Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Severe Pain In The Chest And Upper Back Area
Question: I really need advice, I continue to have this deep gnawing pain in my chest and my upper back, I've been to a cardiologist about 6 months ago with a normal Holter, stress test, and echo but I can't stop worrying about this pain. it comes and goes but it's really bad and makes me nauseous and dizzy. I even went to er and they said I was fine. I'm really worried something was missed or something like SCAD can occur. any advice?
Brief Answer:
Spondylosis most likely.
Detailed Answer:
Firstly thanks to you for selecting HCM to ask your query
As you have mentioned your Echo,TMt and holter were normal.
Most likelyin your case Upper back pain associated with chest pain and dizziness can be because of overuse of muscles, muscle strain, or injury to the muscles, ligaments, and discs that support your spine. Poor posture(using pillow and soft mattress while sleeping). Pressure on the spinal nerves from certain problems, such as a herniated disc.
The vast majority of cases of upper back pain are due to one (or both) of the following causes:
Muscular irritation (myofascial pain)
Joint dysfunctions..
Its not always necessary that pain follows a episode of trauma or twisting,many a times even a normal amount of strain or a poor posture while sleeping or sitting can trigger the pain .
I would suggest you to go for a X ray cervical and thoracic region AP and LATERAL view, to rule out the above mentioned possibilities.
3 days of complete bed rest is advised ,don't try any exercise or physiotherapy till you are normal,give complete rest to your body.
Don't use Pillows and soft cushions on bed ,sleep on a hard surface.
I would suggest you to take a combination of seratiopeptidase +diclofenac potassium+paracetamol in combination with a potent corticosteroid like methyl prednisolone for 3 days at least ,you can discuss the dosage of the drugs with your physician.
Spontaneous coronary artery dissection is an uncommon emergency condition that occurs when a tear forms in one of the blood vessels in the heart.Its a very rare condition.Don't panic just follow what i said and follow up after 5 dfays.
If you have any further question i will be happy to help.
Spondylosis most likely.
Detailed Answer:
Firstly thanks to you for selecting HCM to ask your query
As you have mentioned your Echo,TMt and holter were normal.
Most likelyin your case Upper back pain associated with chest pain and dizziness can be because of overuse of muscles, muscle strain, or injury to the muscles, ligaments, and discs that support your spine. Poor posture(using pillow and soft mattress while sleeping). Pressure on the spinal nerves from certain problems, such as a herniated disc.
The vast majority of cases of upper back pain are due to one (or both) of the following causes:
Muscular irritation (myofascial pain)
Joint dysfunctions..
Its not always necessary that pain follows a episode of trauma or twisting,many a times even a normal amount of strain or a poor posture while sleeping or sitting can trigger the pain .
I would suggest you to go for a X ray cervical and thoracic region AP and LATERAL view, to rule out the above mentioned possibilities.
3 days of complete bed rest is advised ,don't try any exercise or physiotherapy till you are normal,give complete rest to your body.
Don't use Pillows and soft cushions on bed ,sleep on a hard surface.
I would suggest you to take a combination of seratiopeptidase +diclofenac potassium+paracetamol in combination with a potent corticosteroid like methyl prednisolone for 3 days at least ,you can discuss the dosage of the drugs with your physician.
Spontaneous coronary artery dissection is an uncommon emergency condition that occurs when a tear forms in one of the blood vessels in the heart.Its a very rare condition.Don't panic just follow what i said and follow up after 5 dfays.
If you have any further question i will be happy to help.
Above answer was peer-reviewed by :
Dr. Kampana
what about the chest pain
Brief Answer:
Follow up answer
Detailed Answer:
Hi again,
Chest pain can be caused by a number of causes involving spondylosis also.
Chest pain is a very non speific symptom and can be caused by spondylosis,gastritis,muscular sprain.
As all your baseline tests are normal its very likely that pain is non cardiac in origin.
Thanks
Follow up answer
Detailed Answer:
Hi again,
Chest pain can be caused by a number of causes involving spondylosis also.
Chest pain is a very non speific symptom and can be caused by spondylosis,gastritis,muscular sprain.
As all your baseline tests are normal its very likely that pain is non cardiac in origin.
Thanks
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
