagnose the cause of upper back and chest pain. Once an accurate diagnosis is found, an effective treatment plan can begin.

    See Diagnosing Upper Back Pain

    What Are The Warning Signs Of A Heart Attack

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    There are several different warning signs of a heart attack, and they are not always sudden or severe. Whether or not your chest pain symptoms include mild to severe pain, they should be considered heart-related until proven otherwise.

    People having a heart attack may have just one of these symptoms, or a combination of several. They can come on suddenly or develop over a few minutes and get progressively worse. Symptoms usually last for at least 10 minutes.

    Warning signs could include:

    • discomfort or pain in the centre of your chest a heaviness, tightness or pressure, like something heavy sitting on your chest, or a belt tightening around your chest, or a bad case of indigestion
    • discomfort in your arms, shoulder, neck, jaw or back
    • other problems such as:

    Women and men can experience the signs and symptoms of a heart attack differently.

    Although chest pain is thought to be the most common symptom of heart attack and it is common in men only about half of all women who have a heart attack actually report chest pain.

    Heart attacks are more common in older people than in younger people, but they can occur in people of any age.

    The pain you have may not sound like that described above, but its still important to see a doctor. Remember, all chest pain should be checked out by a doctor as soon as possible.

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    What Are The Most Common Causes Of Noncardiac Chest Pain

    Noncardiac chest pain is most commonly related to a problem with your esophagus, the swallowing tube that connects your mouth to your stomach. There are several different esophageal disorders that can cause noncardiac chest pain, including:

    • Gastroesophageal reflux disease . Otherwise known as chronic acid reflux, this is the most common cause of noncardiac chest pain, accounting for 50% to 60% of cases.
    • Esophageal muscle spasms. Abnormal contractions or squeezing of your esophagus.
    • Achalasia. This is a rare disorder in which your lower esophageal sphincter doesnt relax and open to allow food into your stomach, causing food to back up into your esophagus.
    • Esophageal hypersensitivity. This is a sensory disorder in which the muscles, nerves and receptors of your esophageal wall are overly sensitive. People with this condition experience normal tension, pressure changes, and acid contents as painful.
    • Inflammation of the esophagus. This can result from an immune response to infection or food allergies or from peptic ulcer disease.
    • Abnormal esophageal tissue. This creates constrictions, such as rings and webs.

    When healthcare providers cant determine the cause but have ruled out other possible factors, they diagnose functional chest pain of presumed esophageal origin.”

    Do You Get Upper Back Or Chest Pain When Breathing Or Twisting

    A common injury we see in our clinics is acute mid back or thoracic spine pain with referral around into the ribs.

    This type of injury commonly occurs during twisting activities and unexpected movements when lifting or even twisting awkwardly when sneezing.

    Our patients come in complaining of sharp pain between the shoulder blades, associated with muscle spasm and pain referral. Pain is often increased with deep breathing or twisting motions.

    The main cause of this problem is injury to the small joints either side of the spine.

    Risk factors for the development of this problem include:

    • Poor seated posture or spending too long sitting.
    • Limited thoracic extension due to slouching posture.
    • Reduced mid back rotation again due to prolonged sitting and not enough movement of these joints.
    • Muscle imbalance between the chest muscles and the back muscles.

    Physiotherapy treatment for this injury includes mobilization of the stiff and injured joints, massage, dry needling and stretching to help settle the affected area. A rehabilitation program is then devised to treat the risk factors and causes of the injury.

    To help prevent this happening to you try these simple exercises.

    • Exercise #1: Lie over a rolled up towel on the floor placed horizontally across your back. Stretch your arms up over your head and feel the gentle stretch as your encourage your thoracic to extend. Hold each position for 30 seconds and try to do 3 levels of your back.

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